Evaluating the efficacy of the Family Check-Up Online: A school-based, eHealth model for the prevention of problem behavior during the middle school years.
Evaluating the efficacy of the Family Check-Up Online: A school-based, eHealth model for the prevention of problem behavior during the middle school years.
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DOI：
10.1017/s0954579419000907
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发表时间：
2019-12
影响因子：
3.3
通讯作者：
Danaher, Brian
中科院分区：
文献类型：
--
作者：
Stormshak, Elizabeth A.;Seeley, John R.;Caruthers, Allison S.;Cardenas, Lucia;Moore, Kevin J.;Tyler, Milagra S.;Fleming, Christopher M.;Gau, Jeff;Danaher, Brian
本研究评估了以家庭为中心的预防干预——家庭检查（FCU）的有效性，该干预作为一种在线电子健康模式提供给中学家庭。为了提高以家庭为中心的预防在学校的可及性，我们将基于证据的FCU调整为在线形式，目标是在许多学校人员和资源有限的情况下提供一种可行的服务提供模式。在先前研究的基础上，我们将参与者随机分配到候补名单对照组（n = 105）， FCU在线作为基于网络的干预（n = 109）和FCU在线指导支持（n = 108）。在这项注册临床试验（NCT03060291）中，我们测试了干预对多种结果的影响，包括父母自我效能感、儿童自我调节和儿童行为。参与干预的家庭比例很高（72%完成了FCU评估），并且完成了3个月的测试后评估，保留率很好（94%保留率）。随机分配到FCU在线辅导支持与儿童情绪问题减少相关（p = 0.003, d = -）。32)和改善父母的信心和自我效能感（p = 0.018, d = 0.25）相比，等候名单对照组。风险调节效应：有风险的青少年比风险最小的青少年表现出更强的影响。研究结果对学校在线提供以家庭为中心的干预措施具有启示意义。
This study evaluated the efficacy of a family-centered preventive intervention, the Family Check-Up (FCU), delivered as an online, eHealth model to middle school families. To increase accessibility of family-centered prevention in schools, we adapted the evidence-based FCU to an online format, with the goal of providing a model of service delivery that is feasible, given limited staffing and resources in many schools. Building on prior research, we randomly assigned participants to waitlist control (n = 105), FCU Online as a web-based intervention (n = 109), and FCU Online with coaching support (n = 108). We tested the effects of the intervention on multiple outcomes, including parental self-efficacy, child self-regulation, and child behavior, in this registered clinical trial (NCT03060291). Families engaged in the intervention at a high rate (72% completed the FCU assessment) and completed 3-month post-test assessments with good retention (94% retained). Random assignment to the FCU Online with coaching support was associated with reduced emotional problems for children (p = .003, d = −.32) and improved parental confidence and self-efficacy (p = .018, d = .25) when compared with waitlist controls. Risk moderated effects: at-risk youth showed stronger effects than did those with minimal risk. The results have implications for online delivery of family-centered interventions in schools.