参与预防家庭项目的系统回顾

Jorge Negreiros, Lluís Ballester, M. Vicente, Renata Carmo, J. Gama
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引用次数: 4

摘要

家庭干预失败的主要原因之一与家庭的参与度和保留率低有关。难以促进充分参与和留住参与者是实施和传播基于证据的家庭干预措施的最大障碍和挑战之一。尽管文献中描述了广泛的涉及父母干预的策略,但很少有人知道哪些策略在改善父母参与方面最有效。我们对父母参与的预测因素和预防性育儿计划的增强策略进行了系统的回顾。主要纳入标准包括:1)有家庭干预成分的循证研究,文献的理论和实证评价,以及系统评价;2)以葡萄牙语、英语和西班牙语发表的文章;3) 2000年至2018年出版。39篇文章报告了家庭参与的各种预测因素和使家庭参与预防活动的有效方法。出现了四个基本维度:1)参与预测因素;2)与项目相关的特征;3)参与障碍;4)减少参与障碍的策略。我们发现了四组不同的参与预测因子:1)家庭互动模式;2)父母对孩子行为问题的认知与归因;3)与父母相关的心理变量;4)父母对干预的认知。各种内在和外在的干预属性与参与家庭项目有关。参与的一些障碍包括一些后勤问题和家庭社会环境中的情况。减少参与障碍的策略包括使用不同的外部激励,培训师的角色,以及在整个干预过程中调整父母的期望和动机。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A systematic review of participation in prevention family programs
One of the main reasons for the failure of family interventions is related to the low participation and retention of families. Difficulty in promoting adequate engagement and retention of participants is one of the most powerful obstacles and challenges to the implementation and dissemination of evidence-based family interventions. Although a wide range of strategies to involve parents in interventions is described in the literature, little is known as to what strategies are most effective in improving parental involvement. We conducted a systematic review of the predictors of parent participation and enhancement strategies in preventive parenting programs. Key inclusion criteria included: 1) evidence-based studies with a family intervention component, theoretical and empirical reviews of the literature, and systematic reviews; 2) articles published in Portuguese, English, and Spanish; 3) published between 2000 to 2018. Thirty-nine articles reported a variety of predictors of family participation and effective methods to engage families in preventive activities. Four basic dimensions emerged: 1) predictors of participation; 2) characteristics associated with the program; 3) obstacles to participation; and 4) strategies to minimize barriers to participation. Four distinct groups of participation predictors were identified: 1) patterns of family interaction; 2) parents' cognitions and attributions regarding their child's behavioral problems; 3) psychological variables related to parents; and 4) parental perception of intervention. A variety of intrinsic and extrinsic intervention attributes were associated with involvement in family programs. Some obstacles to participation included several logistical issues and circumstances within the family’s social environment. Strategies to minimize barriers to participation included the use of different extrinsic incentives, the role of the trainer, and adjusting parental expectations and motivations throughout the intervention.
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