针对青少年多动症的四节课家长培训远程小组试点试验

IF 2.9 3区 心理学 Q1 PSYCHOLOGY, CLINICAL
Erin Schoenfelder Gonzalez, Tess Gabert, Jessica Jenness, Fiona MacPhee, Mark Stein, Margaret Sibley
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引用次数: 0

摘要

患有多动症的青少年出现各种功能障碍和合并症的风险越来越高,他们需要方便、可接受和有效的治疗方案。阶梯式护理治疗模式采用 "轻触式 "初始干预剂量,以满足较低的需求,并为更严重的问题保留心理保健系统的能力。目前的研究采用了混合方法来评估 "第一方法技能培训--为人父母的青少年(FAST-P)"项目,这是一项通过远程医疗 "远程小组 "实施的模块化、为期 4 个疗程的照顾者干预措施。该计划的工作手册和 2 小时的培训视频可从 www.seattlechildrens.org/FAST 免费在线获取。22 名 13-17 岁患有多动症的青少年和一名照顾者参加了这项研究,并在基线和后期测试中完成了特异性 "首要问题 "访谈和评分。照顾者参加了为期四节的课程,并完成了可接受性测量和半结构化定性访谈。小组结束后,护理人员的首要问题有了明显改善。访谈的主题包括几乎所有的照顾者都认为从该计划中获益匪浅,尤其是在他们的育儿观、对青少年的理解以及沟通方面。大多数人希望能有更多的课程和更多的主题,但大多数人并不打算寻求额外的治疗。FAST-P是一个可行的、可接受的、负担得起的项目,是青少年多动症 "阶梯护理 "模式的第一步,目的是减少对高强度服务的需求。虽然该项目为照顾者提供了支持,他们也感受到了其中的益处,但许多家庭表示他们可能需要更深入的服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Pilot Trial of a Four-Session Parent Training Tele-Group for Adolescent ADHD

Adolescents with ADHD are at increased risk for myriad functional impairments and comorbidities and need accessible, acceptable, and effective treatment options. Stepped care treatment models employ a “light touch” initial intervention dose to meet lower needs and to reserve mental healthcare system capacity for more severe concerns. The current study employed a mixed methods approach to evaluate the First Approach Skills Training–Parenting Teens (FAST-P) program, a modular 4-session caregiver intervention implemented via telemedicine “tele-group.” The program workbook and 2-hour training video are available free online at www.seattlechildrens.org/FAST. Twenty-two adolescents ages 13–17 with ADHD plus a caregiver enrolled in the study and completed the idiographic Top Problems interview and ratings at baseline and posttest. Caregivers attended the 4-session program and completed acceptability measures and a semistructured qualitative interview.

Group fidelity, attendance, and participant satisfaction were high. After the group, there was significant improvement in caregivers’ top problems. Themes from interviews included nearly all caregivers perceiving benefit from the program, especially to their parenting perspective, understanding of their teen, and communication. Most would have appreciated more sessions and additional topics, but the majority did not plan to seek additional treatments. Program delivery cost to the clinic was $76 per participating family.

FAST-P is a feasible, acceptable, and affordable program for a first step in a “stepped care” model for adolescents with ADHD, with the goal of reducing the need for higher-intensity services. While the program supported caregivers and they perceived benefits, many families indicated they may need more intensive services.

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来源期刊
Cognitive and Behavioral Practice
Cognitive and Behavioral Practice PSYCHOLOGY, CLINICAL-
CiteScore
4.80
自引率
3.40%
发文量
118
审稿时长
84 days
期刊介绍: Cognitive and Behavioral Practice is a quarterly international journal that serves an enduring resource for empirically informed methods of clinical practice. Its mission is to bridge the gap between published research and the actual clinical practice of cognitive behavior therapy. Cognitive and Behavioral Practice publishes clinically rich accounts of innovative assessment and diagnostic and therapeutic procedures that are clearly grounded in empirical research. A focus on application and implementation of procedures is maintained.
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