Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review

Haine‐Schlagel, Rachel; Dickson, Kelsey S.; Lind, Teresa; Kim, Joanna J.; May, Gina; Walsh, Natalia Escobar; Lazarevic, Vanja; Crandal, Brent R.; Yeh, May

doi:10.1007/s11121-021-01303-x

Cited by 9 publications

(4 citation statements)

References 88 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This might be more prevalent when the target disease has a strong family history [ 32 ]. This correlates with a recent systematic review that highlighted caregiver involvement as a critical component in treatments and studies of children and young people [ 53 ]. Although digital interventions are often likely to increase children and young people’s autonomy and empowerment in their treatment [ 30 ], children and young people are susceptible populations that may rely on the decisions of their caregivers, which may differ based on race and ethnicity, sex, or other social determinants of health.…”

Section: Discussionsupporting

confidence: 84%

Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

Yun¹,

Shin²,

Lee³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

Background Digital health technologies are becoming increasingly available to children and young people and their families. However, there are no scoping reviews that provide both an overview of the characteristics of digital interventions for children and young people and potential challenges to be considered when developing and implementing them. Objective This study aimed to systematically review scientific publications to identify the current characteristics and potential complications of digital interventions for children and young people. Methods This scoping review was conducted using the framework of Arksey and O’Malley and adheres to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for scoping reviews. A search of 5 databases (PubMed, Scopus, Embase, MEDLINE, and CINAHL) and Google Scholar was performed for eligible clinical trials published between January 1, 2018, and August 19, 2022. Results The initial search of the 5 databases yielded 3775 citations; duplicates and those not meeting the inclusion criteria were eliminated. In total, 34 articles were included in the final review and relevant information, such as the descriptive characteristics and potential challenges, were classified. Mental health (26/34, 76%) was the most common target for the digital intervention for children and young people, exceeding physical health (8/34, 24%) by more than 3 times. In addition, a substantial number of digital interventions were dedicated solely to children and young people. Digital interventions for children and young people were more likely to be delivered via computers (17/34, 50%) rather than smartphones (13/34, 38%). More than one-third of the studies (13/34, 38%) applied cognitive behavioral theory as the theory of digital interventions. The duration of the digital intervention for children and young people was more likely to vary depending on the target user rather than the target disease. Intervention components were classified into 5 categories: guidance, task and activity, reminder and monitoring, supportive feedback, and reward system. Potential challenges were subcategorized into ethical, interpersonal, and societal challenges. For ethical challenges, the consent of children and young people or caregivers, potential risk of adverse events, and data privacy issues were considered. For interpersonal challenges, the engagement of children and young people was affected by the preference or barrier of caregivers to participate in studies. For societal challenges, restricted ethnicity in recruitment, limited availability of digital technology, differences in internet use patterns between girls and boys, unified clinical settings, and language barriers were described. Conclusions We identified potential challenges and provided suggestions about ethical, interpersonal, and societal aspects to consider when developing and deploying digital-based interventions for children and young people. Our findings provide a thorough overview of the published literature and may serve as a comprehensive, informative foundation for the development and implementation of digital-based interventions for children and young people.

show abstract

Section: Discussionsupporting

confidence: 84%

Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

Yun¹,

Shin²,

Lee³

et al. 2023

J Med Internet Res

View full text Add to dashboard Cite

show abstract

“…Mothers, fathers, and grandparents were more likely to actively participate in a virtual session, whereas siblings were more likely to participate in an in-person session. As increased caregiver engagement is linked to improved outcomes for child and youth mental health (Dowell & Ogles, 2010;Haine-Schlagel et al, 2021), this shift to VMHC due to COVID-19 restrictions may improve therapeutic efficacy or result in a change in therapeutic modality for some clinicians as opportunities to include more family members in treatment plans were maximized. This study is not without its limitations.…”

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on Access and Uptake of Children and Youth Mental Health Care Services

Uliaszek¹

2023

Preprint

View full text Add to dashboard Cite

Background: There has been a greater demand for child and adolescent mental health services following the onset of the COVID-19 pandemic. We aimed to examine the impact of the pandemic and introduction of virtual mental healthcare (VMHC) on service utilization patterns among a diverse cohort of youth (ages 6-18).Methods: Archival data were obtained from a multisite community clinic between January 2018 and March 2022, totalling 26,422 client contacts. Differences in service utilization patterns and frequency of marginalized youth served were analyzed using independent samples t-tests. Chi square tests were used to determine differences in age groups served, and family member attendance.Results: Relative to pre-COVID, there were significant increases in the number of intervention sessions and the age of clients served post-COVID; there were no significant differences in the number of clients served or frequency of no-shows per month. There were significant decreases across three of the four dimensions of marginalization studied (deprivation, dependency, and ethnic concentration). There were no significant differences in service utilization patterns during the post-COVID school closure compared to post-COVID school operational period. There was a significant increase in both parental involvement in-session and age of clients who were served through VMHC. Conclusions: The COVID-19 pandemic was associated with a significant increase in the number of clinical encounters. VMHC allowed for greater incorporation of family members in-session, though it did not translate to serving more marginalized populations. Further research is required to explore the specific barriers impeding virtual care accessibility amongst marginalized communities.

show abstract

“…Nonetheless, one programme reviewed specifically targeted fathers – Dads Tuning into Kids – facilitated significant reductions in children’s externalising behaviours (Havighurst et al, 2019; Wilson et al, 2016). Higher levels of caregiver participation predict greater improvements in caregiver–child relationship and attachment quality (Haine-Schlagel et al, 2021). Greater efforts, commitment or targeted strategies to adapt programmes to better suit and engage male caregivers are needed to enhance programme uptake and success (Hansen et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

Targeted community-based programmes for children’s mental health: A systematic review and meta-analysis of the Australian literature

Savaglio

Yap

O’Donnell

et al. 2022

Aust N Z J Psychiatry

View full text Add to dashboard Cite

Objective: No synthesis of the Australian evidence regarding targeted prevention and early intervention for mental health concerns among young children exists. This review aimed to (1) describe the types of targeted community-based mental health programmes evaluated in Australia to support children aged 1–9 years exhibiting internalising and/or externalising symptoms and (2) examine their impact on children’s internalising and externalising symptoms and disorder diagnosis. Method: A systematic review and meta-analysis was conducted (PROSPERO: CRD42021255257). Four databases (PsycINFO, PsycArticles, MEDLINE and CINAHL) were searched for Australian studies published in the past 10 years that quantitatively evaluated the impact of a targeted programme on children’s mental health. The National Institute of Health Quality Assessment Tools were used to evaluate the study quality. Results: Forty-two studies were included; the majority (67%) were medium quality. The mean sample size was 142 (SD = 170), children’s average age was 5.78 years (SD = 2.44) and 58% were male. Aboriginal and Torres Strait Islander children were underrepresented. Studies evaluated 16 programmes that targeted (1) externalising symptoms ( n = 20 studies, n = 6 programmes), (2) internalising symptoms ( n = 14 studies, n = 7 programmes) or (3) both, termed transdiagnostic programmes ( n = 8 studies, n = 3 programmes). Externalising programmes achieved a significant moderate mean reduction in externalising behaviours (standardised mean differences = −0.56), internalising programmes yielded a small mean improvement in anxiety symptoms (standardised mean differences = −0.25) and 57% reduced odds of anxiety disorder diagnosis. Evidence supporting transdiagnostic programmes was inconclusive. Conclusion: Parenting-focused programmes targeting young children’s internalising or externalising behaviours have the largest local evidence base supporting their effectiveness. Limitations include a lack of engagement with fathers, triangulation of outcomes, homogeneity and implementation reporting. Greater implementation and evaluation of community-driven integrated and systemic approaches that identify, engage and support Australia’s most disadvantaged cohorts of young children and their families are needed.

show abstract

Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review

Cited by 9 publications

References 88 publications

Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

Characteristics and Potential Challenges of Digital-Based Interventions for Children and Young People: Scoping Review

The Impact of COVID-19 on Access and Uptake of Children and Youth Mental Health Care Services

Targeted community-based programmes for children’s mental health: A systematic review and meta-analysis of the Australian literature

Contact Info

Product

Resources

About