基于互联网和电话辅助的4岁破坏性行为儿童家长培训的有效性卡塔尔世界杯8强波胆分析实施研究%A Sourander,Andre %A Ristkari,Terja %A Kurki,Marjo %A Gilbert,Sonja %A Hinkka-Yli-Salomäki,Susanna %A Kinnunen,Malin %A pulkki - ramatback,Laura %A McGrath,Patrick %+图尔库大学儿童精神病学学系Lemminkäisenkatu 3，图尔库，20014，芬兰，图尔库，358 40 5571633，andre.sourander@utu.fi %K家长培训%K早期干预%K实施%K破坏行为%K行为问题%K学龄前儿童%K互联网辅助%K儿童心理健康%K心理健康%K行为%K干预%K儿童%K父母%D 2022 %7 4.4.2022 %9背景:缺乏在现实世界实践中实施数字化家长培训计划的有效性研究。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)家长培训干预4岁儿童破坏性行为的效果。此后，自2015年起在全国儿童保健诊所实施了干预措施。目的:本研究的主要目的是比较SFSW家长培训干预在儿童健康诊所作为常规做法实施时接受干预的家庭与在随机对照试验中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600个家庭组成，这些家庭于2015年1月至2017年5月在现实世界中实施SFSW干预。随机对照试验干预组包括2011年10月至2013年11月招募的232个家庭。从两个研究组中收集了相同的人口统计数据以及儿童和父母的测量数据，并使用线性混合效应模型进行重复测量。采用儿童行为检查表(child Behavior Checklist, CBCL) 1.5-5版、冷酷无情特质量表(冷酷无情特质量表)和巴克利家庭状况问卷(Barkley Home Situations Questionnaire)进行儿童精神病理和功能水平的测量。 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