A coach-assisted, online parenting programme to support parents of adolescents who refuse school: evidence of acceptability and feasibility.

IF 3.9 3区 医学 Q1 PSYCHIATRY
BJPsych Open Pub Date : 2025-06-02 DOI:10.1192/bjo.2025.61
Anna Smout, Glenn Melvin, Mairead Cardamone-Breen, Anthony Jorm, Jue Xie, Tom Bartindale, Patrick Olivier, Joshua Seguin, Ling Wu, Marie B H Yap
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引用次数: 0

Abstract

Background: There is a need for developmentally tailored intervention approaches that empower parents to respond to adolescent school refusal in the context of internalising disorders. Partners in Parenting Plus-Education (PiP-Ed+) is a manualised coach-assisted online parenting programme that has been co-designed with parents, youth and education-sector experts to fill this gap. It addresses multiple parenting factors associated with adolescent school refusal and internalising disorders.

Aims: This study aimed to evaluate the acceptability, feasibility and preliminary indications of efficacy of PiP-Ed+.

Method: An open-label, uncontrolled trial was conducted using a mixed-methods design. Participants were 14 Australian parents of adolescents (12-18 years) who had refused school in the context of internalising disorders.

Results: PiP-Ed+ was viewed as highly acceptable and feasible. Coaching sessions in particular were perceived as valuable and appropriate to the parents' level of need, although longer-term support was suggested to sustain progress. Between baseline and post-intervention, there were significant increases in parents' self-efficacy to respond to adolescent school refusal and internalising problems, and concordance with evidence-based parenting strategies to reduce adolescent anxiety and depression. Days of school refused and carer burden did not change.

Conclusions: Findings support the value of proceeding to evaluate the efficacy of PiP-Ed+ in a randomised-controlled trial. Results are interpreted in the context of study limitations.

为拒绝上学的青少年父母提供辅导的在线育儿方案:可接受性和可行性的证据。
背景:有必要发展量身定制的干预方法,使父母能够在内化障碍的背景下应对青少年拒绝上学。“育儿+教育合作伙伴”(PiP-Ed+)是一项由教练协助的在线育儿课程,由家长、青少年和教育部门专家共同设计,旨在填补这一空白。它解决了与青少年拒绝上学和内化障碍相关的多重养育因素。目的:本研究旨在评价PiP-Ed+的可接受性、可行性及疗效的初步适应症。方法:采用混合方法设计进行开放标签、非对照试验。参与者是14位因内化障碍而拒绝上学的青少年(12-18岁)的澳大利亚父母。结果:PiP-Ed+被认为是高度可接受和可行的。特别是辅导课程被认为是有价值的,适合父母的需要水平,尽管建议提供长期支助以维持进展。在基线和干预后之间,父母对青少年拒绝上学和内化问题的自我效能显著增加,并与循证育儿策略一致,以减少青少年的焦虑和抑郁。拒绝上学的日子和照顾的负担没有改变。结论:在一项随机对照试验中,研究结果支持继续评估PiP-Ed+疗效的价值。结果在研究局限性的背景下进行解释。
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来源期刊
BJPsych Open
BJPsych Open Medicine-Psychiatry and Mental Health
CiteScore
6.30
自引率
3.70%
发文量
610
审稿时长
16 weeks
期刊介绍: Announcing the launch of BJPsych Open, an exciting new open access online journal for the publication of all methodologically sound research in all fields of psychiatry and disciplines related to mental health. BJPsych Open will maintain the highest scientific, peer review, and ethical standards of the BJPsych, ensure rapid publication for authors whilst sharing research with no cost to the reader in the spirit of maximising dissemination and public engagement. Cascade submission from BJPsych to BJPsych Open is a new option for authors whose first priority is rapid online publication with the prestigious BJPsych brand. Authors will also retain copyright to their works under a creative commons license.
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