Department of Child and Family Development, San Diego State University, San Diego, CA, USA.
Child and Adolescent Services Research Center, San Diego, CA, USA.
Prev Sci. 2022 Feb;23(2):321-339. doi: 10.1007/s11121-021-01303-x. Epub 2021 Dec 22.
Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique projects were reviewed. Articles were included if they examined CPE in a program that focused to some extent on preventing child mental health disorders. There was heterogeneity in both the terms used to describe CPE and the measurement of CPE. The majority of projects focused on assessment of caregiver home practice. There were no clear findings regarding determinants of CPE. With regard to the impact of CPE on program outcomes, higher levels of CPE predicted greater improvements in child and caregiver outcomes, as well as caregiver-child relationship quality. Finally, a small number of studies found that motivational and behavioral strategies (e.g., reinforcement, appointment reminders) were successful in promoting CPE. This review highlights the importance of considering CPE when developing, testing, and implementing prevention programs for child mental health disorders. Increased uniformity is needed in the measurement of CPE to facilitate a better understanding of determinants of CPE. In addition, the field would benefit from further evaluating strategies to increase CPE as a method of increasing the potency of prevention programs.
预防方案是减少儿童和青少年心理健康障碍发生率和影响的关键方法。照护者参与度(CPE),包括照护者参与课程以及后续执行家庭作业计划,被认为是这些方案有效性的重要组成部分。本系统综述旨在:(1) 描述用于操作化 CPE 的术语以及预防方案中 CPE 的测量方法;(2) 确定与 CPE 相关的因素;(3) 检查 CPE 与结果之间的关联;(4) 探讨增强 CPE 的策略的影响。有 39 篇文章代表 27 个独特的项目进行了综述。如果文章在某种程度上关注预防儿童心理健康障碍的项目中检查了 CPE,则将其纳入研究范围。用于描述 CPE 和 CPE 测量的术语存在异质性。大多数项目都集中在评估照护者的家庭实践上。关于 CPE 的决定因素,没有明确的发现。关于 CPE 对项目结果的影响,更高水平的 CPE 预测了儿童和照护者结果以及照护者-儿童关系质量的更大改善。最后,少数研究发现,动机和行为策略(例如,强化、预约提醒)在促进 CPE 方面是成功的。本综述强调了在为儿童心理健康障碍开发、测试和实施预防方案时考虑 CPE 的重要性。需要在 CPE 的测量方面提高一致性,以促进更好地了解 CPE 的决定因素。此外,该领域还需要进一步评估增加 CPE 的策略,作为提高预防方案效力的方法。