提高家长对儿童心理健康问题的求助意识：一项关于“成长心灵签到”（一种在线通用筛查工具）的研究方案。

Increasing parent help-seeking for child mental health: A study protocol for the growing minds check-in, an online universal screening tool.

作者信息

Carl Talia, Tully Lucy A, McLean Rebecca K, Dadds Mark R, Hawes David J, Mihalopoulos Cathrine, Chatterton Mary Lou, Oberklaid Frank, Waters Allison M, Shanley Dianne, Yap Marie B H, Cann Warren G, Carlick Thomas, Northam Jaimie C

机构信息

The School of Psychology, The Faculty of Science, University of Sydney, Sydney, NSW, Australia; Growing Minds Australia, Sydney, NSW, Australia.

出版信息

Contemp Clin Trials. 2025 Feb;149:107801. doi: 10.1016/j.cct.2024.107801. Epub 2024 Dec 30.

DOI:10.1016/j.cct.2024.107801

PMID:39743018

Abstract

BACKGROUND

Early identification and intervention for mental health (MH) problems in childhood offers lifelong benefits. Many children with MH problems do not receive appropriate help. To address this need, an online universal MH screening tool, the Growing Minds Check-In for parents/caregivers (GMCI-P), was developed to provide feedback to parents on their children's MH, identify children at risk of MH problems, and link parents to evidence-based online programs/information, with the goal of facilitating parent help-seeking, and ultimately reducing the prevalence of child MH problems.

METHODS/DESIGN: A randomised controlled trial (RCT) with 440 parents/caregivers will be conducted to 1) examine the efficacy of GMCI-P for increasing parent help-seeking; 2) explore acceptability; and 3) cost-effectiveness. Participants will be Australian parents/caregivers with a child aged from birth to 17 years, 6 months, who will be randomly allocated to GMCI-P (intervention) or waitlist control (WLC) group, and complete baseline measures. The intervention group will complete the GMCI-P immediately, the post-GMCI-P intervention questions, a three-month and six-month follow-up. The WLC group will receive access to GMCI-P after their three-month follow-up but will not be followed up further. The primary outcome is parent help-seeking behaviour for child MH, and secondary outcomes include child MH, parenting, parent wellbeing, acceptability, cost-effectiveness, and unintended negative effects.

DISCUSSION

The results from this study will provide efficacy, acceptability and cost-effectiveness data on a universal online, parent-report child MH Check-In. These results can be used to inform public policy on universal screening for child MH.

TRIAL REGISTRATION

ACTRN12624000098538.

摘要

背景

儿童心理健康问题的早期识别与干预能带来终身益处。许多有心理健康问题的儿童未得到适当帮助。为满足这一需求，开发了一种在线通用心理健康筛查工具——面向家长/照顾者的成长心灵签到（GMCI-P），旨在就孩子的心理健康状况向家长提供反馈，识别有心理健康问题风险的儿童，并将家长与循证在线项目/信息相联系，目标是促进家长寻求帮助，最终降低儿童心理健康问题的发生率。

方法/设计：将对440名家长/照顾者进行一项随机对照试验（RCT），以：1）检验GMCI-P在增加家长寻求帮助方面的效果；2）探索其可接受性；3）评估成本效益。参与者将是有一名年龄从出生至17岁6个月孩子的澳大利亚家长/照顾者，他们将被随机分配到GMCI-P（干预）组或等待名单对照组（WLC），并完成基线测量。干预组将立即完成GMCI-P、GMCI-P干预后问题、三个月和六个月的随访。WLC组将在三个月随访后获得GMCI-P的使用权限，但不再进行进一步随访。主要结局是家长针对孩子心理健康问题的寻求帮助行为，次要结局包括孩子的心理健康状况、育儿情况、家长幸福感、可接受性、成本效益以及意外的负面影响。