Examination of How Program Usage Metrics Are Associated with Outcomes of the Finnish Strongest Families Digital Parenting (FSFP) Intervention: Implementation Study
Ladataan...
1.27 MB
suljettu
Julkaisu on tekijänoikeussäännösten alainen. Teosta voi lukea ja tulostaa henkilökohtaista käyttöä varten. Käyttö kaupallisiin tarkoituksiin on kielletty.
Lataukset1
Pysyvä osoite
Verkkojulkaisu
DOI
Tiivistelmä
Child Disruptive Behavior (CDB) is a common mental health problem among preschool-age children. It is defined as recurrent patterns of anger and noncompliant behavior among children. It can lead to lasting negative consequences for children’s mental health, family functioning, and societal wellbeing. Parent training intervention has been identified as the most effective approach for reducing CDBs. Digital Parenting Interventions (DPIs) offer scalable, cost-effective, and accessible solutions that overcome barriers such as stigma, cost, and time. Tracking how participants use the intervention and how it changes outcomes is essential for ensuring effectiveness and adherence.
The Finnish Strongest Families Parenting (FSFP) intervention has demonstrated effectiveness in reducing CDBs. This study examined how program usage metrics were associated with changes in CDBs and parenting skills at different time points among 2,900 Finnish families participating in the nationwide implementation of the FSFP intervention, whose children met screening criteria at their 4-year-old health check-up.
The program combined 11 weeks of website-based parenting training with weekly telephone coaching. CDBs were measured using the CBCL 1.5–5 externalizing score, and parenting skills were measured using the 30-itmes Parenting Scale. Program usage metrics examined as predictors of the intervention outcomes were the number of themes completed, average access minutes per theme, and average minutes per call. Data were collected at baseline, 6, 12, and 24 months. Linear mixed-effects models were used to assess associations between usage metrics and outcomes.
Externalizing behaviors decreased significantly over time across all models (p<.001), and parenting skills improved significantly over time (p<.001). Program usage metrics showed limited and inconsistent associations with FSFP outcomes during 24 months. Model results with the CBCL externalizing score, high average minutes per call (at 12 months; β = 0.771, p = .028), and high access minutes per theme (at 6 months; β = 0.077, p = .038) showed a small association compared to their low reference groups. Theme completion was associated with greater improvements in parenting skills (overall p < .001), however, not with CDBs. Families with medium access minutes per theme were associated with greater improvements in parenting skills at 6 months (β = −0.057, p = .011) compared to the low access group. Average minutes per call showed no significant change over time.
FSFP significantly reduced CDBs and improved parenting skills over time. High theme completion was significantly associated with improving parenting skills. Future studies are encouraged to enhance strategies to maintain theme completion in DPIs, as it is linked to greater improvements in parenting skills. Improving program usage measures in DPIs by involving additional context-based and qualitative approaches would assist in capturing their nuanced changes in future implementations.