安全照護親子互動模組嬰幼兒版於台灣家庭之應用：一個個案研究

Implementing the SafeCare Parent-Infant Interaction Module in a Taiwanese Family: A Case Study

安全照護（SafeCare）中的親子互動模組—嬰幼兒版（parent-infant interaction module；簡稱PII模組）已在美國面臨教養嬰幼兒壓力的家長中展現其療效。本初步個案研究旨在評估PII模組應用於一位具潛在親職壓力的台灣母親及其11個月大兒子之療效、可行性與接受度。本研究亦說明介入過程中的執行程序、進展、挑戰及因應策略。評估透過介入前、後及三個月追蹤的父母報告、半結構式訪談和親子互動行為觀察（包含一項遊戲活動及兩項挑戰性日常活動）進行，並藉行為觀察監測介入期間的進展。介入後結果（並維持至三個月追蹤期）顯示：(a)母親在三項日常活動中「嬰幼兒父母活動訓練（infant parent activities training, iPAT）技巧，和非iPAT行為技巧的運用能力提升，同時報告困擾感減少；(b)母親自評之親職壓力減輕，心理病理症狀維持於非臨床水準。母親於滿意度調查中報告對本次介入高度滿意，並全程參與所有課程，出席率達100%。研究結果支持PII模組能提升本案例母親教養技巧，減少育兒困擾與壓力，且具可行性和高接受度。此模組可能是預防台灣因親職能力不足導致兒童不當對待的具前景介入方式。未來研究建議採單一個案或團體實驗設計，進一步檢驗PII模組對台灣父母及其嬰幼兒的介入效果。

SafeCare’s Parent-Infant Interaction (PII) Module has demonstrated efficacy with parents in the United States experiencing stress associated with parenting infants. This preliminary case study aimed to evaluate the efficacy, feasibility, and acceptance of implementing the PII module with a Taiwanese mother experiencing potential parenting stress and her 11-month-old son. The study also detailed the intervention procedures, progress, challenges, and strategies employed to address challenges. Assessments were conducted using parent-report measures, semi-structured interviews, and behavioral observations of parent-infant interactions—including a play activity and two challenging daily routines—at pre-intervention, post-intervention, and a three-month follow-up. Behavioral observations were also utilized to monitor progress during the intervention. Post-intervention results—maintained at the three-month follow-up—showed that (a) the mother improved her use of Infant Parent Activities Training (iPAT) skills and non-iPAT behavioral techniques across three daily activities, while also reporting reduced distress during these activities; and (b) the mother’s self-reported parenting stress decreased, with psychopathological symptoms remaining within the non-clinical range. In the satisfaction survey, the mother reported a high level of satisfaction with the intervention. She participated in all sessions, with a 100% attendance rate. The findings support that the PII module improved the mother’s parenting skills, reduced parenting-related distress and stress, and demonstrated both feasibility and high acceptance. This module could be a promising intervention for preventing child maltreatment in Taiwan stemming from limited parenting skills. Future research should utilize single-subject or group experimental designs to further examine the effects of the PII module when used with Taiwanese parents and their infants.