Digital Delivery Methods of Parenting Training Interventions: A Systematic Review

Digital Delivery Methods of Parenting Training Interventions: A Systematic Review
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DOI:
10.1111/wvn.12040
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发表时间:
2014-06-01
影响因子:
4.3
通讯作者:
Christophersen, Rebecca
Christophersen, Rebecca
中科院分区:
医学2区
文献类型:
--
作者:
Breitenstein, Susan M.;Gross, Deborah;Christophersen, Rebecca

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背景实施循证家长培训计划的替代交付方法正在出现,以解决与家长出席面对面管理相关的障碍。本系统综述的目的是总结和批判性评估关于使用技术和数字交付方法进行父母培训的研究,并为推进使用数字交付方法进行父母培训的科学和实践提供建议。方法使用PubMed、PsychInfo、CINAHL、Scopus数据库和ERIC进行系统综述,选取2000年至2012年间发表的报告使用数字化方法进行父母培训研究的文章。该综述纳入了11项研究,并对所使用的数字交付方法、参与者干预完成率(剂量)以及改善父母和儿童结局的有效性进行了分析。最后的论文样本(n = 11)代表了七种家长培训干预措施和九种数字化交付方式。9个国家中有6个使用互联网作为主要的传递方式。数字化交付的内容完成比例从41.7%到99.2%不等。在报告干预行为结果的研究(n = 4)中,儿童结果的平均效应大小(Cohen's d)为。61,父母结果为0.46。本次审查的结果表明,使用技术和数字化交付是一种不断发展和新兴的提供父母培训干预措施的方法,在我们在现实世界环境中实施干预措施时,具有提高覆盖面和可持续性的巨大潜力。所审查的研究中的差距突出表明,需要使用数字方法进行剂量计算的一致性,需要开展更多与给药方法的功效和比较有效性相关的研究。
Background Alternative delivery methods to implement evidence-based parent training programs are emerging to address barriers related to parent attendance in face-to-face administration. The purpose of this systematic review is to summarize and critically evaluate the research on the use of technology and digital delivery methods for parenting training and offer recommendations for advancing the science and practice of parent training using digital delivery methods. Methods A systematic review was conducted using PubMed, PsychInfo, CINAHL, Scopus database, and ERIC to identify articles published between 2000 and 2012 reporting studies using digital methods to deliver parent training. Eleven studies were included in the review and were analyzed related to the digital delivery methods used, participant rates of intervention completion (dose), and the efficacy for improving parent and child outcomes. Findings The final sample of papers (n = 11) represent seven parent training interventions and nine digital delivery methods. Six of the nine used the Internet as the primary delivery method. The proportion of digitally delivered content completion ranged from 41.7% to 99.2%. Of the studies (n = 4) that reported behavioral outcomes of the interventions, the average effect size (Cohen's d) for child outcomes was .61 and for parent outcomes .46. Linking Evidence to Action Findings from this review indicate that the use of technology and digital delivery is a growing and emerging method of delivering parent training interventions with high potential for increasing reach and sustainability as we implement interventions in real world settings. Gaps in the studies reviewed highlight the need for consistency of dose calculations using digital methods, more research related to efficacy and comparative effectiveness studies of delivery methods.