What Parents of Adolescents in Residential Substance Use Treatment Want from Continuing Care: A Content Analysis of Online Forum Posts

Helseth, Sarah A.; Scott, Kelli; Escobar, Katherine I.; Jiménez, Frances; Becker, Sara J.

doi:10.1080/08897077.2021.1915916

Cited by 8 publications

(5 citation statements)

References 67 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study aimed to elicit the needs of parents who did not receive continuing care in the critical period after their teen's discharge from residential treatment. Three of the six major themes identified in the current study (parenting skills, parent support, adolescent substance use) were consistent with a priori major themes identified in our team's examination of posts to an online forum made by parents receiving an active continuing care intervention ( Helseth et al., 2021 ). These identified themes reflected informational needs about the adolescent's substance use, as well as requests for concrete skills and support to navigate the post-discharge period.…”

Section: Discussionsupporting

confidence: 73%

“…We subsequently used our formative research to design and pilot a technology-assisted intervention with 30 parents of adolescents in residential treatment for substance use that allowed parents to network in two forums: one in which they could ask a clinical expert questions and one in which they could interact with other parents ( Becker, Helseth, Janssen, Kelly, Escobar, & Spirito, 2021 ; Becker, Helseth, Janssen, Kelly, Escobar, Souza, et al, 2021 ). A content analysis of posts from parents who received this technology-assisted intervention revealed that parent questions and comments clustered around five major themes: parenting skills; parent support; managing the post-discharge transition; adolescent substance use; family functioning ( Helseth et al., 2021 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment

Kelly

Correia

Kearns

et al. 2022

Drug and Alcohol Dependence Reports

Self Cite

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 73%

Section: Introductionmentioning

confidence: 99%

From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment

Kelly

Correia

Kearns

et al. 2022

Drug and Alcohol Dependence Reports

Self Cite

View full text Add to dashboard Cite

“…During hospitalization and discharge, only relying on health education of discharged patients with T-tube by medical staff cannot improve their mastery of T-tube management and nursing knowledge, thus affecting the prognosis of patients [ 21 , 22 ]. The continuous nursing mode based on mobile Internet can ensure real-time communication between medical staff and patients; strengthen medical staff's grasp of patients' psychological problems, health management, and rehabilitation effect evaluation; and improve patients' trust in medical staff and patients' nursing satisfaction [ 23 ]. This nursing model can mobilize the subjective initiative of patients and their families, improve the self-care ability of patients and their families, and reduce the incidence of complications and referral rate in the nursing process [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

Internet+Continuous Nursing Mode in Home Nursing of Patients with T-Tube after Hepatolithiasis Surgery

Peng

Wan

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

This study was to explore the effect of a continuous nursing model based on the mobile Internet in the home nursing of patients with T-tube after hepatolithiasis surgery. A continuous nursing system based on the mobile Internet was constructed, and 94 discharged patients with T-tube after biliary tract surgery were selected as the study subjects. The differences of complication rate, referral rate, nursing satisfaction, self-care ability, and quality of life score through the 36-item short form health survey (SF-36) after routine health education nursing (control group, n = 47 ) and continuous nursing mode based on the Internet (observation group, n = 47 ) were explored. The results showed that the success rate of the continuous nursing system based on mobile Internet in processing user requests was 96.2%. After nursing, the total complication rates of the control group and the observation group were 34.0% and 6.4%, the total satisfaction rates were 42.6% and 87.2%, and the referral rates were 23.4% and 6.4%, respectively, and the difference was statistically significant ( P < 0.05 ). After nursing, the scores of self-care ability and SF-36 quality of life in the observation group were higher than those in the control group, and the difference was statistically significant ( P < 0.05 ). In summary, the continuous nursing platform based on mobile Internet technology can meet the needs of users, and the nursing mode can significantly improve the home self-care ability of discharged patients with T-tube after surgery and improve the nursing effect, which is conducive to the rehabilitation of patients.

show abstract

“…In the pilot trial, 21 of the 30 parents (70%) randomized to Parent SMART posted a total of 16 times in Ask an Expert and 50 times in Connect with Parents. Qualitative analysis of the posts revealed five key themes: parenting skills, parent support, managing the transition home from residential care, adolescent substance use, and family functioning [ 34 ]. Parents will be told to expect replies within 24 hours; the average lag time in our pilot trial was 1 to 2 hours.…”

Section: Methodsmentioning

confidence: 99%

Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention

Becker¹,

Helseth²,

Kelly³

et al. 2022

JMIR Res Protoc

Self Cite

View full text Add to dashboard Cite

Background Adolescents in residential substance use treatment are at extremely high risk for relapse following discharge to the community. Parenting practices, including parental monitoring and parent-adolescent communication, have been established as key predictors of adolescent substance use outcomes and relapse. However, traditional office-based therapy may not be feasible for parents who face structural and systemic barriers. There is a clear need for effective, accessible, and scalable interventions for parents of adolescents receiving residential substance use treatment. In a prior pilot randomized controlled trial, we tested Parent SMART (Substance Misuse among Adolescents in Residential Treatment)—a technology-assisted parenting intervention informed by extensive formative research—as an adjunct to residential treatment as usual (TAU). Parent SMART demonstrated high feasibility and acceptability, as well as evidence of effectiveness in improving parental monitoring and communication. Objective This protocol paper describes a fully-powered randomized controlled pragmatic effectiveness trial of Parent SMART as an adjunct to residential TAU. We hypothesize that families who receive Parent SMART will demonstrate greater improvements in parenting skills, reductions in adolescent substance use, and reductions in adolescent problem behaviors relative to families that receive residential TAU. We will test the exploratory hypothesis that reductions in adolescent substance use will be partially mediated by improvements in parenting skills. Methods Adolescent-parent dyads (n = 220 dyads; 440 total) will be randomized to either residential TAU only or Parent SMART+TAU. Parents randomized to Parent SMART will receive access to a networking forum, an off-the-shelf computer program called Parenting Wisely, and up to four telehealth coaching calls. Multimethod follow-up assessments consisting of self-reported parent and adolescent measures, a parent-adolescent in vivo interaction task, and 8-panel urine screens will be conducted 6, 12, and 24 weeks postdischarge from residential care. Measures will assess parenting skills, adolescent substance use, and adolescent problem behaviors. Analyses will be conducted using latent change score structural equation modeling. Results The trial was funded in August 2021; ethics approval was obtained in August 2020, prior to funding. Due to concerns with the administrative interface in the pilot trial, the Parent SMART networking forum is currently being rebuilt by a different vendor. The programming is scheduled to be completed by December 2021, with recruitment beginning in February 2022. Conclusions The proposed research has the potential to advance the field by serving a high-need, underserved population during a vital treatment juncture; targeting parenting practices (putative mediators) that have been shown to predict adolescent substance use outcomes; addressing barriers to accessing continuing care; and testing a highly scalable intervention model. Trial Registration ClinicalTrials.gov NCT05169385; https://clinicaltrials.gov/ct2/show/NCT05169385 International Registered Report Identifier (IRRID) PRR1-10.2196/35934

show abstract

What Parents of Adolescents in Residential Substance Use Treatment Want from Continuing Care: A Content Analysis of Online Forum Posts

Cited by 8 publications

References 67 publications

From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment

From parenting skills to adolescent treatment needs: Questions elicited by parents of adolescents discharged from residential treatment

Internet+Continuous Nursing Mode in Home Nursing of Patients with T-Tube after Hepatolithiasis Surgery

Parent SMART (Substance Misuse in Adolescents in Residential Treatment): Protocol of a Randomized Effectiveness Trial of a Technology-Assisted Parenting Intervention

Contact Info

Product

Resources

About