关键词: Behavioral intervention Caregiving Foster care Siblings

Mesh : Humans Female Male Foster Home Care / psychology Child Adult Behavior Therapy / methods Adolescent Child, Foster / psychology Sibling Relations Adaptation, Psychological Child, Preschool Middle Aged Feasibility Studies Surveys and Questionnaires

来  源:   DOI:10.1016/j.chiabu.2024.106984

Abstract:
BACKGROUND: The health and well-being of children in foster care are of high concern. A resource with which to disrupt maladaptation and promote healing are positive relationships among children and caregivers within the foster home. The research question was: Can an online intervention improve family hardiness and sibling relationships within foster care families?
OBJECTIVE: To: (1) establish feasibility and acceptability of an online behavioral intervention within the foster family, (2) explore the effects of the intervention on relational quality outcomes, and (3) decompose the mechanisms driving improved family hardiness through mediation analysis.
METHODS: 95 currently fostering families across the US, participated in a 4-week, online, self-paced, behavioral intervention with an emphasis on the relationship between children residing in the home.
METHODS: We employed a randomized control trial design with multiple regression analysis. Stress and relational quality outcomes were measured through psychometrically validated questionnaires on family hardiness, preparedness, and sibling relationships.
RESULTS: Significant increase in family hardiness (Cohen\'s d = 0.97, p < 0.001) were found compared to the control group. Measures of a positive sibling relationship score increased significantly in the intervention group (d = 0.76, p < 0.002), mediating 32 % of the total effect in hardiness score. Sibling relationship served as a mediator for increasing indicators of family hardiness.
CONCLUSIONS: Providing families the sibling-inclusive intervention caused an increase in positive indicators of sibling relationship and overall family hardiness. Researchers should consider the implications of supporting foster siblings and the affects their inclusion may have on outcomes for children in foster care.
摘要:
背景:寄养儿童的健康和福祉受到高度关注。寄养家庭中儿童和护理人员之间的积极关系是破坏适应不良和促进康复的资源。研究问题是:在线干预能否改善寄养家庭中的家庭韧性和兄弟姐妹关系?
目的:目的:(1)建立寄养家庭中在线行为干预的可行性和可接受性,(2)探讨干预对关系质量结果的影响,(3)通过中介分析分解驱动家庭抗寒性提高的机制。
方法:95目前在美国各地寄养家庭,参加了为期4周的活动,在线,自定进度,行为干预,强调住在家里的孩子之间的关系。
方法:我们采用多元回归分析的随机对照试验设计。压力和关系质量的结果是通过心理测量验证的家庭抗寒性问卷来衡量的,准备,和兄弟姐妹关系。
结果:与对照组相比,发现家庭坚韧性显着增加(Cohen'sd=0.97,p<0.001)。干预组兄弟姐妹关系得分的测量值显着增加(d=0.76,p<0.002),在抗寒性评分中占总效应的32%。兄弟姐妹关系是增加家庭坚韧不拔指标的中介。
结论:为家庭提供包含兄弟姐妹的干预措施会导致兄弟姐妹关系的积极指标和整体家庭坚韧性增加。研究人员应考虑支持寄养兄弟姐妹的含义,以及将其纳入对寄养儿童的影响。
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