The Effect of Digital Health Interventions on Parents’ Mental Health Literacy and Help Seeking for Their Child’s Mental Health Problem: Systematic Review

Peyton, Daniel; Goods, Marquelle

doi:10.2196/28771

Cited by 25 publications

(14 citation statements)

References 49 publications

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“…Notably, there is a lack of intervention strategies designed specifically for parents. Some programs engage parents to promote their mental health literacy; however, the goal is often to increase parents’ help-seeking for their children’s mental health problems, rather than attending to parents’ own mental health ( Murphy et al, 2021 ; Peyton et al, 2022 ). Given that parents may face unique stressors and challenges in accessing mental health help, calibrating interventions to meet parents’ needs is an important next step.…”

Section: Discussionmentioning

confidence: 99%

Mental Health Help-Seeking in Parents and Trajectories of Depressive and Anxiety Symptoms: Lessons Learned From the Ontario Parent Survey During the COVID-19 Pandemic

Zhang

Jambon²,

Afifi³

et al. 2022

Front. Psychol.

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Tracking parents’ mental health symptoms and understanding barriers to seeking professional help are critical for determining policies and services to support families’ well-being. The COVID-19 pandemic has posed enormous challenges to parents’ mental health and the access to professional help, and there are important public health lessons that must be learned from the past 2 years’ experiences to inform future mental health responses to social- and family-level stressful events. This study examines the trajectories of parents’ depressive and anxiety symptoms over a year during the pandemic as related to their mental health help-seeking. Data were collected from a sample of parents residing in Ontario, Canada at baseline (May–June, 2020; Wave 1) and again 1 year later (Wave 2; referred to as W1 and W2 below). Parents (n = 2,439; Mage = 39.47, SD = 6.65; 95.0% females) reported their depressive and anxiety symptoms at both waves. Mental health help-seeking, including self-reported contact with professional help and perceived unmet mental health needs, was measured at W2. Parents were classified into four groups by mental health help-seeking. Inconsistent seekers and non-seeking needers, both reporting perceived unmet needs for professional help, showed greater increases in depressive and anxiety symptoms, whereas parents with no need or needs met showed smaller increases in depressive symptoms and decreases in anxiety symptoms. Belief in self-reliance and time constraints were the leading reasons for not seeking help. These findings suggest that over a year into the pandemic, parents with perceived unmet mental health needs were at greater risk for worsening depressive and anxiety symptoms. Recognizing the demands for mental health services when families experience chronic stressors and targeting the identified barriers may promote family well-being during and beyond this pandemic.

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Section: Discussionmentioning

confidence: 99%

Mental Health Help-Seeking in Parents and Trajectories of Depressive and Anxiety Symptoms: Lessons Learned From the Ontario Parent Survey During the COVID-19 Pandemic

Zhang

Jambon²,

Afifi³

et al. 2022

Front. Psychol.

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“…Our recent systematic review identified only five studies examining the effects of a DHI on parents' mental health literacy or help-seeking for their child's mental health problem [22].…”

Section: Why a Digital Health Intervention Might Helpmentioning

confidence: 99%

“…DHIs are desirable for the following reasons: they facilitate the rapid exchange of tailored information to consumers, are scalable, are liked by parents, can have vast reach, are accessible on demand, and generally thought to be cost-effective [21]. Our recent systematic review identified only five studies examining the effects of a DHI on parents' mental health literacy or help-seeking for their child's mental health problem [22]. There is some evidence that DHIs, such as websites and emailed PowerPoint presentations, may help improve mental health literacy [23][24][25].…”

Section: Why a Digital Health Intervention Might Helpmentioning

confidence: 99%

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A co-designed website (FindWays) to improve mental health literacy of parents of children with mental health problems: protocol for a pilot randomised controlled trial

Peyton

Wadley

Hackworth

et al. 2022

Preprint

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Background Mental health problems, such as behavioural and emotional problems, are prevalent in children. These problems can have long lasting, detrimental effects on the child, their parents and society. Most children with a mental health problem do not receive professional help. Those that do get help can face long wait times. While waiting, parents want to learn how they can help their child. To address this need, we co-designed a new website to help parents find ways of helping their child’s mental health problem while waiting to get specialist help. Objectives To assess the acceptability and feasibility of a new co-designed website, FindWays, through a pilot randomised controlled trial. The protocol is registered with ISRCTN (ISRCTN64605513). Methods This study will recruit up to 60 parents of children aged two-twelve years old referred to a paediatrician for behavioural and/or emotional problems. Participants will be randomly allocated by computer generated number sequence to either the intervention or control group. Intervention group participants will receive access to the FindWays website to help them manage their child’s mental health problem while they wait to see the paediatrician. Acceptability and feasibility will be assessed over the 4-month intervention through mixed methods including: recruitment, adherence, retention, net promoter score (quantitative measures) and semi-structured interviews to gain an in-depth understanding of parents’ experience and potential adverse effects (qualitative measure). Secondary outcomes measured by parent survey at 4-months post randomisation include child mental health, parent mental health, impact of the child’s mental health problem on their functioning and family, and health service use and associated costs. Results Recruitment commenced June 2022 with publication expected in October 2023. Conclusion This study will provide novel data on the acceptability and feasibility of a new website co-designed with parents to help them find ways of managing their child’s behaviour and emotions. Ethics approval granted by The Royal Children’s Hospital Human Research Ethics Committee - HREC/75854/RCHM-2021 on 22/4/2022.

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“…Emerging research has suggested the use of digitalassisted interventions to address various barriers in parenting interventions (Flujas-Contreras et al, 2019;Hansen et al, 2019;Harris et al, 2020;Hamdani et al, 2021;Peyton et al, 2022). Digital-assisted interventions show great potential in fostering the mental health of a community due to better reach and efficiency of mental healthcare delivery.…”

Section: Digital Parenting Intervention For Children's Mental Healthmentioning

confidence: 99%

Protocol for randomized control trial of a digital-assisted parenting intervention for promoting Malaysian children’s mental health

et al. 2022

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BackgroundMental illness among Malaysian children is gradually reaching a fundamentally alarming point as it persistently shows increasing trend. The existing literature on the etiologies of children’s mental illness, highlights the most common cause to be ineffective or impaired parenting. Thus, efforts to combat mental illness in children should focus on improving the quality of parenting. Documented interventional studies focusing on this issue, particularly in Malaysia, are scarce and commonly report poor treatment outcomes stemming from inconvenient face-to-face instructions. Consequently, proposing an accessible online and digital-assisted parenting program is expected to reach a larger number of parents, as it can overcome substantial barriers. Hence, this study aims to develop a universal digital-assisted preventive parenting intervention called DaPI, that aims to enhance mental health of children in Malaysia.MethodsA total of 200 parents of children aged 10–14 years will be recruited and randomized into two groups either intervention or waitlist-control based on a 1:1 ratio for a duration of 8 weeks. Those in the intervention group will receive eight sessions of the DaPI program that focus mainly on parenting and children’s mental health. The primary outcome of this study will essentially focus on the changes in parent-reported parenting behavior and parental self-efficacy. The secondary outcome will be changes in children’s mental health (i.e., behavioral problems and emotional maladjustment). Assessments will be arranged pre- and post-intervention as well as at the 1-month follow-up. Analyses will be conducted using a paired t-test and multivariate analysis of covariance.DiscussionThe expected outcome will be the establishment of DaPI in promoting children’s mental health by targeting changes in parenting behavior and parental self-efficacy in Malaysia. Findings from this study will be beneficial for policymakers to invest in parenting programs that could provide support to parents in enhancing their child’s overall development.Clinical trial registration[www.irct.ir], identifier [IRCT20211129053207N1].

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The Effect of Digital Health Interventions on Parents’ Mental Health Literacy and Help Seeking for Their Child’s Mental Health Problem: Systematic Review

Cited by 25 publications

References 49 publications

Mental Health Help-Seeking in Parents and Trajectories of Depressive and Anxiety Symptoms: Lessons Learned From the Ontario Parent Survey During the COVID-19 Pandemic

Mental Health Help-Seeking in Parents and Trajectories of Depressive and Anxiety Symptoms: Lessons Learned From the Ontario Parent Survey During the COVID-19 Pandemic

A co-designed website (FindWays) to improve mental health literacy of parents of children with mental health problems: protocol for a pilot randomised controlled trial

Protocol for randomized control trial of a digital-assisted parenting intervention for promoting Malaysian children’s mental health

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