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Examining the Impact of Intervention Quality on Mechanisms of Change in Digital Parent Training Programs.

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Title: Examining the Impact of Intervention Quality on Mechanisms of Change in Digital Parent Training Programs.
Authors: Saar, Chen R., Brandes, Or, Aderka, Idan M., Baumel, Amit
Source: Journal of Child & Family Studies. Jun2025, Vol. 34 Issue 6, p1593-1603. 11p.
Subjects: Treatment of behavior disorders in children, Education of parents, Digital technology, Family psychotherapy, Self-efficacy, Evaluation of human services programs, Descriptive statistics, Experimental design, Health education, Factor analysis, Comparative studies, Quality assurance, Behavior therapy
Abstract: Therapeutic persuasiveness - the extent to which digital mental health interventions incorporate design features that encourage users to make positive behavior changes – may play a role in enhancing adherence and effectiveness in these interventions. This study focused on the underlying mechanisms of change and examined whether program quality, in terms of therapeutic persuasiveness, influences the way program participation translates into outcomes in digital parent training programs targeting child behavior problems. Data were obtained from a randomized controlled trial of two digital parent training programs with different levels of therapeutic persuasiveness quality. When parental self-efficacy and overreactivity were used as mediators of improvements in child behavior, mediation analysis revealed significant indirect effects among the enhanced therapeutic persuasiveness intervention users (n = 39), but not among the standard intervention users (n = 33; indirect effect medians = 18.30 and 2.29, respectively). These findings highlight the need to address an intervention's quality in terms of its design features when examining the pathways through which it produces behavioral change. Highlights: We examined whether program quality (i.e., features that encourage users to make a positive change) influences mechanisms of change. Data from a randomized controlled trial comparing two digital parent training programs aimed at addressing children's behavior problems was analyzed. The analysis revealed significant indirect effects in users of the enhanced quality program, but not in those using the standard program. Study findings highlight the importance of considering program quality when examining mechanisms of change. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Therapeutic persuasiveness - the extent to which digital mental health interventions incorporate design features that encourage users to make positive behavior changes – may play a role in enhancing adherence and effectiveness in these interventions. This study focused on the underlying mechanisms of change and examined whether program quality, in terms of therapeutic persuasiveness, influences the way program participation translates into outcomes in digital parent training programs targeting child behavior problems. Data were obtained from a randomized controlled trial of two digital parent training programs with different levels of therapeutic persuasiveness quality. When parental self-efficacy and overreactivity were used as mediators of improvements in child behavior, mediation analysis revealed significant indirect effects among the enhanced therapeutic persuasiveness intervention users (n = 39), but not among the standard intervention users (n = 33; indirect effect medians = 18.30 and 2.29, respectively). These findings highlight the need to address an intervention's quality in terms of its design features when examining the pathways through which it produces behavioral change. Highlights: We examined whether program quality (i.e., features that encourage users to make a positive change) influences mechanisms of change. Data from a randomized controlled trial comparing two digital parent training programs aimed at addressing children's behavior problems was analyzed. The analysis revealed significant indirect effects in users of the enhanced quality program, but not in those using the standard program. Study findings highlight the importance of considering program quality when examining mechanisms of change. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child & Family Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1007/s10826-025-03094-z
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        Text: English
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      – SubjectFull: Treatment of behavior disorders in children
        Type: general
      – SubjectFull: Education of parents
        Type: general
      – SubjectFull: Digital technology
        Type: general
      – SubjectFull: Family psychotherapy
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      – SubjectFull: Self-efficacy
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Experimental design
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      – SubjectFull: Health education
        Type: general
      – SubjectFull: Factor analysis
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      – SubjectFull: Comparative studies
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      – SubjectFull: Quality assurance
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      – SubjectFull: Behavior therapy
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      – TitleFull: Examining the Impact of Intervention Quality on Mechanisms of Change in Digital Parent Training Programs.
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            NameFull: Saar, Chen R.
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              M: 06
              Text: Jun2025
              Type: published
              Y: 2025
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