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Impact of Therapist Training on Parent Attendance in Mental Health Services for Children with ASD
Journal of Clinical Child & Adolescent Psychology ( IF 5.077 ) Pub Date : 2020-08-20 , DOI: 10.1080/15374416.2020.1796682
Kelsey S Dickson 1, 2 , Colby Chlebowski 2, 3 , Rachel Haine-Schlagel 1, 2 , Bill Ganger 2, 4 , Lauren Brookman-Frazee 2, 3, 5
Affiliation  

ABSTRACT

Objective

The current study explored the impact of training therapists in a mental health intervention for children with autism spectrum disorder (ASD) on parent attendance in their children’s therapy sessions. We also examined family, therapist, and program factors as potential moderators.

Method

Data were drawn from a cluster-randomized community effectiveness trial of “An Individualized Mental Health Intervention for ASD (AIM HI)”. Participants included 168 therapists yoked with 189 children recruited from publicly-funded mental health services. Data included family (caregiver strain, parent sense of competence, race/ethnicity), therapist (background, experience), and program (service setting) characteristics, and parent session attendance. Multilevel models were used to evaluate the effectiveness of AIM HI therapist training on caregiver attendance and identify moderators of training effects on parent attendance.

Results

Parents attended a higher percentage of sessions in the AIM HI training condition compared to the Usual Care condition. Program service setting moderated the effect of AIM HI training, with higher parent attendance in non-school (mostly outpatient) settings compared to school settings and a significantly smaller difference between the settings in the AIM HI condition.

Conclusions

Effective strategies to promote parent engagement, especially in service settings such as schools, are warranted. Findings support the effectiveness of AIM HI training in promoting parent attendance across multiple publicly-funded mental health service settings. The larger effect in school-based programs supports the utility of training in evidence-based interventions such as AIM HI to increase the feasibility of parent attendance in such services.



中文翻译:

治疗师培训对家长参与 ASD 儿童心理健康服务的影响

摘要

客观的

目前的研究探讨了培训治疗师对自闭症谱系障碍 (ASD) 儿童进行心理健康干预对父母参加孩子治疗课程的影响。我们还检查了家庭、治疗师和项目因素作为潜在的调节因素。

方法

数据来自“ASD 个体化心理健康干预 (AIM HI)”的集群随机社区有效性试验。参与者包括 168 名治疗师与 189 名从公共资助的心理健康服务招募的儿童。数据包括家庭(照顾者压力、父母的能力感、种族/民族)、治疗师(背景、经验)和计划(服务环境)特征,以及父母会议出席率。多层次模型用于评估 AIM HI 治疗师培训对照顾者出勤率的有效性,并确定培训对父母出勤率影响的调节因素。

结果

与通常护理条件相比,父母在 AIM HI 培训条件下参加的课程百分比更高。计划服务设置缓和了 AIM HI 培训的效果,与学校设置相比,非学校(主要是门诊)设置的家长出勤率更高,而 AIM HI 条件下设置之间的差异显着较小。

结论

促进家长参与的有效策略是必要的,尤其是在学校等服务环境中。调查结果支持 AIM HI 培训在促进多个公共资助的心理健康服务机构的家长出勤方面的有效性。以学校为基础的计划的更大影响支持在基于证据的干预措施(如 AIM HI)中进行培训,以提高家长参与此类服务的可行性。

更新日期:2020-08-20
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