James T. Craig, Christina C. Moore, Erin R. Barnett, Erin Knight, Michael T. Sanders, Nicole Lafko Breslend, Hannah G. Haskell, Mary K. Jankowski
{"title":"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","authors":"James T. Craig, Christina C. Moore, Erin R. Barnett, Erin Knight, Michael T. Sanders, Nicole Lafko Breslend, Hannah G. Haskell, Mary K. Jankowski","doi":"10.1007/s10826-024-02860-9","DOIUrl":null,"url":null,"abstract":"<p>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.</p>","PeriodicalId":48362,"journal":{"name":"Journal of Child and Family Studies","volume":null,"pages":null},"PeriodicalIF":1.6000,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Feasibility and Acceptability of Delivering Brief Telehealth Behavioral Parent Training in Pediatric Primary Care\",\"authors\":\"James T. Craig, Christina C. Moore, Erin R. Barnett, Erin Knight, Michael T. Sanders, Nicole Lafko Breslend, Hannah G. Haskell, Mary K. Jankowski\",\"doi\":\"10.1007/s10826-024-02860-9\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>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.</p>\",\"PeriodicalId\":48362,\"journal\":{\"name\":\"Journal of Child and Family Studies\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.6000,\"publicationDate\":\"2024-05-30\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Child and Family Studies\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1007/s10826-024-02860-9\",\"RegionNum\":3,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"FAMILY STUDIES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Child and Family Studies","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1007/s10826-024-02860-9","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
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.
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.