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
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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Auteurs

Sakari Lintula (S)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.

Andre Sourander (A)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland. andsou@utu.fi.
INVEST Research Flagship Center, University of Turku, Turku, Finland. andsou@utu.fi.
Department of Child Psychiatry, Turku University Hospital, Turku, Finland. andsou@utu.fi.

Susanna Hinkka-Yli-Salomäki (S)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.

Terja Ristkari (T)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.

Malin Kinnunen (M)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.

Marjo Kurki (M)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.
ITLA Children's Foundation, Helsinki, Finland.

Altti Marjamäki (A)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.

David Gyllenberg (D)

Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland.
INVEST Research Flagship Center, University of Turku, Turku, Finland.
Helsinki University Hospital, Helsinki, Finland.
National Institute for Health and Welfare, Helsinki, Finland.

Hyoun Kim (H)

Department of Child and Family Studies, Yonsei University, Seoul, South Korea.

Amit Baumel (A)

Department of Community Mental Health, University of Haifa, Haifa, Israel.

Classifications MeSH