A Digital Health Model for School-Based Implementation to Improve Parent and Child Outcomes: Comparison of Active Versus Light-Touch Coaching Effects.

Journal of prevention (2022) Pub Date : 2024-12-01 Epub Date: 2024-10-08 DOI:10.1007/s10935-024-00806-x
Arin M Connell, Elizabeth A Stormshak, Anne Marie Mauricio, Katherine A Hails, Jasmine Ramirez-Miranda, Joshua I Inyangson
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Abstract

Online or app-based parenting interventions have become more widely available in recent years. However, challenges related to poor engagement and high attrition have been noted in the literature, and there are important questions regarding ways to enhance parental engagement and improve treatment outcomes through digital health, including through the addition of therapeutic coaches. The current study evaluated differences in the effects of active versus "light-touch" coaching implementations of an enhanced version of Family Check-Up Online (FCU-O) on parent/family and child-level outcomes from pre-treatment to 2-month follow-up assessments. The enhanced version of the FCU-O was adapted to support families in coping with pandemic-related stressors to prevent youth behavioral and emotional problems during middle school and included app-based modules designed to support effective parenting practices as well as virtual coaching. In the "active-coach" condition, parenting coaches were active in efforts to arrange coaching sessions with parents as they worked through the app-based modules, while in the light-touch intervention, parent-coaches enrolled participants in the context of a one-time support session but did not actively pursue families to schedule additional sessions. Parents in the active-coach condition exhibited greater engagement with both the app and coaching sessions than parents in the light-touch condition. Further, stronger improvements in several aspects of parenting and child functioning were observed in the active-coach versus light-touch conditions. However, parents in the light-touch condition showed reductions in stress and comparable levels of dosage when using the app. Implications for prevention and accessibility of digital health interventions are discussed.

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校本实施数字健康模式,改善家长和儿童的成果:主动式与轻触式辅导效果比较。
近年来,基于在线或应用程序的育儿干预变得越来越广泛。然而,文献中指出了与参与度低和流失率高相关的挑战,对于如何通过数字健康(包括通过增加治疗辅导员)提高家长参与度和改善治疗效果,还存在一些重要问题。本研究评估了从治疗前到 2 个月随访评估期间,在线家庭体检(FCU-O)增强版的主动辅导与 "轻触式 "辅导对家长/家庭和儿童层面结果的影响差异。增强版的 "家庭在线检查"(FCU-O)经过调整,以支持家庭应对与大流行病相关的压力,从而预防初中阶段青少年的行为和情绪问题,其中包括基于应用程序的模块,旨在支持有效的养育实践以及虚拟辅导。在 "积极辅导 "条件下,家长辅导员在家长使用应用程序模块的过程中,积极为他们安排辅导课程;而在 "轻触式 "干预中,家长辅导员在一次性支持课程的背景下为参与者报名,但并不积极为家庭安排额外的课程。与 "轻触式 "干预相比,"主动教练式 "干预中的家长对应用程序和辅导课程的参与度更高。此外,在主动辅导和轻触辅导条件下,家长在养育子女和儿童功能的几个方面都得到了更大的改善。不过,轻度接触条件下的父母在使用应用程序时压力有所减轻,用量水平相当。本文讨论了数字健康干预对预防和可及性的影响。
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