청소년을 위한 주거 치료 이득 최적화

실험적: Parenting Wisely Residential Treatment (PWRT) - Parents

In the PWRT condition, parents will complete a total of ten web-based modules in an online parent training program called Parenting Wisely. Each week, parents will also attend a 90-minute facilitated discussion group via Zoom. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3).This arm includes only parent respondents.

행동: 육아 현명하게 주거 치료(PWRT)

PWRT 실험 개입

다른 이름들:

• PW
• 현명한 육아

위약 비교기: Treatment as Usual (TAU) - Parents

The TAU condition is the standard of care offered to parents in RT settings. Parents in the TAU condition will receive traditional programming, including family therapy offered weekly during the RT admission. Parents will attend discharge planning meetings with caseworkers (if assigned) to discuss the adolescent's progress, continued treatment needs, safety plans, upcoming appointments, and medication needs. Following discharge, programs frequently recommend follow-up with an outpatient provider for medication management and therapy for the adolescent. Parents will complete assessments at baseline (T1), six weeks post-baseline (T2), and six months post-baseline (T3) via REDCap. While adolescents (n=60) will not directly receive the intervention, they will complete assessments at baseline, six weeks post-baseline (T2), and six months post-baseline (T3). This arm includes only parent respondents.

행동: 타우

TAU 조건은 RT 설정에서 부모에게 제공되는 표준 치료입니다.

Group Attendance (Feasibility)

The mean number of groups attended by parent participants in the PWRT arm.

Group Duration (Feasibility)

The mean amount of time parent participants spent in a single session of the group.

Module Duration (Feasibility)

The mean time parent participants spent completing one module in Parenting Wisely.

Module Completion

Average number of modules parent participants completed over a 6 week intervention period

The mean number of Modules participants completed in Parenting Wisely.

Brief Problem Monitor (BPM) - Internalizing Behaviors

Adolescent internalizing behaviors will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. There are two subscales on the BPM: internalizing and externalizing subscales. There are six items on the internalizing subscale with scores ranging from 0-12. Higher scores indicate greater internalizing behaviors, therefore worse outcomes.

Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.

Brief Problem Monitor (BPM) - Externalizing Behaviors

Adolescent externalizing behaviors will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. There are two subscales on the BPM: internalizing and externalizing subscales. There are seven items on the externalizing subscale with scores ranging from 0-14. Higher scores indicate greater externalizing behaviors, therefore worse outcomes.

Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.

Brief Problem Monitor (BPM) - Total Score

Total adolescent behavior problems will be assessed using the Brief Problem Monitor (BPM) for ages 6 to 18. The BPM consists of 19 items derived from the Child Behavior Checklist. The total score includes internalizing, externalizing and inattention subscales which are summed. Internalizing behaviors is 6 items with scores ranging from 0-12, Externalizing is 7 items with scores ranging from 0-14, Inattention is 6 items with scores ranging from 0-12. Raw scores range from 0-38; higher scores indicate greater total behavior problems thereby worse outcomes. Change over time in the outcome measure is assessed by subtracting mean values at T1 from mean values at T2 and T3 respectively.