Initial Evaluation of a Brief, Transdiagnostic Intervention for Youth in School Mental Health Care.

IF 4.4 1区 心理学 Q1 PSYCHOLOGY, CLINICAL
Nicole S J Dryburgh, John R Weisz, Linda Duong, Ryan Miller, Kate Jamieson, Christine Rodriguez, Tracy Weaver, Katherine E Venturo-Conerly, Olivia M Fitzpatrick, Alexandra Fortier, Kathy H Short, Katholiki Georgiades
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引用次数: 0

Abstract

Objective: To evaluate the Brief Digital Intervention Program, developed in response to pandemic-era disruptions in school mental health care and the need for flexible and scalable interventions with integrated measurement for students with mild-to-moderate difficulties. The program comprises four brief, digital interventions that teach transdiagnostic, evidence-based skills (relaxation, cognitive restructuring, problem solving, and practicing the opposite of unhelpful behavior), and includes an embedded progress monitoring tool for routinely measuring students' internalizing and externalizing difficulties and "top problems" session-by-session. Study goals were to: 1) examine the acceptability of the intervention; 2) describe barriers and facilitators to its use; and 3) examine pre-post changes in student-reported difficulties.

Method: Data were examined from 53 school mental health professionals who implemented the intervention with 213 students (Mage = 13.41 years; 63.3% cisgender girls, 27.1% cisgender boys, 9.5% another gender) presenting for mild to moderate mental health concerns from 2021-2024.

Results: Professionals and students reported high satisfaction with the intervention. Commonly reported barriers included difficulties with technical navigation and time for training; facilitators included ease of use/accessibility of the technical features and student engagement. Results indicated significant reductions in internalizing difficulties, β = -0.42, p < .001 [small-to-medium effect], externalizing difficulties, β = -0.15, p = -.04 [small effect], and top problem severity, β = -1.01, p < .001 [large effect], from pre- to post-intervention.

Conclusions: Findings provide preliminary support for the acceptability and potential benefits of the Brief Digital Intervention Program for school mental health care. Next steps include evaluation using a controlled, randomized design and testing sustainability.

一个简短的,跨诊断干预青少年在学校心理健康护理的初步评价。
目的:评估“简短数字干预计划”,该计划是为了应对大流行时期学校心理卫生保健的中断,以及对有轻度至中度困难的学生进行灵活和可扩展的综合测量干预的需求而制定的。该项目包括四个简短的数字干预,教授跨诊断、基于证据的技能(放松、认知重组、解决问题和练习与无益行为相反的技能),并包括一个嵌入式进度监控工具,用于逐节例行测量学生的内在化和外在化困难以及“首要问题”。研究目标是:1)检查干预的可接受性;2)描述其使用的障碍和促进因素;3)检查学生报告的困难在岗位前的变化。方法:对实施干预的53名学校心理健康专业人员对213名学生(年龄13.41岁;63.3%的顺性别女孩,27.1%的顺性别男孩,9.5%的其他性别)进行数据分析,这些学生在2021-2024年期间出现轻度至中度心理健康问题。结果:专业人员和学生对干预的满意度较高。通常报告的障碍包括技术导航困难和培训时间;促进因素包括技术特性的易用性/可访问性和学生参与。结果显示,内化困难显著降低,β = -0.42, p = - 0.04[小效应],顶级问题严重程度显著降低,β = -1.01, p。结论:研究结果初步支持了学校心理卫生保健简短数字干预计划的可接受性和潜在效益。接下来的步骤包括使用控制、随机设计和测试可持续性的评估。
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
CiteScore
9.70
自引率
4.80%
发文量
58
期刊介绍: The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.
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