Partners in Parenting: A Multi-Level Web-Based Approach to Support Parents in Prevention and Early Intervention for Adolescent Depression and Anxiety.

Partners in Parenting: A Multi-Level Web-Based Approach to Support Parents in Prevention and Early Intervention for Adolescent Depression and Anxiety.
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DOI:
10.2196/mental.8492
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发表时间:
2017-12-19
期刊:
影响因子:
5.2
通讯作者:
Jorm AF
Jorm AF
中科院分区:
医学2区
文献类型:
--
作者:
Yap MB;Lawrence KA;Rapee RM;Cardamone-Breen MC;Green J;Jorm AF

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年轻人的抑郁和焦虑症是一个全球性的健康问题。这些疾病的各种风险和保护因素都有可能被父母改变,这强调了父母在减少青少年儿童这些疾病的风险和影响方面发挥的重要作用。然而,目前还缺乏能够广泛传播的具有成本效益的、以证据为基础的家长干预措施。在本文中,我们提出了一种多层次的公共卫生方法,包括基于网络的育儿干预,即育儿伙伴(PIP)。我们描述了基于web的干预的组件以及每个组件是如何开发的。干预的发展是由说服系统设计模型的原则指导,以最大限度地提高父母的参与和依从性。采用了消费者参与的方法,包括与家长和青少年就干预的内容和表现进行协商。PIP干预可以在不同的强度水平上使用,以适应整个人群中父母的不同需求。讨论了使用干预措施的挑战和机遇。开发基于网络的PIP干预措施是为了解决缺乏循证资源的问题,以支持父母在青少年心理健康方面发挥重要作用。拟议的公共卫生办法根据父母的需要在不同程度上利用这种干预措施。正在对模型的每个单独级别进行评估。需要对整个方法进行进一步评价,以评估作为一种公共卫生方法的干预措施的效用,以及其对青少年功能和社会经济结果的更广泛影响。
Depression and anxiety disorders in young people are a global health concern. Various risk and protective factors for these disorders are potentially modifiable by parents, underscoring the important role parents play in reducing the risk and impact of these disorders in their adolescent children. However, cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. In this paper, we propose a multi-level public health approach involving a Web-based parenting intervention, Partners in Parenting (PIP). We describe the components of the Web-based intervention and how each component was developed. Development of the intervention was guided by principles of the persuasive systems design model to maximize parental engagement and adherence. A consumer-engagement approach was used, including consultation with parents and adolescents about the content and presentation of the intervention. The PIP intervention can be used at varying levels of intensity to tailor to the different needs of parents across the population. Challenges and opportunities for the use of the intervention are discussed. The PIP Web-based intervention was developed to address the dearth of evidence-based resources to support parents in their important role in their adolescents’ mental health. The proposed public health approach utilizes this intervention at varying levels of intensity based on parents’ needs. Evaluation of each separate level of the model is ongoing. Further evaluation of the whole approach is required to assess the utility of the intervention as a public health approach, as well as its broader effects on adolescent functioning and socioeconomic outcomes.
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