This randomized controlled trial tested the Vermont Family Based Approach (VFBA) in primary care pediatrics. The VFBA is a model of healthcare delivery that shifts the focus from the individual to the family, emphasizes emotional and behavioral health, and uses evidence-based health promotion/prevention along with the treatment of emotional and behavioral problems. Participants were 81 families of 3–15-year-olds. For children, the VFBA was associated with greater reductions than the Control condition on the Child Behavior Checklist Emotionally Reactive, Withdrawn, Sleep Problems, Aggressive Behavior and Total Problems scales. For parents, the VFBA was associated with greater reductions than the Control condition on the Adult Self-Report Anxious/Depressed, Rule-Breaking Behavior, Internalizing Problems and Total Problems scales. The VFBA was also associated with greater improvement than the Control condition in the parents’ health-related quality of life, as indicated by all scales of the Medical Outcomes Study Health Survey.

这项随机对照试验在初级保健儿科中测试了佛蒙特州基于家庭的方法 (VFBA)。VFBA 是一种医疗服务模式，将重点从个人转移到家庭，强调情绪和行为健康，并使用基于证据的健康促进/预防以及情绪和行为问题的治疗。参与者是 81 个 3-15 岁的家庭。对于儿童，VFBA 与儿童行为检查表情绪反应、退缩、睡眠问题、攻击性行为和总问题量表上的控制条件相比，减少幅度更大。对于父母来说，VFBA 与成人自我报告焦虑/抑郁、违规行为、内化问题和总问题量表上的控制条件相比，减少幅度更大。