Web‐based integrated bipolar parenting intervention for parents with bipolar disorder: a randomised controlled pilot trial

Jones, Steven H.; Jovanoska, Jelena; Calam, Rachel; Wainwright, Laura; Vincent, Helen; Asar, Özgür; Diggle, Peter J.; Parker, Robert; Long, Rita; Sanders, Matthew R.; Lobban, Fiona

doi:10.1111/jcpp.12745

Cited by 26 publications

(42 citation statements)

References 43 publications

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“…Preventive interventions for families with mentally ill parents address e.g., parent-child interactions [46] and report improvements in this respect [47]. First results show promising improvements in parenting and child behaviour outcomes in a web-based parenting intervention [48]. When conceptualizing interventions for families with mentally ill parents, these associations should consequently be considered [49].…”

Section: Discussionmentioning

confidence: 99%

Family Functioning and Psychological Health of Children with Mentally Ill Parents

Wiegand-Grefe

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IJERPH

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Parental mental illness can be linked to reduced family functioning, which is associated with more conflicts, less adaptability and cohesion as well as a disorganized pattern of everyday planning. Concurrently, family functioning is an important moderator for the influence of parental mental disorders on the development of the children. Consequently, the current study addresses the correlation of family functioning in families with mentally ill parents and the psychological health of the children. The sample consists of 67 mentally ill parents. Both parents and therapists completed questionnaires related to family functioning and the psychological health of the children. Family functioning was rated as dysfunctional in 38% of the families. The psychological health of the children was classified as clinical or subclinical in 43% of the cases. 52% of the children were rated to have no psychological problems. In families with good family functioning, children were assessed to have less psychological problems than in families with poor functioning. Children outside the clinical range lived in families with good family functioning and vice versa. Significant positive correlations were found between the FB-A scales, the CBCL/4-18 syndrome scales and the CBCL/4–18 total score. Results indicate that family functioning and psychological health of children in families with mentally ill parents correlate closely and represent potential targets for future family interventions.

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Section: Discussionmentioning

confidence: 99%

Family Functioning and Psychological Health of Children with Mentally Ill Parents

Wiegand-Grefe

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IJERPH

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“…In addition, a much more diverse range of parents have successfully participated, including parents with intellectual impairments (Glazemakers & Deboutte, 2013), parents of children with metabolic disorders (Van Mechelen, Kessels, Simons, & Glazemakers, 2018), parents living in homeless shelters (Haskett et al, 2018), parents with chronic mental health problems (Jones et al, 2017), parents experiencing separation and divorce (Stallman & Sanders, 2014), working parents (Sanders, Stallman, & McHale, 2011), maltreating parents (Sanders, Higgins, & Prinz, 2018), indigenous parents (Turner et al, 2018), and parents living in low resource settings (Mejia, Calam, & Sanders, 2015).…”

Section: Innovationsmentioning

confidence: 99%

“…Many parents with mental health problems can benefit from participation in positive parenting programs. For example, Jones et al (2017) used the 8-module Triple P Online along with an 8-module online CBT program for parents with bipolar disorder and were able to demonstrate fewer mental health problems in children. Parenting interventions are trans-diagnostic interventions that can be applied to a wide range of problems, diagnoses and conditions.…”

Section: Future Directions For Evidence-based Parenting Supportmentioning

confidence: 99%

Harnessing the Power of Positive Parenting to Promote Wellbeing of Children, Parents and Communities Over a Lifetime

Sanders

2019

Behav. change

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Evidence-based parenting support (EBPS) programs derived from social learning theory, cognitive behavioural principles, and developmental theory are among the most successful innovations in the entire field of psychological intervention. EBPS programs have been at the cutting edge of global dissemination efforts to increase community access to evidence-based parenting programs. Despite the widely recognised success of these efforts, existing models of parenting intervention are not a panacea, and much can be done to improved outcomes. Efforts to improve outcomes have included the emergence of a population-based approach to increase reach of intervention. This has included the development of flexible delivery modalities, including online parenting interventions, the incorporation of strategies to enhance cultural relevance and acceptability of programs, and more recently, applications with parents in very low resource settings. Further enhancements of outcomes are likely to be forthcoming as we gain a better understanding of the mechanisms that explain positive intervention effects and non-response to interventions. More cost-effective online professional training models are needed to disseminate and promote the sustained use of EBPS programs. New interventions are required for the most vulnerable parents when parenting concerns are complicated by other problems such as trauma, addictions, relationship conflict, family violence, mental health problems and intergenerational poverty. However, to scale effective programs, Commonwealth and state government policies and funding priorities need to respond to evidence about what works and make sustained investments in the implementation of parenting programs. Possible strategies to enhance the policy impact of intervention research are discussed.

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“…Parenting interventions have the potential to provide clinically and cost-effective methods to improve the health and well-being of parents and children (Barlow and Coren 2018 ; Barrett 2010 ). Various delivery modalities have been found to be effective including self-administered (Gordon 2000 ; Markie-Dadds et al 1999 ) and web-based programmes (Jones et al 2017 ; Sanders et al 2012 ). Findings also indicate that self-directed approaches may offer destigmatising, accessible, brief and cost-effective alternative to traditional group-based parenting interventions which parents with mental health difficulties can face significant barriers in accessing (Ackerson 2003 ; Isobel et al 2016 ; Phelan et al 2013 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring Staff Implementation of a Self-directed Parenting Intervention for Parents with Mental Health Difficulties

Butler

Gregg

Calam

et al. 2020

Community Ment Health J

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Parents with mental health difficulties face significant barriers in accessing evidence-based parenting interventions. Self-directed approaches may be a destigmatising, accessible alternative. Evidence has suggested that Triple P Positive Parenting Programme’s self-directed format is as effective as more time- and cost-intensive delivery methods. The aim of the current study was to establish whether staff were able to use this intervention with parents with mental health difficulties and to explore staff experiences of implementation. Triple P self-help workbooks were provided to practitioners across three teams. Data were collected regarding workbook uptake and use. Interviews with staff exploring their experiences of implementation were analysed using thematic analysis. Overall, 41 participants were recruited, of which 12 (29.27%) also consented to interviews. Overall, six practitioners (14.63%) reported that they utilised the workbook. Uptake and utilisation were varied, but practitioners who used the workbook reported positive outcomes. Interviews revealed themes regarding practitioner concerns, views of the intervention and implementation issues. Self-directed Triple remains a promising intervention but its feasibility is dependent on addressing barriers to implementation and facilitating a family-focused approach to meet the needs of these parents and their children.

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Web‐based integrated bipolar parenting intervention for parents with bipolar disorder: a randomised controlled pilot trial

Cited by 26 publications

References 43 publications

Family Functioning and Psychological Health of Children with Mentally Ill Parents

Family Functioning and Psychological Health of Children with Mentally Ill Parents

Harnessing the Power of Positive Parenting to Promote Wellbeing of Children, Parents and Communities Over a Lifetime

Exploring Staff Implementation of a Self-directed Parenting Intervention for Parents with Mental Health Difficulties

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