Many approaches are used to address behavioural problems in childhood including medication or, more usually, psychological treatments either directly with the child and/or his/her family. Behavioural and cognitive-behavioural interventions have been shown to be effective but access to these treatments is limited due to factors such as time and expense. Presenting the information parents need in order to manage these behaviour problems in booklet or other media-based format might reduce the cost and increase access to these interventions.
To review the effects of media-based cognitive-behavioural therapies for any young person with a behavioural disorder (diagnosed using a recognised instrument) compared to standard care and no-treatment controls.
We searched: CENTRAL (The Cochrane Library Issue 3, 2005), MEDLINE (1966 to August 2005), EMBASE (1980 to August 2005), PsycINFO (1887 to August 2005), CINAHL (1982 to August 2005), Biosis (1985 to August 2005) and Sociofile (1974 to August 2005). Bibliographies of all selected trials were checked and experts in the field were contacted for additional information.
Randomised and quasi-randomised controlled trials (e.g. trials which used sequential randomisation) of media-based behavioural treatments for behaviour problems in children.
Data collection and analysis
Abstracts and titles of studies identified from searches of electronic databases were read to determine whether they met the inclusion criteria. Full copies of those possibly meeting these criteria from electronic or other searches were assessed by the reviewers and queries were resolved by discussion. Data were analysed using RevMan 4.2.
Eleven studies including 943 participants were included within this review. In general, media-based therapies for behavioural disorders in children had a moderate, if variable, effect when compared with both no-treatment controls with effects sizes ranging from -0.12 (-1.65, 1.41) to -32.60 (-49.93, -15.27) and as and adjunct to medication with effect sizes ranging from -2.71 (-5.86, -0.44) to -39.55 (-75.01, -4.09). Significant improvements were made with the addition of up to two hours of therapist time.
These formats of delivering behavioural interventions for carers of children are worth considering in clinical practice. Media-based interventions may, in some cases, be enough to make clinically significant changes in a child's behaviour, and may reduce the amount of time primary care workers have to devote to each case. They can also be used as the first stage of a stepped care approach. Consequently this would increase the number of families who could possibly benefit from these types of intervention, releasing clinician time that can be reallocated to more complex cases. Media-based therapies would therefore appear to have both clinical and economic implications as regards the treatment of children with behavioural problems.
對有行為問題孩童進行媒體形式的行為治療(Mediabased behavioural treatments)
回顧對有行為異常狀況 (經認可的工具診斷) 的年輕人，使用媒體形式的認知行為治療，或用標準療法或沒有治療的對照組，比較各組療效。
以下電子資料庫經過系統性搜尋：CENTRAL (The Cochrane Library Issue 3, 2005), MEDLINE (1966 to August 2005), EMBASE (1980 to August 2005), PsycINFO (1887 to August 2005), CINAHL (1982 to August 2005), Biosis (1985 to August 2005) and Sociofile (1974 to August 2005). 在選定試驗的參考資料中，尋找是否有其他試驗。已向此領域的專家詢問進一步的資訊。
隨機分配和半隨機對照試驗(例如：使用序列隨機分配 (sequential randomisation))，對有行為問題孩童進行媒體形式的行為治療。
閱讀由電子資料庫挑出的試驗摘要和題目，以確定是某符合納入條件。可能符合的文章全文由閱覽者評估，問題經討論解決。使用 RevMan 4.2分析資料。
本回顧包含11個試驗，943受試者。一般來說，對有行為問題孩童進行媒體形式的行為治療，比起沒治療的對照組，有中度效果，療效為介於 −0.12 (−1.65,1.41) 到 −32.60 (−49.93, −15.27) ，若加上藥物治療則療效介於 −2.71 (−5.86, −0.44) 至 −39.55 (−75.01, −4.09). 若再加上治療師最長2小時治療，則有顯著進步。
此翻譯計畫由臺灣國家衛生研究院 (National Health Research Institutes, Taiwan) 統籌。