Observational Assessment of Engagement Strategies to Promote Parent Homework Planning in Community-Based Child Mental Health Treatment: A Pilot Study.
Observational Assessment of Engagement Strategies to Promote Parent Homework Planning in Community-Based Child Mental Health Treatment: A Pilot Study.
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DOI：
10.1007/s10826-018-1030-7
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发表时间：
2018-06
影响因子：
2.1
通讯作者：
Haine-Schlagel R
中科院分区：
文献类型：
--
作者：
Martinez JI;Haine-Schlagel R
治疗作业包括交给客户在治疗之外完成的任务，以促进新知识/技能或推进治疗目标。家庭作业的完成是家长参与儿童心理健康 (MH) 治疗的一个重要因素，它与改善儿童的预后有关。当前的试点研究评估了治疗作业过程的设计/分配阶段，以检查a）治疗师与家长实施参与策略的程度，b）治疗师在早期治疗中部署参与策略是否预测了家长随后参与作业计划。我们纳入了一个由 10 名治疗师和 11 名接受社区 MH 服务的父母/儿童组成的不同种族样本，他们参与了一项试点干预研究。开发了两个观察编码系统来对治疗过程记录进行编码，以达到以下目的：a）治疗师与家长实施参与策略；b）家长对治疗家庭作业计划的贡献。调查结果显示，治疗师实施与父母接触策略的广泛程度较低。正如假设的那样，治疗师在早期治疗中使用参与策略（协作、赋权和心理教育）可以显着预测随后的家长作业计划（分享对作业计划的看法）。然而，治疗师对联盟的使用与家长的家庭作业计划无关。这些初步结果表明，治疗师在早期治疗中实施参与策略可能会促进家长参与家庭作业计划，这是完成家庭作业的重要前提。这项试点研究为社区治疗师的研究和培训提出了潜在的未来方向，以实施成功的策略，促进儿童 MH 治疗中家长的家庭作业规划。
Therapy homework includes tasks given to clients to complete outside of session to facilitate new knowledge/skills or to advance treatment goals. Homework completion, an important element of parent engagement in child mental health (MH) treatment, has been associated with improved child outcomes. The current pilot study assessed the design/assign phase of the therapy homework process to examine a) the extent to which therapists implemented engagement strategies with parents and b) whether therapist deployment of engagement strategies in early treatment predicted subsequent parent participation in homework planning. We included an ethnically-diverse sample of 10 therapists and 11 parent/child dyads receiving community-based MH services who participated in a pilot intervention study. Two observational coding systems were developed to code treatment session recordings for the extent to which a) therapists implemented engagement strategies with parents and b) parents contributed to therapy homework planning. Findings revealed low extensiveness of therapist implementation of engagement strategies with parents. As hypothesized, therapist use of engagement strategies (Collaboration, Empowerment, and Psychoeducation) in early treatment significantly predicted subsequent parent homework planning (sharing perspective on homework planning). However, therapist use of Alliance was unrelated to parent homework planning. These preliminary results suggest that therapist implementation of engagement strategies in early treatment may promote parent participation in homework planning, which is an important precursor to homework completion. This pilot study suggests potential future directions for both research on and training for community-based therapists in implementing successful strategies to promote parent homework planning in child MH treatment.
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影响因子：
5.8
作者：
Detweiler, JB;Whisman, MA
通讯作者：
Whisman, MA
影响因子：
1.1
作者：
Chacko, Anil;Anderson, Lindsay;Wymbs, Frances A.
通讯作者：
Wymbs, Frances A.
影响因子：
3.9
作者：
Brookman-Frazee, Lauren I.;Taylor, Robin;Garland, Ann F.
通讯作者：
Garland, Ann F.
影响因子：
3.8
作者：
Harpaz-Rotem, I;Leslie, D;Rosenheck, RA
通讯作者：
Rosenheck, RA
影响因子：
2.5
作者：
Horvath, Adam O.;Del Re, A. C.;Symonds, Dianne
通讯作者：
Symonds, Dianne