Evaluating the Efficacy of the Family Check-Up Online to Improve Parent Mental Health and Family Functioning in Response to the COVID-19 Pandemic: A Randomized Clinical Trial.
Evaluating the Efficacy of the Family Check-Up Online to Improve Parent Mental Health and Family Functioning in Response to the COVID-19 Pandemic: A Randomized Clinical Trial.
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DOI：
10.1007/s10935-023-00727-1
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发表时间：
2023-06
期刊：
影响因子：
--
通讯作者：
Stormshak, Elizabeth A.
中科院分区：
文献类型：
--
作者：
Connell, Arin M.;Stormshak, Elizabeth A.
这项研究评估了增强版家庭在线体检（FCU-O）的效果，该版本适用于应对COVID-19大流行的父母和家庭功能。为了增加可及性，FCU-O作为一个基于网络的应用程序提供，并辅以在线辅导支持，这是一种服务提供模式，符合流行病相关的面对面干预限制，以及许多学校和医疗机构有限的人员和资源，尽管流行病推动了对心理健康服务的需求增加。这项注册的临床试验（盲法）测试了从治疗前到2个月随访期间干预对父母心理健康、养育行为和家庭功能的影响。家庭被随机分配接受FCU-O（N = 74）或等待列表控制条件（N = 87）。随机分配到FCU-O与父母幸福感的显着改善相关，包括减少焦虑，抑郁和感知压力。此外，FCU-O预测适应性育儿技能的显着改善（例如，较少的消极/强制性育儿，更积极的育儿），以及家庭关系功能的增强（例如，改善共同育儿）。效应大小为小到中等大小（偏eta平方值在0.03和0.11之间）。结果表明，在线提供以家庭为中心的干预措施可能是解决流行病对父母和家庭功能影响的一种有前途的方法。
This study evaluated the effects of an enhanced version of the Family Check-Up Online (FCU-O), adapted to address parent and family functioning in response to the COVID-19 pandemic. In order to increase accessibility, the FCU-O was delivered as a web-based application coupled with online coaching support, a service delivery model that is consistent with pandemic-related limitations for in-person intervention, as well as the limited staffing and resources available in many schools and health care settings despite the increased need for mental health services driven by the pandemic. This registered clinical trial (blinded) tested the effects of the intervention on parental mental health, parenting behaviors, and family functioning from pre-treatment to 2-month follow-up. Families were randomly assigned to receive the FCU-O (N = 74) or to a wait-list control condition (N = 87). Random assignment to the FCU-O was associated with significant improvements in parental well-being, including reduced anxiety, depression, and perceived stress. Further, the FCU-O predicted significant improvements in adaptive parenting skills (e.g. less negative/coercive parenting, greater proactive parenting), and enhancements in family-relational functioning (e.g. improved coparenting). Effect sizes were small to moderate in magnitude (partial eta squared values between 0.03 and 0.11). The results indicate that online delivery of a family-centered intervention may represent a promising approach for addressing pandemic-related impacts on parent and family functioning.
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DOI：
10.1016/j.ijedudev.2020.102326
发表时间：
2021-03
影响因子：
2.5
作者：
Kaffenberger M
通讯作者：
Kaffenberger M
影响因子：
4.9
作者：
Brennan, Lauretta M.;Shelleby, Elizabeth C.;Shaw, Daniel S.;Gardner, Frances;Dishion, Thomas J.;Wilson, Melvin
通讯作者：
Wilson, Melvin
影响因子：
3.6
作者：
Chang H;Shaw DS;Dishion TJ;Gardner F;Wilson MN
通讯作者：
Wilson MN
影响因子：
4.1
作者：
Enebrink, Pia;Hogstrom, Jens;Ghaderi, Ata
通讯作者：
Ghaderi, Ata
影响因子：
4.3
作者：
Breitenstein, Susan M.;Gross, Deborah;Christophersen, Rebecca
通讯作者：
Christophersen, Rebecca