Positive family connections for families of children with a developmental disability: Cluster randomized controlled trial.

IF 2.3 2区 心理学 Q2 FAMILY STUDIES
Journal of Family Psychology Pub Date : 2024-06-01 Epub Date: 2024-03-18 DOI:10.1037/fam0001211
Daniel Sutherland, Joanna Griffin, Samantha Flynn, Paul A Thompson, Richard P Hastings
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引用次数: 0

Abstract

Positive Family Connections is a coproduced, positively oriented, family-systems program for families of children with a developmental disability aged 8-13 years. The study was a feasibility cluster randomized-controlled trial which was registered prospectively (International Standard Randomised Controlled Trial Number 14809884). Families (clusters) were randomized 1:1 to take part in Positive Family Connections immediately or to a waitlist condition and were followed up 4 months and 9 months after randomization. Feasibility outcomes included participant and facilitator recruitment rates, retention, intervention adherence, and fidelity. The proposed primary outcome measure was the family APGAR, a measure of family functioning. Quantitative data were analyzed using multilevel modeling. Sixty families (60 primary parental carers and 13 second carers) were randomized. 73.33% of primary parental carers and 71.43% of second carers in the intervention group attended ≥ 4 intervention sessions, and fidelity of delivery was high (M = 94.02% intervention components delivered). Retention for the proposed primary outcome was 97.26% at 4-month follow-up and 98.63% at 9-month follow-up. Intervention condition was not associated with family APGAR scores at 9-month follow-up (estimate = 0.06, 95% CI [-0.49, 0.61], p = .86, Hedges' g = 0.03, 95% CI [-0.43, 0.49]). However, meaningful improvements were observed for other secondary outcomes related to parental well-being and family relationships. A definitive randomized-controlled trial of Positive Family Connections is feasible. Preliminary evaluation of outcomes shows that Positive Family Connections may be beneficial for parental psychological well-being and family relationships. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

为有发育障碍儿童的家庭提供积极的家庭联系:分组随机对照试验。
积极家庭联系 "是一项面向 8-13 岁发育障碍儿童家庭的共同制作、积极导向的家庭系统计划。该研究是一项可行性群组随机对照试验,已进行了前瞻性注册(国际标准随机对照试验编号为 14809884)。家庭(群组)以 1:1 的比例被随机分配到立即参加 "积极家庭联系 "或候补名单中,并在随机分配后 4 个月和 9 个月接受随访。可行性结果包括参与者和促进者招募率、保留率、干预坚持率和忠实度。建议的主要结果测量指标是家庭 APGAR,这是一种衡量家庭功能的指标。定量数据采用多层次模型进行分析。60 个家庭(60 个主要父母照护者和 13 个第二照护者)被随机选中。在干预组中,73.33% 的主要父母照护者和 71.43% 的第二照护者参加了≥ 4 次干预课程,干预的忠实度很高(M = 94.02% 的干预内容已完成)。在 4 个月的随访和 9 个月的随访中,拟议主要结果的保留率分别为 97.26% 和 98.63%。干预条件与 9 个月随访时的家庭 APGAR 分数无关(估计值 = 0.06,95% CI [-0.49,0.61],p = 0.86,Hedges' g = 0.03,95% CI [-0.43,0.49])。不过,在与父母幸福和家庭关系相关的其他次要结果方面,也观察到了有意义的改善。对 "积极家庭联系 "进行明确的随机对照试验是可行的。对结果的初步评估显示,"积极家庭联系 "可能对父母的心理健康和家庭关系有益。(PsycInfo Database Record (c) 2024 APA, 版权所有)。
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来源期刊
CiteScore
3.40
自引率
3.70%
发文量
200
期刊介绍: Journal of Family Psychology offers cutting-edge, groundbreaking, state-of-the-art, and innovative empirical research with real-world applicability in the field of family psychology. This premiere family research journal is devoted to the study of the family system, broadly defined, from multiple perspectives and to the application of psychological methods to advance knowledge related to family research, patterns and processes, and assessment and intervention, as well as to policies relevant to advancing the quality of life for families.
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