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首页> 外文期刊>The British journal of psychiatry : >Long-term effectiveness of a parenting intervention for children at risk of developing conduct disorder
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Long-term effectiveness of a parenting intervention for children at risk of developing conduct disorder

机译：为有发展为行为障碍风险的儿童提供父母干预的长期有效性

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Background The typical pattern for intervention outcome studies for conduct problems has been for effect sizes to dissipate over time with decreasing effects across subsequent follow-ups. Aims To establish whether the short-term positive effects of a parenting programme are sustained longer term. To observe trends, and costs, in health and social service use after intervention. Method Parents with children aged 36a€“59 months at risk of developing conduct disorder ( n = 104) received intervention between baseline and first follow-up (6 months after baseline n = 86) in 11 Sure Start areas in North Wales. Follow-ups two ( n = 82) and three ( n = 79) occurred 12 and 18 months after baseline. Child problem behaviour and parenting skills were assessed via parent self-report and direct observation in the home. Results The significant parent-reported improvements in primary measures of child behaviour, parent behaviour, parental stress and depression gained at follow-up one were maintained to follow-up three, as were improved observed child and parent behaviours. Overall, 63% of children made a minimum significant change (0.3 standard deviations) on the Eyberg Child Behavior Inventory problem scale between baseline and follow-up (using intention-to-treat data), 54% made a large change (0.8 standard deviations) and 39% made a very large change (1.5 standard deviations). Child contact with health and social services had reduced at follow-up three. Conclusions Early parent-based intervention reduced child antisocial behaviour and benefits were maintained, with reduced reliance on health and social service provision, over time.
机译：背景行为问题的干预结果研究的典型模式是随着时间的流逝，效应大小会逐渐消散，随后的随访结果会逐渐减少。目的确定长期养育子女计划的短期积极影响。观察干预后使用卫生和社会服务的趋势和成本。方法在北威尔士的11个Sure Start地区，有36a至59个月大的儿童有发生行为障碍风险的父母（n = 104）在基线和首次随访之间（基线n = 86之后的6个月）接受了干预。基线后12个月和18个月分别进行了两次随访（n = 82）和三次随访（n = 79）。通过父母的自我报告和在家中的直接观察来评估儿童的问题行为和育儿技巧。结果父母报告的儿童行为，父母行为，父母压力和抑郁的主要测量指标在随访1时得到了显着改善，而随访3则保持不变，观察到的孩子和父母的行为也得到了改善。总体而言，在基线和随访之间（使用意向治疗数据），有63％的儿童在Eyberg儿童行为量表问题量表上做出了最小的显着改变（0.3个标准差），有54％的孩子做了较大的改变（0.8个标准差）。 ），而39％的变化很大（标准差为1.5）。在后续行动三中，儿童与卫生和社会服务的接触减少了。结论随着时间的流逝，基于父母的早期干预减少了孩子的反社会行为，并保持了其利益，同时减少了对健康和社会服务的依赖。

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