Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Clayton, VIC 3800, Australia.
Parenting Research Centre, East Melbourne, VIC 3002, Australia.
Int J Environ Res Public Health. 2021 Aug 28;18(17):9087. doi: 10.3390/ijerph18179087.
Growing literature supports the use of internet- and mobile-based interventions (IMIs) targeting parenting behaviours to prevent child and adolescent mental health difficulties. However, parents of lower-socioeconomic positions (SEP) are underserved by these interventions. To avoid contributing to existing mental health inequalities, additional efforts are needed to understand the engagement needs of lower-SEP parents. This study qualitatively explored lower-SEP parents' perspectives on how program features could facilitate their engagement in IMIs for youth mental health. We conducted semi-structured interviews with 16 lower-SEP parents of children aged 0-18 to identify important program features. Participants were mostly female (81.3%) and aged between 26 and 56 years. Transcriptions were analysed using inductive thematic analysis. Twenty-three modifiable program features important to lower-SEP parents' engagement in IMIs were identified. These features aligned with one of three overarching themes explaining their importance to parents' willingness to engage: (1) It will help my child; (2) I feel like I can do it; (3) It can easily fit into my life. The relative importance of program features varied based on parents' specific social and economic challenges. These findings offer initial directions for program developers in optimising IMIs to overcome barriers to engagement for lower-SEP parents.
越来越多的文献支持使用针对育儿行为的基于互联网和移动的干预措施（IMIs）来预防儿童和青少年的心理健康问题。然而，社会经济地位较低的父母（SEP）却无法获得这些干预措施的服务。为了避免加剧现有的心理健康不平等，需要付出额外的努力来了解低社会经济地位父母的参与需求。本研究通过定性探讨了低社会经济地位父母对计划功能的看法，以了解这些功能如何促进他们参与针对青年心理健康的 IMIs。我们对 16 名年龄在 0-18 岁之间的孩子的低社会经济地位父母进行了半结构化访谈，以确定重要的计划功能。参与者中大多数是女性（81.3%），年龄在 26 岁至 56 岁之间。使用归纳主题分析对转录进行了分析。确定了 23 个可修改的计划功能，这些功能对于低社会经济地位父母参与 IMIs 很重要。这些功能与三个总体主题之一相吻合，解释了它们对父母参与意愿的重要性：（1）它将帮助我的孩子；（2）我觉得我可以做到；（3）它可以轻松融入我的生活。根据父母的具体社会和经济挑战，计划功能的相对重要性有所不同。这些发现为项目开发者提供了初步的方向，以优化 IMIs，克服低社会经济地位父母参与的障碍。
