TY - JOUR AU - Sourander, Saana AU - Sourander, Andre AU - Hinkka-Yli-Salomäki, Susanna AU - Ristkari, Terja AU - Kurki, Marjo PY - 2022 DA - 2022/11/2 TI -基于互联网的特殊家庭咨询中心儿童破坏性行为管理培训可行性研究JO - JMIR儿科家长SP - e40614 VL - 5 IS - 4 KW -家长培训KW -破坏性行为KW -儿童精神病理学KW -儿童功能KW -基于互联网的KW - COVID-19大流行KW - COVID-19 KW -精神健康KW -心理健康KW -数字健康KW -育儿KW -远程医疗KW -行为问题KW -精神病理学AB -背景:人们越来越关注2019冠状病毒病大流行对儿童和家庭心理健康和社会心理福祉产生的短期和长期影响。目前还没有关于在临床环境中使用基于互联网的父母培训计划和电话指导来解决COVID-19大流行期间儿童破坏性行为问题的可行性和结果的研究。目的:本研究探讨了“最强家庭智能网站”(SFSW)家长培训项目如何在COVID-19大流行期间，在芬兰赫尔辛基的专业家庭咨询中心提供电话辅导，因为限制导致无法进行面对面咨询。本研究是在一项成功的随机对照试验(RCT)及其实施研究的基础保健儿童保健诊所SFSW家长培训计划之后进行的。其目的是提高育儿技巧，这样父母就可以通过发展积极的亲子关系来解决破坏性行为。它始于2020年5月，当时COVID-19大流行在芬兰达到了顶峰。方法:赫尔辛基的8家家庭咨询中心共鉴定了50名年龄在3-8岁之间的家长报告的高水平破坏性行为问题的转诊患者。使用一系列工具在基线、治疗后和6个月后测量儿童精神病理和功能、父母技能和幸福感。 The data were extracted from questionnaires completed by the parents. Results: We found that 44 (88%) of the 50 families completed the whole 11-session parent training program. Most of the children (n=48, 96%) had definitive or severe behavioral problems when they were initially screened by the centers, but with those assessed at the 6-month follow-up (n=45, 90%), this dropped to 58% (n=26). There were significant changes from baseline to 6-month follow-up in most of the child psychopathology measures, including the Child Behavior Checklist-Parent Report Form (CBCL) total score (mean change 16.3, SE 3.0, 95% CI 10.2-22.3; P<.001) and externalizing score (mean change 7.0, SE 1.0, 95% CI 4.9-9.0; P<.001). When parenting skills were measured with the Parenting Scale (PS), they showed significant changes from baseline to 6-month follow-up in total scores (mean change 0.5, SE 0.1, 95% CI 0.4-0.7; P<.001). Parents showed significant change in the stress subscore (mean change 3.9, SE 0.8, 95% CI 2.2-5.6; P<.001). Of the parents who filled in the satisfaction questionnaire (n=45, 90%), 42 (93%) reported high satisfaction in the skills and 44 (98%) in the professionalism of the family coaches. Conclusions: The program proved to be an effective method for improving parenting skills and child psychopathology and functioning. The parents were satisfied with the program, and the dropout rate was exceptionally low. The study shows that the training program could be implemented in specialist clinical settings and during crisis conditions, such as the COVID-19 pandemic. SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2022/4/e40614 UR - https://doi.org/10.2196/40614 UR - http://www.ncbi.nlm.nih.gov/pubmed/36194895 DO - 10.2196/40614 ID - info:doi/10.2196/40614 ER -