Adapting a coach-assisted web-based intervention for parents of adolescents who refuse school: qualitative study with users of the Partners in Parenting Plus programme.

Journal: BJPsych open

Volume: 10

Issue: 2

Year of Publication: 

Affiliated Institutions:  Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia. School of Psychology, Deakin University, Melbourne, Victoria, Australia. Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia. Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia; and Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia.

Abstract summary 

School refusal is a heterogenous problem which typically emerges in adolescence and co-occurs with internalising disorders. A substantial proportion of adolescents do not respond to existing treatment modalities; thus, novel, effective intervention options are needed. Partners in Parenting Plus (PiP+) is a coach-assisted, web-based intervention designed to empower parents to respond to adolescent internalising disorders.To conduct a process evaluation of PiP+ and identify programme adaptations required to meet the needs of parents of adolescents who refuse school.Semi-structured interviews were conducted with 14 Australian mothers who had: (a) received the PiP+ programme (not tailored for school refusal) during a prior research trial; and (b) reported that their adolescent was refusing school during their participation in PiP+. Inductive thematic analysis was used to analyse interview transcripts.Participants were 41-53 years old ( = 47.8) and parenting adolescent children aged 14-17 years ( = 14.9). Three themes illustrated how PiP+ features met or could better meet the needs of parents of adolescents who were refusing school: (a) feeling heard, supported and respected; (b) relevance to me and my context; and (c) seeing positive changes. Participants had favourable views of PiP+, especially coached components. Participants requested programme enhancements to better meet the needs of parents of neurodiverse adolescents and discussed the impact of cumulative help-seeking 'failures' on self-efficacy and locus of control.PiP+ was highly acceptable to the majority of parents navigating the issue of school refusal. This has implications for the enhancement of coach-assisted parenting interventions and the context-specific adaptation of PiP+ for school refusal.

Authors & Co-authors:  Smout Melvin Jorm Yap

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Berg I. Absence from school and mental health. Br J Psychiatry 1992; 161(2): 154–66.
Authors :  4
Identifiers
Doi : e68
SSN : 2056-4724
Study Population
Mothers
Mesh Terms
Other Terms
School refusal;adolescent;digital health;internalising disorders;parenting
Study Design
Study Approach
Country of Study
Publication Country
England