Fulgoni Catherine M F, Melvin Glenn A, Jorm Anthony F, Lawrence Katherine A, Yap Marie B H
Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, Australia.
School of Psychology, Deakin University, Burwood, VIC 3125, Australia.
Internet Interv. 2019 Oct 19;18:100285. doi: 10.1016/j.invent.2019.100285. eCollection 2019 Dec.
To develop a Therapist-assisted Online Parenting Strategies (TOPS) program that is acceptable to parents whose adolescents have anxiety and/or depressive disorders, using a consumer consultation approach.
The TOPS intervention was developed via three linked studies. Study 1 involved content analysis of feedback from participants ( = 56) who received a web-based preventive parenting intervention called Partners in Parenting (PiP), as part of a randomised controlled trial. Study 2 involved stakeholder consultations with: (i) parents of adolescents aged 12-17 years ( = 6), and (ii) mental health professionals ( = 28), to identify adaptations to PiP that are required to make it appropriate for parents of adolescents with anxiety and depressive disorders. Study 3 was a pilot of the resulting TOPS program with professionals ( = 10) and a small sample of parents ( = 3) to assess the acceptability of the program content and format that involved online modules and videoconferencing coaching.
Study 1 indicated a need for an enhanced program for parents whose adolescents are experiencing anxiety and depressive disorders, while findings from Study 2 informed the content of the new TOPS program. In Study 3, mental health professionals endorsed the structure and content, while parents affirmed the acceptability of the TOPS program. Feedback from Studies 2 and 3 indicated that the therapist-coach was a valuable resource to (i) provide parents with strategies that are associated with the alleviation of adolescent anxiety and depression, (ii) discuss difficulties in implementing these strategies, (iii) assist parents with overcoming these difficulties; and (iv) support the development of a relapse prevention plan. Professionals felt that the TOPS program would broaden parental knowledge about how to recognise and respond to symptoms of clinical anxiety and depression in their adolescent.
This study provided preliminary support for the feasibility, acceptability and perceived usefulness of the TOPS program.
采用消费者咨询方法，开发一种治疗师辅助的在线育儿策略（TOPS）项目，该项目要能为其青少年患有焦虑症和/或抑郁症的家长所接受。
TOPS干预措施是通过三项相关研究开发出来的。研究1对作为随机对照试验一部分接受名为“育儿伙伴”（PiP）的基于网络的预防性育儿干预的参与者（n = 56）的反馈进行了内容分析。研究2涉及与以下人员进行利益相关者咨询：（i）12至17岁青少年的家长（n = 6），以及（ii）心理健康专业人员（n = 28），以确定对PiP进行哪些调整才能使其适合患有焦虑症和抑郁症青少年的家长。研究3是对最终的TOPS项目进行的试点，参与人员有专业人员（n = 10）和一小部分家长（n = 3），以评估该项目内容和形式的可接受性，该项目包括在线模块和视频会议指导。
研究1表明需要为其青少年正在经历焦虑症和抑郁症的家长开发一个强化项目，而研究2的结果为新的TOPS项目的内容提供了依据。在研究3中，心理健康专业人员认可了该项目的结构和内容，而家长们肯定了TOPS项目的可接受性。研究2和3的反馈表明，治疗师-教练是一种宝贵的资源，能够（i）为家长提供与缓解青少年焦虑和抑郁相关的策略，（ii）讨论实施这些策略的困难，（iii）帮助家长克服这些困难；以及（iv）支持制定预防复发计划。专业人员认为，TOPS项目将拓宽家长关于如何识别和应对其青少年临床焦虑和抑郁症状的知识。
本研究为TOPS项目的可行性、可接受性和感知有用性提供了初步支持。
