Accessible summary What is known on the subject? Problematic parent–child relationships have been identified as one of the main predictors of adolescents' mental health problems, but there are few existing interventions that address this issue. The format and delivery method of existing interventions for parents are relatively inaccessible for parents with full‐time jobs and families living in rural areas. What does this paper add to existing knowledge? The newly developed ‘Stepping Stone’ culturally specific web‐based intervention, which is intended to help Korean parents of adolescents to acquire both knowledge and communication and conflict management skills, was found to be feasible and well‐accepted by parents. This study enabled us to identify areas for improvement in the content and format of the intervention and strategies. This will potentially increase effect sizes for the outcome variables of parents' perception and behaviours. What are the implications for practice? This web‐based intervention could be delivered across diverse settings, such as schools and community mental health centers, to increase parents' knowledge of adolescent's mental health and allow for early detection of mental health problems. Mental health nurses working in schools may spend a significant amount of time addressing students' mental health issues; thus, this web‐based intervention could be a useful resource to share with parents and children. In this way, the mental health nurses could facilitate parental engagement in the intervention and then help them to continue to apply and practice the knowledge and skills obtained through the program. Abstract IntroductionThere is a need for accessible, culturally specific web‐based interventions to address parent–child relationships and adolescents' mental health. AimsThis study developed and conducted a preliminary evaluation of a 4‐week web‐based intervention for parents of adolescents aged 11 to 16 years in Korea. MethodsWe used a two‐group, repeated measures, quasi‐experimental study design to assess the feasibility of developing and implementing a web‐based intervention for parents. Descriptive statistics, chi‐square and t tests, and mixed effect modeling were used for data analysis. ResultsThe intervention and 1‐month follow‐up survey were completed by 47 parents in the intervention group and 46 parents in the attention control (AC) group. The intervention was found to be feasible and well‐accepted by parents. DiscussionThis culturally specific web‐based intervention is a useful tool for knowledge dissemination among large numbers of parents. Areas for improvement in the content and format of the intervention and strategies to elicit significant parent–child interactions are provided. Implications for practice and conclusionThe intervention could be disseminated in collaboration with mental health nurses working in schools to facilitate parents' participation.
Gratitude journaling has been used to improve grateful disposition. However, there is only limited data available on its application experience. This study aimed to: (1) explore the experiences of nursing students who have participated in gratitude journaling; and (2) assess students’ views of gratitude journaling as a nursing intervention. This study implemented an eight-week program of gratitude journaling with fourth-year nursing students who took a mental health psychiatric nursing course at a South Korean university. Following the eight weeks, students reflected on their gratitude journaling experience in a reflective essay. Using content analysis, 53 essays were analyzed. Five categories were identified from the reflective essay, as follows: “A new beginning”, “The engine that motivates continued participation: gratitude sharing”, “The process driving change”, “Changes brought about by gratitude”, and “Self-reflection”. Based on this experience, nursing students believed that it is important to promote steady participation when administering gratitude journaling as a nursing intervention. The study findings suggest that the gratitude journaling not only helped with nursing students’ perspective, emotional, and behavioral aspects and stress management, but also provided an opportunity to advance a step further based on self-reflection.
Parents' recognition of adolescents' emotional distress is a significant determinant of early detection and treatment of mental disorders. However, there is dearth of research exploring parent-adolescent agreement regarding adolescents' emotional distress. This cross-sectional, school-based study compared parents' proxy reports and self-reports of adolescent's emotional distress among 289 parent-adolescent dyads in Korea. Findings revealed low agreement between adolescents' and parents' reports of depression, anxiety, and anger, with an average polychoric r of .25 to .27. The agreement was particularly low for high school students, boys, and father-adolescent dyads. Additionally, parents tended to underestimate adolescents' emotional distress symptoms; a significant percentage of adolescents experiencing symptoms were rated in the normal range by parents, particularly high school students experiencing anger. Interventions are needed to help adolescents learn to manage and express their negative emotions. Moreover, parent education programs that improve parents' recognition of emotional distress and appropriate help-seeking behaviors are needed.
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