Claudia R L Alves, Bruna L Seibel, Cláudia M Gaspardo, Elisa R P Altafim, Maria B M Linhares
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引用次数: 0
摘要
目的系统回顾有关家访预防性养育计划(HV-PPs)对改善幼儿期母子互动质量的影响的研究。方法:按照首选报告项目进行分析:按照《系统综述和荟萃分析首选报告项目》(Preferred Reporting Items for Systematic Reviews and Meta-Analyses)协议,我们通过检索以下数据库,确定了 2018 年至 2022 年间发表的 3586 项研究:PubMed、Web of Science、BVS/LILACS、SciELO 和 PsycNET/PsycINFO。在应用资格标准后,选出 17 篇文章进行审查。结果:大多数研究在高收入国家进行(53%),其余研究在中上收入国家进行,主要采用随机对照试验设计,方法质量较高。这 17 项研究采用了 13 种不同的 HV-PPs (主要使用视频反馈),基于不同的剂量和时间表。大多数研究(77%)显示,通过改善母亲的积极行为(如敏感性和响应性),对母婴互动产生了显著的积极影响。积极效果的产生与研究设计、样本特征、测量方法和评估的构建无关。然而,研究结果表明,少于六次的疗程、少于三个月的疗程以及很早开始的疗程并没有像预期的那样对母婴互动产生影响。很少有研究探讨了母亲的负面行为、儿童的行为以及相互性和同步性等二元互动。结论尽管在项目设计、结果测量和重叠结构方面存在很大的异质性,但高风险项目对幼儿期的母子互动产生了积极影响。根据研究结果,我们讨论了将亲职教育计划作为一种预防方法的实际意义和经济意义。
Home-visiting Parenting Programs to Improve Mother-Infant Interactions at Early Ages: A Systematic Review.
Objective: To systematically review studies examining the effects of home-visiting preventive parenting programs (HV-PPs) on improving the quality of mother-child interactions in early childhood. Method: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses protocol, we identified 3,586 studies published between 2018 and 2022 by searching the following databases: PubMed, Web of Science, BVS/LILACS, SciELO, and PsycNET/PsycINFO. After applying the eligibility criteria, 17 articles were selected for review. Results: Most studies were conducted in high-income countries (53%) and the remainder were conducted in upper-middle-income countries, predominantly using a randomized controlled trial design and with strong methodological quality. The 17 studies applied 13 different HV-PPs, predominantly using video feedback, based on various dosages and schedules. Most studies (77%) showed significant positive effects on mother-child interactions by improving mainly positive maternal behaviors (e.g., sensitivity and responsiveness). Positive effects occurred independent of the study design, sample characteristics, measures, and constructs assessed. However, the findings suggest that the combination of fewer than six sessions, durations shorter than three months, and a very early start did not impact mother-child interactions, as expected. Few studies have explored negative maternal behaviors, children's behaviors, and dyadic interactions such as mutuality and synchrony. Conclusions: HV-PPs positively impacted mother-child interactions in early childhood despite the large heterogeneity across program designs, outcome measures, and overlapping constructs. Based on the results, we discuss the practical and economic implications of using parenting programs as a preventive approach.
期刊介绍:
Psychosocial Intervention is a peer-reviewed journal that publishes papers in all areas relevant to psychosocial intervention at the individual, family, social networks, organization, community, and population levels. The Journal emphasizes an evidence-based perspective and welcomes papers reporting original basic and applied research, program evaluation, and intervention results. The journal will also feature integrative reviews, and specialized papers on theoretical advances and methodological issues. Psychosocial Intervention is committed to advance knowledge, and to provide scientific evidence informing psychosocial interventions tackling social and community problems, and promoting social welfare and quality of life. Psychosocial Intervention welcomes contributions from all areas of psychology and allied disciplines, such as sociology, social work, social epidemiology, and public health. Psychosocial Intervention aims to be international in scope, and will publish papers both in Spanish and English.