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Commentary: Considering the Clinical Implications of "A Systematic Review and Meta-Analysis of Adherence Interventions for Youth and Young Adults". 评论:考虑 "青少年坚持治疗干预措施的系统回顾和元分析 "的临床意义。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-30 DOI: 10.1093/jpepsy/jsae083
Cecily N Conour, Christina L Duncan
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引用次数: 0
The critical need for expert oversight of ChatGPT: Prompt engineering for safeguarding child healthcare information. 对 ChatGPT 进行专家监督的迫切需要:保护儿童医疗保健信息的及时工程。
IF 3.6 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-13 DOI: 10.1093/jpepsy/jsae075
Calissa J Leslie-Miller,Stacey L Simon,Kelsey Dean,Nadine Mokhallati,Christopher C Cushing
OBJECTIVEChatGPT and other large language models have the potential to transform the health information landscape online. However, lack of domain-specific expertise and known errors in large language models raise concerns about the widespread adoption of content generated by these tools for parents making healthcare decisions for their children. The aim of this study is to determine if health-related text generated by ChatGPT under the supervision of an expert is comparable to that generated by an expert regarding persuasiveness and credibility from the perspective of a parent.METHODSIn a cross-sectional study 116 parents aged 18-65 years (M = 45.02, SD = 10.92) were asked to complete a baseline assessment of their behavioral intentions regarding pediatric healthcare topics. Subsequently, participants were asked to rate text generated by either an expert or by ChatGPT under supervision of an expert.RESULTSResults indicate that prompt engineered ChatGPT is capable of impacting behavioral intentions for medication, sleep, and diet decision-making. Additionally, there was little distinction between prompt engineered ChatGPT and content experts on perceived morality, trustworthiness, expertise, accuracy, and reliance. Notably, when differences were present, prompt engineered ChatGPT was rated as higher in trustworthiness and accuracy, and participants indicated they would be more likely to rely on the information presented by prompt engineered ChatGPT compared to the expert.DISCUSSIONGiven that parents will trust and rely on information generated by ChatGPT, it is critically important that human domain-specific expertise be applied to healthcare information that will ultimately be presented to consumers (e.g., parents).
目的EhatGPT 和其他大型语言模型有可能改变在线健康信息的格局。然而,由于缺乏特定领域的专业知识以及大型语言模型中已知的错误,人们对广泛采用这些工具生成的内容为父母为子女做出医疗保健决定表示担忧。本研究的目的是确定从家长的角度来看,ChatGPT 在专家监督下生成的健康相关文本在说服力和可信度方面是否与专家生成的文本具有可比性。方法在一项横断面研究中,116 位年龄在 18-65 岁之间的家长(中=45.02,标差=10.92)被要求完成一项关于儿科医疗保健主题的行为意向基线评估。随后,参与者被要求对由专家或在专家监督下由 ChatGPT 生成的文本进行评分。结果表明,由提示引擎生成的 ChatGPT 能够影响用药、睡眠和饮食决策的行为意向。此外,在感知道德性、可信度、专业性、准确性和依赖性方面,提示工程化 ChatGPT 和内容专家几乎没有区别。值得注意的是,当存在差异时,提示式工程 ChatGPT 在可信度和准确性方面的评分更高,而且参与者表示,与专家相比,他们更有可能依赖提示式工程 ChatGPT 提供的信息。
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引用次数: 0
Modernizing behavioral parent training program for ADHD with mHealth strategies, telehealth groups, and health behavior curriculum: a randomized pilot trial 利用移动医疗策略、远程医疗小组和健康行为课程对多动症家长行为培训计划进行现代化改造:随机试点试验
IF 3.6 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-11 DOI: 10.1093/jpepsy/jsae073
Pooja S Tandon, Tess Gabert, Michelle Kuhn, Nguyen Tran, Cindy Ola, Erin Sullivan, Chuan Zhou, Mark Stein, Jason A Mendoza, Tyler Sasser, Erin Gonzalez
Objective Parent behavior management training (BMT) is an evidence-based yet underutilized tool to treat children with ADHD and address related health disparities. This pilot study investigated the acceptability and feasibility of a novel, health behavior-, and technology-adapted BMT (LEAP) vs. standard BMT. Methods The weekly 9-session LEAP telemedicine group program is based on a standard BMT curriculum enhanced with strategies for supporting optimal child sleep, problematic media use (PMU), and physical activity, including wrist-worn activity trackers. Children ages 6–10 years with ADHD and their caregivers were randomized to LEAP or standard BMT. Acceptability and feasibility were tracked. Caregivers completed standardized measures, and children wore hip-worn accelerometers for 1 week at baseline, postintervention (10 weeks), and follow-up (20 weeks). Results 84 parent/child dyads were randomized to LEAP or standard BMT, with high and comparable acceptability and feasibility. Both treatment groups demonstrated decreased ADHD symptoms and improved executive functions postintervention (p < .0001), maintained at follow-up. Average accelerometer-measured MVPA decreased and sleep duration remained unchanged, while PMU and bedtime resistance improved for both groups. Conclusions LEAP is highly feasible and acceptable, and yielded similar initial clinical and health behavior improvements to standard BMT. Innovative and targeted supports are needed to promote healthy behaviors in children with ADHD.
目的 家长行为管理培训(BMT)是一种以证据为基础的工具,但在治疗多动症儿童和解决相关的健康差异方面却未得到充分利用。本试点研究调查了新颖的、与健康行为和技术相适应的家长行为管理培训(LEAP)与标准家长行为管理培训的可接受性和可行性。方法 每周 9 节课的 LEAP 远程医疗小组项目以标准 BMT 课程为基础,增加了支持儿童最佳睡眠、问题媒体使用 (PMU) 和体育锻炼的策略,包括腕戴式活动追踪器。6-10岁的多动症儿童及其照顾者被随机分配到LEAP或标准BMT。对可接受性和可行性进行了跟踪。照顾者完成标准化测量,儿童在基线、干预后(10 周)和随访(20 周)期间佩戴髋部加速计 1 周。结果 84 个家长/儿童二人组被随机分配到 LEAP 或标准 BMT 治疗组,其可接受性和可行性相当高。干预后,两个治疗组的多动症症状都有所减轻,执行功能也有所提高(p &p;lt;.0001),并在随访中保持不变。加速计测量的平均 MVPA 减少,睡眠时间保持不变,而 PMU 和就寝抵抗力在两组中均有所改善。结论 LEAP 具有很高的可行性和可接受性,与标准 BMT 相比,LEAP 在临床和健康行为方面取得了相似的初步改善。需要创新和有针对性的支持来促进多动症儿童的健康行为。
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引用次数: 0
Child mental health treatment access and retention in integrated primary care and traditional outpatient services. 综合初级保健和传统门诊服务中儿童精神健康治疗的可及性和保留率。
IF 3.6 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-10 DOI: 10.1093/jpepsy/jsae057
Hannah L Joseph,Li Fang Zhang,Candace Best,Christina Bancroft,Madison James,Shreeti Kapoor,Christopher F Drescher,Catherine L Davis
INTRODUCTIONThere are disparities in child mental health treatment access and treatment retention in terms of race and ethnicity, socioeconomic status (SES), and insurance coverage. Institutions have invested in the integrated primary care (IPC) treatment model with the goal of improving treatment access and promoting child mental health equity.OBJECTIVEThis study compared treatment attendance in an outpatient psychiatry clinic (OPC) versus an IPC clinic to assess whether the IPC was associated with reduced disparities in access to care and treatment retention.METHODSThis study assessed whether there were differences in who is connected to care from the intake appointment to first follow-up appointment.RESULTSResults showed that the IPC clinic served a more diverse patient population than the OPC clinic in terms of SES, race, and ethnicity. Differences in treatment attendance in the IPC and OPC were also found. After controlling for race, ethnicity, insurance, and distance from patient's home zip code to clinic, the IPC treatment setting was associated with poorer intake and follow-up appointment attendance.CONCLUSIONSThe IPC model may be more accessible to historically underserved youth, but the treatment setting does not inherently eliminate disparities in child mental health treatment retention. Replication of this study has the potential to contribute to the external validity of study findings, improve quality assurance policies, and develop equitable workflow policies. Future research is needed to identify factors that can improve treatment attendance for populations who face greater retention barriers and to shine light on ways that healthcare systems may inadvertently maintain disparity in treatment retention.
简介:在儿童心理健康治疗的可及性和治疗的持续性方面,存在着种族、民族、社会经济地位(SES)和保险范围等方面的差异。本研究比较了精神科门诊(OPC)和综合初级护理(IPC)诊所的治疗就诊率,以评估综合初级护理是否与减少治疗就诊率和治疗保留率方面的差异有关。结果显示,就社会经济地位、种族和民族而言,IPC 诊所比 OPC 诊所服务的患者更加多样化。此外,IPC 和 OPC 的就诊率也存在差异。在控制了种族、民族、保险以及患者家庭邮编到诊所的距离后,IPC 治疗环境与较差的入院和复诊就诊率相关。本研究的复制有可能有助于提高研究结果的外部有效性、改进质量保证政策和制定公平的工作流程政策。未来的研究需要确定哪些因素可以提高面临更大治疗保留障碍的人群的治疗出席率,并揭示医疗保健系统可能在无意中维持治疗保留率差异的方式。
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引用次数: 0
A randomized controlled trial to test the efficacy of a brief Triple P discussion group to increase healthy feeding practices and reduce risk factors for infant obesity 随机对照试验:测试简短的三P讨论小组对增加健康喂养方式和减少婴儿肥胖风险因素的效果
IF 3.6 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-09 DOI: 10.1093/jpepsy/jsae063
Agnes Gelmini, Cassandra L Tellegen, Alina Morawska
Objective Test the efficacy of a brief 2-hr parenting intervention in increasing protective factors against and reducing risk factors for infant obesity. Method A 2 (Baby Healthy Living Triple P vs. care-as-usual) × 3 (baseline, postintervention, 6-month follow-up) design was used. Eighty-two parents of 4- to 18-month-old infants meeting at least two risk factors for early childhood obesity (e.g., parent/child overweight, low education level) were randomized to intervention (n = 42) or control group (n = 40). Parents questionnaires and child weight status was measured. Results Results showed an intervention effect on a primary outcome, early feeding practices (restrictive: d = 0.44, 95% CI [−0.01,0.88], pressuring: d = 0.11, 95% CI [−0.32,0.54], nonresponsive behaviors: (d = 0.32, 95% CI [−0.11,0.75]), and on a secondary outcome, feeding beliefs (d = 0.29, 95% CI [−0.14,0.73]). No beneficial impact was found on other primary outcomes (responsiveness in feeding: quantity d = 0.50, 95% CI [−0.03,1.03]) and nutritive d = 0.52, 95% CI [−0.03,1.07], mealtime environment: d = 0.35, 95% CI [−0.78,0.08], self-efficacy in responsive feeding: d = 0.21, 95% CI [−0.22,0.64]), or secondary outcomes (parental self-efficacy: d = 0.08, 95% CI [−0.50,0.35]), parent emotional eating (d = 0.01, 95% CI [−0.43,0.43]), food restraint (d = 0.42, 95% CI [−0.85,0.02]), and body satisfaction (d = 0.01, 95% CI [−0.43,0.43]) and child weight status (d = 0.11, 95% CI [−0.54,0.32]). Conclusions Promising though limited support was demonstrated for a brief, low-intensity program to help parents in the prevention of obesity for infants at risk.
目的 测试 2 小时简短育儿干预对增加婴儿肥胖保护因素和减少婴儿肥胖风险因素的效果。方法 采用 2(婴儿健康生活三重 P 与照常护理对比)×3(基线、干预后、6 个月随访)设计。82名4至18个月大婴儿的父母至少有两个儿童早期肥胖的风险因素(如父母/子女超重、教育水平低),他们被随机分配到干预组(n = 42)或对照组(n = 40)。对家长问卷和儿童体重状况进行了测量。结果显示,干预对主要结果--早期喂养行为(限制性:d = 0.44,95% CI [-0.01,0.88];压迫性:d = 0.11,95% CI [-0.32,0.54];无反应行为:(d = 0.32,95% CI [-0.11,0.75])和次要结果--喂养观念(d = 0.29,95% CI [-0.14,0.73])产生了影响。对其他主要结果(喂养反应性:数量 d = 0.50,95% CI [-0.03,1.03])和营养性 d = 0.52,95% CI [-0.03,1.07]、进餐环境:d = 0.35,95% CI [-0.78,0.08]、反应性喂养自我效能:d = 0.21,95% CI [-0.22,0.64])或次要结果(喂养信念:d = 0.29,95% CI [-0.14,0.73])未发现有益影响。64]),或次要结果(父母自我效能:d = 0.08,95% CI [-0.50,0.35])、父母情绪化饮食(d = 0.01,95% CI [-0.43,0.43])、食物克制(d = 0.42,95% CI [-0.85,0.02])、身体满意度(d = 0.01,95% CI [-0.43,0.43])和儿童体重状况(d = 0.11,95% CI [-0.54,0.32])。结论 一项帮助家长预防高危婴儿肥胖症的简短、低强度计划虽然支持率有限,但前景广阔。
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引用次数: 0
Correction to: Screening for Family Psychosocial Risk in Pediatric Cancer: Validation of the Psychosocial Assessment Tool (PAT) Version 3. 更正:小儿癌症的家庭社会心理风险筛查:社会心理评估工具 (PAT) 第三版的验证。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-01 DOI: 10.1093/jpepsy/jsae061
{"title":"Correction to: Screening for Family Psychosocial Risk in Pediatric Cancer: Validation of the Psychosocial Assessment Tool (PAT) Version 3.","authors":"","doi":"10.1093/jpepsy/jsae061","DOIUrl":"10.1093/jpepsy/jsae061","url":null,"abstract":"","PeriodicalId":48372,"journal":{"name":"Journal of Pediatric Psychology","volume":" ","pages":"676"},"PeriodicalIF":2.7,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Commentary: Empirically derived profiles of neurocognitive functioning in youth and young adults with sickle cell disease. 评论:镰状细胞病青少年患者神经认知功能的经验总结。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-01 DOI: 10.1093/jpepsy/jsae062
Julia D Johnston, Jeffrey Schatz, Kaitlyn L Gamwell
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引用次数: 0
Feasibility and acceptability of a telehealth intervention for improving peer relationships for adolescents with neurofibromatosis type 1: a single-arm pilot study. 改善 1 型神经纤维瘤病青少年同伴关系的远程保健干预的可行性和可接受性:单臂试点研究。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-01 DOI: 10.1093/jpepsy/jsae050
Danielle M Glad, Sara K Pardej, Ellen Olszewski, Bonita P Klein-Tasman

Objective: Elevated rates of social difficulties are evident for children and adolescents with neurofibromatosis type 1 (NF1) but the effects of social skills interventions have not been investigated for this population. The Program for the Education and Enrichment of Relational Skills (PEERS®), a widely established social skills intervention in autism spectrum disorders with expansion to other conditions, was recently modified to be offered virtually. This study examined the feasibility and acceptability of this telehealth intervention.

Methods: 27 adolescents with NF1 with social skills difficulties and at least 1 caregiver enrolled in the study. 19 of those participants (Mage = 14.21 years, SD = 1.63; 7 females; 79% White) completed PEERS® via telehealth in a single-arm pilot study. Dropout rates, attendance records, helpfulness of the curriculum topics and caregiver-reported acceptability, including ratings on the Treatment Acceptability Questionnaire, were examined.

Results: Low study drop out (30% of enrolled participants; 14% of participants who began the intervention) and high attendance rates were observed. Caregivers found sessions related to common, everyday interactions most helpful. Adolescents indicated sessions related to having get-togethers and social nuances (e.g., humor) as most helpful. Caregiver ratings indicated acceptability of the intervention.

Conclusions: This investigation supported the feasibility and acceptability of telehealth PEERS®, a social skills intervention program, among adolescents with NF1 and their caregivers based on attendance patterns as well as appraisal of the curriculum and telehealth modality.

目的:患有 1 型神经纤维瘤病 (NF1) 的儿童和青少年的社交障碍率明显升高,但社交技能干预措施对这一人群的影响尚未得到研究。关系技能教育与强化项目(PEERS®)是一种广泛应用于自闭症谱系障碍的社交技能干预方法,并已推广到其他病症中。本研究考察了这种远程医疗干预的可行性和可接受性。方法:27 名有社交技能障碍的 NF1 青少年和至少一名照顾者参加了本研究。其中 19 名参与者(年龄 = 14.21 岁,SD = 1.63;7 名女性;79% 白人)在单臂试点研究中通过远程保健完成了 PEERS®。研究考察了辍学率、出勤记录、课程主题的有用性和护理人员报告的可接受性,包括治疗可接受性问卷的评分:辍学率较低(占注册参与者的 30%;占开始干预参与者的 14%),出勤率较高。护理人员认为与常见的日常互动有关的课程最有帮助。青少年认为与聚会和社会细微差别(如幽默)有关的课程最有帮助。护理人员的评分表明了干预措施的可接受性:根据参加模式以及对课程和远程医疗模式的评价,这项调查证明了远程医疗 PEERS® 这一社交技能干预项目在患有 NF1 的青少年及其照顾者中的可行性和可接受性。
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引用次数: 0
Examining where to go: pediatric psychology trainees' perception of their graduate training in culture and diversity. 研究何去何从:儿科心理学学员对其文化与多样性研究生培训的看法。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-01 DOI: 10.1093/jpepsy/jsae049
Courtney W Hess, Kelly E Rea, Lauren P Wruble, Shanique T Yee, Carolina M Bejarano, Desireé N Williford, Robert C Gibler, Sahar S Eshtehardi, Rachel S Fisher, Casie H Morgan

Objective: Culture and diversity-related training is critical to the development of competent pediatric psychologists. Evaluation of training efforts have been conducted at the program level, yet evaluation of trainee experiences in culture and diversity-related training remains unassessed. This trainee-led study was the first formal assessment of pediatric psychology trainee experiences of culture and diversity-related training and the impact of training on their own cultural humility.

Methods: Study overview and a survey link was distributed across 2 listservs associated with the American Psychological Association (Division 53, Division 54) and sent directly to directors of graduate, internship, and fellowship training programs with a request to share with trainees. Surveys assessing integration of cultural training and trainee cultural humility were completed. Trainees also provided qualitative feedback regarding their multicultural training and development.

Results: Pediatric psychology trainees (N = 90) reported inconsistent integration of culture and diversity topics into their training. Of the 34 training areas assessed, 10 were perceived as thoroughly integrated into formal training by at least half of the respondents. Trainees often sought independent cultural training outside of their programs, and no relationship was detected between perceived integration of cultural training and trainee cultural competence.

Discussion: Results indicate room for improvement regarding integration of cultural training and a need to better understand driving forces behind trainees independently seeking training outside of their formal training programs. Moreover, understanding the aspects of training that are most contributory to trainee development is needed given that no relationship between training and development emerged in the current study.

目的:与文化和多样性相关的培训对于培养合格的儿科心理学家至关重要。对培训工作的评估已在项目层面进行,但对受训者在文化和多样性相关培训中的体验的评估仍未进行。这项由受训者主导的研究首次正式评估了儿科心理学受训者在文化和多样性相关培训中的体验,以及培训对其自身文化谦逊性的影响:研究概述和调查链接在与美国心理学会(53分会和54分会)相关的两个列表服务器上发布,并直接发送给研究生、实习生和研究员培训项目的负责人,要求他们与受训者分享。受训者完成了对文化培训整合性和受训者文化谦逊性的评估调查。受训人员还就其多元文化培训和发展提供了定性反馈:结果:儿科心理学受训人员(N = 90)报告称,他们在培训中融入文化和多样性主题的情况并不一致。在评估的 34 个培训领域中,至少有一半的受访者认为有 10 个领域已完全纳入正式培训。受训人员通常会在他们的培训项目之外寻求独立的文化培训,而且在文化培训的整合感知与受训人员的文化能力之间没有发现任何关系:讨论:研究结果表明,在文化培训的整合方面仍有改进的余地,而且有必要更好地了解受训人员在正规培训项目之外独立寻求培训背后的驱动力。此外,鉴于本研究中没有发现培训与发展之间的关系,因此需要了解培训中最有助于学员发展的方面。
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引用次数: 0
In their own words: advice from parents of children with cancer. 用他们自己的话说:癌症患儿父母的建议。
IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Pub Date : 2024-09-01 DOI: 10.1093/jpepsy/jsae048
Jenny Davies, Moira O'Connor, Georgia K B Halkett, Lauren Kelada, Nicholas G Gottardo

Background: Approximately 770 children are diagnosed with cancer in Australia every year. Research has explored their experiences and developed recommendations for improving support provided to families. These have included the provision of psychology services, improved communication between healthcare professionals and parents, and increased information for families.

Methodology: In our hermeneutic phenomenological study, 44 participants (21 fathers and 23 mothers), with ages ranging from 28 to 51 years (M = 37 years, SD = 5.6 years) were interviewed. Interviews ranged from 45 to 150 min (M = 65 min, SD = 18 min) duration.

Findings: Thematic analysis of the data generated seven themes. Take it second by second; Find some normality; Take care of yourself; You need to talk to someone; Just take all the help; Speaking up for your child; and Take care of the siblings.

Conclusion: The results of our study provide firsthand advice from parents. The overwhelming theme that emerged is that while many parents revealed that they had not asked for or received support, in hindsight they unanimously reflected that they wished they had sought out services. The strength of this study is that parents are more likely to accept the advice of other parents with a shared lived experience. The results of our study can be used to develop resources that could be provided to parents. These resources would emphasize that the recommendations come from parents who have traveled the same path and have learnt from hindsight and experience.

背景:澳大利亚每年约有 770 名儿童被诊断出患有癌症。研究对他们的经历进行了探讨,并提出了改善对家庭支持的建议。这些建议包括提供心理服务、改善医疗专业人员与家长之间的沟通以及为家庭提供更多信息:在我们的诠释学现象学研究中,44 位参与者(21 位父亲和 23 位母亲)接受了访谈,他们的年龄从 28 岁到 51 岁不等(M=37 岁,SD=5.6 岁)。访谈时间从 45 分钟到 150 分钟不等(M=65 分钟,SD=18 分钟):对数据的主题分析产生了七个主题。分秒必争;寻找正常生活;照顾好自己;需要找人倾诉;接受所有帮助;为孩子说话;照顾好兄弟姐妹:我们的研究结果提供了来自家长的第一手建议。尽管许多家长表示他们没有寻求或接受过支持,但事后他们一致反映,他们希望自己曾寻求过服务。这项研究的优势在于,家长更有可能接受其他有共同生活经历的家长的建议。我们的研究结果可用于开发提供给家长的资源。这些资源将强调,这些建议来自于走过相同道路并从事后观察和经验中吸取教训的家长。
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引用次数: 0
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Journal of Pediatric Psychology
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