在儿科初级保健中提供简短的远程保健行为家长培训的可行性和可接受性

IF 1.6 3区 心理学 Q2 FAMILY STUDIES
James T. Craig, Christina C. Moore, Erin R. Barnett, Erin Knight, Michael T. Sanders, Nicole Lafko Breslend, Hannah G. Haskell, Mary K. Jankowski
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引用次数: 0

摘要

行为家长培训(BPTs)是针对有破坏性行为的幼儿的高效手册化治疗方法。然而,对于大多数能从治疗中受益的家庭来说,获得治疗和参与治疗都具有挑战性,从而限制了 BPT 对人群健康的影响。传统 BPT 的简短远程医疗版本是一种很有前景但未被充分研究的替代传统面对面干预的方法,可以减轻家庭的参与负担。本研究报告了在儿科初级保健实践中提供简短远程保健 BPT 的混合方法可行性试验。27 个有 3-8 岁孩子的家庭参加了为期 4 个疗程的远程健康干预。护理人员和临床医生提供了定量和定性数据,描述了该计划的可行性和可接受性。不同信息提供者的数据表明,简短远程保健计划的实施是可行的,利益相关者也可以接受,但有一些重要的注意事项。对于临床医生来说,后勤支持是参与的关键。护理人员指出了简短远程保健模式特有的参与促进因素和障碍。照护者和临床医生都表示,与纪律处分策略(尤其是 "暂停")相比,正面管教策略更容易教授和学习。我们还发现,尽管远程保健的灵活性有所提高,但自然减员率仍然很高,与传统交付模式中观察到的减员率相似。简短的远程保健计划有可能扩大循证育儿干预的范围。然而,这些项目并不能完全解决护理的障碍,在设计未来的干预措施时应考虑到远程保健的优势和局限性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The Feasibility and Acceptability of Delivering Brief Telehealth Behavioral Parent Training in Pediatric Primary Care

The Feasibility and Acceptability of Delivering Brief Telehealth Behavioral Parent Training in Pediatric Primary Care

Behavioral parent trainings (BPTs) are highly efficacious manualized treatments for young children with disruptive behaviors. However, access and engagement can be challenging for most families that would benefit from treatment, thereby limiting the impact BPTs have on population health. Brief telehealth versions of traditional BPTs present a promising but understudied alternative to traditional in-person interventions and may ease the burden of participation for families. This study reports on a mixed-methods feasibility trial of a brief telehealth BPT delivered within a pediatric primary care practice. Twenty-seven families with children between ages 3–8 enrolled in the 4-session telehealth intervention. Caregivers and clinicians provided quantitative and qualitative data describing the feasibility and acceptability of the program. Data across informants suggested that the brief telehealth program was feasible to implement and acceptable to stakeholders, with a few important caveats. For clinicians, logistical support was key to engagement. Caregivers identified both facilitators of and barriers to engagement unique to the brief telehealth model. Caregivers and clinicians reported that positive parenting strategies were easier to teach and learn compared to disciplinary strategies, particularly time-out. We also found that despite improved flexibility of telehealth, attrition rates were still high and similar to rates observed in traditional delivery models. Brief telehealth programs hold the potential to expand the reach of evidence-based parenting interventions. However, these programs do not fully address barriers to care, and future interventions should be designed with the strengths and limitations of telehealth in mind.

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来源期刊
CiteScore
3.60
自引率
4.80%
发文量
300
期刊介绍: Journal of Child and Family Studies (JCFS) international, peer-reviewed forum for topical issues pertaining to the behavioral health and well-being of children, adolescents, and their families. Interdisciplinary and ecological in approach, the journal focuses on individual, family, and community contexts that influence child, youth, and family well-being and translates research results into practical applications for providers, program implementers, and policymakers. Original papers address applied and translational research, program evaluation, service delivery, and policy matters that affect child, youth, and family well-being. Topic areas include but are not limited to: enhancing child, youth/young adult, parent, caregiver, and/or family functioning; prevention and intervention related to social, emotional, or behavioral functioning in children, youth, and families; cumulative effects of risk and protective factors on behavioral health, development, and well-being; the effects both of exposure to adverse childhood events and assets/protective factors; child abuse and neglect, housing instability and homelessness, and related ecological factors influencing child and family outcomes.
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