None listed
Conditions
Brief summary
This study aims to evaluate the acceptability of a culturally adapted self-guided online parenting program for parents of adolescents in Malaysia. The program aims to increase parental self-efficacy and equip them with evidence-based parenting strategies to support their adolescents' mental health. The intervention is delivered online and comprises 2 parent-led, online modules covering different topics related to parent-child relationships and establishing family rules. In this study we aim to understand how acceptable the program was to parents, and how the acceptability of the program can be enhanced. We also aim to explore whether the program is associated with increases in 1) parental self-efficacy for reducing the risk of adolescent anxiety and/or depression and 2) parenting behaviours to reduce adolescent anxiety and/or depression, and reductions in 3) adolescent internalising and externalising symptoms. We hypothesise that parental self-efficacy and parenting behaviours will increase, and adolescent internalising and externalising symptoms will decrease, from pre- to post-intervention.
Interventions
The intervention, ‘Partners in Parenting Malaysia’ (PiP Malaysia) is a new culturally-adapted version of the Partners in Parenting (PiP) program (refer to ACTRN12615000328572 and ACTRN12619001781134). The original PiP program is an online parenting program designed to equip parents with evidence-based parenting strategies to reduce the risk of anxiety or depression in their 12-17-year-old adolescent. PiP Malaysia has been adapted to empower parents in the Malaysian cultural context to support t
The intervention, ‘Partners in Parenting Malaysia’ (PiP Malaysia) is a new culturally-adapted version of the Partners in Parenting (PiP) program (refer to ACTRN12615000328572 and ACTRN12619001781134). The original PiP program is an online parenting program designed to equip parents with evidence-based parenting strategies to reduce the risk of anxiety or depression in their 12-17-year-old adolescent. PiP Malaysia has been adapted to empower parents in the Malaysian cultural context to support their adolescents' mental health. The PiP Malaysia intervention consists of a web-based program which includes two web-based modules covering topics related to 1) parent-teen relationships and 2) establishing family rules. Parents will receive the following as part of the PiP Malaysia intervention: 1) Parents first complete a baseline survey package, which includes a measure of their parenting practices associated with risk of adolescent depression and anxiety disorders (the Parenting to Reduce Adolescent Depression and Anxiety Scale [PRADAS]). The PRADAS assesses parenting practices in relation to the recommendations in the evidence-based parenting guidelines "How to Prevent Depression and Clinical Anxiety in your Teenager: Strategies for Parents" (Parenting Strategies Program, 2013; henceforth the Guidelines), which form the basis of the original PiP program content. Parents will also report on their parental self-efficacy (the Parental Self-Efficacy Scale [PSES]), and adolescent mental health (the Parent-Reported Strengths and Difficulties Questionnaire [SDQ]). Parents will have the option to respond to the surveys in either English or Malay. 2) Parents will receive access to two interactive online modules. The modules provide practical strategies to support parents to make changes to their parenting to align more closely with the parenting recommendations in the Guidelines and evidence-based content curated to further support parenting within a Malaysian cultural context. By default, modules will ‘unlock’ (i.e. become available for parents to complete) at a rate of one module per week, until both modules have been unlocked. Parents are notified by email and SMS/Whatsapp (if they opt in to SMS/Whatsapp notifications) when a new module unlocks. If they prefer, parents can choose to override the default unlock date, and unlock modules at an earlier date. Parents can revisit any modules they have already completed at any time. The interactive modules can be accessed online, from any device with internet access (including smartphones). The modules include educational materials, illustrations, audio clips, videos, vignettes, interactive activities, goal-setting exercises, and an end-of-module quiz with immediate feedback to consolidate learning. Each module takes about 20-35 minutes to complete, depending on the topic and how parents engage with the module. Parents are invited to complete their first module immediately after they have completed their baseline survey. 3) 1 month (4 weeks) after the completion of the baseline survey package, parents will be prompted to complete a post-intervention survey package, which includes the same measures as in the baseline survey (PRADAS, PSES and SDQ). As in the baseline survey, parents will have the option to respond to these surveys in English or Malay. Intervention adherence will be monitored through website analytics (module completion). Note. The intervention period is anticipated to run for 2-4 weeks (up to 1 month), depending on the rate at which parents complete the online modules. References: Cardamone-Breen, M. C., Jorm, A. F., Lawrence, K. A., Mackinnon, A. J., & Yap, M. B. (2017). The Parenting to Reduce Adolescent Depression and Anxiety Scale: Assessing parental concordance with parenting guidelines for the prevention of adolescent depression and anxiety disorders. PeerJ, 5, e3825. Goodman, R. (1997). Strengths and Difficulties Questionnaire (SDQ) [Database record]. APA PsycTests. Nicolas, C. C., Jorm, A. F., Cardamone-Breen, M. C., Lawrence, K. A., & Yap, M. B. H. (2020). Parental Self-Efficacy for Reducing the Risk of Adolescent Depression and Anxiety: Scale Development and Validation. Journal of research on adolescence, 30(1), 249-265. Parenting Strategies Program (2013). How to prevent depression and clinical anxiety in your teenager: Strategies for parents. Melbourne: beyondblue.
Sponsors
Monash University
Study design
Allocation
Non-randomised trial
Intervention model
Single group
Primary purpose
Prevention
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
Parents and/or caregivers: - Of adolescents aged 12-17 years attending a secondary school in Malaysia - Of Malaysian nationality - Who live in Malaysia - Who have regular contact with their adolescent (>5 days a week) - Who can read, write, speak, and communicate in English - Who have regular access to the Internet and an email address.
Exclusion criteria
- Parents of an adolescent who is not Malaysian and currently residing in Malaysia - Parents who do not have regular contact with their adolescent (< 6 days a week) - Parents who cannot read, write, speak, and communicate in English - Parents who do not have regular access to the Internet or an email address.
Outcome results
None listed