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
Background 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 Parentin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2024-03-01
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| Series: | BJPsych Open |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472424000152/type/journal_article |
| _version_ | 1797261655818633216 |
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| author | Anna Smout Glenn Melvin Anthony Jorm Marie B. H. Yap |
| author_facet | Anna Smout Glenn Melvin Anthony Jorm Marie B. H. Yap |
| author_sort | Anna Smout |
| collection | DOAJ |
| description | Background
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.
Aims
To conduct a process evaluation of PiP+ and identify programme adaptations required to meet the needs of parents of adolescents who refuse school.
Method
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.
Results
Participants were 41–53 years old (M = 47.8) and parenting adolescent children aged 14–17 years (M = 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.
Conclusions
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.
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| first_indexed | 2024-04-24T23:44:40Z |
| format | Article |
| id | doaj.art-9733daa9b8a74992956b8e11fd90419b |
| institution | Directory Open Access Journal |
| issn | 2056-4724 |
| language | English |
| last_indexed | 2024-04-24T23:44:40Z |
| publishDate | 2024-03-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj.art-9733daa9b8a74992956b8e11fd90419b2024-03-15T08:46:54ZengCambridge University PressBJPsych Open2056-47242024-03-011010.1192/bjo.2024.15Adapting a coach-assisted web-based intervention for parents of adolescents who refuse school: qualitative study with users of the Partners in Parenting Plus programmeAnna Smout0https://orcid.org/0000-0002-0396-0766Glenn Melvin1Anthony Jorm2https://orcid.org/0000-0002-1424-4116Marie B. H. Yap3Turner Institute for Brain and Mental Health, School of Psychological Sciences, Monash University, Melbourne, Victoria, AustraliaSchool of Psychology, Deakin University, Melbourne, Victoria, AustraliaMelbourne School of Population and Global Health, University of Melbourne, Victoria, AustraliaTurner 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, AustraliaBackground 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. Aims To conduct a process evaluation of PiP+ and identify programme adaptations required to meet the needs of parents of adolescents who refuse school. Method 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. Results Participants were 41–53 years old (M = 47.8) and parenting adolescent children aged 14–17 years (M = 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. Conclusions 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. https://www.cambridge.org/core/product/identifier/S2056472424000152/type/journal_articleSchool refusalparentingdigital healthadolescentinternalising disorders |
| spellingShingle | Anna Smout Glenn Melvin Anthony Jorm Marie B. H. Yap 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 BJPsych Open School refusal parenting digital health adolescent internalising disorders |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| topic | School refusal parenting digital health adolescent internalising disorders |
| url | https://www.cambridge.org/core/product/identifier/S2056472424000152/type/journal_article |
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