Examining the Impact of Intervention Quality on Mechanisms of Change in Digital Parent Training Programs.

Therapeutic persuasiveness - the extent to which digital mental health interventions incorporate design features that encourage users to make positive behavior changes – may play a role in enhancing adherence and effectiveness in these interventions. This study focused on the underlying mechanisms o...

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Publicado en:Journal of Child & Family Studies Vol. 34; no. 6; pp. 1593 - 1604
Autores principales: Saar, Chen R., Brandes, Or, Aderka, Idan M., Baumel, Amit
Formato: Artículo
Publicado: Springer Nature Jun2025
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Examining the Impact of Intervention Quality on Mechanisms of Change in Digital Parent Training Programs.
      aug:
        au:
          Saar, Chen R.
          Brandes, Or
          Aderka, Idan M.
          Baumel, Amit
        affil:
          https://ror.org/02f009v59 Department of Community Mental Health, University of Haifa, Haifa, Israel
          https://ror.org/02f009v59 School of Psychological Sciences, University of Haifa, Haifa, Israel
      su:
        Treatment of behavior disorders in children
        Education of parents
        Family psychotherapy
        Self-efficacy
        Evaluation of human services programs
        Health education
        Behavior therapy
        Digital technology
        Descriptive statistics
        Experimental design
        Factor analysis
        Comparative studies
        Quality assurance
      sug:
        subj:
          Treatment of behavior disorders in children
          Education of parents
          Family psychotherapy
          Self-efficacy
          Evaluation of human services programs
          Health education
          Behavior therapy
          Digital technology
          Descriptive statistics
          Experimental design
          Factor analysis
          Comparative studies
          Quality assurance
      keyword:
        Digital health
        Mechanisms of change
        Mediator
        Parent training
        Persuasive
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
        Digital health
        Mechanisms of change
        Mediator
        Parent training
        Persuasive
        Psychology and Cognitive Sciences Psychology Medical and Health Sciences Public Health and Health Services
      ab: Therapeutic persuasiveness - the extent to which digital mental health interventions incorporate design features that encourage users to make positive behavior changes – may play a role in enhancing adherence and effectiveness in these interventions. This study focused on the underlying mechanisms of change and examined whether program quality, in terms of therapeutic persuasiveness, influences the way program participation translates into outcomes in digital parent training programs targeting child behavior problems. Data were obtained from a randomized controlled trial of two digital parent training programs with different levels of therapeutic persuasiveness quality. When parental self-efficacy and overreactivity were used as mediators of improvements in child behavior, mediation analysis revealed significant indirect effects among the enhanced therapeutic persuasiveness intervention users (n = 39), but not among the standard intervention users (n = 33; indirect effect medians = 18.30 and 2.29, respectively). These findings highlight the need to address an intervention's quality in terms of its design features when examining the pathways through which it produces behavioral change. Highlights: We examined whether program quality (i.e., features that encourage users to make a positive change) influences mechanisms of change. Data from a randomized controlled trial comparing two digital parent training programs aimed at addressing children's behavior problems was analyzed. The analysis revealed significant indirect effects in users of the enhanced quality program, but not in those using the standard program. Study findings highlight the importance of considering program quality when examining mechanisms of change.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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