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Inequalities in Mental Health among Adolescents/Children and Effective Interventions

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Mental Health".

Deadline for manuscript submissions: closed (31 July 2021) | Viewed by 8079

Special Issue Editors


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Guest Editor
National Foundation for Educational Research (NFER), Berkshire, England
Interests: socio-economic inequalities; education; public health

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Guest Editor
Medical Sciences Division, University of Oxford, Oxford, UK
Interests: child and adolescent mental health; social and emotional wellbeing; cognitive development; academic potential; small and large-scale educational interventions

Special Issue Information

Dear Colleagues,

The mental health of children and adolescents is of concern across many countries in Europe, with prevalence levels rising. We know that poor mental health can impact on children from any background but is more common in children from more disadvantaged circumstances. Since services are stretched in many countries, how can we reduce the number of youngsters needing help, and what can be done to prevent mental health conditions in this age group? This Special Issue aims to provide the best up-to-date evidence on the mental health of children and adolescents and how it varies within countries and between countries. What is the relative contribution of risk factors to outcomes, and which of these factors is amenable to change and intervention? Are we really seeing an increase in prevalence or is the changing cultural context around mental health and open dialogue that is driving greater disclosure? How would we find it out? Where should our focus be, for our interventions to support children? What can society do, what should parents do, and what should schools do? We invite papers on any of the above themes.

Dr. Angela J.M. Donkin
Dr. Julia R. Badger
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Mental health
  • Children and adolescents
  • Risk factors
  • Interventions
  • Inequalities

Published Papers (3 papers)

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Research

23 pages, 432 KiB  
Article
The Role of Parent Engagement in a Web-Based Preventive Parenting Intervention for Child Mental Health in Predicting Parenting, Parent and Child Outcomes
by Wan Hua Sim, Anthony F. Jorm and Marie B. H. Yap
Int. J. Environ. Res. Public Health 2022, 19(4), 2191; https://doi.org/10.3390/ijerph19042191 - 15 Feb 2022
Cited by 7 | Viewed by 3097
Abstract
Although parents’ engagement in parenting programmes has frequently been posited to influence the efficacy and dissemination of these programmes, its relationship with intervention outcomes in parenting programmes is understudied. This study examined the predictive value of parental engagement on preventive parenting outcomes in [...] Read more.
Although parents’ engagement in parenting programmes has frequently been posited to influence the efficacy and dissemination of these programmes, its relationship with intervention outcomes in parenting programmes is understudied. This study examined the predictive value of parental engagement on preventive parenting outcomes in a tailored online parenting programme aimed at enhancing parental protective factors and reducing risk factors for child depression and anxiety disorders. The present study also explored the associations between parental engagement and other parent, child and family outcomes. Data were collected from a community sample of 177 parents who received a tailored online parenting programme (‘Parenting Resilient Kids’; PaRK) and their children as part of a randomised controlled trial. Participants completed measures on parenting, child anxiety and depressive symptoms, health-related quality of life and family functioning on three occasions. Multiple regressions showed that parental engagement explained additional variance in preventive parenting (most proximal outcomes) at post-intervention and 12-month follow-up. Indicators of higher levels of parental engagement, operationalised by greater proportions of recommended programme modules and intended goals completed, uniquely predicted higher levels of preventing parenting. Higher levels of parental engagement also predicted higher levels of parental acceptance and parental psychosocial health-related quality of life, lower levels of parental psychological control and lower levels of impairments in child health-related quality of life. However, parental engagement did not explain additional variance in parent or child reported anxiety or depressive symptoms. This study provides support for the role of parental engagement in facilitating parenting changes in parenting-focused interventions. Full article
19 pages, 1950 KiB  
Article
Enhancing Engagement of Fathers in Web-Based Preventive Parenting Programs for Adolescent Mental Health: A Discrete Choice Experiment
by Ashlyn Hansen, Scott D. Brown and Marie B. H. Yap
Int. J. Environ. Res. Public Health 2021, 18(23), 12340; https://doi.org/10.3390/ijerph182312340 - 24 Nov 2021
Cited by 3 | Viewed by 2034
Abstract
Few fathers enrol in web-based preventive parenting programs for adolescent mental health, despite the evidence of the benefits associated with their participation. To inform the development of father-inclusive programs, this study used a discrete choice experiment (DCE) design to determine (a) the relative [...] Read more.
Few fathers enrol in web-based preventive parenting programs for adolescent mental health, despite the evidence of the benefits associated with their participation. To inform the development of father-inclusive programs, this study used a discrete choice experiment (DCE) design to determine (a) the relative influence of number of sessions, program benefits, program participants, and user control over program content on fathers’ preferences for web-based preventive parenting programs; and (b) whether selected father characteristics were associated with their preferences. One hundred and seventy-one fathers completed the DCE survey, which comprised 25 choices between hypothetical programs. Programs that included the participant’s adolescent child (z = 10.06, p < 0.0001), or parenting partner (z = 7.30, p < 0.001) were preferred over those designed for fathers only. Participants also preferred program content that was recommended for them by experts (z = −4.31, p < 0.0001) and programs with fewer sessions (z = −2.94, p < 0.01). Program benefits did not predict fathers’ choice of program. Prior use of a parenting program, level of education, perceived role of parenting for adolescent mental health, and being part of a dual-working family were associated with preferences. Application of these findings may improve paternal enrolment in web-based preventive parenting programs. Full article
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19 pages, 809 KiB  
Article
Engaging Parents of Lower-Socioeconomic Positions in Internet- and Mobile-Based Interventions for Youth Mental Health: A Qualitative Investigation
by Grace Broomfield, Catherine Wade and Marie B. H. Yap
Int. J. Environ. Res. Public Health 2021, 18(17), 9087; https://doi.org/10.3390/ijerph18179087 - 28 Aug 2021
Cited by 8 | Viewed by 2320
Abstract
Growing literature supports the use of internet- and mobile-based interventions (IMIs) targeting parenting behaviours to prevent child and adolescent mental health difficulties. However, parents of lower-socioeconomic positions (SEP) are underserved by these interventions. To avoid contributing to existing mental health inequalities, additional efforts [...] Read more.
Growing literature supports the use of internet- and mobile-based interventions (IMIs) targeting parenting behaviours to prevent child and adolescent mental health difficulties. However, parents of lower-socioeconomic positions (SEP) are underserved by these interventions. To avoid contributing to existing mental health inequalities, additional efforts are needed to understand the engagement needs of lower-SEP parents. This study qualitatively explored lower-SEP parents’ perspectives on how program features could facilitate their engagement in IMIs for youth mental health. We conducted semi-structured interviews with 16 lower-SEP parents of children aged 0–18 to identify important program features. Participants were mostly female (81.3%) and aged between 26 and 56 years. Transcriptions were analysed using inductive thematic analysis. Twenty-three modifiable program features important to lower-SEP parents’ engagement in IMIs were identified. These features aligned with one of three overarching themes explaining their importance to parents’ willingness to engage: (1) It will help my child; (2) I feel like I can do it; (3) It can easily fit into my life. The relative importance of program features varied based on parents’ specific social and economic challenges. These findings offer initial directions for program developers in optimising IMIs to overcome barriers to engagement for lower-SEP parents. Full article
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