Enrollment and completion rates of a nationwide guided digital parenting program for children with disruptive behavior before and during COVID-19.

Our aim was to study enrollment and completion levels for the internet-based and telephone-assisted Finnish Strongest Families Smart Website (SFSW) parent training intervention, for parents of young children with disruptive behavior before and after the COVID-19 lockdown period. Population-based scr...

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Publicado en:European Child & Adolescent Psychiatry Vol. 34; no. 2; pp. 739 - 750
Autores principales: Lintula, Sakari, Sourander, Andre, Hinkka-Yli-Salomäki, Susanna, Ristkari, Terja, Kinnunen, Malin, Kurki, Marjo, Marjamäki, Altti, Gyllenberg, David, Kim, Hyoun, Baumel, Amit
Formato: research tables/charts Journal Article
Publicado: Springer Nature Feb2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Feb2025
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      pub: Springer Nature
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        atl: Enrollment and completion rates of a nationwide guided digital parenting program for children with disruptive behavior before and during COVID-19.
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        au:
          Lintula, Sakari
          Sourander, Andre
          Hinkka-Yli-Salomäki, Susanna
          Ristkari, Terja
          Kinnunen, Malin
          Kurki, Marjo
          Marjamäki, Altti
          Gyllenberg, David
          Kim, Hyoun
          Baumel, Amit
        affil: https://ror.org/05vghhr25 Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3, Teutori 3rd Floor, 20014, Turku, Finland
      sug:
        subj:
          Parents Education
          Parenting Education
          Internet-Based Intervention
          Telephone
          Disruptive Behavior In Infancy and Childhood
          COVID-19 Pandemic
          Parent-Child Relations
          Finland
          Funding Source
          Human
          Male
          Female
          Child
          Adult
          Logistic Regression
          Interrupted Time Series Analysis
          Odds Ratio
          Confidence Intervals
          Age Factors
          Depression
          Mental Health
          Public Health
          Univariate Statistics
          P-Value
          Data Analysis Software
          Descriptive Statistics
          Questionnaires
          Child: 6-12 years
          Adult: 19-44 years
          Male
          Female
      ab: Our aim was to study enrollment and completion levels for the internet-based and telephone-assisted Finnish Strongest Families Smart Website (SFSW) parent training intervention, for parents of young children with disruptive behavior before and after the COVID-19 lockdown period. Population-based screening was carried out on 39,251 children during routine check- ups at 4 years of age. The parents of children scoring at least 5 on the Strengths and Difficulties Questionnaire were assessed against inclusion and exclusion criteria. Associations with enrollment or completion were analyzed using logistic regression models. The effects of COVID-19 restrictions on these were estimated using interrupted timeseries analysis. Of 39,251 families, 4894 screened positive and met the eligibility criteria. Of those, 3068 (62.6%) decided to enroll in the SFSW program and 2672 (87.1%) of those families completed it. The highest level of disruptive behavior (OR 1.33, 95% CI 1.12–1.57, p < 0.001) and overall severity of difficulties (OR 2.22, 95% CI 1.91–2.57, p < 0.001) were independently associated with enrollment. Higher parental education was associated with enrollment and completion. Higher paternal age was associated with enrollment, and parent depressive symptoms with non-completion. The SFSW enrollment did not significantly change following the COVID-19 restrictions, while the completion rate increased (COVID-19 completion OR 1.75, 95% CI 1.22–2.50, p = 0.002). Guided digital parenting interventions increase the sustainability of services, by addressing the child mental health treatment gap and ensuring service consistency during crisis situations.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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