Department of Counseling, Educational Psychology and Special Education, Michigan State University, East Lansing, MI 48823, USA.
Bureau of Children's Coordinated Health Policy and Support, Michigan Department of Health and Human Services, Lansing, MI 48933, USA.
Int J Environ Res Public Health. 2023 Jul 24;20(14):6435. doi: 10.3390/ijerph20146435.
Numerous barriers to mental health utilization exist for families of children who present with serious emotional and behavioral challenges. Evidence-based practices that facilitate equitable outcomes across diverse populations are essential to identify. This study examined possible differential service outcomes in a Medicaid-funded, parent-to-parent intervention called Parent Support Partner (PSP).
Data from four hundred and sixty-four parents who received PSP services were evaluated for possible demographic differences in service completion. Within-group analyses were utilized for an analysis of outcomes (parent change, child functioning; treatment acceptability) within a subset ( = 153) of those who completed services.
No racial disparities were found in those who completed PSP (43%) when compared to those who did not (57%). Regression analyses uncovered significant improvements in parent competence and confidence, as well as overall child functioning (global functioning across domains such as school, home, behaviors). Consistent with identifying evidence-based practices, findings were seen consistently across the diverse sample of those who completed PSP services. Improvements in parents' sense of competence and confidence were correlated with perceptions of treatment acceptability.
PSP is an innovative and promising intervention with demonstrated high levels of acceptability found to increase parent confidence and self-competence to advocate for treatments that can improve the mental health functioning of their child. Future investigations of factors associated with increasing PSP service completion and outcomes in larger and more diverse populations are necessary. Implications for considering and possibly adopting this evidence-informed practice within the nursing profession are provided.
对于有严重情绪和行为挑战的儿童的家庭来说，存在许多心理健康利用的障碍。必须确定促进不同人群公平结果的循证实践。本研究检查了一种名为“家长支持伙伴 (PSP)”的 Medicaid 资助的家长对家长干预措施中可能存在的服务结果差异。
对接受 PSP 服务的 464 名家长的数据进行了评估，以确定在服务完成方面是否存在人口统计学差异。利用组内分析对完成服务的亚组（n = 153）中的结果（家长变化、孩子功能；治疗可接受性）进行分析。
与未完成 PSP 的家长（57%）相比，完成 PSP 的家长（43%）中没有发现种族差异。回归分析发现家长能力和信心以及孩子整体功能（学校、家庭、行为等各个领域的整体功能）显著提高。与确定循证实践一致的是，在完成 PSP 服务的多样化样本中都观察到了一致的结果。家长能力和信心的提高与对治疗可接受性的看法相关。
PSP 是一种创新且有前途的干预措施，具有高度的可接受性，被发现可以增强家长的信心和自我能力，以倡导可以改善孩子心理健康功能的治疗方法。未来需要对在更大和更多样化的人群中增加 PSP 服务完成率和结果的相关因素进行调查。提供了在护理专业中考虑并可能采用这种基于证据的实践的相关内容。
