Primary Care Triple P for parents of NICU graduates with behavioral problems: a randomized, clinical trial using observations of parent-child interaction.

Autor: Schappin R; Department of Medical Psychology and Social Work, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands. r.schappin@umcutrecht.nl., Wijnroks L; Department of Child, Family and Education Studies, Faculty of Social and Behavioral Sciences, Utrecht University, Utrecht, The Netherlands. a.wijnroks@uu.nl., Uniken Venema M; Department of Medical Psychology and Social Work, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands. m.unikenvenema@umcutrecht.nl., Wijnberg-Williams B; Department of Medical Psychology, Isala Clinics, Zwolle, The Netherlands. b.j.wijnberg@isala.nl., Veenstra R; Department of Medical Psychology, Isala Clinics, Zwolle, The Netherlands. r.r.veenstra@isala.nl., Koopman-Esseboom C; Department of Neonatology, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands. c.koopman@umcutrecht.nl., Mulder-De Tollenaer S; Department of Neonatology, Isala Clinics, Zwolle, The Netherlands. s.m.mulder@isala.nl., van der Tweel I; Julius Center for Health Sciences and Primary Care, UMC Utrecht, Utrecht, The Netherlands. i.vandertweel@umcutrecht.nl., Jongmans M; Department of Child, Family and Education Studies, Faculty of Social and Behavioral Sciences, Utrecht University, Utrecht, The Netherlands. m.j.jongmans@uu.nl.; Department of Neonatology, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, The Netherlands. m.j.jongmans@uu.nl.
Jazyk: angličtina
Zdroj: BMC pediatrics [BMC Pediatr] 2014 Dec 14; Vol. 14, pp. 305. Date of Electronic Publication: 2014 Dec 14.
DOI: 10.1186/s12887-014-0305-4
Abstrakt: Background: Preterm-born or asphyxiated term-born children show more emotional and behavioral problems at preschool age than term-born children without a medical condition. It is uncertain whether parenting intervention programs aimed at the general population, are effective in this specific group. In earlier findings from the present trial, Primary Care Triple P was not effective in reducing parent-reported child behavioral problems. However, parenting programs claim to positively change child behavior through enhancement of the parent-child interaction. Therefore, we investigated whether Primary Care Triple P is effective in improving the quality of parent-child interaction and increasing the application of trained parenting skills in parents of preterm-born or asphyxiated term-born preschoolers with behavioral problems.
Methods: For this pragmatic, open randomized clinical trial, participants were recruited from a cohort of infants admitted to the neonatal intensive care units of two Dutch hospitals. Children aged 2-5 years, with a gestational age <32 weeks and/or birth weight <1500 g and children with a gestational age 37-42 weeks and perinatal asphyxia were included. After screening for a t-score ≥60 on the Child Behavior Checklist, children were randomly assigned to Primary Care Triple P (n = 34) or a wait-list control group (n = 33). Trial outcomes were the quality of parent-child interaction and the application of trained parenting skills, both scored from structured observation tasks.
Results: There was no effect of the intervention on either of the observational outcome measures at the 6-month trial endpoint.
Conclusions: Primary Care Triple P, is not effective in improving the quality of parent-child interaction nor does it increase the application of trained parenting skills in parents of preterm-born or asphyxiated term-born children with behavioral problems. Further research should focus on personalized care for these parents, with an emphasis on psychological support to reduce stress and promote self-regulation.
Trial Registration: Netherlands National Trial Register NTR2179 . Registered 26 January 2010.
Databáze: MEDLINE
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