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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：对有发展为行为障碍风险的儿童进行父母教养干预的长期有效性。

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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 36-59 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：针对行为问题进行干预结果研究的典型模式是，随着时间的流逝，效应的大小会逐渐消失，随后的随访结果会逐渐减少。目的：确定育儿计划的短期积极效果是否可以长期维持。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36-59个月大的儿童有发展为行为障碍的风险（n = 104）的父母在基线和首次随访之间（基线n = 86后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：在随访中，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的显着改善维持至随访3，观察到的儿童和父母行为的改善也得以维持。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：随着时间的推移，早期的基于父母的干预减少了儿童的反社会行为，并保持了利益，并减少了对健康和社会服务的依赖。

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