Engaging Parents in Technology-Assisted Interventions for Childhood Adversity: Systematic Review

被引:7
作者
Aldridge, Grace [1 ]
Tomaselli, Alessandra [1 ]
Nowell, Clare [1 ]
Reupert, Andrea [2 ]
Jorm, Anthony [3 ]
Yap, Marie Bee Hui [1 ,3 ,4 ]
机构
[1] Monash Univ, Turner Inst Brain & Mental Hlth, Sch Psychol Sci, Clayton, Australia
[2] Monash Univ, Sch Educ Psychol & Counselling, Clayton, Australia
[3] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Australia
[4] Monash Univ, Turner Inst Brain & Mental Hlth, Sch Psychol Sci, Level 5,18 Innovat Walk,Clayton Campus, Clayton, Australia
基金
英国医学研究理事会; 澳大利亚国家健康与医学研究理事会;
关键词
systematic review; intervention; digital technology; parenting; children; technology; parenting program; engagement; support; adverse childhood experiences; RANDOMIZED CONTROLLED-TRIAL; TRIPLE P ONLINE; WEB-BASED INTERVENTION; YOUNG-CHILDREN; INTERNALIZING PROBLEMS; DISRUPTIVE BEHAVIOR; SKILLS INTERVENTION; DIGITAL DELIVERY; MENTAL-ILLNESS; TEXT MESSAGES;
D O I
10.2196/43994
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Youth mental health problems are a major public health concern and are strongly associated with adverse childhood experiences (ACEs). Technology-assisted parenting programs can intervene with ACEs that are within a parent's capacity to modify. However, engagement with such programs is suboptimal. Objective: This review aims to describe and appraise the efficacy of strategies used to engage parents in technology-assisted parenting programs targeting ACEs on the behavioral and subjective outcomes of engagement. Methods: Using PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) reporting guidelines, we conducted a systematic review of peer-reviewed papers that described the use of at least 1 engagement strategy in a technology-assisted parenting program targeting ACEs that are within a parent's capacity to modify. A total of 8 interdisciplinary bibliographic databases (CENTRAL, CINAHL, Embase, OVID MEDLINE, OVID PsycINFO, Scopus, ACM, and IEEE Xplore) and gray literature were searched. The use of engagement strategies and measures was narratively synthesized. Associations between specific engagement strategies and engagement outcomes were quantitatively synthesized using the Stouffer method of combining P values. Results: We identified 13,973 articles for screening. Of these, 156 (1.12%) articles were eligible for inclusion, and 29 (18.2%) of the 156 were associated with another article; thus, 127 studies were analyzed. Preliminary evidence for a reliable association between 5 engagement strategies (involving parents in a program's design, delivering a program on the web compared to face-to-face, use of personalization or tailoring features, user control features, and provision of practical support) and greater engagement was found. Three engagement strategies (professional support features, use of videos, and behavior change techniques) were not found to have a reliable association with engagement outcomes. Conclusions: This review provides a comprehensive assessment and description of the use of engagement strategies and engagement measures in technology-assisted parenting programs targeting parenting-related ACEs and extends the current evidence with preliminary quantitative findings. Heterogeneous definition and measurement of engagement and insufficient engagement outcome data were caveats to this synthesis. Future research could use integrated definitions and measures of engagement to support robust systematic evaluations of engagement in this context.
引用
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页数:30
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