psychologically distressed adults
Conditions
Interventions
Group 1: The Lighthouse Parenting Program is a mentalization-based and attachment-oriented group therapy program designed for parents at risk for maltreatment (Byrne, 2016). The program aims to streng
EMA, EMI), and additional resources on the website with psychoeducational materials (text, pictures, and videos). Three individual sessions are conducted at the beginning of the program to assess the
Sponsors
Friedrich-Fischer-Nachlass; Kussmaul-Stiftung Dekanat der Medizinischen Fakultät Universität Heidelberg
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: - Parents with at least one child aged up to 15 years who experience stress in everyday life (e.g., mental illness, psychosocial stress) as well as the predominant presence of the children at home/ in everyday life - ICD-10 F or Z diagnosis - Sufficient knowledge of written and spoken German - Consent to the study - Internet-enabled PC/tablet or smartphone with camera and microphone as well as a valid e-mail address
Exclusion criteria
Exclusion criteria: Parents with acute psychotic symptoms or acute substance abuse
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Acceptance and compliance with the intervention - Recruitment rates and completer rates: Ratio screening/ inclusion; Ratio number of parents included/completed intervention - Drop-out rates and reasons for drop-out - Compliance: treatment duration in weeks, number of sessions (group sessions, individual sessions), items on self-initiated use of website; number and frequency of EMIs used - Satisfaction with treatment: ZUF-8 Questionnaire to evaluate patient satisfaction (adapted from Schmidt et al., 1994; Schmidt & Nübling, 2002); items on group sessions (usefulness, comprehensibility, amount of time spent in sessions, appropriateness, suggestions for optimization). Acceptance and compliance with the scientific evaluation - Acceptance: items on the general technical design of the app (overall impression, usability, graphics, technical deficiencies, suggestions for improvement), items on EMAs and EMIs (amount of time spent with EMAs and EMIs; perceived usefulness, appropriateness, comprehensibility, suggestions for improving content), items on the use of the website (amount of time spent on the website, perceived usefulness, appropriateness, comprehensibility) - Compliance: adherence to questionnaires, EMA and EMI prompts, number of times app was accessed independently, missing data. Organizational resources - Scientific staff - Recruitment networks, clinical collaborations - MBT training and supervision Technical resources - Hardware: PC/laptop/tablet, smartphones - Software: EMA and EMIs, videoconferencing providers | — |
Secondary
| Measure | Time frame |
|---|---|
| Parental stress: Eltern-Belastungs-Inventar (EBI, Tröster, 2010, German version of the Parenting Stress Index (PSI) Abidin, 1983), Patient Health Questionnaire (PHQ, Loewe et al., 2002) Stress experience: Perceived Stress Scale (PSS-10, Cohen et al., 1983, German translation Schneider et al., 2017) Child temperament: Emotionality, Activity, and Sociability Temperament Inventory (EAS, Buss & Plomin, 1984, German translation by Angleitner et al., 1991), Infant Behavior Questionnaire (IBQ, Rothbart, 1981 German translation Kristen et al., 2007) Infant behavior difficulties: Strengths and Difficulties Questionnaire (SDQ P 4-17, Goodmann, 1997, German translation, Wörner et al., 2002). Emotion regulation: Difficulties in Emotion Regulation Scale - Short Form (DERS-SF English version, Kaufmann et al., 2016; German translation of the long version, Ehring et al., 2013) Family function: Systemic Clinical Outcome and Routine Evaluation-15 (SCORE-15, English short version of SCORE-40, Stratton, Bland, Janes, & Lask, 2010, German translation Borcsa & Schelenhaus, 2011). Parenting behavior: Alabama Parenting Questionnaire (APQ, Frick, 1991, German translation Reichle & Franiek, 2008). Parental mentalizing ability: Parental Reflective Functioning Questionnaire (PRFQ, Luyten et al., 2017), Parental Reflective Functioning Questionnaire - Adolescent (PRFQ-A, Luyten et al., 2017). Epistemic trust: Epistemic Trust Questionnaire (ETMCQ, Campbell et al. 2021). Relationship quality with the child: Multiperspektivischer Fragebogen zur Eltern-Kind-Beziehung (MEK, Müller & Achtergarde, 2018, English translation: The Multiperspective Parent-Child Relationship Questionnaire) | — |
Countries
Germany
Contacts
Public ContactJana Volkert
Institut für Psychosoziale Prävention, Universitätsklinikum Heidelberg
Outcome results
None listed