Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation

Chacko, Anil; Isham, Andrew; Cleek, Andrew Frank; McKay, Mary M.

doi:10.1186/s40814-016-0097-4

Cited by 18 publications

(7 citation statements)

References 38 publications

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“…The right side of Figure 3 describes the collection of attendance and home practice data. There is growing interest in the potential for using mobile technology to collect data on home practice (e.g., Chacko, Isham, Cleek, & McKay, 2016). We propose a system in which participants enter data on their home practice attempts, fidelity, and efficacy.…”

Section: Integrated Implementation Monitoring and Feedback System: A mentioning

confidence: 99%

Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings

et al. 2019

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The field of prevention has established the potential to promote child adjustment across a wide array of outcomes. However, when evidence-based prevention programs have been delivered at scale in community settings, declines in implementation and outcomes have resulted. Maintaining high quality implementation is a critical challenge for the field. We describe steps towards the development of a practical system to monitor and support the high-quality implementation of evidence-based prevention programs in community settings. Research on the implementation of an evidence-based parenting program for divorcing families called the "New Beginnings Program" serves as an illustration of the promise of such a system. As a first step, we describe a multidimensional theoretical model of implementation that links aspects of program delivery with improvements in participant outcomes. We then describe research on the measurement of each of these implementation dimensions and test their relations to intended program outcomes. As a third step, we develop approaches to the assessment of these implementation constructs that are feasible to use in community settings and to establish their reliability and validity. We focus on the application of machine learning algorithms and web-based data collection systems to assess implementation and provide support for high quality delivery and positive outcomes. Examples are presented to demonstrate that valid and reliable measures can be collected using these methods. Finally, we envision how these measures can be used to develop an unobtrusive system to monitor implementation and provide feedback and support in real time to maintain high quality implementation and program outcomes.

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Section: Integrated Implementation Monitoring and Feedback System: A mentioning

confidence: 99%

Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings

et al. 2019

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“…Domek et al [ 106 ] and Anderson-Lewis et al [ 107 ] suggest that text message interventions may be useful in rural families and have the potential to disseminate public health information. Mobile apps show some promise in serving families of youth with mental health issues in resource-constraint settings [ 108 ]. Breitenstein et al [ 109 ] also determined that digital delivery, such as mobile apps, might theoretically be cost-effective, sustainable, and reach large numbers for parent training.…”

Section: Discussionmentioning

confidence: 99%

Communication Technology Use by Caregivers of Adolescents With Mental Health Issues: Systematic Review

Jansen¹,

Reid²

2020

JMIR Mhealth Uhealth

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Background Caregivers of adolescents with mental health issues experience challenges that may result in the caregivers having a variety of unmet needs. There is a growing need to support these caregivers. Effective support to strengthen positive caregiving behavior in caregivers may address their challenges. Communication technologies offer novel opportunities to assist these caregivers and may contribute to strengthening caregiver behavior. However, little is known about the use of communication technologies among caregivers of adolescents with mental health issues. Objective The study aimed to answer the question: “What is the best evidence available to strengthen positive behavior of caregivers of adolescents with mental health issues using communication technology.” Methods A systematic review of articles published between January 2007 and August 2018 was conducted. Searches included articles of multiple study designs from EBSCO Host and Scopus platforms with prespecified eligibility criteria. Methodological quality was evaluated using the applicable Critical Appraisal Skills Programme and Joanna Briggs Institute assessment tools. Results The search yielded 1746 articles. Altogether, 5 articles met the eligibility criteria and were included in the review for data synthesis. Data analysis and synthesis identified three thematic conclusions reflecting the types of communication technologies used, caregivers as the target population, and strengthening of positive behavior through determinants of the Integrated Model of Behavior Prediction. Conclusions The review reported the usefulness of communication technology by caregivers. Caregivers also demonstrated improvement in self-efficacy, knowledge, parent-child communication, and parental skills reflecting positive behavior. Although the use of communication technology is expanding as a supportive intervention to address caregivers’ needs, the evidence for usefulness among caregivers of adolescents with mental health issues is still scarce. More research and information related to preferred methods of communication delivery among caregivers of adolescents is still needed.

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“…remote coaching, internet‐delivered sessions) has long been rooted in the literature on BPT (e.g. Chacko, Isham, Cleek, & McKay, 2016; Jones et al., 2013; Ortiz, Vidair, Acri, Chacko, & Kobak, 2020, for a review). Consistent with national trends, low‐income homes are cutting the cord on landlines; however, they are more likely than high‐income families to rely on mobile phones as the primary and often only digital device in the home (e.g.…”

Section: Introductionmentioning

confidence: 99%

A randomized controlled trial of technology‐enhanced behavioral parent training: sustained parent skill use and child outcomes at follow‐up

Parent

Anton²,

Loiselle

et al. 2021

Child Psychology Psychiatry

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Background Early‐onset (3–8 years old) disruptive behavior disorders (DBDs) have been linked to a range of psychosocial sequelae in adolescence and beyond, including delinquency, depression, and substance use. Given that low‐income families are overrepresented in statistics on early‐onset DBDs, prevention and early‐intervention targeting this population is a public health imperative. The efficacy of Behavioral Parent Training (BPT) programs such as Helping the Noncompliant Child (HNC) has been called robust; however, given the additional societal and structural barriers faced by low‐income families, family engagement and retention barriers can cause effects to wane with time. This study extends preliminary work by examining the potential for a Technology‐Enhanced HNC (TE‐HNC) program to improve and sustain parent skill proficiency and child outcomes among low‐income families. Methods A randomized controlled trial with two parallel arms was the design for this study. A total of 101 children (3–8‐years‐old) with clinically significant problem behaviors from low‐income households were randomized to HNC (n = 54) or TE‐HNC (n = 47). Participants were assessed at pre‐treatment, post‐treatment, 3‐month, and 6‐month follow‐ups. Primary outcomes were parent‐reported and observed child behavior problems. Secondary outcomes included observed parenting skills use (ClinicalTrials.gov Identifier: NCT02191956). Results Primary analyses used latent curve modeling to examine treatment differences in the trajectory of change during treatment, maintenance of treatment gains, and levels of outcomes at the 6‐month follow‐up. Both programs yielded improvements in parenting skills and child problems at post‐treatment. However, TE‐HNC families evidenced greater maintenance of parent‐reported and observed child behavior and observed positive parenting skills at the 6‐month follow‐up. Conclusions Our findings contribute to an ongoing line of work suggesting that technology‐enhanced treatment models hold promise for increasing markers of engagement in BPT and sustaining long‐term outcomes among low‐income families.

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Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation

Cited by 18 publications

References 38 publications

Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings

Redesigning Implementation Measurement for Monitoring and Quality Improvement in Community Delivery Settings

Communication Technology Use by Caregivers of Adolescents With Mental Health Issues: Systematic Review

A randomized controlled trial of technology‐enhanced behavioral parent training: sustained parent skill use and child outcomes at follow‐up

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