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  • تأثیر برنامه‌ آموزش فرزندپروری مثبت بر کاهش مشکلات رفتاری کودکان و افزایش کیفیّت زندگی خانوادگی والدین دارای کودکان مبتلا به اختلال طیف اتُیسم

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کد مقاله : JPMM-2305-3798 (R6) بازدید : 67 صفحه: 60 - 43

10.30495/jpmm.2024.31903.3798

نوع مقاله: پژوهشی

تأثیر برنامه‌ آموزش فرزندپروری مثبت بر کاهش مشکلات رفتاری کودکان و افزایش کیفیّت زندگی خانوادگی والدین دارای کودکان مبتلا به اختلال طیف اتُیسم

محورهای موضوعی : تکتونواستراتیگرافی

غلامرضا رجبی 1 , یاسمن شیخی قهفرخی 2

1 - استاد، گروه مشاوره، دانشگاه شهید چمران اهواز، اهواز، ایران.
2 - کارشناسی ارشد مشاوره مدرسه، دانشگاه شهید چمران اهواز، اهواز، ایران.

تاریخ دریافت : 1402/02/26 تاریخ پذیرش : 1402/12/05 تاریخ انتشار : 1402/11/01

کلید واژه: مشکلات رفتاری, برنامه‌ آموزش فرزندپروری مثبت, کیفیّت زندگی خانوادگی, اختلال طیف اتُیسم,

چکیده مقاله :

زمینه و هدف: وجود یک کودک ناتوان در خانواده می‌تواند عملکرد خانواده را تحت تأثیر قرار دهد. اختلال طیف اُتیسم و مشکلات همراه آن می‌تواند عملکرد کودک و کیفیت زندگی خانوادگی را تحت تأثیر قرار دهد. این پژوهش با هدف بررسی برنامه‌ آموزش فرزند پروری مثبت بر کاهش مشکلات رفتاری کودکان و افزایش کیفیت زندگی خانوادگی والدین دارای کودکان مبتلا به اختلال طیف اُتیسم در یک طرح نیمه آزمایشی با پیش‌آزمون، پس‌آزمون و پیگیری با گروه کنترل در سال 1400 انجام شد. روش‌: جامعه‌ پژوهش شامل کلیه‌ی والدین دارای کودکان مبتلا به اختلال طیف اُتیسم در شهر شهرکرد بود، که از میان آن‌ها 30 نفر از والدین دارای کودکان مبتلا به اختلال طیف اُتیسم بر اساس ملاک‌های ورود به پژوهش با روش نمونه‌گیری داوطلبانه انتخاب و به‌صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. شرکت‌کنندگان گروه آزمایش در دَه جلسه‌ی نود دقیقه‌ای به‌صورت یک جلسه در هفته تحت برنامه آموزش فرزند پروری مثبت قرار گرفتند و گروه کنترل فقط در یک جلسه در مورد شیوه‌های فرزندپروری مثبت آموزش دیدند و هر دو گروه در سه مرحله‌ پیش‌آزمون، پس‌آزمون و پیگیری با استفاده از چکلیست رفتاری آخنباخ  و مقیاس کیفیت زندگی خانوادگی  مورد سنجش قرار گرفتند. داده‌ها با استفاده از روش آماری تحلیل واریانس با اندازه‌گیری تکراری (آمیخته) تحلیل شدند. یافته‌ها: نتایج نشان داد که در مراحل پس‌آزمون و پیگیری برنامه‌ آموزش فرزند پروری مثبت باعث کاهش مشکلات رفتاری (001/0 > p) کودکان و افزایش کیفیت زندگی خانوادگی والدین (001/0 > p) گروه آزمایش نسبت به گروه کنترل شده است. نتیجه‌گیری: درنتیجه می‌توان از این برنامه آموزشی برای کاهش مشکلات رفتاری کودکان و بالا بردن کیفیت زندگی خانوادگی والدین این کودکان در محیط های آموزشی و درمانی استفاده کرد.

چکیده انگلیسی:

Abstract Background and purpose: The existence of a disable child in the family can affect family performance. Autism spectrum disorder and its associated problems can affect the performance of the child and quality of life of the family. The present study aimed to investigate the effect of positive parenting program education on reducing children`s behavioral problems and increased quality of life of the family children with autism spectrum disorder. This study was conducted in a semi-experimental research design with pre-test, post-test, and follow-up with control group in 2021 year. Methods: The research population consisted of all parents with children autism spectrum disorder in Shahrekord city, which 30 parents were selected using voluntary sampling method and according to exclude criteria and randomly assigned to experimental and control groups. Participants of experimental group participated in 10 session of 90-minutes under positive parenting education program, and the control group was only educated in a positive parenting session and both groups were measured in three stages of pre-test, post-test, and follow-up using the Achenbach Behavior Checklist and the Beach Center Family Quality of life Scale. Data were analyzed using repeated measures analysis of variance (Mixed). Findings: The results indicated that positive parenting education program has reduced children's behavioral problems (p < 0.001) and increased quality of life (p < 0.001) of the experimental group parents compared to quality of life of the control group parents in post-test and follow-up stages. Conclusion: As a result, the findings of this study can be used to reduce children's behavioral problems and improve the quality of family life of these children's parents in educational, and therapy settings.

منابع و مأخذ:


  1. 1. Mazzucchelli TG, Sanders MR. Stepping stones triple p: A population approach to the promotion of competent parenting of children with disability. Parenting Research and Practice Monograph. 2012; 2: 1-35. https://www.academia.edu/52300531/Stepping_Stones_Triple_P_A_population_approach_to_the_promotion_of_competent_parenting_of_children_with_disability
    2.
  2. 2. Boehm TL, Carter EW, Taylor JL. Family quality of life during the transition to adulthood for intellectual disability and/or autism spectrum disorder. American Journal on Intellectual and Developmental Disabilities. 2015; 120(5): 395-411. https://1352/1944-7558-120.5.395
    3.
  3. 3. Rajabi Gh, Qaed Amini Harooni S, Aslani K. Reliability and validity of the version of the Family Quality of Life Scale in families of children with autism spectrum. Journal of Exceptional Children. 2019; 18, 4(70): 5-18. http://joec.ir/article-1-827-en.html (Persian)
    4.
  4. Eskow KG, Chasson GS, summers JA. The role of choice and control in the impact of autism waiver services on family quality of life and child progress. Journal of Autism and Developmental Disorders. 2015; 49(5): 2035-2048. https:// 10.1007/s10803-019-03886-5
    5.
  5. Vasilopoulou E., & Nisbet J. The quality of life of parents of children with autism spectrum disorder: A systematic review. Research in Autism Spectrum Disorders. 2016; 23: 36-49. https://doi.org/10.1016/j.rasd.2015.11.008
    6.
  6. Naveed S, Waqas A, Amray AN., Memon RI, Javed N, Tahir MA, Ghozy S, Jahan N, Khan AS, Rahman A. Implementation and effectiveness of nonspecialist mediated interventions for children with autism spectrum disorder: A systematic review and meta-analysis. PLOS ONE. 2019; 14(11): 813-833. https:// 10.1371/journal.pone.0224362
    7.
  7. Mazurek MO, Sohl K. Sleep and behavioral problems in children with autism spectrum disorder. Journal of Autism and Developmental Disorders. 2016; 46(6):1906-1915. https:// 10.1007/s10803-016-2723-7
    8.
  8. Park J, Hoffman L, Marquis J, Turnbull, AP, Poston D, Mannan, H, Wang M, Nelson LL. Toward assessing family outcomes of service delivery: Validation of a family quality of life survey. Journal of Intellectual Disability Research. 2003; 47(4-5): 367-384. https://0.1046/j.1365-2788.2003.00497.x
    9.
  9. Whittingham K, Sofronoff K, Sheffield J, Sanders MR. (2009). Stepping stones Triple p: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology. 2009; 37(4): 469-480. https://10.1007/s10802-008-9285-x
    10.
  10. Sanders MR. Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual Review of Clinical Psychology. 2012; 8: 345–379. https://doi.org/10.1146/annurev-clinpsy-032511-143104
    11.
  11. Costa B, Thornton M, Guest E, Meyrick J, Williamson H. The effectiveness of interventions to improve psychosocial outcomes in parents of children with appearance-affecting health conditions: A systematic review. Child: Care, Health and Development. 2020; 47(1): 15-30. https://10.1111/cch.12805
    12.
  12. Schrott B, Kasperzack D, Weber L, Becker K, Burghardt R, Kamp-Becker I. Effectiveness of the stepping stones triple p group parenting program as an additional intervention in the treatment of autism spectrum disorders: Effects on parenting variables. Journal of Autism and Developmental Disorders.2019; 49(3): 913-923. https:// 10.1007/s10803-018-3764-x
    13.
  13. Sanders M. Triple P-Positive Parenting Program as a public health approach to stregning parenting. Journal of Family Psycholog. 2008; 22(3): 506-517. https:// 10.1037/0893-3200.22.3.506
    14.
  14. Sanders MR, Kirby JN, Tellegen CL, Day JJ. (2014). The Triple P-Positive Parenting Program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review. 2014; 34, 4: 337-357. https://doi.org/10.1016/j.cpr.2014.04.003
    15.
  15. Shah R, Kennedy S, Clark MD, Milis MHS, Bauer SC, Schwartz A. (2016). Primary care-based interventions to promote positive parenting behaviors: A meta analysis. Pediatrics. 2016; 137(5): e20153393. https:// 10.1542/peds.2015-3393
    16.
  16. Postorino V, Sharp W. G, McCracken CE, Bearss K, Burrell TL, Evans AN, Scahill L. A systematic review and meta-analysis of parent training for disruptive behavior in children with autism spectrum disorder. Clinical Child and Family Psychology Review. 2017; 20(4): 391-402. https:// 10.1007/s10567-017-0237-2
    17.
  17. Rojas-Torres LP, Alonso-Esteban Y, Alcantud-Marín F. Early intervention with parents of children with autism spectrum disorders: A review of programs. Journal Children. 2020; 7(12): 1-28.‏ https:// 10.3390/children7120294.
    18.
  18. Kasperzack D, Schrott B, Mingebach T, Becker K, Burghardt R, Kamp-Becker I. Effectiveness of the stepping stones triple p group parenting program in reducing comorbid behavioral problems in children with autism. Autism. 2020; 24(2): 423-436.‏ https:// 10.1177/1362361319866063
    19.
  19. Criss S, Grant L, Henderson N, Sease K, Fumo M, Stetler C. Changing attitudes about spanking: A mixed-methods study of a positive parenting intervention. Journal of Child and Family Studies, 2021; 30(10): 2504-2515.‏ https:// 10.1007/s10826-021-02039-6
    20.
  20. Brian J, Tint A, Branson JC, Pilkington M. Effectiveness of group stepping stones positive parenting program for children with autism spectrum disorder and disruptive behaviour: program evaluation from a large community implementation. Journal on Developmental Disabilities. 2021; 26(2): 1-19.‏ https:// 10.1177/1362361319866063
    21.
  21. Zand DH., Bultas MW, Mcmillin ES, Halloran D, White T, McNamara D, Pierce KJ. A pilot of a brief positive parenting program on children newly diagnosed with autism spectrum disorder. Family Process.2017; 57(4): 901-914. https:// 10.1111/famp.12334
    22.
  22. Rahimi M, Akrami N, Ghamarani A. The effectiveness of positive parenting program on self-efficacy and parenting style in mothers of children with internalized and externalized disorders. Journal of Clinical Psychology & Personality.2021; 19, 1: 93-107. https:// 10.22070/CPAP.2021.7164.0 (Persian)
    23.
  23. Matsumoto Y, Sofronoff K, Sanders MR. The efficacy and acceptability of the Triple P-positive parenting program with Japanese parents. behaviour change. 2007; 24(4): 205–218. https://10.1375/bech.24.4.205
    24.
  24. Matsumoto Y, Sofronoff K, Sanders MR. Investigation of the effectiveness and social validity of the Triple P positive parenting program in Japanese society. Journal of Family Psychology. 2010; 24(1): 87–91. https:// 10.1037/a0018181
    25.
  25. Fujiwara T, Kato N, Sanders MR. Effectiveness of group positive parenting program (Triple P) in changing child behavior, Parenting style, and parental adjustment: An itervention study in Japan. Journal Child Family Studies. 2011; 20: 804–813. https://doi.org/10.1007/s10826-015-0163-1
    26.
  26. Prinz RJ, Sanders MR. Shapiro CJ, Whitaker DJ, Lutzker JR. Population-based prevention of child maltreatment: The U.S. Triple p system population trial. Prevention Science. 2009; 10(1): 1–12. https://10.1007/s11121-009-0123-3
    27.
  27. Turner KM, Richards M, Sanders MR. Randomised clinical trial of a group parent education programme for Australian indigenous families. Journal of Paediatrics and Child Health. 2007; 43(6): 429–437. https:// 10.1111/j.1440-1754.2007.01053.x
    28.
  28. Turner KM, Sanders MR. Help when its neded first: A controlled evaluation of brief preventive behavioral family intervention in a primary care setting. Behavior Therapy. 2007; 37(2): 131-142. https:// 10.1016/j.beth.2005.05.004
    29.
  29. Leung C, Sanders M, Leung S, Mak R, Lau J. An outcome evaluation of the implementation of the Triple P-Positive Program in Hong Kong. Family Process. 2003; 42(4): 531-544. https://10.1111/j.1545-5300.2003.00531.x.
    30.
  30. Marawska A, sanders MR. Self-administered behavioral family internention for parents of todders: Part i. Efficacy. Journal of Clinical Counseling Psychology. 2006; 74(1): 0-19. https:// 10.1037/0022-006X.74.1.10
    31.
  31. Turner KM, Richards M, Sanders MR. Randomised clinical trial of a group parent education programme for Australian indigenous families. Journal of Paediatrics and Child Health. 2006; 43(6): 429–437. https:// 10.1111/j.1440-1754.2007.01053.x
    32.
  32. Zubrick SR, Ward KA, Silburn SR, Lawrence D, Williams AA, Blair E, et al. Prevention of child behavior problems through universal implementation of a group behavioral family intervention. Prevention Science. 2005; 6(4): 287–304. https:// 10.1007/s11121-005-0013-2
    33.
  33. Achenbach TM, Rescolar LA. Manual for the ASEBA School–age forms and profiles. Burlington: VT: University of Vermont Research Center for Children, Youth, & Families.ASEBA; 2001. https://www.scirp.org/(S(351jmbntvnsjt1aadkposzje))/reference/ReferencesPapers.aspx?ReferenceI
    34.
  34. Ghamarikeyvan H, Khosnodniaye Chamachai's B. Fundamental factors in children disorders based on the Achenbach and Rescolar’s Child Behavior Checklist. Quarterly Psychology of Exceptional Individuals. 2016; 6, 21: 157-171. https://doi.org/10.22054/jpe.2016.5286 (Persian)
    35.
  35. Goodarzi MA, Hashemi R, Taghavi MR. The effect of behavioral training of mothers with conduct disorder children on behavior performance problems in their children. Knowledge & Research in Applied Psychology. 2018; 19, 1: 1-19. https://doi.org/10.30486/jsrp.2018.540471 (Persian)
    36.
  36. Arias AA, Rea MM, Adler EJ, Haendel AD, Van Hecke AV. Utilizing the Child Behavior Checklist (CBCL) as an autism spectrum disorder preliminary screener and outcome measure for the PEERS® intervention for autistic adolescents. Journal of Autism and Developmental Disorders. 2021; 358(8): 1-14. https:// 10.1007/s10803-021-05103-8
    37.
  37. Gomez R, Vance A. Confirmatory factor analysis, latent profile analysis, and factor mixture modeling of the syndromes of the Child Behavior Checklist and Teacher Report Form. Psychological Assessmen. 2014;26(4): 1307–1316. https:// 10.1037/a0037431
    38.
  38. Schmeck K, Poustka F, Döpfner MJ, Plück J, Berner W, Lehmkuhl G, Lenz K, HussM. Discriminant validity of the Child Behavior Checklist CBCL-4/18 in German samples. European Child & Adolescence Psychiatry. 2001; 10(4): 240-247. https://doi.org/10.1007/s007870170013
    39.
  39. Poston D, Turnbull A, Park, J, Mannan H, Marquis J, Wang M. Family quality of life: A qualitative inquiry. Mental Retardation. 2003; 41(5): 313-328. https://10.1352/0047-6765(2003)41<313:FQOLAQ>2.0.CO;2
    40.
  40. Hoffman L, Marquis J, Poston D, Summers JA, Turnbull A. Assessing family outcomes: Psychometric evaluation of the Beach Center Family Quality of Life Scale. Journal of Marriage and Family. 2006; 68: 1069–1083. https://doi.org/10.1111/j.1741-3737.2006.00314.x
    41.
  41. Summers JA, Poston DJ, Turnbull AP, Marquis J, Hoffman L, Mannan, H, Wang M. Conceptualizing and measuring family quality of life. Journal of Intellectual Disability Research. 2005; 49(10): 777-783. https:// 10.1111/j.1365-2788.2005.00751.x
    42.
  42. Verdug MA, Cordoba L, Gomez J. Spanish adaptation and validation of the life family quality of life survey. Journal of Intellectual Disability Research. 2005; 49: 794-798. https://doi.org/10.1111/j.1365-2788.2005.00754.x
    43.
  43. Zuna N, Selig JP, Summers JA, Turnbull AP. Confirmatory factor analysis of a Family Quality of Life Scale for families of kindergarten children without disabilities. Journal of Early Intervention. 2009; 31(2): 111-125. https://doi.org/10.1177/1053815108330
    44.
  44. Isaacs BJ, Brown I, Brown RI, Baum NT, Myerscough T, et al. Development of a family quality of life survey. Journal of Policy and Practice in Intellectual Disabilities,. 2007; 4: 177–185. https://doi.org/10.1111/j.1741-1130.2007.00116.x
    45.
  45. Asgari Eden V. The implementation of triple p positive parenting program: An examination of key variables and program adherence. University of Ottawa, Canada; 2011. http://hdl.handle.net/10393/20305
    46.

46- Winer BJ. Statistical principles in experimental design. New York: MacGraw-Hill; 1962. https:// https://toaz.info/doc-view-2

 

 

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