PDF(Pubmed)
Abstract：
Evidence has shown that parenting intervention programmes improve parental knowledge, attitudes, and practices, which helps in promoting child development. This study aims to examine the effectiveness of parenting intervention in improving child behaviours. This is a secondary analysis of data from a cluster-randomised controlled trial with depressed mothers aged 18-44 years with a child aged 0 to 36 months. This paper reports findings from the dataset of participants with a child aged between 24 and 36 months. Villages (n = 120) were randomised into either of two arms: learning through play plus (LTP Plus) or treatment as usual (TAU). LTP Plus is a 10-session, group parenting intervention integrated with cognitive behaviour therapy, delivered over 3 months. This secondary analysis reports findings on the Eyberg Child Behaviour Inventory (ECBI) and the Home Observation for Measurement of the Environment (HOME). Findings show a significant improvement in child behaviour (ECBI) scores (p < 0.011) and HOME scores (p < 0.001) in the intervention group compared to TAU at 3-month follow-up. In a low-resource setting, low-cost group parenting intervention delivered by community health workers has the potential to improve child behaviours and quality of the home environment. Parenting interventions aimed at improving child behavioural problems can have significant implications for the child, family, and broader societal outcomes. Addressing behavioural problems in early years, parenting interventions can potentially reduce long-term consequences and costs associated with untreated child behavioural issues.
摘要：
有证据表明，育儿干预计划可以提高父母的知识，态度，和实践，这有助于促进儿童发展。这项研究旨在研究育儿干预在改善儿童行为方面的有效性。这是对来自18-44岁抑郁母亲和0至36个月儿童的集群随机对照试验数据的二次分析。本文报告了来自24至36个月儿童的参与者数据集的发现。村庄（n=120）被随机分为两个组：通过游戏学习加（LTP加）或照常治疗（TAU）。LTPPlus是一个10个会议，团体育儿干预与认知行为疗法相结合，交付超过3个月。此二级分析报告了Eyberg儿童行为清单（ECBI）和家庭环境测量观察（HOME）的结果。研究结果表明，与TAU相比，干预组的儿童行为（ECBI）评分（p<0.011）和HOME评分（p<0.001）显着改善。在低资源环境中，社区卫生工作者提供的低成本团体育儿干预有可能改善儿童行为和家庭环境质量。旨在改善儿童行为问题的育儿干预措施可能对儿童产生重大影响，家庭,和更广泛的社会结果。解决早年的行为问题，育儿干预措施可能会降低与未经治疗的儿童行为问题相关的长期后果和成本.
