Yap Marie Bh, Lawrence Katherine A, Rapee Ronald M, Cardamone-Breen Mairead C, Green Jacqueline, Jorm Anthony F
Monash Institute of Cognitive and Clinical Neurosciences, School of Psychological Sciences, Monash University, Clayton, Australia.
Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
JMIR Ment Health. 2017 Dec 19;4(4):e59. doi: 10.2196/mental.8492.
Depression and anxiety disorders in young people are a global health concern. Various risk and protective factors for these disorders are potentially modifiable by parents, underscoring the important role parents play in reducing the risk and impact of these disorders in their adolescent children. However, cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. In this paper, we propose a multi-level public health approach involving a Web-based parenting intervention, Partners in Parenting (PIP). We describe the components of the Web-based intervention and how each component was developed. Development of the intervention was guided by principles of the persuasive systems design model to maximize parental engagement and adherence. A consumer-engagement approach was used, including consultation with parents and adolescents about the content and presentation of the intervention. The PIP intervention can be used at varying levels of intensity to tailor to the different needs of parents across the population. Challenges and opportunities for the use of the intervention are discussed. The PIP Web-based intervention was developed to address the dearth of evidence-based resources to support parents in their important role in their adolescents' mental health. The proposed public health approach utilizes this intervention at varying levels of intensity based on parents' needs. Evaluation of each separate level of the model is ongoing. Further evaluation of the whole approach is required to assess the utility of the intervention as a public health approach, as well as its broader effects on adolescent functioning and socioeconomic outcomes.
青少年的抑郁症和焦虑症是全球关注的健康问题。这些疾病的各种风险和保护因素有可能由父母进行调整，这突出了父母在降低这些疾病对其青春期子女的风险和影响方面所起的重要作用。然而，目前缺乏可广泛传播的、具有成本效益且基于证据的针对父母的干预措施。在本文中，我们提出了一种多层次的公共卫生方法，其中包括一种基于网络的育儿干预措施——育儿伙伴（PIP）。我们描述了基于网络的干预措施的组成部分以及每个组成部分是如何开发的。干预措施的开发以说服系统设计模型的原则为指导，以最大限度地提高父母的参与度和依从性。我们采用了一种消费者参与的方法，包括就干预措施的内容和呈现方式与父母及青少年进行协商。PIP干预措施可以根据不同的强度水平进行使用，以满足不同人群中父母的不同需求。我们还讨论了使用该干预措施所面临的挑战和机遇。开发基于网络的PIP干预措施是为了解决缺乏循证资源来支持父母在青少年心理健康方面发挥重要作用的问题。所提议的公共卫生方法根据父母的需求，在不同强度水平上利用这种干预措施。目前正在对该模型的每个单独层面进行评估。需要对整个方法进行进一步评估，以评估该干预措施作为一种公共卫生方法的效用，以及它对青少年功能和社会经济成果的更广泛影响。
