儿童破坏性行为的严重程度与亲子计划课程的出席率:个体参与者数据荟萃分析。

IF 4.5 1区 心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology Pub Date : 2024-10-01 Epub Date: 2024-05-23 DOI:10.1037/ccp0000893
G J Melendez-Torres, Patty Leijten, Stephen Scott, Frances Gardner, Nick Axford, Maria João Seabra Santos, Ankie Menting, Judy Hutchings, Vashti Berry
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引用次数: 0

摘要

目的我们测试了基线儿童破坏性行为问题的严重程度是否能预测父母参加亲子小组项目的情况:我们使用了欧洲 "不可思议的岁月"(Incredible Years)亲子项目随机试验数据库,并将样本限制在随机干预组的参与者中。利用艾伯格儿童行为量表的基线分数,我们区分了试验水平的问题严重性和儿童水平的问题严重性,比较了这两个水平的线性和二次函数形式,并考虑了跨水平的交互作用,所有这些都是在多水平泊松回归框架下进行的:从 12 项试验的 918 名参与者中,我们发现在试验中,问题最不严重和最严重儿童的家长参加的课程较少。在不同试验之间,艾伯格儿童行为量表试验平均值每增加 10 分,出席率就会增加 11%。包括儿童性别、年龄或家庭低收入在内的模型并没有改变系数或其解释:我们的研究结果表明,虽然行为更具挑战性的儿童的父母一般出席率较高,但小组项目似乎很难让问题最少或最严重的家庭参与进来。我们的调查结果表明,有必要更好地了解在哪些条件下,较低的出席率会转化为同等或较低的项目收益。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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Disruptive child behavior severity and parenting program session attendance: Individual participant data meta-analysis.

Objective: We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program.

Method: We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between trial-level problem severity and child-level problem severity, compared linear and quadratic functional forms at both levels, and considered cross-level interactions, all in a multilevel Poisson regression framework.

Results: Drawing on 918 participants in 12 trials, we found that within trials, parents of children with the least and most severe problems attended fewer sessions. Between trials, each additional 10-point increase in the Eyberg Child Behavior Inventory trial mean predicted an 11% increase in attendance. Models including child sex, age, or family low-income did not change coefficients or their interpretation.

Conclusions: Our findings suggest that although generally attendance is higher in parents of children with more challenging behavior, it seems difficult for group programs to keep families with the least or most severe problems engaged. Our findings call for the need to better understand the conditions under which lower attendance translates into equivalent or lesser program benefits. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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来源期刊
CiteScore
9.00
自引率
3.40%
发文量
94
期刊介绍: The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.
期刊最新文献
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