Enrollment and completion rates of a nationwide guided digital parenting program for children with disruptive behavior before and during COVID-19.
COVID-19 pandemic
Internet-based intervention
Mental health
Parenting
Public health
Journal
European child & adolescent psychiatry
ISSN: 1435-165X
Titre abrégé: Eur Child Adolesc Psychiatry
Pays: Germany
ID NLM: 9212296
Informations de publication
Date de publication:
14 Aug 2024
14 Aug 2024
Historique:
received:
26
01
2024
accepted:
04
07
2024
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
14
8
2024
Statut:
aheadofprint
Résumé
Our aim was to study enrollment and completion levels for the internet-based and telephone-assisted Finnish Strongest Families Smart Website (SFSW) parent training intervention, for parents of young children with disruptive behavior before and after the COVID-19 lockdown period. Population-based screening was carried out on 39,251 children during routine check- ups at 4 years of age. The parents of children scoring at least 5 on the Strengths and Difficulties Questionnaire were assessed against inclusion and exclusion criteria. Associations with enrollment or completion were analyzed using logistic regression models. The effects of COVID-19 restrictions on these were estimated using interrupted timeseries analysis. Of 39,251 families, 4894 screened positive and met the eligibility criteria. Of those, 3068 (62.6%) decided to enroll in the SFSW program and 2672 (87.1%) of those families completed it. The highest level of disruptive behavior (OR 1.33, 95% CI 1.12-1.57, p < 0.001) and overall severity of difficulties (OR 2.22, 95% CI 1.91-2.57, p < 0.001) were independently associated with enrollment. Higher parental education was associated with enrollment and completion. Higher paternal age was associated with enrollment, and parent depressive symptoms with non-completion. The SFSW enrollment did not significantly change following the COVID-19 restrictions, while the completion rate increased (COVID-19 completion OR 1.75, 95% CI 1.22-2.50, p = 0.002). Guided digital parenting interventions increase the sustainability of services, by addressing the child mental health treatment gap and ensuring service consistency during crisis situations.
Identifiants
pubmed: 39141106
doi: 10.1007/s00787-024-02523-6
pii: 10.1007/s00787-024-02523-6
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : Academy of Finland
ID : 345546
Organisme : H2020 European Research Council
ID : 101020767
Informations de copyright
© 2024. The Author(s).
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