Department of Educational Psychology, The University of Texas at Austin, Austin, TX, USA.
Steve Hicks School of Social Work, The University of Texas at Austin, Austin, TX, USA.
Adm Policy Ment Health. 2023 Mar;50(2):225-236. doi: 10.1007/s10488-022-01234-x. Epub 2022 Nov 10.
The current study examines trajectories of treatment outcomes 6 months after completion of a peer parent program, NAMI Basics. Fifty-two caregivers who were part of a larger trial completed questionnaires prior to, immediately after, and 6 months after completing NAMI Basics. Growth curve models were used to examine trajectories of caregiver ratings of parent activation and engagement, parent help-seeking intentions, child symptoms, outpatient service use, and parent stress at 6 months after completion of the program. Prior improvements to the outcomes of parent activation and engagement (β = 2.31, p < .001, d = 1.35), parent help-seeking intentions (β = 1.94, p = .017, d = 0.69), and child intrapersonal distress (β = - 3.93, p = 0.046, d = 0.58) were maintained at 6 months, while help-seeking intentions was not (β = 1.31, p = .222, d = 0.47). Though no changes were observed immediately post-class, caregivers reported significant increases in outpatient services use (β = - 1.51, p = .030, d = 0.68) and reductions in parenting stress (β = - 4.99, p = 0.009, d = 0.75) and overall child symptoms (β = - 19.67, p = 0.001, d = 0.90) at 6 month follow-up. These results suggest that many of the positive impacts of the NAMI Basics program are sustained 6 months after the intervention. Additionally, these results suggest that some positive outcomes of the program may not emerge until several months after taking the class. Implications and future directions are discussed.
本研究考察了同伴家长计划 NAMI Basics 完成后 6 个月的治疗结果轨迹。52 名照顾者参加了一项更大的试验,他们在参加 NAMI 基础课程之前、之后和完成后 6 个月完成了问卷。使用增长曲线模型来检查照顾者对父母激活和参与、父母寻求帮助的意愿、儿童症状、门诊服务使用和父母压力的评分在完成计划后 6 个月的轨迹。先前对父母激活和参与(β=2.31,p<.001,d=1.35)、父母寻求帮助的意愿(β=1.94,p=0.017,d=0.69)和儿童内在困扰(β=-3.93,p=0.046,d=0.58)的结果进行了改进,在 6 个月时得到了维持,而寻求帮助的意愿没有(β=1.31,p=0.222,d=0.47)。尽管在课程结束后立即没有观察到变化,但照顾者报告称门诊服务使用(β=-1.51,p=0.030,d=0.68)显著增加,育儿压力(β=-4.99,p=0.009,d=0.75)和儿童总体症状(β=-19.67,p=0.001,d=0.90)显著降低。这些结果表明,NAMI Basics 计划的许多积极影响在干预后 6 个月仍然存在。此外,这些结果表明,该计划的一些积极结果可能要在上课几个月后才会显现。讨论了影响和未来方向。