A mobile-based, single-session intervention to empower parents of adolescents hospitalised for non-suicidal self-injury: A mixed-methods randomised controlled trial

IF 3.6 2区医学 Q1 HEALTH CARE SCIENCES & SERVICES

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Pub Date : 2025-03-29 DOI:10.1016/j.invent.2025.100822

Juan He , Yidong Shen , Zengyu Chen , Yusheng Tian , Yanting Hou , Yamin Li , Jianjun Ou

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引用次数: 0

Abstract

Background

Adolescents hospitalised for non-suicidal self-injury (NSSI) represent a particularly severe subset within psychiatric care. The NSSI imposes significant challenges on parents, including lack of knowledge, ineffective coping strategies, and negative emotions, exacerbated by stigma. Parental empowerment is crucial for supporting adolescent recovery; however, current interventions often neglect parents. Single-session interventions (SSIs) may offer an accessible and promising approach to address this gap.

Methods

This mixed-methods study assessed the short-term effects of project CSH-P: a mobile-based, self-guided SSI aimed at empowering parents of adolescents hospitalised for NSSI. 88 participants were randomly assigned to CSH-P (n = 46) or control group (n = 42). Online assessments measuring knowledge, attitudes, and stigma were administered at baseline, immediately post-intervention, and one week later. Additionally, semi-structured individual interviews were conducted with participants who received CSH-P post-intervention.

Results

Compared to the control group, participants who received CSH-P showed significant improvements in NSSI-related knowledge (Cohen’s d = .42, p = .027) and more positive attitudes toward their adolescents (Cohen’s d = - .31, p = .047). Qualitative findings confirmed these results, with parents reporting highly positive engagement and perceived empowerment across cognitive, emotional, and behavioural dimensions. Furthermore, parents provided constructive feedback for further enhancing the intervention’s impact.

Conclusions

Project CSH-P demonstrates the potential to enhance parental empowerment in managing adolescent self-injurious behaviours. Its brevity, low cost, and ease of dissemination make it a promising strategy for widely applicable prevention and treatment efforts. Future research should explore the long-term sustainability of these improvements and assess the broader impact on parenting practices and adolescent treatment outcomes.

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一项基于移动的单次干预，以增强因非自杀自伤而住院的青少年父母的能力：一项混合方法随机对照试验

背景：因非自杀性自伤（NSSI）住院的青少年在精神科护理中是一个特别严重的子集。自伤给父母带来了巨大的挑战，包括缺乏知识、无效的应对策略和负面情绪，这些都因耻辱而加剧。父母赋权对于支持青少年康复至关重要；然而，目前的干预措施往往忽视了父母。单次会议干预（ssi）可能为解决这一差距提供了一种容易获得和有希望的方法。这项混合方法研究评估了CSH-P项目的短期效果：一个基于移动的、自我指导的自伤项目，旨在增强因自伤住院的青少年的父母的能力。88名参与者随机分为CSH-P组（n = 46）和对照组（n = 42）。测量知识、态度和污名的在线评估分别在基线、干预后立即和一周后进行。此外，对干预后接受CSH-P的参与者进行了半结构化的个人访谈。结果与对照组相比，接受CSH-P的参与者在自伤相关知识方面有显著改善（Cohen’s d = 0.42, p = 0.027），对青少年的态度更积极（Cohen’s d = - 0.31, p = 0.047）。定性研究结果证实了这些结果，父母报告了在认知、情感和行为方面高度积极的参与和感知赋权。此外，家长提供了建设性的反馈意见，以进一步提高干预的效果。结论CSH-P项目展示了在管理青少年自伤行为方面增强父母赋权的潜力。它的简洁性、低成本和易于传播使其成为广泛适用的预防和治疗工作的有希望的策略。未来的研究应该探索这些改善的长期可持续性，并评估对育儿实践和青少年治疗结果的更广泛影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Internet Interventions-The Application of Information Technology in Mental and Behavioural Health Medicine-Health Informatics

CiteScore

6.50

自引率

9.30%

发文量

审稿时长

6 weeks

期刊介绍： Official Journal of the European Society for Research on Internet Interventions (ESRII) and the International Society for Research on Internet Interventions (ISRII). The aim of Internet Interventions is to publish scientific, peer-reviewed, high-impact research on Internet interventions and related areas. Internet Interventions welcomes papers on the following subjects: • Intervention studies targeting the promotion of mental health and featuring the Internet and/or technologies using the Internet as an underlying technology, e.g. computers, smartphone devices, tablets, sensors • Implementation and dissemination of Internet interventions • Integration of Internet interventions into existing systems of care • Descriptions of development and deployment infrastructures • Internet intervention methodology and theory papers • Internet-based epidemiology • Descriptions of new Internet-based technologies and experiments with clinical applications • Economics of internet interventions (cost-effectiveness) • Health care policy and Internet interventions • The role of culture in Internet intervention • Internet psychometrics • Ethical issues pertaining to Internet interventions and measurements • Human-computer interaction and usability research with clinical implications • Systematic reviews and meta-analysis on Internet interventions