Mian Nicholas D, Eisenhower Abbey S, Carter Alice S
Department of Psychology, Center for Anxiety and Related Disorders, Boston University, 648 Beacon St., Boston, MA, 02215, USA,
Am J Community Psychol. 2015 Mar;55(1-2):58-69. doi: 10.1007/s10464-014-9696-5.
Selective prevention programs hold the promise of alleviating child anxiety symptoms, decreasing the risk for emotional problems across the lifespan. Such programs have particular public health import for young children of poor, underserved communities. Identifying factors related to parent engagement, and methods to improve engagement, are paramount in the effort to develop anxiety-focused, community prevention programs. This feasibility study investigated the effect of an enhanced recruitment strategy to maximize parent engagement, as well as factors related to attendance in a single session focused on anxiety prevention. Participants were poor, ethnic minority parents of children aged 11-71 months (n = 256) who completed a survey that assessed anxiety risk according to trauma exposure, child anxiety, or parent anxiety, as well as preferences for preventive services (phase 1). Those meeting risk criteria (n = 101) were invited to a preventive group session (phase 2). Half of parents received enhanced recruitment (ER), which included personalized outreach, matching parent preferences, and community endorsement. Other parents were invited by mail. Chi square analyses indicated that ER was associated with planning to attend (49 vs. 6% of control). Parents receiving ER were 3.5 times more likely to attend. Higher sociodemographic risk was correlated with higher child anxiety symptoms but not attendance. Results highlight the need for improved strategies for engaging parents in preventive, community-based interventions.
选择性预防项目有望缓解儿童焦虑症状，降低其一生中出现情绪问题的风险。此类项目对贫困、服务不足社区的幼儿具有特殊的公共卫生意义。在制定以焦虑为重点的社区预防项目时，确定与家长参与相关的因素以及提高参与度的方法至关重要。这项可行性研究调查了强化招募策略对最大化家长参与度的效果，以及与参加一次预防焦虑课程相关的因素。参与者为年龄在11 - 71个月的贫困少数民族儿童的家长（n = 256），他们完成了一项根据创伤暴露、儿童焦虑或家长焦虑评估焦虑风险以及对预防服务偏好的调查（第一阶段）。符合风险标准的家长（n = 101）被邀请参加预防小组课程（第二阶段）。一半的家长接受了强化招募（ER），包括个性化宣传、匹配家长偏好以及社区认可。其他家长通过邮件被邀请。卡方分析表明，强化招募与计划参加相关（对照组为6%，强化招募组为49%）。接受强化招募的家长参加的可能性高出3.5倍。较高的社会人口学风险与较高的儿童焦虑症状相关，但与参加情况无关。结果凸显了改进策略以促使家长参与基于社区的预防性干预措施的必要性。
