6 recherche sur le mot-clé 'e-health'

Practitioner review: Co-design of digital mental health technologies with children and young people / Rhys BEVAN JONES in Journal of Child Psychology and Psychiatry, 61-8 (August 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.928-940 Titre : Practitioner review: Co-design of digital mental health technologies with children and young people Type de document : texte imprimé Auteurs : Rhys BEVAN JONES, Auteur ; Paul STALLARD, Auteur ; Sharifah Shameem AGHA, Auteur ; Simon RICE, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Karolina STASIAK, Auteur ; Jason KAHN, Auteur ; Sharon A. SIMPSON, Auteur ; Mario ALVAREZ-JIMENEZ, Auteur ; Frances RICE, Auteur ; Rhiannon EVANS, Auteur ; Sally MERRY, Auteur Article en page(s) : p.928-940 Langues : Anglais (eng) Mots-clés : Child  adolescent  co-design  development  digital  e-health  mental health  technologies Index. décimale : PER Périodiques Résumé : BACKGROUND: There is increasing interest in digital technologies to help improve children and young people's mental health, and the evidence for the effectiveness for these approaches is rising. However, there is concern regarding levels of user engagement, uptake and adherence. Key guidance regarding digital health interventions stress the importance of early user input in the development, evaluation and implementation of technologies to help ensure they are engaging, feasible, acceptable and potentially effective. Co-design is a process of active involvement of stakeholders, requiring a change from the traditional approaches to intervention development. However, there is a lack of literature to inform the co-design of digital technologies to help child and adolescent mental health. METHODS: We reviewed the literature and practice in the co-design of digital mental health technologies with children and young people. We searched Medline, PsycInfo and Web of Science databases, guidelines, reviews and reference lists, contacted key authors for relevant studies, and extracted key themes on aspects of co-design relevant to practice. We supplemented this with case studies and methods reported by researchers working in the field. RESULTS: We identified 25 original articles and 30 digital mental health technologies that were designed/developed with children and young people. The themes identified were as follows: principles of co-design (including potential stakeholders and stages of involvement), methods of involving and engaging the range of users, co-designing the prototype and the challenges of co-design. CONCLUSIONS: Co-design involves all relevant stakeholders throughout the life and research cycle of the programme. This review helps to inform practitioners and researchers interested in the development of digital health technologies for children and young people. Future work in this field will need to consider the changing face of technology, methods of engaging with the diversity in the user group, and the evaluation of the co-design process and its impact on the technology. En ligne : http://dx.doi.org/10.1111/jcpp.13258 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] Practitioner review: Co-design of digital mental health technologies with children and young people [texte imprimé] / Rhys BEVAN JONES, Auteur ; Paul STALLARD, Auteur ; Sharifah Shameem AGHA, Auteur ; Simon RICE, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Karolina STASIAK, Auteur ; Jason KAHN, Auteur ; Sharon A. SIMPSON, Auteur ; Mario ALVAREZ-JIMENEZ, Auteur ; Frances RICE, Auteur ; Rhiannon EVANS, Auteur ; Sally MERRY, Auteur . - p.928-940. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.928-940 Mots-clés : Child  adolescent  co-design  development  digital  e-health  mental health  technologies Index. décimale : PER Périodiques Résumé : BACKGROUND: There is increasing interest in digital technologies to help improve children and young people's mental health, and the evidence for the effectiveness for these approaches is rising. However, there is concern regarding levels of user engagement, uptake and adherence. Key guidance regarding digital health interventions stress the importance of early user input in the development, evaluation and implementation of technologies to help ensure they are engaging, feasible, acceptable and potentially effective. Co-design is a process of active involvement of stakeholders, requiring a change from the traditional approaches to intervention development. However, there is a lack of literature to inform the co-design of digital technologies to help child and adolescent mental health. METHODS: We reviewed the literature and practice in the co-design of digital mental health technologies with children and young people. We searched Medline, PsycInfo and Web of Science databases, guidelines, reviews and reference lists, contacted key authors for relevant studies, and extracted key themes on aspects of co-design relevant to practice. We supplemented this with case studies and methods reported by researchers working in the field. RESULTS: We identified 25 original articles and 30 digital mental health technologies that were designed/developed with children and young people. The themes identified were as follows: principles of co-design (including potential stakeholders and stages of involvement), methods of involving and engaging the range of users, co-designing the prototype and the challenges of co-design. CONCLUSIONS: Co-design involves all relevant stakeholders throughout the life and research cycle of the programme. This review helps to inform practitioners and researchers interested in the development of digital health technologies for children and young people. Future work in this field will need to consider the changing face of technology, methods of engaging with the diversity in the user group, and the evaluation of the co-design process and its impact on the technology. En ligne : http://dx.doi.org/10.1111/jcpp.13258 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health / Bridianne O'DEA in Journal of Child Psychology and Psychiatry, 61-8 (August 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.899-913 Titre : A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health Type de document : texte imprimé Auteurs : Bridianne O'DEA, Auteur ; Jin HAN, Auteur ; Philip J. BATTERHAM, Auteur ; Melinda R. ACHILLES, Auteur ; Alison L. CALEAR, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Belinda PARKER, Auteur ; Fiona SHAND, Auteur ; Helen CHRISTENSEN, Auteur Article en page(s) : p.899-913 Langues : Anglais (eng) Mots-clés : Adolescence  depression  e-health  mental health  relationships Index. décimale : PER Périodiques Résumé : BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list control condition, stratified for age and gender. The primary outcome was change in depressive symptom scores measured using the Patient Health Questionnaire for Adolescents (PHQ-A) at baseline, 4-week post-test and 12-week follow-up. Secondary outcomes included anxiety, psychological distress, wellbeing, help-seeking intentions for mental health, social self-efficacy and social support. Participants in the intervention condition received access to the intervention for four weeks. Thematic analysis was utilised to identify and examine acceptability. RESULTS: The change in PHQ-A scores from baseline to 4-week post-test did not differ significantly (d = 0.26, p = .138) between the intervention (Mchange = -2.9, SD = 5.3) and wait list control conditions (Mchange = -1.7, SD = 4.3). However, significant between-group improvements were observed in wellbeing (d = 0.37, p = .023), help-seeking intentions (d = 0.36, p = .016) and professional help-seeking intentions for mental health problems (d = 0.36, p = .008). Increases in help-seeking intentions were sustained at follow-up in the intervention condition. No differential effects were found for generalised anxiety, separation anxiety, social self-efficacy or for any social support outcomes. Over 90% of participants indicated the app was enjoyable, interesting and easy to use. The app provided 'advice and direction' (n = 42; 46.15%), an 'opportunity for self-reflection' (n = 33; 36.3%) and 'normalised experiences' (n = 21; 23.1%). CONCLUSIONS: The WeClick app was found to be effective for improving wellbeing and help-seeking intentions for mental health in adolescents. A larger, adequately powered trial is now required to establish differential effects on depressive symptoms. This trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618001982202. En ligne : http://dx.doi.org/10.1111/jcpp.13294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429 [article] A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health [texte imprimé] / Bridianne O'DEA, Auteur ; Jin HAN, Auteur ; Philip J. BATTERHAM, Auteur ; Melinda R. ACHILLES, Auteur ; Alison L. CALEAR, Auteur ; Aliza WERNER-SEIDLER, Auteur ; Belinda PARKER, Auteur ; Fiona SHAND, Auteur ; Helen CHRISTENSEN, Auteur . - p.899-913. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-8 (August 2020) . - p.899-913 Mots-clés : Adolescence  depression  e-health  mental health  relationships Index. décimale : PER Périodiques Résumé : BACKGROUND: This study evaluated the acceptability and effectiveness of a relationship-focussed mobile phone application (WeClick) for improving depressive symptoms and other mental health outcomes in adolescents. METHODS: A randomised controlled trial involving 193 youth (M age: 14.82, SD: 0.94, 86.5% female) from Australia was conducted. Youth were recruited via the Internet and randomly allocated to the intervention or a 4-week wait list control condition, stratified for age and gender. The primary outcome was change in depressive symptom scores measured using the Patient Health Questionnaire for Adolescents (PHQ-A) at baseline, 4-week post-test and 12-week follow-up. Secondary outcomes included anxiety, psychological distress, wellbeing, help-seeking intentions for mental health, social self-efficacy and social support. Participants in the intervention condition received access to the intervention for four weeks. Thematic analysis was utilised to identify and examine acceptability. RESULTS: The change in PHQ-A scores from baseline to 4-week post-test did not differ significantly (d = 0.26, p = .138) between the intervention (Mchange = -2.9, SD = 5.3) and wait list control conditions (Mchange = -1.7, SD = 4.3). However, significant between-group improvements were observed in wellbeing (d = 0.37, p = .023), help-seeking intentions (d = 0.36, p = .016) and professional help-seeking intentions for mental health problems (d = 0.36, p = .008). Increases in help-seeking intentions were sustained at follow-up in the intervention condition. No differential effects were found for generalised anxiety, separation anxiety, social self-efficacy or for any social support outcomes. Over 90% of participants indicated the app was enjoyable, interesting and easy to use. The app provided 'advice and direction' (n = 42; 46.15%), an 'opportunity for self-reflection' (n = 33; 36.3%) and 'normalised experiences' (n = 21; 23.1%). CONCLUSIONS: The WeClick app was found to be effective for improving wellbeing and help-seeking intentions for mental health in adolescents. A larger, adequately powered trial is now required to establish differential effects on depressive symptoms. This trial was registered with the Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12618001982202. En ligne : http://dx.doi.org/10.1111/jcpp.13294 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=429

Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry / Michael A. RUSSELL in Journal of Child Psychology and Psychiatry, 61-3 (March 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-3 (March 2020) . - p.376-394 Titre : Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry Type de document : texte imprimé Auteurs : Michael A. RUSSELL, Auteur ; Jamie M. GAJOS, Auteur Article en page(s) : p.376-394 Langues : Anglais (eng) Mots-clés : E-health  adolescence  mental health  methodology  school children Index. décimale : PER Périodiques Résumé : BACKGROUND: Enhancements in mobile phone technology allow the study of children and adolescents' everyday lives like never before. Ecological momentary assessment (EMA) uses these advancements to allow in-depth measurements of links between context, behavior, and physiology in youths' everyday lives. FINDINGS: A large and diverse literature now exists on using EMA to study mental and behavioral health among youth. Modern EMA methods are built on a rich tradition of idiographic inquiry focused on the intensive study of individuals. Studies of child and adolescent mental and behavioral health have used EMA to characterize lived experience, document naturalistic within-person processes and individual differences in these processes, measure familiar constructs in novel ways, and examine temporal order and dynamics in youths' everyday lives. CONCLUSIONS: Ecological momentary assessment is feasible and reliable for studying the daily lives of youth. EMA can inform the development and augmentation of traditional and momentary intervention. Continued research and technological development in mobile intervention design and implementation, EMA-sensor integration, and complex real-time data analysis are needed to realize the potential of just-in-time adaptive intervention, which may allow researchers to reach high-risk youth with intervention content when and where it is needed most. En ligne : http://dx.doi.org/10.1111/jcpp.13204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=420 [article] Annual Research Review: Ecological momentary assessment studies in child psychology and psychiatry [texte imprimé] / Michael A. RUSSELL, Auteur ; Jamie M. GAJOS, Auteur . - p.376-394. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-3 (March 2020) . - p.376-394 Mots-clés : E-health  adolescence  mental health  methodology  school children Index. décimale : PER Périodiques Résumé : BACKGROUND: Enhancements in mobile phone technology allow the study of children and adolescents' everyday lives like never before. Ecological momentary assessment (EMA) uses these advancements to allow in-depth measurements of links between context, behavior, and physiology in youths' everyday lives. FINDINGS: A large and diverse literature now exists on using EMA to study mental and behavioral health among youth. Modern EMA methods are built on a rich tradition of idiographic inquiry focused on the intensive study of individuals. Studies of child and adolescent mental and behavioral health have used EMA to characterize lived experience, document naturalistic within-person processes and individual differences in these processes, measure familiar constructs in novel ways, and examine temporal order and dynamics in youths' everyday lives. CONCLUSIONS: Ecological momentary assessment is feasible and reliable for studying the daily lives of youth. EMA can inform the development and augmentation of traditional and momentary intervention. Continued research and technological development in mobile intervention design and implementation, EMA-sensor integration, and complex real-time data analysis are needed to realize the potential of just-in-time adaptive intervention, which may allow researchers to reach high-risk youth with intervention content when and where it is needed most. En ligne : http://dx.doi.org/10.1111/jcpp.13204 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=420

Early-stage randomised controlled trial of therapist-supported online cognitive therapy for post-traumatic stress disorder in young people / Patrick SMITH in Journal of Child Psychology and Psychiatry, 66-8 (August 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-8 (August 2025) . - p.1117-1128 Titre : Early-stage randomised controlled trial of therapist-supported online cognitive therapy for post-traumatic stress disorder in young people Type de document : texte imprimé Auteurs : Patrick SMITH, Auteur ; Anke EHLERS, Auteur ; Ewan CARR, Auteur ; David M. CLARK, Auteur ; Tim DALGLEISH, Auteur ; Gordon FORBES, Auteur ; Kimberley GOLDSMITH, Auteur ; Helena GRIFFITHS, Auteur ; Monica GUPTA, Auteur ; Dorothy KING, Auteur ; Sarah MILES, Auteur ; Dominic T. PLANT, Auteur ; Anne SMITH, Auteur ; Jess STEWARD, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur Article en page(s) : p.1117-1128 Langues : Anglais (eng) Mots-clés : Post-traumatic stress disorder  adolescence  cognitive therapy  E-health  Randomised Controlled Trial Index. décimale : PER Périodiques Résumé : Background Effective face-to-face treatments for Post-Traumatic Stress Disorder (PTSD) are available, but most young people with PTSD do not receive effective treatment. Therapist-supported online Cognitive Therapy has the potential to improve accessibility of effective treatment. This early-stage trial gathered data on the feasibility, acceptability, and initial signal of clinical efficacy of a novel online Cognitive Therapy program for young people with PTSD. Methods A two-arm, parallel-groups, single-blind, early-stage feasibility RCT compared online Cognitive Therapy to a waitlList condition. Participants were N 31 adolescents (12 17 years-old) with a diagnosis of PTSD, randomised in a 1:1 ratio using minimisation. Thresholds for progression to a larger trial were set a priori for recruitment rate, data completeness, and the initial signal of clinical efficacy. The primary clinical outcome was PTSD diagnosis at 16 weeks post-randomisation. Secondary clinical outcomes were continuous measures of PTSD, depression, and anxiety at 16 weeks; and at 38 weeks in the online Cognitive Therapy arm. Results All pre-determined feasibility thresholds for progression to a larger trial were met. We recruited to target at a rate of 1 2 participants/month. No patient dropped out of therapy; 94% of all participants were retained at 16 weeks. At 16-weeks, the intention-to-treat (ITT) effect adjusted odds ratio was 0.20 (95% CI, 0.02, 1.42), indicating that the odds of meeting PTSD caseness after online therapy were 80% lower than after the waitlist (10/16 participants met PTSD caseness after therapy compared to 11/13 after WL). Effect-size estimates for all secondary clinical outcomes were large-moderate; improvements were sustained 38 weeks after online Cognitive Therapy. Conclusions Therapist-supported online Cognitive Therapy for PTSD is acceptable to young people and has potential for meaningful and sustained clinical effects. A larger trial appears feasible to deliver. Further work is needed to refine the intervention and its delivery and to evaluate it in a larger confirmatory trial. En ligne : https://doi.org/10.1111/jcpp.14124 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=564 [article] Early-stage randomised controlled trial of therapist-supported online cognitive therapy for post-traumatic stress disorder in young people [texte imprimé] / Patrick SMITH, Auteur ; Anke EHLERS, Auteur ; Ewan CARR, Auteur ; David M. CLARK, Auteur ; Tim DALGLEISH, Auteur ; Gordon FORBES, Auteur ; Kimberley GOLDSMITH, Auteur ; Helena GRIFFITHS, Auteur ; Monica GUPTA, Auteur ; Dorothy KING, Auteur ; Sarah MILES, Auteur ; Dominic T. PLANT, Auteur ; Anne SMITH, Auteur ; Jess STEWARD, Auteur ; William YULE, Auteur ; Richard MEISER-STEDMAN, Auteur . - p.1117-1128. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-8 (August 2025) . - p.1117-1128 Mots-clés : Post-traumatic stress disorder  adolescence  cognitive therapy  E-health  Randomised Controlled Trial Index. décimale : PER Périodiques Résumé : Background Effective face-to-face treatments for Post-Traumatic Stress Disorder (PTSD) are available, but most young people with PTSD do not receive effective treatment. Therapist-supported online Cognitive Therapy has the potential to improve accessibility of effective treatment. This early-stage trial gathered data on the feasibility, acceptability, and initial signal of clinical efficacy of a novel online Cognitive Therapy program for young people with PTSD. Methods A two-arm, parallel-groups, single-blind, early-stage feasibility RCT compared online Cognitive Therapy to a waitlList condition. Participants were N 31 adolescents (12 17 years-old) with a diagnosis of PTSD, randomised in a 1:1 ratio using minimisation. Thresholds for progression to a larger trial were set a priori for recruitment rate, data completeness, and the initial signal of clinical efficacy. The primary clinical outcome was PTSD diagnosis at 16 weeks post-randomisation. Secondary clinical outcomes were continuous measures of PTSD, depression, and anxiety at 16 weeks; and at 38 weeks in the online Cognitive Therapy arm. Results All pre-determined feasibility thresholds for progression to a larger trial were met. We recruited to target at a rate of 1 2 participants/month. No patient dropped out of therapy; 94% of all participants were retained at 16 weeks. At 16-weeks, the intention-to-treat (ITT) effect adjusted odds ratio was 0.20 (95% CI, 0.02, 1.42), indicating that the odds of meeting PTSD caseness after online therapy were 80% lower than after the waitlist (10/16 participants met PTSD caseness after therapy compared to 11/13 after WL). Effect-size estimates for all secondary clinical outcomes were large-moderate; improvements were sustained 38 weeks after online Cognitive Therapy. Conclusions Therapist-supported online Cognitive Therapy for PTSD is acceptable to young people and has potential for meaningful and sustained clinical effects. A larger trial appears feasible to deliver. Further work is needed to refine the intervention and its delivery and to evaluate it in a larger confirmatory trial. En ligne : https://doi.org/10.1111/jcpp.14124 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=564

Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial / Manfred DOPFNER in Journal of Child Psychology and Psychiatry, 66-9 (September 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Titre : Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial Type de document : texte imprimé Auteurs : Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÃœHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÃœRMANN, Auteur ; Christina DOSE, Auteur Article en page(s) : p.1320-1332 Langues : Anglais (eng) Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6 12 years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12 months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6 months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p .017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p .029, d 0.28, 95% CI [ 0.54, 0.03]; WASH+S+TAU vs. TAU: p .009, d 0.34 [ 0.59, 0.09]). At 12 months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p .035). Secondary analyses revealed an overall effect on child functional impairment at 12 months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6 months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 [article] Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial [texte imprimé] / Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÃœHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÃœRMANN, Auteur ; Christina DOSE, Auteur . - p.1320-1332. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6 12 years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12 months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6 months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p .017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p .029, d 0.28, 95% CI [ 0.54, 0.03]; WASH+S+TAU vs. TAU: p .009, d 0.34 [ 0.59, 0.09]). At 12 months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p .035). Secondary analyses revealed an overall effect on child functional impairment at 12 months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6 months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566

New approaches to social skills training: Blended group interventions for girls with social communication difficulties / Jeanne WOLSTENCROFT in Autism Research, 14-5 (May 2021)  

Permalink