Universität zu Köln

Wähnke, Laura ORCID: 0000-0002-7960-5090, Plück, Julia ORCID: 0000-0003-3425-5995, Bodden, Mikel, Ernst, Angela ORCID: 0000-0003-2375-1889, Klemp, Marie-Theres ORCID: 0000-0002-1394-5818, Mühlenmeister, Judith ORCID: 0009-0007-3946-5402 and Döpfner, Manfred ORCID: 0000-0002-7929-0463 (2024). Acceptance and utilization of web-based self-help for caregivers of children with externalizing disorders. Child and Adolescent Psychiatry and Mental Health, 18 (1). pp. 1-16. Springer Nature. ISSN 1753-2000

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Abstract

[Artikel-Nr.: 40] Background: Web-based self-help interventions for parents of children with ADHD and other externalizing disorders have been proven to be effective. In order to recommend individualized and optimized interventions, a better understanding of the acceptance and utilization of this innovative treatment approach is needed. Previous research has frequently employed subjective reports of utilization, but the validity of these studies may be limited. Methods: Data from the German WASH study were used. Participants ( n = 276) were randomly assigned to the intervention condition (a) web-based self-help or (b) web-based self-help with optional telephone-based support calls. Data collection took place at baseline (T1) and 12 weeks later (T2). Utilization data were tracked using a log file generated for each participant at T2. Prediction models were calculated using CART (Classification and Regression Trees), a method known mostly from the field of machine learning. Results: Acceptance, of the intervention as defined in this paper was very high on objective (89.4% have taken up the intervention) and subjective measures (91.4% reported having used the intervention and 95.3% reported they would recommend the intervention to a friend). The average number of logins corresponded to recommendations. Predictors of acceptance and predictors of utilization were similar and included, e.g., child’s externalizing symptoms, parental psychopathology, and above all additional telephone-based support by counselors. Conclusions: Through a detailed identification of acceptance and utilization, and the predictors thereof, we were able to gain a better understanding of the acceptance and utilization of web-assisted self-help for a parent management intervention in the treatment of children with ADHD and ODD. These findings can be used to recommend web-based interventions to particularly suitable families. It should be noted that some form of support is required for an intensive engagement with the content of the program. Trial Registration: The protocol of the study (German Clinical Trials Register DRKS00013456 conducted on January 3rd, 2018) was approved by the Ethics Committee of the University Hospital, Cologne.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Wähnke, Laura UNSPECIFIED https://orcid.org/0000-0002-7960-5090 UNSPECIFIED Plück, Julia UNSPECIFIED https://orcid.org/0000-0003-3425-5995 UNSPECIFIED Bodden, Mikel UNSPECIFIED UNSPECIFIED UNSPECIFIED Ernst, Angela UNSPECIFIED https://orcid.org/0000-0003-2375-1889 UNSPECIFIED Klemp, Marie-Theres UNSPECIFIED https://orcid.org/0000-0002-1394-5818 UNSPECIFIED Mühlenmeister, Judith UNSPECIFIED https://orcid.org/0009-0007-3946-5402 UNSPECIFIED Döpfner, Manfred UNSPECIFIED https://orcid.org/0000-0002-7929-0463 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-815298
Identification Number:	10.1186/s13034-024-00724-0
Journal or Publication Title:	Child and Adolescent Psychiatry and Mental Health
Volume:	18
Number:	1
Page Range:	pp. 1-16
Number of Pages:	16
Date:	25 March 2024
Publisher:	Springer Nature
ISSN:	1753-2000
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Medizinische Statistik und Bioinformatik > Institut für Medizinische Statistik und Bioinformatik � IMSB Faculty of Medicine > Psychiatrie und Psychotherapie > Klinik und Poliklinik für Psychiatrie und Psychotherapie
Subjects:	Psychology Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Web-based self-help ; Parent management training ; Utilization ; Acceptance ; Externalizing symptoms ; Children ; Predictors English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/81529