Efficacy of a Primary Care-Based Intervention to Promote Parent-Teen Communication and Well-Being: A Randomized Controlled Trial - 27/01/21
, Karol Silva, PhD 1, Elizabeth Friedrich, MPH 1, 3, Reyneris Robles, BA 1, 3, Carol A. Ford, MD 1, 2, 3Abstract |
Objective |
To evaluate the impact of a primary care-based, parent-directed intervention on changes in parent-teen communication, parental beliefs about adolescents, parent and adolescent well-being, adolescent distress, and adolescent positive affect from baseline to 2-month follow-up.
Study design |
In this randomized controlled trial, 120 adolescents (13-15 years of age) scheduled for well visits and their parents were randomized to the strength intervention or control group. The intervention included a booklet highlighting 3 key messages about adolescence, instructions to have a discussion with their teen about each other's strengths, and clinician endorsement. Outcomes were assessed before the well visit and 2 months later.
Results |
Adolescents were 61% female and 65% black. Parents were primarily female (97%); 72% had a 4-year degree or higher. The intervention had a positive impact on adolescent-reported open communication among adolescents with baseline low open communication scores (B = 3.55; P = .005; 95% CI, 1.07-6.03). Adolescents in the intervention group reported a decrease in distress (−1.54 vs 3.78; P = .05; partial eta squared [η2] = 0.038) and increase in positive affect (1.30 vs −3.64; P = .05; η2 = 0.04) compared with control group adolescents. The intervention did not affect parent-reported communication, parental beliefs, or adolescent well-being. Control parents demonstrated a marginal increase in well-being, whereas intervention parents did not (0.82 vs −0.18; P = .07; η2 = 0.029).
Conclusions |
This study highlights the potential impact of primary care-based, universal, low-intensity interventions targeting parents of adolescents on parent-teen communication and important adolescent health outcomes.
Trial registration |
Clinicaltrials.gov: NCT03496155.
Le texte complet de cet article est disponible en PDF.Abbreviation : η2
Plan
| Funded by the John Templeton Foundation. This project was supported in part by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under T71MC30798 Leadership Education in Adolescent Health (LEAH), and the Institutional Clinical and Translational Science Award Research Center (NIH/NCATS UL1TR000003).This information or content and conclusions are those of the authors and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS, or the US Government. The study sponsors had no role in study design, data collection, analysis, and interpretation, the writing of the manuscript, or the decision to submit the manuscript for publication. The first author wrote the first draft of the manuscript. No honorarium, grant, or payment was given to anyone in relation to writing this manuscript. The authors declare no conflicts of interest. |
Vol 222
P. 200 - juillet 2020 Retour au numéro
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