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针对父母关系破裂家庭儿童的“SES NXT”数字干预措施:一项随机对照试验的研究方案

The "SES NXT" digital intervention for children of relationship dissolution: Study protocol for a randomized controlled trial study.

作者信息

Øverup Camilla S, Johnsen Daniel B, Skriver Martin, Sander Søren, Lange Theis, Hald Gert Martin

机构信息

Department of Public Health, University Of Copenhagen, Øster Farimagsgade 5, 1353 København K, Denmark.

Samarbejde efter Skilsmisse, ApS Aldersrogade 6A, 2 sal, 2100 København Ø, Denmark.

出版信息

Internet Interv. 2024 Dec 12;39:100797. doi: 10.1016/j.invent.2024.100797. eCollection 2025 Mar.

Abstract

Parental relationship dissolution is among the most prevalent life crises for youths and is associated with both short- and long-term intra- and interpersonal struggles. Extant support programs tend to be in-person and in a group format. However, the structure and personnel needed for these programs make them costly to implement, less accessible, and difficult to scale. Digital interventions may present a suitable alternative. The current study examines the effectiveness of an online psycho-social intervention for children who have experienced parental relationship dissolution in Denmark, using a two-arm, parallel-group, randomized controlled trial study design. Families are recruited through Danish municipalities and the Danish Agency of Family Law and randomly assigned to the intervention group or wait-list control group. Individuals are assessed at baseline, 4 weeks, and 12 weeks post-baseline; parents complete questionnaires on behalf of their children aged 3-10, while youth aged 11-17 complete the questionnaires themselves. The primary study outcomes are 1) emotional problems symptoms, as measured by the Strength and Difficulty Questionnaire (SDQ), 2) mental well-being related difficulties, represented by the SDQ-Total scale score, and 3) impact of problems on daily life, as assessed by the SDQ-Impact scale score, at 12-weeks post-baseline. The data will be analyzed using a generalized estimating equation, accounting for non-independence of data (nesting of children within a family). The present study will contribute to the extant knowledge about the effectiveness of digital interventions for youths experiencing parental relationship dissolution and contribute to a cost-effective evidence-based scalable psychological help for a population who needs it.

摘要

父母关系破裂是青少年中最普遍的生活危机之一,与短期和长期的内心及人际挣扎相关。现有的支持项目往往是面对面的团体形式。然而,这些项目所需的结构和人员使其实施成本高昂、难以获得且难以扩大规模。数字干预可能是一个合适的替代方案。本研究采用双臂平行组随机对照试验研究设计,考察丹麦一项针对经历父母关系破裂的儿童的在线心理社会干预的有效性。通过丹麦各市镇和丹麦家庭法机构招募家庭,并将其随机分配到干预组或等待名单对照组。在基线、基线后4周和12周对个体进行评估;3至10岁儿童的父母代表孩子填写问卷,11至17岁的青少年则自行填写问卷。主要研究结果包括:1)用优势与困难问卷(SDQ)测量的情绪问题症状;2)以SDQ总分量表得分表示的心理健康相关困难;3)在基线后12周,用SDQ影响量表得分评估问题对日常生活的影响。将使用广义估计方程对数据进行分析,同时考虑数据的非独立性(家庭中孩子的嵌套情况)。本研究将为现有关于数字干预对经历父母关系破裂的青少年有效性的知识做出贡献,并为有需要的人群提供具有成本效益的循证可扩展心理帮助。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/321d/11728899/e3208fa19907/gr1.jpg

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