発達障害児の親を対象に保健師が行った前向き子育てプログラム(Positive Parenting Program;トリプルP)の評価 : 評価指標による介入効果の分析  [in Japanese] An Evaluation of Positive Parenting Program Administered by Public Health Nurses to Parents of Children with Developmental Disorders : An Analysis of Intervention Effect by Estimated Index  [in Japanese]

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Abstract

目的:発達障害児の親を対象に保健師等がグループトリプルPを実施し,その効果を検証する.方法:発達障害児の親12人を先に介入するA群と後で介入するB群に無作為に分け,両群にグループトリプルPの介入を行い,介入前後で評価指標を用いた調査を行った.介入したA群と対照群として待機中のB群を比較後,A群には介入1か月後と3か月後にも調査を行い,介入直前と比較した.さらにA群B群を合計した合計群について,介入直前と介入直後を比較した.結果:対照群では変化がなかったが,介入したA群は子育て場面での多弁さと,子どもの感情的症状が改善傾向であった.A群の介入1か月後では抑うつ,3か月後では抑うつ,子育て場面の手ぬるさと過剰反応がそれぞれ介入直前より有意に改善した.合計群では,子育て場面でのふるまい(PS)の過剰反応と総合スコア,子どものむずかしい行動(SDQ)の総合スコア,ストレスが介入直前に比べて有意に改善した.結論:発達障害児の親を対象に保健師等が行ったグループトリプルPは,子育て場面でのふるまい,子どものむずかしい行動,ストレスや抑うつに有意な改善が確認できた.本研究では事例数が少ないという限界があるものの,グループトリプルPは発達障害児の親に対して有効な支援方法になり得ることが示唆された.

Objective: To examine the effectiveness of Group Triple P (GTP) administered to parents of children with developmental disorders by public health nurses Procedure: Twelve parents of children with developmental disorders were assigned randomly to Group A, which underwent GTP intervention, and to Group B, which underwent no intervention. Group A just after intervention was compared with Group B as the control group by evaluation index. Group A just after intervention was also compared with one month after the intervention and three months after. In addition, the combined Group A and Group B was compared before and after intervention. Results: The control group showed no change, but Group A, which had undergone intervention, showed a tendency toward improvement of the parent's loquaciousness and the child's emotional symptoms. Group A was more significantly improved in depression one month after intervention and in depression, lax child-rearing and excessive response three months after than just before intervention. The combined group was significantly improved in the total scores and excessive response of Parenting Scale (PS), and in the total scores and stress of Strength and Difficulties Questionnaire (SDQ), compared to that just before intervention. Discussion: GTP produced significantly effective improvement in PS, SDQ, stress and depression. Though this study had the limitation of a low number of subjects for examination, GTP was suggested to be an effective support method for the parents of children with developmental disorders.

Journal

  • Journal of Japan Academy of Community Health Nursing

    Journal of Japan Academy of Community Health Nursing 18(2-3Comb-No), 41-50, 2015

    Japan Academy of Community Health Nursing

Codes

  • NII Article ID (NAID)
    110010022673
  • NII NACSIS-CAT ID (NCID)
    AA11362530
  • Text Lang
    JPN
  • ISSN
    1346-9657
  • NDL Article ID
    027093459
  • NDL Call No.
    Z74-B543
  • Data Source
    NDL  NII-ELS  J-STAGE 
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