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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >Understanding Who Benefits from Parenting Interventions for Children's Conduct Problems: an Integrative Data Analysis
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Understanding Who Benefits from Parenting Interventions for Children's Conduct Problems: an Integrative Data Analysis

机译：理解谁来自育儿干预儿童行为问题的福利：一体化数据分析

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Parenting interventions are an effective strategy to reduce children's conduct problems. For some families, that is, not all families benefit equally. Individual trials tend to be underpowered and often lack variability to differentiate between families how benefit less or more. Integrating individual family level data across trials, we aimed to provide more conclusive results about often presumed key family (parental education and ethnic background) and child characteristics (problem severity, ADHD symptoms and emotional problems) as putative moderators of parenting intervention effects. We included data from 786 families (452 intervention; 334 control) from all four trials on the Incredible Years parenting intervention in The Netherlands (three randomized; one matched control). Children ranged between 2 and 10 years (M = 5.79; SD = 1.66). Of the families, 31% had a lower educational level and 29% had an ethnic minority background. Using multilevel regression, we tested whether each of the putative moderators affected intervention effects. Incredible Years reduced children's conduct problems (d = - .34). There were no differential effects by families' educational or ethnic background, or by children's level of ADHD symptoms. Children with more severe conduct problems and those with more emotional problems benefited more. Post hoc sensitivity analyses showed that for the two trials with longer-term data, moderation effects disappeared at 4 or 12 months follow-up. Often assumed moderators have some, but limited abilities to explain who benefits from parenting interventions. This suggests the need for studying theoretically more precise moderators in prevention research, other than relatively static family characteristics alone.
机译：育儿干预是减少儿童行为问题的有效策略。对于一些家庭而言，这不是所有家庭平均都​​受益。个别试验往往受到动力，并且通常缺乏可变异，以区分家庭之间的利益较少或更多。将个别家庭级别数据整合在审判中，我们旨在为经常推定的主要家庭（父母教育和种族背景）和儿童特征（问题严重，ADHD症状和情绪问题）提供更多的确凿成果，作为养定干预效果的推定主持人。我们包括来自786个家庭（452干预; 334控制）的数据来自所有四项试验，令人难以置信的岁月育儿干预（三个随机;一个匹配的控制）。儿童在2到10年间（m = 5.79; sd = 1.66）。家庭，31％的教育水平较低，29％有少数民族背景。使用多级回归，我们测试了每个推定的主持人是否影响了干预效果。令人难以置信的岁月减少了儿童的行为问题（D = - .34）。家庭教育或种族背景没有差异影响，或儿童的ADHD症状水平。具有更严重的行为问题的儿童和具有更多情绪问题的人受益匪浅。后HOC敏感性分析表明，对于两项试验，具有长期数据，适量效应在4或12个月后消失。经常假设的主持人有一些但有限的能力来解释育儿干预措施的福利。这表明需要在预防研究中学习理论上更精确的主持人，除了相对静态的家庭特征之外。

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