Socioeconomic factors and parents' preferences for internet- and mobile-based parenting interventions to prevent youth mental health problems: A discrete choice experiment

Broomfield, Grace; Brown, Scott; Yap, Marie Bee Hui

doi:10.1016/j.invent.2022.100522

Cited by 9 publications

(7 citation statements)

References 78 publications

(125 reference statements)

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“…Control features were also more likely to improve users' subjective experience of a program. This finding is consistent with recent research with parents from a low socioeconomic background, which suggests that convenience and flexibility were key preferences for engaging with technology-assisted programs [171,172]. These results suggest that greater freedom in choosing how to engage with the program may enhance parents' perceived benefit and satisfaction.…”

Section: Delivery Strategiessupporting

confidence: 89%

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

Aldridge,

Tomaselli,

Nowell

et al. 2024

J Med Internet Res

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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. Trial Registration PROSPERO CRD42020209819; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=209819

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Section: Delivery Strategiessupporting

confidence: 89%

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

Aldridge,

Tomaselli,

Nowell

et al. 2024

J Med Internet Res

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“…Other common barriers reported by parents were limited facilities or resources and financial constraints, indicating that interventions should seek to educate and empower parents about adopting healthy behaviors, such as eating healthily on a budget and doing physical activity beyond organized sports and paid activities, which are within budget and practical limitations. Similar research has found that practical constraints such as cost and access to resources play an important role in parents’ engagement in adolescent healthy lifestyle programs [ 64 ]. In terms of enabling factors, the top 3 factors were integration of healthy behaviors into lifestyle, access to healthy options, and social support and encouragement.…”

Section: Discussionmentioning

confidence: 93%

“…This coincides with recent data indicating the growing prevalence of screen time [ 9 ], vaping [ 33 ], and poor mental health [ 71 ] among Australian adolescents, particularly in the aftermath of the COVID-19 pandemic [ 72 , 73 ]. Previous research has similarly advocated the inclusion of parents within adolescent interventions, particularly those targeting mental health [ 64 , 74 ], as a means of maximizing outcomes. Taken together, this suggests that parents are likely to be receptive to a brief eHealth program designed to address contemporary issues, such as vaping and mental health, alongside programs that target chronic disease risk factors and those that aim to circumvent the practical (eg, transport [ 74 ], cost [ 64 , 74 ], scheduling [ 74 ]) and social (eg, stigma [ 74 ] and fear of judgment about parenting) barriers that have traditionally hindered engagement.…”

Section: Discussionmentioning

confidence: 99%

Parental Information Needs and Intervention Preferences for Preventing Multiple Lifestyle Risk Behaviors Among Adolescents: Cross-sectional Survey Among Parents

Champion¹,

Hunter²,

Gardner³

et al. 2023

JMIR Pediatr Parent

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Background Parents play an influential role in the health behaviors of their children, such as physical activity, dietary intake, sleep, screen time, and substance use. However, further research is needed to inform the development of more effective and engaging parent-based interventions targeting adolescent risk behaviors. Objective This study aimed to assess parents’ knowledge about adolescent risk behaviors, barriers and facilitators to engaging in healthy behaviors, and preferences for a parent-based prevention intervention. Methods An anonymous web-based survey was conducted from June 2022 to August 2022. Eligible participants were parents of children aged 11 to 18 years and were residing in Australia at the time of this study. The survey assessed the parents’ perceived and actual knowledge about Australian health guidelines for youth, parent and adolescent engagement in health behaviors, parenting style and attitudes, barriers and facilitators to engaging in healthy behaviors, and delivery and component preferences for a parent-based preventive intervention. Descriptive statistics and logistic regressions were conducted to analyze the data. Results A total of 179 eligible participants completed the survey. The mean age of the parents was 42.22 (SD 7.03) years, and 63.1% (101/160) were female. Parent-reported sleep duration was high for both parents (mean 8.31, SD 1.00 hours) and adolescents (mean 9.18, SD 0.94 hours). However, the proportion of parents who reported that their child met the national recommendations for physical activity (5/149, 3.4%), vegetable intake (7/126, 5.6%), and weekend recreational screen time (7/130, 5.4%) was very low. Overall, parents’ perceived knowledge of health guidelines was moderate, ranging from 50.6% (80/158) for screen time to 72.8% (115/158) for sleep guidelines (for children aged 5-13 years). Actual knowledge was lowest for vegetable intake and physical activity, with only 44.2% (46/104) and 42% (31/74) of parents reporting correct guidelines for these behaviors, respectively. The key issues of concern reported by parents were excessive use of technology, mental health, e-cigarette use, and negative peer relationships. The top-rated delivery method for a parent-based intervention was via a website (53/129, 41.1%). The highest rated intervention component was opportunities for goal-setting (89/126, 70.7% rated very or extremely important), and other important program features were ease of use (89/122, 72.9%), paced learning (79/126, 62.7%), and appropriate program length (74/126, 58.8%). Conclusions The findings suggest that such interventions should be brief and web based and should aim to increase parental knowledge of health guidelines; provide opportunities for skill-building, such as goal-setting; and include effective behavior change techniques, such as motivational interviewing and social support. This study will inform the development of future parent-based preventive interventions to prevent multiple lifestyle risk behaviors among adolescents.

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“…A prior study found the opposite, as fathers were more likely to prefer in-person interventions, citing that web-based interventions were unappealing as they reminded them of work and were not motivating (Frank et al, 2015). One study of eHealth preferences found that lower-income and less educated parents preferred briefer modules, with less educated parents also preferring a predefined module order (Broomfield et al, 2022). Overall, these studies suggest that some demographic and psychosocial factors are associated with parental preferences for treatment modalities and specific treatment components.…”

Section: Parent Preferences As a Key Ehealth Development Toolmentioning

confidence: 99%

Parent eHealth preferences: Perceived credibility and personal reactions to AbilitiCBT, BEAM, and Triple P Online

Rioux,

Konkin,

Tomfohr-Madsen

et al. 2023

Preprint

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Parental eHealth needs and preferences are unknown. Evidence from in-person programs shows that programs that prioritize parent preferences have higher enrollment and adherence. Better knowledge of parental impressions and preferences based on current eHealth programs could help identify programs that are most in line with parental values, goals, and needs. Accordingly, the present study compared parental perceptions and preferences based on three eHealth programs that have been prescribed to parents: AbilitiCBT (mental health-focused), BEAM (mental health and parenting-focused), and Triple P Online (parenting-focused). 177 parents of 0-5-year-old children in the United States were recruited through MTurk. Mental health symptoms were high (70.1% clinically concerning depression and/or anxiety symptoms and 74.6% clinically concerning parenting stress symptoms). Triple P was seen as less credible and would be less likely to be chosen than AbilitiCBT or BEAM; AbilitiCBT seemed more helpful to participants. There was considerable variability, and all programs were preferred by at least 17% of parents. Overall, results suggest that parents experiencing high psychological distress are less likely to choose to participate in a parenting program without mental health support while supporting the importance of offering diverse psychosocial service options to meet the needs of more parents. This study along with further research on more diverse parental populations can help in the development of future targeted eHealth programs and in choices for clinical offerings.

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Socioeconomic factors and parents' preferences for internet- and mobile-based parenting interventions to prevent youth mental health problems: A discrete choice experiment

Cited by 9 publications

References 78 publications

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

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

Parental Information Needs and Intervention Preferences for Preventing Multiple Lifestyle Risk Behaviors Among Adolescents: Cross-sectional Survey Among Parents

Parent eHealth preferences: Perceived credibility and personal reactions to AbilitiCBT, BEAM, and Triple P Online

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