Research Centre for Child Psychiatry, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland.
INVEST Child Psychiatry, INVEST Research Flagship Center, Department of Clinical Medicine, Faculty of Medicine, University of Turku, Turku, Finland.
J Med Internet Res. 2022 Apr 13;24(4):e26438. doi: 10.2196/26438.
The COVID-19 pandemic has had a major impact on families' daily routines and psychosocial well-being, and technology has played a key role in providing socially distanced health care services.
The first objective of this paper was to describe the content and delivery of a single-session, internet-based cognitive behavioral therapy (iCBT) intervention, which has been developed to help parents cope with children's anxiety and manage daily situations with their children. The second objective was to report user adherence and satisfaction among the first participants who completed the intervention.
The Let's Cope Together intervention has been developed by our research group. It combines evidence-based CBT elements, such as psychoeducation and skills to manage anxiety, with parent training programs that strengthen how parents interact with their child and handle daily situations. A pre-post design was used to examine user satisfaction and the skills the parents learned. Participants were recruited using advertisements, media activity, day care centers, and schools and asked about background characteristics, emotional symptoms, and parenting practices before they underwent the iCBT. After they completed the 7 themes, they were asked what new parenting skills they had learned from the iCBT and how satisfied they were with the program.
Of the 602 participants who filled in the baseline survey, 196 (32.6%) completed the program's 7 themes, and 189 (31.4%) completed the postintervention survey. Most (138/189, 73.0%) of the participants who completed the postintervention survey were satisfied with the program and had learned skills that eased both their anxiety (141/189, 74.6%) and their children's anxiety (157/189, 83.1%). The majority (157/189, 83.1%) reported that they learned how to organize their daily routines better, and just over one-half (100/189, 53.0%) reported that the program improved how they planned each day with their children.
The single-session iCBT helped parents to face the psychological demands of the COVID-19 pandemic. Future studies should determine how the participation rate and adherence can be optimized in digital, universal interventions. This will help to determine what kinds of programs should be developed, including their content and delivery.
COVID-19 大流行对家庭的日常生活和心理社会健康产生了重大影响，而技术在提供保持社交距离的医疗服务方面发挥了关键作用。
本文的首要目标是描述单次在线认知行为疗法（iCBT）干预的内容和交付，该干预旨在帮助父母应对孩子的焦虑，并管理与孩子一起的日常情况。第二个目标是报告首次完成干预的参与者的用户依从性和满意度。
Let's Cope Together 干预措施由我们的研究小组开发。它结合了基于证据的 CBT 元素，例如心理教育和管理焦虑的技能，以及父母培训计划，这些计划加强了父母与孩子互动和处理日常情况的方式。使用预 - 后设计来检查用户满意度和父母所学到的技能。使用广告、媒体活动、日托中心和学校招募参与者，并在他们接受 iCBT 之前询问背景特征、情绪症状和育儿实践。在完成 7 个主题后，他们被问及从 iCBT 中学到了哪些新的育儿技能，以及对该计划的满意度如何。
在填写基线调查的 602 名参与者中，有 196 名（32.6％）完成了该计划的 7 个主题，有 189 名（31.4％）完成了干预后的调查。在完成干预后调查的参与者中，大多数（138/189，73.0％）对该计划表示满意，并掌握了缓解他们自己的焦虑（141/189，74.6％）和孩子的焦虑（157/189，83.1％）的技能。大多数（157/189，83.1％）表示他们学会了更好地组织日常工作，超过一半（100/189，53.0％）表示该计划改善了他们与孩子一起计划每天的方式。
单次 iCBT 帮助父母应对 COVID-19 大流行带来的心理需求。未来的研究应确定如何优化数字通用干预措施的参与率和依从性。这将有助于确定应开发哪种类型的计划，包括其内容和交付方式。
