关键词: anxiety dissemination and implementation science eHealth/mHealth health promotion and prevention parenting preschool children prevention science psychosocial intervention qualitative methods school-age children

来  源:   DOI:10.1093/jpepsy/jsae040

Abstract:
OBJECTIVE: This mixed-methods study examined perceived acceptability and appropriateness of a novel digital mental health program targeting anxiety risk (i.e., perfectionism or error sensitivity) in 5-to-7-year-old children and their parents.
METHODS: Parent-child dyads participated in a modular, web-based cognitive-behavioral program targeting negative overreactions to making mistakes. The program, \"Making Mistakes\", consisted of a 6-month series of short video clips, journaling activities, and weekly reminders, and modules were delivered to caregivers and children separately. 86 dyads completed self-report measures, 18 of whom participated in semi-structured interviews, following completion of the primary program module. A standard thematic analysis was used to elucidate themes from the parent and child interview content.
RESULTS: Our quantitative and qualitative results were generally aligned. Children and parents viewed the novel digital mental health program as acceptable and appropriate, favoring the cognitive behavioral strategies such as modeling positive reactions to mistakes, responding positively to child mistakes, and emphasizing effort over outcome. Participants also provided helpful feedback related to program content, delivery, and engagement, as well as suggestions to enhance the program.
CONCLUSIONS: Findings have implications for design and content features of parent-based and dyad-based programs, as well as digital mental health programs focused on reducing anxiety risk.
摘要:
目的:这项混合方法研究检查了针对焦虑风险的新型数字心理健康计划的可接受性和适当性(即,完美主义或错误敏感性)在5至7岁的儿童及其父母中。
方法:父子二元参与模块化,基于网络的认知行为计划,针对错误的负面过度反应。程序,\"犯错误\",由一系列为期6个月的短视频剪辑组成,日记活动,和每周提醒,和模块分别提供给照顾者和儿童。86个二元组完成了自我报告措施,其中18人参加了半结构化面试,下面完成主程序模块。使用标准的主题分析来阐明父母和孩子访谈内容中的主题。
结果:我们的定量和定性结果大致一致。儿童和家长认为新的数字心理健康计划是可以接受和适当的,有利于认知行为策略,如建模对错误的积极反应,积极回应孩子的错误,强调努力而不是结果。参与者还提供了与节目内容相关的有用反馈,delivery,和参与,以及加强该计划的建议。
结论:研究结果对基于父类和基于二元的程序的设计和内容特征有影响,以及专注于降低焦虑风险的数字心理健康计划。
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