University of North Carolina at Chapel Hill, Department of Psychology, CB #3270 Davie Hall, Chapel Hill, NC 27599, USA.
Clin Psychol Rev. 2013 Mar;33(2):241-52. doi: 10.1016/j.cpr.2012.11.003. Epub 2012 Dec 4.
Disruptive behaviors of childhood are among the most common reasons for referral of children to mental health professionals. Behavioral parent training (BPT) is the most efficacious intervention for these problem behaviors, yet BPT is substantially underutilized beyond university research and clinic settings. With the aim of addressing this research-to-practice gap, this article highlights the considerable, but largely unrealized, potential for technology to overcome the two most pressing challenges hindering the diffusion of BPT: (1). The dearth of BPT training and supervision opportunities for therapists who work with families of children with disruptive behaviors; and (2). The failure to engage and retain families in BPT services when services are available. To this end, this review presents a theoretical framework to guide technological innovations in BPT and highlights examples of how technology is currently being harnessed to overcome these challenges. This review also discusses recommendations for using technology as a delivery vehicle to further advance the field of BPT and the potential implications of technological innovations in BPT for other areas of children's mental health are discussed.
儿童的破坏性行为是儿童转介到心理健康专业人员的最常见原因之一。行为家长培训 (BPT) 是针对这些问题行为最有效的干预措施,但除了大学研究和临床环境外,BPT 的应用严重不足。为了解决这一研究与实践之间的差距,本文强调了技术克服阻碍 BPT 传播的两个最紧迫挑战的巨大但尚未实现的潜力:(1). 缺乏对与有破坏性行为的儿童家庭合作的治疗师进行 BPT 培训和监督的机会;以及 (2). 当服务可用时,未能使家庭参与和保留在 BPT 服务中。为此,本文提出了一个理论框架来指导 BPT 中的技术创新,并强调了如何利用技术来克服这些挑战的例子。本文还讨论了将技术用作交付工具以进一步推进 BPT 领域的建议,以及 BPT 中的技术创新对儿童心理健康其他领域的潜在影响。