杂志文章@ 1438-8871 %I JMIR出版物V 24% N 4卡塔尔世界杯8强波胆分析% P e27900 %T对有破坏性行为的4岁儿童的父母进行基于互联网和电话辅助的培训的有效性:实施研究%A Sourander,Andre %A Ristkari,Terja %A Kurki,Marjo %A Gilbert,Sonja %A Hinkka-Yli-Salomäki,Susanna %A Kinnunen,Malin %A Pulkki-Råback,Laura %A McGrath,Patrick J %+图尔库大学儿童精神病学系，Lemminkäisenkatu 3, Teutori三楼，图尔库，20014，芬兰，358 40 5571633，andre.sourander@utu.fi %K家长培训%K早期干预%K实施%K破坏性行为%K行为问题%K学龄前儿童%K网络辅助%K儿童心理健康%K心理健康%K行为%K干预%K儿童%K家长%D 2022 %7 4.4.2022 %9原始论文%J J医学互联网Res %G英语%X背景:在现实世界实践中实施数字家长培训计划时缺乏有效性研究。2011年至2013年，在芬兰西南部的一项随机对照试验中，研究了基于互联网和电话辅助的芬兰最强家庭智能网站(SFSW)父母培训干预对4岁儿童破坏性行为的有效性。此后，从2015年开始在全国儿童健康诊所实施干预。目的:本研究的主要目的是比较儿童健康诊所正常实施SFSW家长培训干预的家庭与随机对照试验期间接受相同干预的家庭之间的治疗特点和效果。方法:实施组由2015年1月至2017年5月期间在SFSW干预中招募的600个家庭组成。随机对照试验干预组由2011年10月至2013年11月期间招募的232个家庭组成。从两个研究组中收集了相同的人口统计学和儿童和父母测量数据，并使用重复测量的线性混合效应模型进行比较。儿童精神病理和功能水平测量使用儿童行为检查表(CBCL) 1.5-5版学龄前儿童，冷酷无情的特征清单(ICU)，和修改版本的巴克利家庭情况问卷。 Parenting skills were measured using the 31-item Parenting Scale and the shorter 21-item Depression, Anxiety and Stress Scale (DASS-21). The estimated child and parent outcomes were adjusted for CBCL externalizing scores at baseline, maternal education, duration of the behavior problems, and paternal age. The baseline measurements of each outcome were used as covariates. Results: The implementation group was more likely to complete the intervention than the RCT intervention group (514/600, 85.7% vs 176/232, 75.9%, respectively; P<.001). There were no significant differences between the implementation and RCT intervention groups with regard to child measures, including CBCL externalizing score (–0.2, 95% CI –1.3 to 1.6; P=.83), total score (–0.7, 95% CI –3.0 to 4.5; P=.70), internalizing score (–0.3, 95% CI –1.0 to 1.6; P=.64), and ICU total score (–0.4, 95% Cl –1.9 to 1.2; P=.64). No significant difference was detected in the Parenting Scale total score (0.0, 95% Cl –0.1 to 0.1; P=.50), while DASS-21 total score differed nearly significantly (2.5, 95% Cl 0.0-5.1; P=.05), indicating better improvement in the implementation group. Conclusions: The internet-based and telephone-assisted SFSW parent training intervention was effectively implemented in real-world settings. These findings have implications for addressing the unmet needs of children with disruptive behavior problems. Our initiative could also provide a quick socially distanced solution for the considerable mental health impact of the COVID-19 pandemic. Trial Registration: ClinicalTrials.gov NCT01750996; https://clinicaltrials.gov/ct2/show/NCT01750996 International Registered Report Identifier (IRRID): RR2-10.1186/1471-2458-13-985 %M 35377332 %R 10.2196/27900 %U //www.mybigtv.com/2022/4/e27900 %U https://doi.org/10.2196/27900 %U http://www.ncbi.nlm.nih.gov/pubmed/35377332