考察使用混合方法设计的个性化、基于群体的社会技能训练:可行性研究。

IF 1.8 4区 医学 Q3 PSYCHIATRY Clinical Child Psychology and Psychiatry Pub Date : 2023-07-01 DOI:10.1177/13591045221137195
Julia E Offermans, Esther I de Bruin, Francisca Ja van Steensel
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引用次数: 0

摘要

根据个人需要定制治疗可能有利于治疗依从性和治疗效果。然而,个性化基于群体的社会技能训练(SST)可能是复杂的。因此,在这项可行性研究中,我们检查了33名7-11岁儿童参与个性化SST后的结果(M = 9.39, SD = 1.09;13名女孩),她们因各种社会心理问题被转介到精神保健中心。为了分析结果,我们结合了自上而下(包括研究人员选择的测量方法:亲社会、社会不充分和问题行为的问卷调查)和自下而上(包括参与者驱动的测量方法:个人目标评级和评估报告)的方法,并使用了混合方法设计。SST后,个人目标和亲社会行为增加(分别为大效和小效)。此外,社交不足行为和问题行为也减少了(都是小影响)。评估报告主要显示社会反应性、情绪调节和内化问题的改善。然而,与此同时,大多数家长也报告了局限性(例如,缺乏泛化)。综上所述,我们可以得出结论:(1)根据儿童的个体需求定制基于群体的SST,并衡量个人目标的进展,是可行的;(2)应该鼓励混合方法设计来研究干预效果。
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Examining an individualized, group-based social skills training using a mixed-methods design: A feasibility study.

Tailoring treatments to individual needs may be beneficial for treatment adherence and treatment effects. However, individualizing a group-based Social Skills Training (SST) may be complicated. Therefore, in this feasibility study, we examined outcomes after engagement in an individualized SST provided to 33 children aged 7-11 years (M = 9.39, SD = 1.09; 13 girls), who were referred to a mental health care center for various psychosocial problems. To analyze outcomes, we combined a top-down (including researcher-chosen measures: Questionnaires on pro-social, socially inadequate, and problem behavior) and a bottom-up (including participant-driven measures: Ratings of personal goals and evaluation reports) approach and used a mixed-methods design. After the SST, personal goals and pro-social behavior increased (large and small effects respectively). Also, socially inadequate behavior and problem behavior decreased (both small effects). Evaluation reports mainly showed improvements in social responsiveness, emotion regulation, and internalizing problems. At the same time, however, most parents also reported limitations (e.g., a lack of generalization). Altogether, we can conclude that (1) tailoring a group-based SST to the individual needs of children, as well as measuring progress on personal goals, is feasible and (2) mixed-method designs to study intervention effectiveness should be encouraged.

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来源期刊
CiteScore
3.60
自引率
5.60%
发文量
130
期刊介绍: Clinical Child Psychology and Psychiatry brings together clinically oriented, peer reviewed work of the highest distinction from an international and multidisciplinary perspective, offering comprehensive coverage of clinical and treatment issues across the range of treatment modalities. Clinical Child Psychology and Psychiatry is interested in advancing theory, practice and clinical research in the realm of child and adolescent psychology and psychiatry and related disciplines. The journal directs its attention to matters of clinical practice, including related topics such as the ethics of treatment and the integration of research into practice. Multidisciplinary in approach, the journal includes work by, and is of interest to, child psychologists, psychiatrists and psychotherapists, nurses, social workers and all other professionals in the fields of child and adolescent psychology and psychiatry.
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