Online versus telehealth delivery of a parenting program for postdeployed military families: Child internalizing and externalizing symptoms as moderators of response.

IF 6 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2026-06-01 DOI:10.1037/ccp0001018

Athena C Y Chan,Sun-Kyung Lee,Alexandra N Hanson,Abigail H Gewirtz,Timothy F Piehler

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Abstract

OBJECTIVE Families could benefit from remote parent training programs. However, the comparative effectiveness of online self-directed versus facilitator-delivered telehealth for families with varying characteristics remains unclear. This study examined whether baseline child mental health symptoms moderate parental response to two remote delivery formats of a parenting intervention for military families. METHOD A sample of 149 families with a 4- to 12-year-old child and at least one parent deployed post-9/11 participated in a 14-week After Deployment, Adaptive Parenting Tools parenting intervention. The intervention was delivered postdeployment and focused on strengthening parenting to support child adjustment. Families were randomly assigned to one of two remote formats. Both fathers and mothers were invited to participate and independently reported their child's externalizing and internalizing symptoms at baseline. Observed parenting practices were assessed at baseline and at 1-year follow-up. Separate moderation models were conducted for fathers and mothers. RESULTS For mothers and fathers, baseline child externalizing behavior moderated the effect of delivery format on parenting practices at 1 year. At high symptom levels, telehealth had a greater impact on parenting practices than the online self-directed format. At low symptom levels, both formats produced similar improvements in parenting practices for fathers, while online self-directed delivery had a greater impact than telehealth format for mothers reporting low child externalizing symptoms. CONCLUSIONS Parents reporting higher child symptoms benefit most from a facilitator-delivered telehealth parent training, whereas online self-directed training appears adequate for lower child symptoms. These findings suggest that tailoring delivery format based on family needs may optimize the effectiveness of parent programs. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

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为部署后军人家庭提供的在线与远程育儿方案：儿童内化和外化症状作为反应的调节因素。

目的：家庭可以从远程家长培训项目中受益。然而，对于具有不同特征的家庭，在线自我指导与辅导员提供的远程医疗的比较效果尚不清楚。本研究考察了基线儿童心理健康症状是否会影响父母对两种远程分娩形式的军人家庭育儿干预的反应。方法对149个有4- 12岁孩子且至少有一位父母在911事件后被部署的家庭进行了14周的适应性育儿工具干预。干预措施是在部署后实施的，重点是加强养育以支持儿童适应。家庭被随机分配到两种远程模式中的一种。父亲和母亲都被邀请参与并在基线时独立报告他们孩子的外化和内化症状。观察到的育儿实践在基线和1年随访时进行评估。对父亲和母亲分别进行了调节模型。结果对于母亲和父亲，基线儿童外化行为在1年时调节分娩方式对育儿实践的影响。在高症状水平上，远程保健对育儿实践的影响比在线自我指导形式更大。在症状水平较低的情况下，这两种模式对父亲的育儿做法产生了类似的改善，而对于报告儿童外化症状较低的母亲来说，在线自我指导分娩比远程保健模式产生更大的影响。结论报告较高儿童症状的家长从辅导员提供的远程医疗家长培训中获益最多，而在线自我指导培训似乎适合较低儿童症状。这些发现表明，基于家庭需求的定制交付形式可以优化家长计划的有效性。（PsycInfo数据库记录(c) 2026 APA，版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.