Parenting Resilient Kids (PaRK), an online parenting program to prevent anxiety and depression problems in primary school-aged children: Study protocol for a randomised controlled trial
Parenting Resilient Kids (PaRK), an online parenting program to prevent anxiety and depression problems in primary school-aged children: Study protocol for a randomised controlled trial
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DOI：
10.1186/s13063-018-2605-8
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发表时间：
2018-04-19
期刊：
影响因子：
2.5
通讯作者：
Yap, Marie B. H.
中科院分区：
文献类型：
--
作者：
Fernando, Luwishennadige Madhawee N.;Sim, Wan Hua;Yap, Marie B. H.
背景：针对儿童焦虑和抑郁症状的预防努力有可能改变抑郁症和焦虑症在一生中的发展轨迹。之前大量的研究表明，父母厌恶和过度参与等可改变的育儿因素与儿童焦虑、抑郁和内在化症状有关，这表明父母可以在预防方面发挥关键作用。育儿韧性儿童研究是一项新的循证在线育儿计划，旨在通过减少基于家庭的危险因素并通过增加亲子之间的积极互动来加强保护因素，从而预防小学生的焦虑和抑郁问题。方法/设计：本研究是一项平行组优势随机对照试验，亲子二人组按1：1的比例随机分配到干预组或积极控制组。干预小组将收到育儿弹性儿童计划，该计划包括一份关于父母养育行为的反馈报告，以及最多12个根据对父母调查的回应而个性化的互动在线模块。主动控制小组将收到一套标准化的关于儿童发展和福祉的在线教育材料。试验网站被设计成运行分层随机分配序列(基于父母性别)来确定小组成员资格。我们的目标是招募340名亲子二人组(每组170名)。我们假设，从基线到3个月随访(主要结果)，干预组将在育儿风险和保护因素方面表现出更大的改善，这反过来将中介从基线到12个月和24个月的儿童抑郁和焦虑症状的变化(共同主要结果)。我们还假设，从基线到3、12和24个月的随访，干预组将在以下方面显示出更大的益处：儿童抑郁和焦虑症状(共同初级结果)；儿童和父母健康相关的生活质量，以及总体家庭功能(次要结果)。讨论：这项随机对照试验将检验父母弹性儿童计划作为预防干预小学生焦虑和抑郁症状的有效性，以及儿童和父母健康相关生活质量的变化。这项研究的结果将审查使基于网络的预防计划有效的设计特点，以及父母可以在多大程度上通过最低限度的指导育儿计划参与和激励改变。
Background: Preventive efforts targeting childhood anxiety and depression symptoms have the potential to alter the developmental trajectory of depression and anxiety disorders across the lifespan. Substantial previous research suggests that modifiable parenting factors such as parental aversiveness and over-involvement are associated with childhood anxiety, depressive and internalising symptoms, indicating that parents can play a critical role in prevention. The Parenting Resilient Kids study is a new evidence-based online parenting program designed to prevent anxiety and depression problems in primary school-aged children by reducing family-based risk factors and enhancing protective factors through increased positive interactions between parent and child.Methods/design: The current study is a parallel group superiority randomised controlled trial with parent-child dyads randomised to the intervention or active-control group in a 1: 1 ratio. The intervention group will receive the Parenting Resilient Kids program consisting of a feedback report on parenting behaviours and up to 12 interactive online modules personalised based on responses to the parent survey. The active-control group will receive a standardised package of online educational materials about child development and wellbeing. The trial website is programmed to run a stratified random allocation sequence (based on parent gender) to determine group membership. We aim to recruit 340 parent-child dyads (170 dyads per group). We hypothesise that the intervention group will show greater improvement in parenting risk and protective factors from baseline to 3-month follow-up (primary outcome), which will in turn mediate changes in child depressive and anxiety symptoms from baseline to 12 and 24 months (co-primary outcomes). We also hypothesise that the intervention group will show greater benefits from baseline to 3-, 12- and 24-month follow-up, with regard to: child depressive and anxiety symptoms (co-primary outcomes); and child and parent health-related quality of life, and overall family functioning (secondary outcomes).Discussion: This randomised controlled trial will examine the efficacy of the Parenting Resilient Kids program as a preventive intervention for anxiety and depression symptoms in primary school-aged children, as well as changes in child and parent health-related quality of life. Findings from this study will examine design features that render web-based prevention programs effective and the extent to which parents can be engaged and motivated to change through a minimally guided parenting program.