Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review.
Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review.
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DOI：
10.1007/s11121-021-01303-x
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发表时间：
2022-02
影响因子：
3.5
通讯作者：
Yeh, May
中科院分区：
文献类型：
--
作者：
Haine-Schlagel, Rachel;Dickson, Kelsey S;Lind, Teresa;Kim, Joanna J;May, Gina C;Walsh, Natalia Escobar;Lazarevic, Vanja;Crandal, Brent R;Yeh, May
预防计划是减少儿童和青少年心理健康障碍的患病率和影响的关键方法。照料者参与度 (CPE)，包括照料者参与课程以及后续的家庭作业计划，理论上是这些计划有效性的重要组成部分。本系统综述旨在 (1) 描述用于实施 CPE 的术语以及预防计划中 CPE 的测量，(2) 确定与 CPE 相关的因素，(3) 检查 CPE 与结果之间的关联，以及 (4) 探讨用于增强 CPE 的策略的效果。代表 27 个独特项目的 39 篇文章得到了审查。如果他们在某个项目中检查 CPE，该项目在一定程度上侧重于预防儿童心理健康障碍，那么文章就会被纳入。用于描述 CPE 的术语和 CPE 的测量都存在异质性。大多数项目侧重于评估护理人员的家庭实践。关于 CPE 的决定因素尚无明确的发现。关于 CPE 对计划结果的影响，较高水平的 CPE 预示着儿童和看护者的结果以及看护者与儿童的关系质量会有更大的改善。最后，少数研究发现动机和行为策略（例如强化、预约提醒）可以成功促进 CPE。本综述强调了在制定、测试和实施儿童心理健康障碍预防计划时考虑 CPE 的重要性。需要提高 CPE 测量的一致性，以便更好地理解 CPE 的决定因素。此外，该领域还将受益于进一步评估增加 CPE 的策略，作为提高预防计划效力的方法。
Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique projects were reviewed. Articles were included if they examined CPE in a program that focused to some extent on preventing child mental health disorders. There was heterogeneity in both the terms used to describe CPE and the measurement of CPE. The majority of projects focused on assessment of caregiver home practice. There were no clear findings regarding determinants of CPE. With regard to the impact of CPE on program outcomes, higher levels of CPE predicted greater improvements in child and caregiver outcomes, as well as caregiver-child relationship quality. Finally, a small number of studies found that motivational and behavioral strategies (e.g., reinforcement, appointment reminders) were successful in promoting CPE. This review highlights the importance of considering CPE when developing, testing, and implementing prevention programs for child mental health disorders. Increased uniformity is needed in the measurement of CPE to facilitate a better understanding of determinants of CPE. In addition, the field would benefit from further evaluating strategies to increase CPE as a method of increasing the potency of prevention programs.