Children with acquired brain injury (ABI) are at risk of impairments in self-regulation and disruptive behavior. We aimed to investigate the effectiveness of the Signposts program to reduce disruptive behavior and improve self-regulation in Hispanic children with ABI, and reduce parental stress and improve parenting practices. Using a randomized controlled trial design, we assigned children (n = 71) and their parents to Signposts or generic telephone support. Blinded assessors conducted assessments at pre-intervention, immediately post-intervention, and at 3 months post-intervention. Signposts was effective in reducing dysfunctional parenting practices. Further, when analyzing participants at risk of behavioral disturbance (n = 46), Signposts was effective in reducing child disruptive behavior in the home environment and emotional self-regulation. No differences were found for parental stress, parent sense of competence, child disruptive behaviors at school, and child cognitive and behavioral self-regulation. The reduction in disruptive behavior was associated with the implementation of authoritative parenting practices (external regulation), and not associated with child self-regulation.

中文翻译：

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减少在获得性脑损伤的西班牙裔儿童中的破坏性行为的育儿计划：在墨西哥进行的随机对照试验。

获得性脑损伤（ABI）的儿童有自我调节和破坏性行为受损的风险。我们旨在调查Signposts计划在减少西班牙裔ABI儿童的破坏性行为和改善自我调节，减轻父母压力和改善育儿习惯方面的有效性。使用随机对照试验设计，我们为孩子（n = 71）和他们的父母分配了路标或通用电话支持。盲人评估者在干预前，干预后立即以及干预后3个月进行评估。路标有效地减少了功能障碍的育儿习惯。此外，在分析有行为障碍风险的参与者（n = 46）时，Signposts可以有效减少家庭环境中的儿童破坏行为和情绪自我调节。父母的压力，父母的能力意识，孩子在学校的破坏行为以及孩子的认知和行为自我调节方面没有发现差异。破坏性行为的减少与权威性父母行为的实施（外部调节）有关，与孩子的自我调节无关。