@Article{info:doi/10.2196/55639,
author="Aldridge, Grace
and Wu, Ling
and Seguin, Joshua Paolo
and Robinson, Jennifer
and Battaglia, Elizabeth
and Olivier, Patrick
and Yap, Marie B H",
title="Embedding Technology-Assisted Parenting Interventions in Real-World Settings to Empower Parents of Children With Adverse Childhood Experiences: Co-Design Study",
journal="JMIR Form Res",
year="2024",
month="Nov",
day="22",
volume="8",
pages="e55639",
keywords="co-design; service design; intervention; digital technology; parenting; children; technology; parenting program; health care services; adverse childhood experience; ACE; mental disorder; innovate; social services; community health; evidence-based; parenting intervention",
abstract="Background: Adverse childhood experiences are strongly associated with mental disorders in young people. Parenting interventions are available through community health settings and can intervene with adverse childhood experiences that are within a parent's capacity to modify. Technology can minimize common barriers associated with engaging in face-to-face parenting interventions. However, families experiencing adversity face unique barriers to engaging with technology-assisted parenting interventions. Formative research using co-design methodology to provide a deep contextual understanding of these barriers can help overcome unique barriers and ensure these families can capitalize on the benefits of technology-assisted parenting interventions. Objective: This study aims to innovate the parenting support delivered by a community health and social service with technology by adapting an existing, evidence-based, technology-assisted parenting intervention. Methods: Staff (n=3) participated in dialogues (n=2) and co-design workshops (n=8) exploring needs and preferences for a technology-assisted parenting intervention and iteratively developing a prototype intervention (Parenting Resilient Kids [PaRK]-Lite). Parents (n=3) received PaRK-Lite and participated in qualitative interviews to provide feedback on their experience and PaRK-Lite's design. Results: PaRK-Lite's hybrid design leverages simple and familiar modes of technology (podcasts) to deliver intervention content and embeds reflective practice into service provision (microcoaching) to enhance parents' empowerment and reduce service dependency. A training session, manuals, session plans, and templates were also developed to support the delivery of microcoaching. Feedback data from parents overall indicated that PaRK-Lite met their needs, suggesting that service providers can play a key role in the early phases of service innovation for parents. Conclusions: The co-designed technology-assisted parenting intervention aims to offer both parents and clinicians a novel and engaging resource for intervening with maladaptive parenting, contributing to efforts to respond to childhood adversity and improve child mental health. Future research in the field of human-computer interaction and health service design can consider our findings in creating engaging interventions that have a positive impact on the well-being of children and families. ",
issn="2561-326X",
doi="10.2196/55639",
url="https://formative.jmir.org/2024/1/e55639",
url="https://doi.org/10.2196/55639",
url="http://www.ncbi.nlm.nih.gov/pubmed/39576676"
}