移动干预对有哭闹、睡眠和喂养问题儿童父母的影响卡塔尔世界杯8强波胆分析随机对照试验%A Augustin,Michaela %A Licata-Dandel,Maria %A Breeman,Linda D %A Harrer,Mathias %A Bilgin,Ayten %A Wolke,Dieter %A Mall,Volker %A Ziegler, margaret %A Ebert,David Daniel %A Friedmann,Anna %+社会儿科，慕尼黑工业大学TUM医学院，海格霍夫斯特65号，慕尼黑，81377，德国，49 8971009149，michaela.augustin@tum.de %K儿童%K哭闹问题%K睡眠问题%K喂养问题%K喂养问题%K调节问题%K干预研究%K移动医疗保健%K健康应用程序%K患者教育%K心理教育%K电子健康%K移动健康%K移动健康%K育儿%K婴儿%K婴儿%K睡眠%K哭闹%K新生儿%K手机%D 2023 %7 10.3.2023 %9原文% jjmir移动健康Uhealth %G英语%X儿童早期的过度哭泣、睡眠和喂养问题是主要的压力源，会导致父母感到社会孤立，自我效能低下。受影响的儿童是受虐待和发展情感和行为问题的风险群体。因此，为有哭闹、睡眠和喂养问题的儿童的父母开发一款创新的交互式心理教育应用程序，可以提供低门槛的科学信息，减少父母和儿童的负面结果。目的:我们的目的是调查在使用新开发的心理教育应用程序后，是否有哭闹、睡眠或喂养问题的儿童的父母会感受到更少的育儿压力;获得更多关于哭泣、睡眠和喂养问题的知识;以及他们的孩子的症状是否比没有使用该应用程序的父母减轻得更多。方法:我们的临床样本包括136名儿童(0-24个月)的父母，他们联系了巴伐利亚州(德国南部)的一家哭闹婴儿门诊诊所进行初步咨询。采用随机对照设计，家庭被随机分配到干预组(IG; 73/136, 53.7%) or a waitlist control group (WCG; 63/136, 46.3%) during the usual waiting time until consultation. The IG was given a psychoeducational app that included evidence-based information via text and videos, a child behavior diary function, a parent chat forum and experience report, tips on relaxation, an emergency plan, and a regional directory of specialized counseling centers. Outcome variables were assessed using validated questionnaires at baseline test and posttest. Both groups were compared at posttest regarding changes in parenting stress (primary outcome) and secondary outcomes, namely knowledge about crying, sleeping, and feeding problems; perceived self-efficacy; perceived social support; and child symptoms. Results: The mean individual study duration was 23.41 (SD 10.42) days. The IG reported significantly lower levels of parenting stress (mean 83.18, SD 19.94) after app use compared with the WCG (mean 87.46, SD 16.67; P=.03; Cohen d=0.23). Furthermore, parents in the IG reported a higher level of knowledge about crying, sleeping, and feeding (mean 62.91, SD 4.30) than those in the WCG (mean 61.15, SD 4.46; P<.001; Cohen d=0.38). No differences at posttest were found between groups in terms of parental efficacy (P=.34; Cohen d=0.05), perceived social support (P=.66; Cohen d=0.04), and child symptoms (P=.35; Cohen d=0.10). Conclusions: This study provides initial evidence of the efficacy of a psychoeducational app for parents with child crying, sleeping, and feeding problems. By reducing parental stress and increasing knowledge of children’s symptoms, the app has the potential to serve as an effective secondary preventive measure. Additional large-scale studies are needed to investigate long-term benefits. Trial Registration: German Clinical Trials Register DRKS00019001; https://drks.de/search/en/trial/DRKS00019001 %M 36897641 %R 10.2196/41804 %U https://mhealth.www.mybigtv.com/2023/1/e41804 %U https://doi.org/10.2196/41804 %U http://www.ncbi.nlm.nih.gov/pubmed/36897641