{"title":"Telehealth delivery of GenerationPMTO in the public mental health system: A pragmatic, noninferiority study.","authors":"Kendal Holtrop, Timothy F Piehler, Luann J Gray","doi":"10.1111/jmft.12751","DOIUrl":null,"url":null,"abstract":"<p><p>Telehealth is a promising means for expanding access to mental health treatment. Yet, more research is needed to ensure that telehealth service delivery is no less effective than in-person treatment in real-world service delivery contexts. In the current study, we compared telehealth delivery of the GenerationPMTO parenting intervention to in-person delivery in the context of the public mental health system. Using a noninferiority approach with a sample of n = 1452 caregivers, we found telehealth delivery to be noninferior to in-person delivery on all caregiver outcomes: parenting practices, parenting confidence, and caregiver depressive symptoms. We were unable to conclude that telehealth delivery was noninferior to in-person delivery for child behavior problems. Our findings add to the literature suggesting the utility of using telehealth to provide services to families-particularly for delivering evidence-based parenting interventions to enhance caregiver outcomes. Implications for couple and family therapy are discussed.</p>","PeriodicalId":16320,"journal":{"name":"Journal of marital and family therapy","volume":null,"pages":null},"PeriodicalIF":1.8000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of marital and family therapy","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1111/jmft.12751","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"FAMILY STUDIES","Score":null,"Total":0}
引用次数: 0
Abstract
Telehealth is a promising means for expanding access to mental health treatment. Yet, more research is needed to ensure that telehealth service delivery is no less effective than in-person treatment in real-world service delivery contexts. In the current study, we compared telehealth delivery of the GenerationPMTO parenting intervention to in-person delivery in the context of the public mental health system. Using a noninferiority approach with a sample of n = 1452 caregivers, we found telehealth delivery to be noninferior to in-person delivery on all caregiver outcomes: parenting practices, parenting confidence, and caregiver depressive symptoms. We were unable to conclude that telehealth delivery was noninferior to in-person delivery for child behavior problems. Our findings add to the literature suggesting the utility of using telehealth to provide services to families-particularly for delivering evidence-based parenting interventions to enhance caregiver outcomes. Implications for couple and family therapy are discussed.
期刊介绍：
The Journal of Marital & Family Therapy (JMFT) is published quarterly by the American Association for Marriage and Family Therapy and is one of the best known and most influential family therapy journals in the world. JMFT is a peer-reviewed journal that advances the professional understanding of marital and family functioning and the most effective psychotherapeutic treatment of couple and family distress. Toward that end, the Journal publishes articles on research, theory, clinical practice, and training in marital and family therapy.
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