Supporting Families Affected by Adversity: An Open Feasibility Trial of Family Life Skills Triple P

IF 3.4 2区 心理学 Q2 PSYCHIATRY
Matthew R. Sanders, Karen M.T. Turner, Sabine Baker, Tianyi Ma, Carys Chainey, Siân K. Horstead, Subodha Wimalaweera, Susan Gardner, John Eastwood
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Abstract

This pilot feasibility study examined the effects of a new trauma-informed parenting program, Family Life Skills Triple P (FLSTP), in an open uncontrolled trial conducted in a regular service delivery context via video conferencing. FLSTP was trialed as a group-delivered 10-session intervention. Program modules target positive parenting skills (4 sessions) and adult life skills including coping with emotions, taking care of relationships, self-care, dealing with the past, healthy living, and planning for the future. Participants were 50 parents with multiple vulnerabilities, due to social disadvantage or adverse childhood experiences, who had children aged 3–9 with early onset behavior problems. Outcomes were assessed across four data collection points: baseline, mid-intervention (after Session 4), post-intervention, and 3-month follow up. Findings show moderate to large intra-group effect sizes for changes in child behavior problems, parenting practices and risk of child maltreatment, and medium effect sizes for parental distress, emotion regulation and self-compassion. Parents and practitioners reported high levels of consumer satisfaction with the program. Parents with lower levels of parental self-efficacy, lower personal agency and higher baseline scores on a measure of child abuse potential were at greater risk of not completing the program. The strength of these preliminary findings indicates that a more rigorous evaluation using a randomized clinical trial is warranted.

支持受逆境影响的家庭:家庭生活技能三P公开可行性试验
这项试验性可行性研究通过视频会议的形式,在常规服务提供环境下进行了一项开放式非对照试验,考察了一项新的创伤知情育儿计划--家庭生活技能三重P(FLSTP)的效果。FLSTP 作为一项小组交付的干预措施进行了试验,共进行了 10 次课程。计划模块针对积极的养育技能(4 节)和成人生活技能,包括应对情绪、处理人际关系、自我保健、处理过去、健康生活和规划未来。参加者为 50 名因社会弱势或童年不良经历而具有多重脆弱性的家长,他们的孩子年龄在 3-9 岁,有早发性行为问题。对四个数据收集点的结果进行了评估:基线、干预中期(第 4 课后)、干预后和 3 个月的随访。结果显示,在儿童行为问题、养育方法和儿童虐待风险的变化方面,组内效应大小为中等至较大;在父母的痛苦、情绪调节和自我同情方面,组内效应大小为中等。家长和从业人员对该计划的满意度很高。父母自我效能水平较低、个人能动性较低、虐待儿童可能性测量基线分数较高的父母,不完成计划的风险较大。这些初步研究结果表明,有必要通过随机临床试验进行更严格的评估。
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来源期刊
Behavior Therapy
Behavior Therapy Multiple-
CiteScore
7.40
自引率
2.70%
发文量
113
审稿时长
121 days
期刊介绍: Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.
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