Kelly Lourah M, Correia Nicholas, Kearns Mika D H, Lang Sharon G, Yermash Julia, Guigayoma John, Helseth Sarah A, Becker Sara J
Brown University School of Public Health, 263 Farmington Ave, MC3944, Farmington, CT 06030, United States.
Drug Alcohol Depend Rep. 2022 Oct 26;5:100110. doi: 10.1016/j.dadr.2022.100110. eCollection 2022 Dec.
Despite the utility of parent involvement in continuing care following adolescent residential treatment, parent engagement in traditional office-based treatment is low. In our prior work, we found that parents who had access to a continuing care forum directed questions to a clinical expert and to other parents around five topics: parenting skills; parent support; managing the post-discharge transition; adolescent substance use; family functioning. The current qualitative study elicited questions from parents without access to a continuing care support forum to explore overlapping and new themes.
This study was embedded within the pilot trial of a technology-assisted intervention for parents of adolescents in residential treatment for substance use. Thirty-one parents randomized to residential treatment as usual were asked two prompts at follow-up assessments: what questions they would like to ask a clinical expert and what questions they would like to ask other parents of adolescents discharged from residential care. Thematic analysis identified major themes and subthemes.
Twenty-nine parents generated 208 questions. Analyses revealed three themes identified in prior work: parenting skills; parent support; adolescent substance use. Three new themes emerged: adolescent mental health; treatment needs; socialization.
The current study identified several distinct needs among parents who did not receive access to a continuing care support forum. Needs identified in this study can inform resources to support parents of adolescents during the post-discharge period. Parents may benefit from convenient access to an experienced clinician for advice on skills and adolescent symptoms, paired with access to parental peer support.
尽管父母参与青少年住院治疗后的持续护理具有重要作用，但父母在传统门诊治疗中的参与度较低。在我们之前的研究中，我们发现能够使用持续护理论坛的父母围绕五个主题向临床专家和其他父母提出问题：育儿技巧；父母支持；管理出院后的过渡；青少年药物使用；家庭功能。当前的定性研究收集了无法使用持续护理支持论坛的父母提出的问题，以探索重叠主题和新主题。
本研究嵌入了一项针对青少年药物使用住院治疗父母的技术辅助干预试点试验。在随访评估中，对随机分配接受常规住院治疗的31名父母提出了两个问题：他们想问临床专家什么问题，以及他们想问从住院护理中出院的其他青少年父母什么问题。主题分析确定了主要主题和子主题。
29名父母提出了208个问题。分析揭示了先前研究中确定的三个主题：育儿技巧；父母支持；青少年药物使用。出现了三个新主题：青少年心理健康；治疗需求；社交。
当前研究确定了未获得持续护理支持论坛的父母中的几个不同需求。本研究中确定的需求可为出院后支持青少年父母的资源提供参考。父母可能会受益于方便地接触经验丰富的临床医生以获取有关技能和青少年症状的建议，同时获得父母同伴支持。
