Abstract

Depression and anxiety disorders in young people are a global health concern. Various risk and protective factors for these disorders are potentially modifiable by parents, underscoring the important role parents play in reducing the risk and impact of these disorders in their adolescent children. However, cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. In this paper, we propose a multi-level public health approach involving a Web-based parenting intervention, Partners in Parenting (PIP). We describe the components of the Web-based intervention and how each component was developed. Development of the intervention was guided by principles of the persuasive systems design model to maximize parental engagement and adherence. A consumer-engagement approach was used, including consultation with parents and adolescents about the content and presentation of the intervention. The PIP intervention can be used at varying levels of intensity to tailor to the different needs of parents across the population. Challenges and opportunities for the use of the intervention are discussed. The PIP Web-based intervention was developed to address the dearth of evidence-based resources to support parents in their important role in their adolescents’ mental health. The proposed public health approach utilizes this intervention at varying levels of intensity based on parents’ needs. Evaluation of each separate level of the model is ongoing. Further evaluation of the whole approach is required to assess the utility of the intervention as a public health approach, as well as its broader effects on adolescent functioning and socioeconomic outcomes.

Highlights

  • Overview Depression and anxiety disorders are the largest contributors to disease burden in young people globally [1]

  • The rest of this paper presents the rationale for developing Partners in Parenting (PIP), an individually tailored Web-based intervention for parents of adolescents

  • PIP is the second intervention developed following this research-translation approach, modeled on the earlier intervention to prevent adolescent alcohol misuse [59]. Such an approach answers the call for better translation of research evidence into interventions [14,15] and can be adopted for other populations and other health and well-being outcomes for which there are a diverse range of risk, protective, and maintenance factors

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Summary

Introduction

Overview Depression and anxiety disorders are the largest contributors to disease burden in young people globally [1]. Research evidence highlights that parents have an important role in reducing the risk and impact of these disorders in their adolescents; cost-effective, evidence-based interventions for parents that can be widely disseminated are lacking. In young people aged between 13 to 17 years, lifetime prevalence rates of depression and anxiety disorders are 18% and 38%, respectively [3]. Intervention efforts for these disorders continue to progress, and rates of professional help seeking have increased [7], a large proportion of the burden of disease is still unavertable even with optimal treatment [8]. There is, a strong need for an effective, integrated approach to reduce the prevalence and impact of these disorders, especially for young people. As the incidence of these disorders peaks during adolescence [9,10], adolescence is a opportune time to target prevention and early intervention (referring to treatment and maintenance early in the course of disorder)

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