Prevention Science Institute, University of Oregon, Eugene, OR, USA.
Dev Psychopathol. 2019 Dec;31(5):1873-1886. doi: 10.1017/S0954579419000907.
This study evaluated the efficacy of a family-centered preventive intervention, the Family Check-Up (FCU), delivered as an online, eHealth model to middle school families. To increase accessibility of family-centered prevention in schools, we adapted the evidence-based FCU to an online format, with the goal of providing a model of service delivery that is feasible, given limited staffing and resources in many schools. Building on prior research, we randomly assigned participants to waitlist control (n = 105), FCU Online as a web-based intervention (n = 109), and FCU Online with coaching support (n = 108). We tested the effects of the intervention on multiple outcomes, including parental self-efficacy, child self-regulation, and child behavior, in this registered clinical trial (NCT03060291). Families engaged in the intervention at a high rate (72% completed the FCU assessment) and completed 3-month posttest assessments with good retention (94% retained). Random assignment to the FCU Online with coaching support was associated with reduced emotional problems for children (p = .003, d = -0.32) and improved parental confidence and self-efficacy (p = .018, d = 0.25) when compared with waitlist controls. Risk moderated effects: at-risk youth showed stronger effects than did those with minimal risk. The results have implications for online delivery of family-centered interventions in schools.
本研究评估了一种以家庭为中心的预防干预措施——家庭检查（FCU）的效果，该干预措施以在线电子健康模式提供给中学家庭。为了提高学校中以家庭为中心的预防措施的可及性，我们将基于证据的 FCU 改编为在线形式，目标是提供一种可行的服务提供模式，因为许多学校的人员配备和资源有限。基于先前的研究，我们将参与者随机分配到等待名单对照组（n = 105）、FCU 在线作为基于网络的干预组（n = 109）和 FCU 在线与辅导支持组（n = 108）。我们在这项注册临床试验（NCT03060291）中测试了干预对多个结果的影响，包括父母自我效能感、儿童自我调节和儿童行为。家庭以高参与率（72%完成了 FCU 评估）参与干预，并以良好的保留率（94%保留）完成了 3 个月的后测评估。与等待名单对照组相比，随机分配到 FCU 在线与辅导支持组与儿童的情绪问题减少相关（p =.003，d = -0.32），并且父母的信心和自我效能感提高（p =.018，d = 0.25）。风险调节效应：高风险青年比低风险青年表现出更强的效果。研究结果对学校中以家庭为中心的干预措施的在线提供具有启示意义。
