Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation.
Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation.
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DOI：
10.1186/s40814-016-0097-4
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发表时间：
2016
影响因子：
1.7
通讯作者：
McKay MM
中科院分区：
文献类型：
--
作者：
Chacko A;Isham A;Cleek AF;McKay MM
破坏性行为障碍 (DBD)（对立违抗障碍 (ODD) 和品行障碍 (CD)）是儿童时期普遍存在的、代价高昂的慢性精神疾病。循证干预措施侧重于帮助父母利用有效技能来改变儿童的问题行为，是治疗 DBD 的一线干预措施。尽管有效，但这些干预措施的效果往往会因父母在治疗期间学到的技能（通常称为课间作业）执行不力而减弱。多家庭群体 (MFG) 模型是一种基于证据、基于技能的干预模型，用于治疗居住在城市、社会经济弱势社区的学龄青年的 DBD。虽然数据表明 MFG 对 DBD 行为有好处，与其他基于技能的干预措施类似，但 MFG 的影响因家庭作业执行不力而减轻，尽管在支持家长完成家庭作业方面付出了巨大努力。本文重点介绍基于理论的智能手机移动健康 (mHealth) 应用程序 (My MFG) 的开发和初步评估的研究方案，以支持参与 MFG 的家长完成家庭作业。本文描述了一项研究设计方案，该方案从理论模型开始，使用迭代设计流程开发 My MFG，通过一系列试点研究支持 MFG 中家庭作业的实施，并进行小规模试点随机对照试验，以确定干预措施是否可以证明 My MFG 在社会经济弱势社区门诊心理健康环境中的变化（初步功效）。这项初步研究旨在了解移动医疗方法的实施情况，以提高针对有破坏性行为的青少年及其家人的常规门诊心理保健机构中循证干预措施的有效性。制定方法来增强循证干预措施的益处，例如 MFG，其中家庭作业的实施是治疗益处的重要中介因素，对于在常规实践环境中全面采用/实施这些干预措施以及最大限度地提高 DBD 青少年及其家人的益处至关重要。 ClinicalTrials.gov NCT01917838
Disruptive behavior disorders (DBDs) (oppositional defiant disorder (ODD) and conduct disorder (CD)) are prevalent, costly, and oftentimes chronic psychiatric disorders of childhood. Evidence-based interventions that focus on assisting parents to utilize effective skills to modify children’s problematic behaviors are first-line interventions for the treatment of DBDs. Although efficacious, the effects of these interventions are often attenuated by poor implementation of the skills learned during treatment by parents, often referred to as between-session homework. The multiple family group (MFG) model is an evidence-based, skills-based intervention model for the treatment of DBDs in school-age youth residing in urban, socio-economically disadvantaged communities. While data suggest benefits of MFG on DBD behaviors, similar to other skill-based interventions, the effects of MFG are mitigated by the poor homework implementation, despite considerable efforts to support parents in homework implementation. This paper focuses on the study protocol for the development and preliminary evaluation of a theory-based, smartphone mobile health (mHealth) application (My MFG) to support homework implementation by parents participating in MFG. This paper describes a study design proposal that begins with a theoretical model, uses iterative design processes to develop My MFG to support homework implementation in MFG through a series of pilot studies, and a small-scale pilot randomised controlled trial to determine if the intervention can demonstrate change (preliminary efficacy) of My MFG in outpatient mental health settings in socioeconomically disadvantaged communities. This preliminary study aims to understand the implementation of mHealth methods to improve the effectiveness of evidence-based interventions in routine outpatient mental health care settings for youth with disruptive behavior and their families. Developing methods to augment the benefits of evidence-based interventions, such as MFG, where homework implementation is an essential mediator of treatment benefits is critical to full adoption/implementation of these intervention in routine practice settings and maximizing benefits for youth with DBDs and their families. ClinicalTrials.gov NCT01917838