背景:尽管青少年在精神病住院治疗(RT)中取得了治疗收益,他们在适应社区方面遇到很大困难,并且通常无法长期维持治疗收益。他们的父母通常没有获得必要的支持或行为管理技能来弥合RT和家庭之间的差距。家长培训,黄金标准的行为管理策略,可能对这些年轻人的父母有益,基于网络的父母培训计划可能会吸引这些难以接触的人群。这项研究的重点是混合家长培训计划,结合父母明智(PW),一个基于网络的家长培训与促进讨论小组(父母明智的住宅治疗(PWRT))。本研究旨在:(1)建立PWRT的可行性和可接受性,(2)评估PWRT是否参与目标机制(父母自我效能感,育儿行为,社会支持,家庭功能)和(3)确定PWRT对青少年结果的影响(内化和外化行为,放置限制性)。
方法:在这项随机对照试验中,父母(n=60)将被随机分配到PWRT或照常治疗。6周的每个星期,在PWRT条件下的父母将完成两个PW模块(每个20分钟),并通过Zoom(90分钟)参加一个讨论组。青少年(n=60)不会接受干预;然而,我们将评估为未来研究收集青少年数据的可行性。来自父母和青少年的数据将在基线时收集,干预后(基线后6周)和基线后6个月,以便深入了解PWRT对治疗增益维持的长期影响。
背景:该研究已获得俄亥俄州立大学机构审查委员会的批准(方案编号2022B0315)。研究结果将通过在地方和国家会议上的介绍来分享,在同行评审的期刊上发表出版物,并分发给帮助促进该项目的家庭和组织。
背景:NCT05764369(V.1,2022年12月)。
BACKGROUND: Although adolescents make treatment gains in psychiatric residential treatment (RT), they experience significant difficulty adapting to the community and often do not sustain treatment gains long term. Their parents are often not provided with the necessary support or behaviour management skillset to bridge the gap between RT and home. Parent training, a gold standard behaviour management strategy, may be beneficial for parents of these youth and web-based parent training programmes may engage this difficult-to-reach population. This
study focuses on a hybrid parent training programme that combines Parenting Wisely (PW), a web-based parent training with facilitated discussion groups (Parenting Wisely for Residential Treatment (PWRT)). This
study aims to: (1) establish the feasibility and acceptability of PWRT, (2) evaluate whether PWRT engages target mechanisms (parental self-efficacy, parenting behaviours, social support, family function) and (3) determine the effects of PWRT on adolescent outcomes (internalising and externalising behaviours, placement restrictiveness).
METHODS: In this randomised control
trial, parents (n=60) will be randomly assigned to PWRT or treatment as usual. Each week for 6 weeks, parents in the PWRT condition will complete two PW modules (20 min each) and attend one discussion group via Zoom (90 min). Adolescents (n=60) will not receive intervention; however, we will evaluate the feasibility of adolescent data collection for future studies. Data from parents and adolescents will be collected at baseline, post intervention (6 weeks post baseline) and 6 months post baseline to allow for a robust understanding of the longer-term effects of PWRT on treatment gain maintenance.
BACKGROUND: The
study has been approved by The Ohio State University Institutional Review Board (protocol number 2022B0315). The outcomes of the
study will be shared through presentations at both local and national conferences, publications in peer-reviewed journals and disseminated to the families and organisations that helped to facilitate the project.
BACKGROUND: NCT05764369 (V.1, December 2022).