关键词: Stepping Stones Triple P challenging behaviour children intellectual disabilities parenting intervention process evaluation randomised controlled trial

Mesh : Humans Intellectual Disability / rehabilitation United Kingdom Child, Preschool Male Female Parenting Parents Process Assessment, Health Care Adult Child Behavior

来  源:   DOI:10.1111/jar.13263

Abstract:
BACKGROUND: Stepping Stones Triple P (SSTP) is a complex parent-mediated intervention aimed to reduce behaviours that challenge in children with moderate to severe intellectual disabilities, aged 30-59 months.
METHODS: To formulate a comprehensive understanding of SSTP implementation in the UK, we conducted a process evaluation collecting stakeholder views and considering intervention fidelity, dose, reach, delivery adaptations, and acceptability.
RESULTS: Fidelity and quality of delivery ratings were high. Parents perceived SSTP as valuable, reporting increased parental confidence and understanding of the child\'s behaviours. However, only 30% of families received an adequate dose of the intervention. Parents who only received treatment as usual described feeling abandoned by current services. Service managers emphasised the importance of availability of resources and therapist training for successful intervention delivery.
CONCLUSIONS: SSTP supports effective management of early-onset behaviours that challenge. Further work is needed to ensure equitable access to the intervention across health and social care services.
BACKGROUND: NCT03086876 - https://www.
RESULTS: gov/ct2/show/NCT03086876?term=Hassiotis+Angela&draw=1&rank=1.
摘要:
背景:台阶石三重P(SSTP)是一种复杂的父母介导的干预措施,旨在减少中度至重度智力障碍儿童的挑战行为,年龄30-59个月。
方法:为了全面了解SSTP在英国的实施情况,我们进行了过程评估,收集利益相关者的意见,并考虑干预措施的保真度,剂量,reach,交付适应,和可接受性。
结果:保真度和分娩质量评级较高。父母认为SSTP很有价值,报告增加了父母对孩子行为的信心和理解。然而,只有30%的家庭接受了足够剂量的干预.只像往常一样接受治疗的父母描述了被当前服务抛弃的感觉。服务经理强调了资源可用性和治疗师培训对于成功实施干预的重要性。
结论:SSTP支持对具有挑战性的早发性行为的有效管理。需要进一步的工作,以确保在卫生和社会护理服务中公平获得干预措施。
背景:NCT03086876-https://www.
结果:gov/ct2/show/NCT03086876?term=Hassiotis+Angela&draw=1&rank=1。
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