行为育儿干预对中重度早产学龄前儿童父母的影响：实验研究

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-05-01 DOI:10.1016/j.arcped.2025.03.001

Géraldine Maigret, Edouard Gentaz, Fleur Lejeune

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引用次数: 0

摘要

背景：早产可能与儿童情绪和行为调节困难有关，导致对父母动态的短期和长期影响。然而，中晚期早产儿及其父母很少接受后续护理。本研究的目的是评估一种专门为学龄前中晚期早产儿父母开发的行为父母干预（BPI），以预防他们在情绪和行为调节方面的潜在困难。方法对38个家庭进行7次治疗。每个实验组与一个对照组相匹配；对照组将成为下一阶段的实验组。家长在项目开始前一周（T1）和第七次治疗结束时完成问卷调查，以衡量即时效果（T2）。本研究还加入了社会效度测量来评估我们的计划的可行性和可接受性。结果本研究主要观察到对群体父母压力指数（PSI）的积极影响。对照组在T1 （M = 101.1, SD = 22.2）和T2 （M = 101.5, SD = 19.8）时PSI总分比较，差异无统计学意义。相比之下，实验组PSI总分从T1 （M = 105, SD = 23.2）到T2 （M = 93.3, SD = 21.3）显著降低，p <；措施。类似的效果也被观察到出现在“父母苦恼”和“困难儿童”两个分量表中。结论虽然我们的研究结果并不明显，但社会效度和高满意度的测量表明，针对早期发展初期以上的中度早产儿童进行父母干预的重要性和必要性。未来的研究应旨在促进获取和增加家庭参与，以提高这类干预的有效性。

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Behavioral parenting intervention for parents of preschool-aged children born moderately and late preterm: An experimental study

Background

Prematurity can be associated with difficulties in emotional and behavioral regulation in children, leading to short- and long-term impacts on parental dynamics. However, moderate-late preterm children and their parents rarely receive follow-up care.

Objectives

The aim of this current study was to evaluate a Behavioral Parenting Intervention (BPI) specifically developed for parents of preschool-aged moderate-late preterm children, to prevent their potential difficulties in emotional and behavioral regulation.

Method

Thirty-eight families participated in a program consisting of 7 therapy sessions. Each experimental group was matched with a control group; the control group would become the experimental group in the following session. Parents completed questionnaires one week before the start of the program (T1) and at the end of the 7th therapy session to measure immediate effects (T2). Social validity measures were also added to this study to assess the feasibility and acceptability of our program.

Results

We primarily observed positive effects on the Parental Stress Index total (PSI) in the population 1. For the control group, there was no significant difference between PSI Total scores at T1 (M = 101.1, SD = 22.2) and T2 (M = 101.5, SD = 19.8). In contrast, the experimental group showed a significant reduction in PSI total scores from T1 (M = 105, SD = 23.2) to T2 (M = 93.3, SD = 21.3), with p < .001. Similar effects were observed for both the Parent Distress and the Difficult Child subscales.

Conclusion

While our results are modest, the measures of social validity and our high satisfaction rates indicate the importance and necessity of a parenting intervention aimed at moderately preterm children beyond the initial phase of early development. Future research should aim to facilitate access and increase family engagement to improve the effectiveness of this type of intervention.

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.