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Long-term outcome of a randomized controlled universal prevention trial through a positive parenting program: is it worth the effort?

机译:通过积极的育儿计划进行的一项随机对照全民预防​​试验的长期结果:值得付出努力吗?

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Background Approximately 20% of children experience internalizing or externalizing DSM-IV-TR disorders. This prevalence rate cannot be reduced through treatment only. Effective preventive interventions are therefore urgently needed. The aim of the current investigation is to evaluate the two-year efficacy of the group Triple P parenting program administered universally for the prevention of child behavior problems. Methods Based on their respective preschool, N = 280 families were randomly assigned either to the parent training or to the control group. The efficacy was analyzed using multi-source assessments, including questionnaires by mother and father, behavioral observation of mother-child interaction, and teacher evaluations. Results At the 2-year follow-up, both parents in the Triple P intervention reported significant reductions in dysfunctional parenting behavior, and mothers also an increase in positive parenting behavior. In addition, mothers reported significant reductions in internalizing and externalizing child behavior. Single-parent mothers in the Triple P intervention did not report significant changes in parenting or child problem behavior which is primarily due to inexplicable high positive effects in single parent mothers of the control group. Neither mother-child interactions nor teacher ratings yielded significant results. Conclusions The results support the long-term efficacy of the Triple P - group program as a universal prevention intervention for changing parenting behavior in two-parent households, but not necessarily in single-parent mothers.
机译:背景大约20%的儿童经历了内在或外在的DSM-IV-TR疾病。仅通过治疗不能降低该患病率。因此,迫切需要有效的预防措施。当前调查的目的是评估为预防儿童行为问题而普遍实施的团体Triple P育儿计划的两年疗效。方法根据他们各自的学前教育,将N = 280个家庭随机分配到父母培训或对照组中。使用多种来源的评估方法对疗效进行了分析,包括父母进行的问卷调查,母子互动的行为观察以及教师评估。结果在为期2年的随访中,Triple P干预的父母双方均报告说,父母的机能障碍行为明显减少,母亲的积极父母行为也有所增加。此外,母亲报告说,儿童行为的内在化和外在化显着减少。在Triple P干预中,单亲母亲没有报告父母或孩子问题行为的显着变化,这主要归因于对照组单亲母亲的莫名其妙的积极影响。母子互动和教师评价都没有产生明显的结果。结论该结果支持Triple P-group计划作为改变双亲家庭而不是单亲母亲的育儿行为的普遍预防干预措施的长期功效。

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