A Randomized Controlled Trial Examination of a Remote Parenting Intervention: Engagement and Effects on Parenting Behavior and Child Abuse Potential

Baggett, Kathleen M.; Davis, Betsy; Feil, Edward G.; Sheeber, Lisa; Landry, Susan H.; Leve, Craig; Johnson, Ursula

doi:10.1177/1077559517712000

Cited by 37 publications

(32 citation statements)

References 28 publications

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“…Over 700,000 children and adolescents were arrested in the United States in 2019 [1], and African American and Latinx populations were disproportionately represented [2]. Justice-involved youth report elevated rates of mental health problems [3][4][5][6], substance misuse [7][8][9][10][11][12][13][14][15][16][17][18][19][20], and risky sexual activity [11,21], and compared to non-justice-involved peers, they are more likely to test positive for sexually transmitted infections (STIs) [22].…”

Section: Introductionmentioning

confidence: 99%

A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study

Snow-Hill¹,

Donenberg²,

Feil³

et al. 2021

JMIR Form Res

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Background Justice-involved youth are especially vulnerable to mental health distress, substance misuse, and risky sexual activity, amplifying the need for evidence-based programs (EBPs). Yet, uptake of EBPs in the justice system is challenging because staff training is costly in time and effort. Hence, justice-involved youth experience increasing health disparities despite the availability of EBPs. Objective To counter these challenges, this study develops and pilot-tests a prototype of a technology-based training tool that teaches juvenile justice staff to deliver a uniquely tailored EBP for justice-involved youth—PHAT (Preventing HIV/AIDS Among Teens) Life. PHAT Life is a comprehensive sex education, mental health, and substance use EBP collaboratively designed and tested with guidance from key stakeholders and community members. The training tool addresses implementation barriers that impede uptake and sustainment of EBPs, including staff training and support and implementation costs. Methods Staff (n=11) from two juvenile justice settings pilot-tested the technology-based training tool, which included five modules. Participants completed measures of HIV and sexually transmitted infection (STI) knowledge, sex education confidence, and implementation outcomes such as training satisfaction, adoption, implementation, acceptability, appropriateness, and sustainability. PHAT Life trainers assessed fidelity through two activity role plays participants submitted upon completing the training modules. Results Participants demonstrated increases in HIV and STI knowledge (t10=3.07; P=.01), and were very satisfied (mean 4.42, SD 0.36) with the training tool and the PHAT Life curriculum. They believed that the training tool and curriculum could be adopted, implemented, and sustained within their settings as an appropriate and acceptable intervention and training. Conclusions Overall, the results from this pilot test demonstrate feasibility and support continuing efforts toward completing the training tool and evaluating it within a fully powered randomized controlled trial. Ultimately, this study will provide a scalable option for disseminating an EBP and offers a more cost-effective and sustainable way to train staff in an EBP.

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Section: Introductionmentioning

confidence: 99%

A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study

Snow-Hill¹,

Donenberg²,

Feil³

et al. 2021

JMIR Form Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…A RCT of SafeCare alone ( n = 1305) compared with usual services showed a small improvement in parental engagement (Damashek et al, 2012), although another study reported low completion rates (Bolt, 2015). There were two RCTs of technology assisted interventions, neither of which found any significant benefit, one ( n = 19) of a home‐visiting parenting programme with text reminders (Bigelow et al, 2008) and one ( n = 159) of online parenting training (Baggett et al, 2017).…”

Section: Resultsmentioning

confidence: 99%

Improving engagement with services to prevent Sudden Unexpected Death in Infancy (SUDI) in families with children at risk of significant harm: A systematic review of evidence

Garstang

Watson

Pease

et al. 2021

Child

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This paper reports part of a wider systematic review commissioned by the English National Safeguarding Panel on Sudden Unexpected Death in Infancy (SUDI). The wider review covered three areas: interventions to improve safer sleep practices in high‐risk families, interventions to improve engagement with services and decision making by parents at high risk of SUDI about infant sleep environments. Here, we report the qualitative and quantitative studies reviewed under the engagement strand. Parental engagement is understood to be a multidimensional task for health and social care professionals comprising attitudinal, relational and behavioural components. Following a PROSPERO registered systematic review synthesizing the three strands outlined, 28 papers were found to be relevant in the review of interventions to improve engagement with services in families with children at risk of significant harm through abuse or neglect. No studies were found that specifically focused on engagement of families at high risk for SUDI, so these wider engagement studies were included. The different types of intervention reported in the included studies are described under two broad themes: Enablers (including parental motivation and working with families) and Barriers. Given the focus in the studies on interventions that support parental engagement, the Enablers theme is more extensive than the Barriers reported although all studies noted well‐understood barriers. The evidence underpinning these interventions and approaches are reviewed in this paper. We conclude that effective engagement is facilitated by experienced professionals given time to develop supportive non‐judgemental relationships with families in their homes, working long‐term, linking with communities and other services. While these conclusions have been drawn from wider studies aimed at reducing child maltreatment, we emphasize lessons to be drawn for SUDI prevention work with families with children at risk of significant harm.

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“…For this reason, digital psychological interventions also hold promise for improving maternal and child health in resource-limited settings. For example, a digital intervention developed for low-income mothers living in rural areas of the United States was associated with increased maternal sensitivity and reduced maternal depression [ 14 ]. Despite the promise of technology to decrease disparities in access to care, research on digital interventions in LMICs has lagged behind high-income countries (HICs).…”

Section: Introductionmentioning

confidence: 99%

Mobile Technology Access and Use Among Adolescent Mothers in Lima, Peru: Mixed Methods Study

Levey¹,

Onyeaka²,

Bartles³

et al. 2021

JMIR Pediatr Parent

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Background Research shows promise for the use of mobile health interventions to improve access to care for mothers and infants. Although adolescent mothers in particular are comfortable with technology and often face barriers to accessing care, data on the use of digital interventions with young mothers are limited. Objective This study aims to examine technology access and use behavior among adolescent mothers in Lima, Peru, to inform the development of technology-mediated perinatal interventions for high-risk mothers and infants in low- and middle-income countries and other areas with limited access to care. Methods This mixed methods study consisted of a phone survey about technology access (N=29), focus group discussions with clinicians (N=25), and semistructured in-depth interviews with adolescent mothers (N=10) and their family members (N=8) in Lima. Results All adolescent mothers surveyed had access to a smartphone, and nearly half had access to a computer or tablet. However, participants reported a number of obstacles to consistent smartphone access related to the financial precarity of their situations. Examples of this included difficulty affording phone services, using shared plans, and losing smartphones because of theft. Conclusions These findings indicate that adolescent mothers are connected to technology, highlighting the potential scalability of technology-based health interventions for adolescent mothers in low- and middle-income countries while identifying barriers that need to be addressed.

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A Randomized Controlled Trial Examination of a Remote Parenting Intervention: Engagement and Effects on Parenting Behavior and Child Abuse Potential

Cited by 37 publications

References 28 publications

A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study

A Technology-Based Training Tool for a Health Promotion and Sex Education Program for Justice-Involved Youth: Development and Usability Study

Improving engagement with services to prevent Sudden Unexpected Death in Infancy (SUDI) in families with children at risk of significant harm: A systematic review of evidence

Mobile Technology Access and Use Among Adolescent Mothers in Lima, Peru: Mixed Methods Study

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