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首页> 外文期刊>Development and psychopathology >Evaluating the efficacy of the Family Check-Up Online: A school-based, eHealth model for the prevention of problem behavior during the middle school years
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Evaluating the efficacy of the Family Check-Up Online: A school-based, eHealth model for the prevention of problem behavior during the middle school years

机译：评估家庭检查在线的疗效：基于学校的eHealth模型，用于预防中学岁月的问题行为

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摘要

This study evaluated the efficacy of a family-centered preventive intervention, the Family Check-Up (FCU), delivered as an online, eHealth model to middle school families. To increase accessibility of family-centered prevention in schools, we adapted the evidence-based FCU to an online format, with the goal of providing a model of service delivery that is feasible, given limited staffing and resources in many schools. Building on prior research, we randomly assigned participants to waitlist control (n = 105), FCU Online as a web-based intervention (n = 109), and FCU Online with coaching support (n = 108). We tested the effects of the intervention on multiple outcomes, including parental self-efficacy, child self-regulation, and child behavior, in this registered clinical trial (NCT03060291). Families engaged in the intervention at a high rate (72% completed the FCU assessment) and completed 3-month posttest assessments with good retention (94% retained). Random assignment to the FCU Online with coaching support was associated with reduced emotional problems for children (p = .003, d = ?0.32) and improved parental confidence and self-efficacy (p = .018, d = 0.25) when compared with waitlist controls. Risk moderated effects: at-risk youth showed stronger effects than did those with minimal risk. The results have implications for online delivery of family-centered interventions in schools.
机译：本研究评估了家庭中心预防性干预，家庭检查（FCU），作为在线eHealth模型到中学家庭提供的家庭检查（FCU）的疗效。为了增加家庭中心预防的可达性，我们将基于证据的FCU调整为在线格式，其目标是提供可行的服务型号，鉴于许多学校的有限人员配置和资源。在现有研究中构建，我们将参与者随机分配给等候名单控制（n = 105），FCU在线作为基于Web的干预（n = 109），以及带有辅助支持的FCU（n = 108）。我们测试了对多种结果的干预的影响，包括父母自我效能，儿童自我调节和儿童行为，在该注册的临床试验中（NCT03060291）。以高速率从事干预的家庭（72％完成FCU评估），并完成了3个月的后测试评估，保留良好（94％保留）。随着辅导支持对FCU的随机分配与儿童的情绪问题减少（p = .003，d = 0.32）相关联，并且与候补人物相比，改善了父母的置信度和自我效力（p = .018，d = 0.25）控制。风险调节效果：风险青少年表现出比具有最小风险最小的效果更强。结果对学校的家庭中心干预措施的在线交付有影响。

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