Randomized Trial of the Parent And Caregiver Active Participation Toolkit for Child Mental Health Treatment.
Randomized Trial of the Parent And Caregiver Active Participation Toolkit for Child Mental Health Treatment.
复制标题
父母和照料者的随机试验积极参与工具包，以进行儿童心理健康治疗。
DOI：
10.1080/15374416.2016.1183497
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
Janicki C
中科院分区：
文献类型：
--
作者：
Haine-Schlagel R;Martinez JI;Roesch SC;Bustos CE;Janicki C
这项初步研究的目的是检验一个工具包(家长和照顾者积极参与工具包)的初步可行性、可接受性和有效性，以增加家长对社区儿童心理健康服务的参与。研究参与者包括6家不同社区心理健康诊所的29名治疗师(93%为女性；平均年龄34.1岁；38%为拉丁裔)和20名亲子二人组(儿童80%为女性，平均年龄8.6岁；父母40%为拉丁裔)。治疗师被随机分配到标准护理或标准护理工具箱中。研究利用了治疗师和家长的调查数据以及治疗过程的观察性编码。使用均值比较和重复测量分析来检验研究条件之间在四个月内的差异。结果支持工具包的初步可行性和可接受性，分配到工具包的治疗师参与持续的培训，坚持工具包的使用，并认为工具包在他们的环境中是可行和可接受的。结果初步表明，治疗师的工作态度以及父母参与策略的实际使用都有所改善。结果还初步显示，父母参与儿童治疗会议的人数增加，更有规律地出席，以及一些迹象表明支持感知的治疗效果。总体而言，结果表明该工具包的可行性、可接受性和潜在有效性，以增强治疗师的工作态度，支持父母参与、父母参与和消费者对治疗结果的看法，以及未来在儿童心理健康服务中父母参与干预领域研究的潜在前景。
The purpose of this pilot study was to examine preliminary feasibility, acceptability, and effectiveness of a toolkit (Parent And Caregiver Active Participation Toolkit) to increase parent participation in community-based child mental health services. Study participants included 29 therapists (93% female; mean age 34.1 years; 38% Latino) and 20 parent/child dyads (children 80% female with a mean age of 8.6 years; parents 40% Latino) in six diverse community mental health clinics. Therapists were randomly assigned to standard care or the toolkit with standard care. Therapist and parent survey data and observational coding of treatment sessions were utilized. Mean comparisons and repeated measures analyses were used to test differences between study conditions over four months. Results supported preliminary feasibility and acceptability of the toolkit, with therapists assigned to the toolkit participating in ongoing training, adhering to toolkit use, and perceiving the toolkit as feasible and acceptable within their setting. Results preliminarily demonstrated improvement in therapists’ job attitudes as well as actual use of parent engagement strategies. Results also preliminarily demonstrated increases in parent participation in child therapy sessions, more regular attendance, as well as some indication of support for perceived treatment effectiveness. Overall, results suggest the feasibility, acceptability, and potential effectiveness of the toolkit to enhance therapist job attitudes, practices that support parent engagement, parent engagement, and consumer perspectives on treatment outcomes and the potential promise of future research in the area of parent participation interventions in child mental health services.