Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong
BackgroundLocal children with developmental disabilities were deprived of learning opportunities due to recent social and health incidents, resulting in elevating challenging behaviors and familial conflicts. This study explored the acceptability and feasibility of the World Health Organization'...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.915263/full |
| _version_ | 1811210039723032576 |
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| author | Janet Siu-Ping Lau Janet Siu-Ping Lau Simon Man-Kin Lai Florence To-Sau Ip Paul Wai-Ching Wong WHO CST Team Chiara Servili Erica Salomone Erica Salomone Laura Pacione Laura Pacione Stephanie Shire Felicity L. Brown Felicity L. Brown |
| author_facet | Janet Siu-Ping Lau Janet Siu-Ping Lau Simon Man-Kin Lai Florence To-Sau Ip Paul Wai-Ching Wong WHO CST Team Chiara Servili Erica Salomone Erica Salomone Laura Pacione Laura Pacione Stephanie Shire Felicity L. Brown Felicity L. Brown |
| author_sort | Janet Siu-Ping Lau |
| collection | DOAJ |
| description | BackgroundLocal children with developmental disabilities were deprived of learning opportunities due to recent social and health incidents, resulting in elevating challenging behaviors and familial conflicts. This study explored the acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) in alternative delivery modes under new normal and post COVID-19 period.MethodCST was delivered via eLearning (EL), videoconferencing (VC), and in-person hybrid (IP) modes to 34 parent-child dyads, being randomly assigned to modes of asynchronous non-interfering EL (n = 9), synchronous with online coaching VC (n = 7), synchronous with in-person coaching IP (n = 9) and Wait-list Control WLC (n = 9). Data from two standardized scales of General Health Questionnaire (GHQ-12) and Strengths and Difficulties Questionnaire (SDQ), and Post-session and Home Visit Feedback Form by Caregivers that included both structured and open-ended questions were collected before and after intervention. Both quantitative and qualitative approaches were used in studying the collected data.ResultsHigh levels of acceptability and feasibility of the training programme were supported by ratings on comprehensiveness and relevance, agreement with their personal values, duration, and usefulness. IP and VC groups yielded more positive changes than EL and WLC groups with 3, 16, 13, and −3% in General Health Questionnaire (GHQ-12), −13, −15, −6 and 0% in Difficulties-total, and 36.5, 35.5, 5.8 and 2.4% in Prosocial Scale at Strengths and Difficulties Questionnaire (SDQ) for EL, VC, IP, and WLC groups respectively from baseline to 12 weeks after intervention. Results from two standardized scales echoed with qualitative observations that the programme helped improve caregivers' well-being, child's communication, and behaviors across intervention groups.ConclusionsCurrent findings revealed that CST delivered in three alternative modes were acceptable and feasible, and yielded positive impacts toward both caregivers and children. In-person coaching, and skill-practicing sessions were effective in mitigating child's challenging behaviors while personal interaction, either face-to-face or virtual, is a significant factor in uplifting caregivers' well-being, whereas the self-learning model was appreciated by the busy caregivers. In clinical practice, needs and goals of families and the constraints of remote interventions at the settings should be balanced. |
| first_indexed | 2024-04-12T04:48:55Z |
| format | Article |
| id | doaj.art-6a3e6c86d78d4d76849a7ac8d60910c7 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T04:48:55Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-6a3e6c86d78d4d76849a7ac8d60910c72022-12-22T03:47:21ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-09-011310.3389/fpsyt.2022.915263915263Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong KongJanet Siu-Ping Lau0Janet Siu-Ping Lau1Simon Man-Kin Lai2Florence To-Sau Ip3Paul Wai-Ching Wong4WHO CST Team5Chiara Servili6Erica Salomone7Erica Salomone8Laura Pacione9Laura Pacione10Stephanie Shire11Felicity L. Brown12Felicity L. Brown13The University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaWHO CST Regional Technical Focal Point, Geneva, SwitzerlandThe University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaThe University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaThe University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandThe University of Milano-Bicocca, Milan, ItalyDepartment of Mental Health and Substance Use, World Health Organization, Geneva, SwitzerlandDivision of Child and Youth Mental Health, Department of Psychiatry, University of Toronto, Toronto, ON, CanadaThe University of Oregon, Eugene, OR, United StatesResearch and Development Department, War Child Holland, Amsterdam, NetherlandsAmsterdam Institute of Social Science Research, University of Amsterdam, Amsterdam, NetherlandsBackgroundLocal children with developmental disabilities were deprived of learning opportunities due to recent social and health incidents, resulting in elevating challenging behaviors and familial conflicts. This study explored the acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) in alternative delivery modes under new normal and post COVID-19 period.MethodCST was delivered via eLearning (EL), videoconferencing (VC), and in-person hybrid (IP) modes to 34 parent-child dyads, being randomly assigned to modes of asynchronous non-interfering EL (n = 9), synchronous with online coaching VC (n = 7), synchronous with in-person coaching IP (n = 9) and Wait-list Control WLC (n = 9). Data from two standardized scales of General Health Questionnaire (GHQ-12) and Strengths and Difficulties Questionnaire (SDQ), and Post-session and Home Visit Feedback Form by Caregivers that included both structured and open-ended questions were collected before and after intervention. Both quantitative and qualitative approaches were used in studying the collected data.ResultsHigh levels of acceptability and feasibility of the training programme were supported by ratings on comprehensiveness and relevance, agreement with their personal values, duration, and usefulness. IP and VC groups yielded more positive changes than EL and WLC groups with 3, 16, 13, and −3% in General Health Questionnaire (GHQ-12), −13, −15, −6 and 0% in Difficulties-total, and 36.5, 35.5, 5.8 and 2.4% in Prosocial Scale at Strengths and Difficulties Questionnaire (SDQ) for EL, VC, IP, and WLC groups respectively from baseline to 12 weeks after intervention. Results from two standardized scales echoed with qualitative observations that the programme helped improve caregivers' well-being, child's communication, and behaviors across intervention groups.ConclusionsCurrent findings revealed that CST delivered in three alternative modes were acceptable and feasible, and yielded positive impacts toward both caregivers and children. In-person coaching, and skill-practicing sessions were effective in mitigating child's challenging behaviors while personal interaction, either face-to-face or virtual, is a significant factor in uplifting caregivers' well-being, whereas the self-learning model was appreciated by the busy caregivers. In clinical practice, needs and goals of families and the constraints of remote interventions at the settings should be balanced.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.915263/fullWorld Health Organization's Caregiver Skills Training ProgrammeWHO CSTeLearningvideoconferencingin-persondevelopmental delays or disabilities |
| spellingShingle | Janet Siu-Ping Lau Janet Siu-Ping Lau Simon Man-Kin Lai Florence To-Sau Ip Paul Wai-Ching Wong WHO CST Team Chiara Servili Erica Salomone Erica Salomone Laura Pacione Laura Pacione Stephanie Shire Felicity L. Brown Felicity L. Brown Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong Frontiers in Psychiatry World Health Organization's Caregiver Skills Training Programme WHO CST eLearning videoconferencing in-person developmental delays or disabilities |
| title | Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong |
| title_full | Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong |
| title_fullStr | Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong |
| title_full_unstemmed | Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong |
| title_short | Acceptability and feasibility of the World Health Organization's Caregiver Skills Training Programme (WHO CST) delivered via eLearning, videoconferencing, and in-person hybrid modalities in Hong Kong |
| title_sort | acceptability and feasibility of the world health organization s caregiver skills training programme who cst delivered via elearning videoconferencing and in person hybrid modalities in hong kong |
| topic | World Health Organization's Caregiver Skills Training Programme WHO CST eLearning videoconferencing in-person developmental delays or disabilities |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.915263/full |
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