Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, United States of America.
Center for Dissemination and Implementation Science, Northwestern University Feinberg School of Medicine, United States of America.
J Subst Use Addict Treat. 2024 Nov;166:209405. doi: 10.1016/j.josat.2024.209405. Epub 2024 May 19.
The continuing care period following residential substance use treatment is a time when adolescents are at especially high risk for relapse, yet few families engage in traditional office-based care. Parent SMART (Substance Misuse among Adolescents in Residential Treatment) is a multi-component continuing care intervention for parents that combines three digital health technologies - an "off the shelf" online parenting program, daily phone notifications, and an online parent networking forum - with support from a parent coach. The current study solicited both qualitative and quantitative user feedback about Parent SMART to ensure responsivity to user preferences, refinement, and continuous improvement of the intervention.
Exit interviews were conducted with 30 parents who received Parent SMART, which includes (1) a parent networking forum; (2) daily text messages reminders of skills, (3) an "off-the-shelf" online parenting program; and (4) in-person or telehealth parent coaching sessions. The study collected qualitative feedback using semi-structured interviews and obtained quantitative feedback via a series of ratings of each Parent SMART component on a 5-point Likert scale administered at each follow-up assessment.
Quantitative feedback suggest that parents rated all four elements of Parent SMART as easy to use. Qualitative feedback revealed that parents valued several aspects of Parent SMART including the brevity and structure of the intervention elements, the reminders to use parenting skills, and the sense of social connectedness fostered by different components. Recommended refinements included a number of strategies to enhance personalization and ease of navigation.
Parent feedback informed enhancements to the Parent SMART intervention prior to implementation in a larger, ongoing pragmatic effectiveness trial. The current study serves as a model for applying a staged person-centered approach and eliciting both quantitative and qualitative feedback to refine digital health technologies.
在住院戒毒治疗后的持续护理期，青少年复发的风险特别高，但很少有家庭参与传统的办公室护理。父母 SMART（住院治疗青少年的物质滥用）是一种多成分的持续护理干预措施，适用于父母，结合了三种数字健康技术 - 一种“现成”的在线育儿计划，每日电话通知，以及在线父母网络论坛 - 并由父母教练提供支持。目前的研究征求了父母 SMART 的定性和定量用户反馈，以确保对用户偏好、改进和干预的持续改进做出反应。
对接受父母 SMART 的 30 名父母进行了离职面谈，其中包括（1）父母网络论坛；（2）每日技能提醒短信；（3）“现成”的在线育儿计划；（4）面对面或远程医疗父母辅导课程。该研究使用半结构化访谈收集定性反馈，并通过在每次随访评估时对每个父母 SMART 组件进行 5 点李克特量表的评分来获得定量反馈。
定量反馈表明，父母对父母 SMART 的所有四个要素的评价都很容易使用。定性反馈显示，父母重视父母 SMART 的几个方面，包括干预要素的简洁性和结构、使用育儿技能的提醒以及不同组件所培养的社交联系感。建议的改进包括增强个性化和易于导航的多种策略。
在更大的、正在进行的实用有效性试验之前，父母的反馈为父母 SMART 干预措施提供了改进。目前的研究为应用分阶段的以人为中心的方法并征求定量和定性反馈以改进数字健康技术提供了范例。
