Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review

Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an importan...

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Published inPrevention science Vol. 23; no. 2; pp. 321 - 339
Main Authors Haine-Schlagel, Rachel, Dickson, Kelsey S., Lind, Teresa, Kim, Joanna J., May, Gina C., Walsh, Natalia Escobar, Lazarevic, Vanja, Crandal, Brent R., Yeh, May
Format Journal Article
LanguageEnglish
Published New York Springer US 01.02.2022
Springer Nature B.V
Subjects
Adolescent
Caregivers
Child & adolescent mental health
Child and School Psychology
Childhood
Family
Health Psychology
Heterogeneity
Home practice
Homework
Humans
Interpersonal relations
Measurement
Medicine
Medicine & Public Health
Mental disorders
Mental Health
Participation
Prevention
Prevention programs
Preventive medicine
Program implementation
Public Health
Quality
Reinforcement
Reminders
Systematic review
Uniformity
Prevention
Participation
Engagement
Children
Caregiver
Mental health
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Abstract Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique projects were reviewed. Articles were included if they examined CPE in a program that focused to some extent on preventing child mental health disorders. There was heterogeneity in both the terms used to describe CPE and the measurement of CPE. The majority of projects focused on assessment of caregiver home practice. There were no clear findings regarding determinants of CPE. With regard to the impact of CPE on program outcomes, higher levels of CPE predicted greater improvements in child and caregiver outcomes, as well as caregiver-child relationship quality. Finally, a small number of studies found that motivational and behavioral strategies (e.g., reinforcement, appointment reminders) were successful in promoting CPE. This review highlights the importance of considering CPE when developing, testing, and implementing prevention programs for child mental health disorders. Increased uniformity is needed in the measurement of CPE to facilitate a better understanding of determinants of CPE. In addition, the field would benefit from further evaluating strategies to increase CPE as a method of increasing the potency of prevention programs.
AbstractList Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique projects were reviewed. Articles were included if they examined CPE in a program that focused to some extent on preventing child mental health disorders. There was heterogeneity in both the terms used to describe CPE and the measurement of CPE. The majority of projects focused on assessment of caregiver home practice. There were no clear findings regarding determinants of CPE. With regard to the impact of CPE on program outcomes, higher levels of CPE predicted greater improvements in child and caregiver outcomes, as well as caregiver-child relationship quality. Finally, a small number of studies found that motivational and behavioral strategies (e.g., reinforcement, appointment reminders) were successful in promoting CPE. This review highlights the importance of considering CPE when developing, testing, and implementing prevention programs for child mental health disorders. Increased uniformity is needed in the measurement of CPE to facilitate a better understanding of determinants of CPE. In addition, the field would benefit from further evaluating strategies to increase CPE as a method of increasing the potency of prevention programs.
Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation engagement (CPE), which includes caregiver participation in sessions as well as follow-through with homework plans, is theorized to be an important component in the effectiveness of these programs. This systematic review aims to (1) describe the terms used to operationalize CPE and the measurement of CPE in prevention programs, (2) identify factors associated with CPE, (3) examine associations between CPE and outcomes, and (4) explore the effects of strategies used to enhance CPE. Thirty-nine articles representing 27 unique projects were reviewed. Articles were included if they examined CPE in a program that focused to some extent on preventing child mental health disorders. There was heterogeneity in both the terms used to describe CPE and the measurement of CPE. The majority of projects focused on assessment of caregiver home practice. There were no clear findings regarding determinants of CPE. With regard to the impact of CPE on program outcomes, higher levels of CPE predicted greater improvements in child and caregiver outcomes, as well as caregiver-child relationship quality. Finally, a small number of studies found that motivational and behavioral strategies (e.g., reinforcement, appointment reminders) were successful in promoting CPE. This review highlights the importance of considering CPE when developing, testing, and implementing prevention programs for child mental health disorders. Increased uniformity is needed in the measurement of CPE to facilitate a better understanding of determinants of CPE. In addition, the field would benefit from further evaluating strategies to increase CPE as a method of increasing the potency of prevention programs.
Author Lazarevic, Vanja
Lind, Teresa
Kim, Joanna J.
Haine-Schlagel, Rachel
Yeh, May
Dickson, Kelsey S.
Crandal, Brent R.
May, Gina C.
Walsh, Natalia Escobar
AuthorAffiliation 4 Department of Psychology, University of Nebraska-Lincoln, Lincoln, NE, USA
7 Rady Children’s Hospital-San Diego, San Diego, CA, USA
2 Child and Adolescent Services Research Center, San Diego, CA, USA
8 Department of Psychology, San Diego State University, San Diego, CA, USA
1 Department of Child and Family Development, San Diego State University, San Diego, CA, USA
5 Department of Psychiatry, University of California, San Diego, San Diego, CA, USA
6 Veterans Administration San Diego Healthcare System, San Diego, CA, USA
3 Department of Psychology, REACH Institute, Arizona State University, Tempe, AZ, USA
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BackLink https://www.ncbi.nlm.nih.gov/pubmed/34936045$$D View this record in MEDLINE/PubMed
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Issue 2
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Participation
Engagement
Children
Caregiver
Mental health
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PublicationDate 2022-02-01
PublicationDateYYYYMMDD 2022-02-01
PublicationDate_xml – month: 02
  year: 2022
  text: 2022-02-01
  day: 01
PublicationDecade 2020
PublicationPlace New York
PublicationPlace_xml – name: New York
– name: United States
PublicationSubtitle Official Journal of the Society for Prevention Research
PublicationTitle Prevention science
PublicationTitleAbbrev Prev Sci
PublicationTitleAlternate Prev Sci
PublicationYear 2022
Publisher Springer US
Springer Nature B.V
Publisher_xml – name: Springer US
– name: Springer Nature B.V
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Snippet Prevention programs are a key method to reduce the prevalence and impact of mental health disorders in childhood and adolescence. Caregiver participation...
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StartPage 321
SubjectTerms Adolescent
Caregivers
Child & adolescent mental health
Child and School Psychology
Childhood
Family
Health Psychology
Heterogeneity
Home practice
Homework
Humans
Interpersonal relations
Measurement
Medicine
Medicine & Public Health
Mental disorders
Mental Health
Participation
Prevention
Prevention programs
Preventive medicine
Program implementation
Public Health
Quality
Reinforcement
Reminders
Systematic review
Uniformity
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Title Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review
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Volume 23
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