Family Check-Up Online: Effects of a Virtual Randomized Trial on Parent Stress, Parenting, and Child Outcomes in Early Adolescence.

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Prevention Science Pub Date : 2024-09-24 DOI:10.1007/s11121-024-01725-3
Anne Marie Mauricio, Katherine A Hails, Allison S Caruthers, Arin M Connell, Elizabeth A Stormshak
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Abstract

We adapted the Family Check-Up Online (FCU-O) (1) to support families coping with pandemic-related stressors to prevent behavioral and emotional problems among middle school youth and (2) for smartphone delivery to increase access and reach during the COVID-19 pandemic. This study evaluated the direct and indirect effects of the adapted FCU-O at 4-months post-baseline. The FCU-O combines online parenting support with telephone coaching. Participants were primary caregivers of children ages 10 to 14 years. Eligibility included endorsing depression on the PHQ-2 or significant stress on a 4-item version of the Perceived Stress Scale. We randomly assigned participants to the adapted FCU-O (N = 74) or a waitlist control condition (N = 87). Participants predominantly self-identified as female (95%), 42.77 years old on average, and White (84.6%). Outcomes included caregiver reports of perceived stress and parenting, and youth conduct problems and depressive symptoms. Using a multilevel modeling approach, we tested intent-to-treat intervention effects at 4-months, with time points nested within participants. The FCU-O reduced caregiver stress and improved proactive parenting and limit setting but had no effects on youth outcomes. Effect sizes were small to moderate (Cohen's d ranged from .37 to .57). We examined indirect effects on youth outcomes at 4-months via changes in caregiver stress and parenting at 2-months. Mediation analyses suggested indirect effects on youth depressive symptoms via reductions in caregiver stress and increases in proactive parenting. Results indicate the FCU-O has potential as a public health intervention for families facing extreme stressors such as those during the COVID-19 pandemic. ClinicalTrials.gov Identifier: NCT05117099.

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在线家庭体检:虚拟随机试验对青春期早期父母压力、养育子女和儿童结果的影响。
我们对在线家庭体检(FCU-O)进行了改编(1),以支持家庭应对与大流行相关的压力,预防中学生出现行为和情绪问题;(2)在 COVID-19 大流行期间使用智能手机提供服务,以增加访问量和覆盖面。本研究评估了改编后的 FCU-O 在基线后 4 个月的直接和间接效果。FCU-O结合了在线育儿支持和电话辅导。参与者为 10 至 14 岁儿童的主要照顾者。合格条件包括在 PHQ-2 中认可抑郁或在 4 个项目的感知压力量表中认可显著压力。我们将参与者随机分配到经过改编的 FCU-O(74 人)或候补对照组(87 人)。参与者主要自我认同为女性(95%)、平均年龄 42.77 岁、白人(84.6%)。研究结果包括照顾者对压力感知和养育子女情况的报告,以及青少年行为问题和抑郁症状。我们采用多层次建模方法,测试了 4 个月的干预效果,并将时间点嵌套在参与者中。FCU-O降低了照顾者的压力,改善了积极主动的养育方式和限制设置,但对青少年的结果没有影响。效果大小为小到中等(Cohen's d 从 0.37 到 0.57 不等)。我们通过 2 个月时照顾者压力和养育方式的变化,考察了 4 个月时对青少年结果的间接影响。中介分析表明,照顾者压力的减少和积极养育的增加对青少年抑郁症状有间接影响。研究结果表明,FCU-O 有可能成为一种公共卫生干预措施,适用于面临极端压力(如 COVID-19 大流行期间的压力)的家庭。ClinicalTrials.gov Identifier:NCT05117099。
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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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