Stormshak Elizabeth, Connell Arin, Mauricio Anne Marie, McLaughlin Morgan, Caruthers Allison
Prevention Science Institute, 6217 University of Oregon, Eugene, OR, 97403, USA.
Department of Psychological Sciences, Case Western Reserve University, Cleveland, OH, 44106, USA.
Prev Sci. 2024 Nov 18. doi: 10.1007/s11121-024-01750-2.
This study evaluated direct and indirect effects of the Family Check-Up Online (FCU-O) across two distinct randomized trials with middle school youth and families. The FCU-O is a digital health adaptation of the Family Check-Up that is delivered in a brief, online format with supportive coaching. The FCU-O was delivered to parents of middle school youth with a focus on targeting both proximal and distal outcomes that impact the development of conduct problems, including a range of parenting skills, effortful control, and youth emotional problems. Participants were primary caregivers of children aged 10 to 14 years. Eligibility varied across the trials and included endorsing depression or significant stress, or having a child enrolled in a school with limited resources. A total of 374 participants across trials were included in the analysis and were randomly assigned to receive the intervention or control. Using Integrative Data Analytic techniques, we examined the effects of random assignment on a range of outcomes, including emotional and behavior problems, parenting skills, parenting confidence, and effortful control. We examined the indirect effects of the FCU-O on changes in conduct problems from baseline to 6 months via changes in mediator variables at the first follow-up assessment (2-3 months). The FCU-O improved emotional problems, effortful control, parenting confidence, and parent sense of importance at the first follow-up. Mediation analyses suggested indirect effects on conduct problems at 6-month follow-up via improvements in effortful control and emotional problems, but not via improvements in parenting confidence or sense of parenting importance. Results indicate the FCU-O has potential as a public health intervention for families with middle school youth to reduce behavioral risk. ClinicalTrials.gov Identifier: NCT03060291; NCT05117099.
本研究通过两项针对中学生及其家庭的不同随机试验，评估了在线家庭检查（FCU-O）的直接和间接影响。FCU-O是家庭检查的一种数字健康改编形式，以简短的在线形式提供，并配有支持性指导。FCU-O面向中学生的家长，重点关注影响行为问题发展的近端和远端结果，包括一系列育儿技能、努力控制和青少年情绪问题。参与者为10至14岁儿童的主要照顾者。各试验的入选标准各不相同，包括认可抑郁或重大压力，或孩子就读于资源有限的学校。两项试验共有374名参与者纳入分析，并被随机分配接受干预或对照。我们使用综合数据分析技术，研究了随机分配对一系列结果的影响，包括情绪和行为问题、育儿技能、育儿信心和努力控制。我们通过首次随访评估（2至3个月）中介变量的变化，研究了FCU-O从基线到6个月对行为问题变化的间接影响。FCU-O在首次随访时改善了情绪问题、努力控制、育儿信心和父母的重要性感。中介分析表明，在6个月随访时，通过努力控制和情绪问题的改善对行为问题有间接影响，但通过育儿信心或育儿重要性感的改善则没有。结果表明，FCU-O作为一种公共卫生干预措施，有潜力帮助有中学生的家庭降低行为风险。临床试验.gov标识符：NCT03060291；NCT05117099。
