Ivanova Masha Y, Hall Allison, Weinberger Stanley, Buckingham Sara L, Copeland William E, Crockett Phoenix, Dainer-Best Justin, D'Alberto Casey, Dewey Lauren, Foret DeShan, Galano Maria, Goodrich Lisa, Holly Lindsay, Lane Nalini Emily, Leahy Maureen, Lerner Mathew, Marsh Jasmine, McGinnis Ellen W, Paiva-Salisbury Melissa, Shaw Judith S, Swift Pamela, Tinker Rebekah, Hudziak James J
Department of Psychiatry, University of Vermont, Burlington, VT, USA.
Department of Pediatrics, University of Vermont, Burlington, VT, USA.
Child Psychiatry Hum Dev. 2024 May 25. doi: 10.1007/s10578-024-01707-0.
This randomized controlled trial tested the Family Assessment and Feedback Intervention (FAFI), a new intervention to enhance family engagement with emotional and behavioral health services. The FAFI is a guided conversation with families about results of their multidimensional assessment that is set in the context of motivational enhancement. It differs from other assessment-with-feedback interventions by extending the focus of assessment beyond the target child to parents and the family environment, addressing parental emotional and behavioral problems and competencies, spanning a broad range of children's and parents' strengths and difficulties, and being generalizable to many settings and practitioners. Participants were 81 families in primary care pediatrics. The FAFI was associated with a significant increase in parental mental health literacy and with an increase in parental attitudinal engagement with health supports and services that closely approached statistical significance (p = .052), while controlling for children's age and gender and family socioeconomic status.
这项随机对照试验对家庭评估与反馈干预（FAFI）进行了测试，这是一种旨在加强家庭与情感和行为健康服务互动的新干预措施。FAFI是与家庭就其多维评估结果进行的一次有指导的对话，该对话以动机增强为背景。它与其他评估反馈干预措施的不同之处在于，评估重点不仅从目标儿童扩展到了父母和家庭环境，还涉及父母的情感和行为问题及能力，涵盖了儿童和父母广泛的优势与困难，并且可推广到许多环境和从业者。参与者为81个初级保健儿科家庭。在控制儿童年龄、性别和家庭社会经济地位的情况下，FAFI与父母心理健康素养的显著提高以及父母对健康支持和服务的态度参与度的提高（接近统计学显著性，p = 0.052）相关。
