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Observational Assessment of Engagement Strategies to Promote Parent Homework Planning in Community-Based Child Mental Health Treatment: A Pilot Study

机译：参与策略在基于社区的儿童心理健康治疗中促进父母家庭作业计划的观察性评估：一项初步研究

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Therapy homework includes tasks given to clients to complete outside of session to facilitate new knowledge/skills or to advance treatment goals. Homework completion, an important element of parent engagement in child mental health (MH) treatment, has been associated with improved child outcomes. The current pilot study assessed the design/assign phase of the therapy homework process to examine a) the extent to which therapists implemented engagement strategies with parents and b) whether therapist deployment of engagement strategies in early treatment predicted subsequent parent participation in homework planning. We included an ethnically-diverse sample of 10 therapists and 11 parent/child dyads receiving community-based MH services who participated in a pilot intervention study. Two observational coding systems were developed to code treatment session recordings for the extent to which a) therapists implemented engagement strategies with parents and b) parents contributed to therapy homework planning. Findings revealed low extensiveness of therapist implementation of engagement strategies with parents. As hypothesized, therapist use of engagement strategies (Collaboration, Empowerment, and Psychoeducation) in early treatment significantly predicted subsequent parent homework planning (sharing perspective on homework planning). However, therapist use of Alliance was unrelated to parent homework planning. These preliminary results suggest that therapist implementation of engagement strategies in early treatment may promote parent participation in homework planning, which is an important precursor to homework completion. This pilot study suggests potential future directions for both research on and training for community-based therapists in implementing successful strategies to promote parent homework planning in child MH treatment.
机译：治疗作业包括分配给客户的任务，这些任务需要在课外完成以促进新知识/技能或促进治疗目标。完成家庭作业是父母参与儿童心理健康（MH）治疗的重要因素，它与改善儿童结局有关。当前的先导研究评估了治疗作业过程的设计/分配阶段，以检查a）治疗师与父母实施参与策略的程度，以及b）治疗师在早期治疗中采用参与策略是否预测了后续的父母参与作业计划。我们纳入了一个种族多元化的样本，该样本包括10名接受社区MH服务的治疗师和11个父母/儿童二元组，他们参加了一项干预性试验研究。开发了两个观察性编码系统来编码治疗会话记录，以达到以下程度：a）治疗师与父母实施了参与策略，b）父母对治疗作业计划做出了贡献。调查结果表明，治疗师与父母的参与策略实施的广泛性较低。如假设的那样，治疗师在早期治疗中采用参与策略（协作，赋权和心理教育）可以显着预测随后的父母家庭作业计划（对家庭作业计划的共享观点）。但是，治疗师对Alliance的使用与父母的家庭作业计划无关。这些初步结果表明，治疗师在早期治疗中实施参与策略可能会促进父母参与家庭作业计划，这是完成家庭作业的重要先兆。这项初步研究为社区治疗师实施成功的策略以促进儿童MH治疗中的父母家庭作业计划提供了研究和培训的潜在未来方向。

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