TY  - JOUR
AU  - Aldridge, Grace
AU  - Wu, Ling
AU  - Seguin, Joshua Paolo
AU  - Robinson, Jennifer
AU  - Battaglia, Elizabeth
AU  - Olivier, Patrick
AU  - Yap, Marie B H
PY  - 2024
DA  - 2024/11/22
TI  - Embedding Technology-Assisted Parenting Interventions in Real-World Settings to Empower Parents of Children With Adverse Childhood Experiences: Co-Design Study
JO  - JMIR Form Res
SP  - e55639
VL  - 8
KW  - co-design
KW  - service design
KW  - intervention
KW  - digital technology
KW  - parenting
KW  - children
KW  - technology
KW  - parenting program
KW  - health care services
KW  - adverse childhood experience
KW  - ACE
KW  - mental disorder
KW  - innovate
KW  - social services
KW  - community health
KW  - evidence-based
KW  - parenting intervention
AB  - Background: Adverse childhood experiences are strongly associated with mental disorders in young people. Parenting interventions are available through community health settings and can intervene with adverse childhood experiences that are within a parent’s capacity to modify. Technology can minimize common barriers associated with engaging in face-to-face parenting interventions. However, families experiencing adversity face unique barriers to engaging with technology-assisted parenting interventions. Formative research using co-design methodology to provide a deep contextual understanding of these barriers can help overcome unique barriers and ensure these families can capitalize on the benefits of technology-assisted parenting interventions. Objective: This study aims to innovate the parenting support delivered by a community health and social service with technology by adapting an existing, evidence-based, technology-assisted parenting intervention. Methods: Staff (n=3) participated in dialogues (n=2) and co-design workshops (n=8) exploring needs and preferences for a technology-assisted parenting intervention and iteratively developing a prototype intervention (Parenting Resilient Kids [PaRK]-Lite). Parents (n=3) received PaRK-Lite and participated in qualitative interviews to provide feedback on their experience and PaRK-Lite’s design. Results: PaRK-Lite’s hybrid design leverages simple and familiar modes of technology (podcasts) to deliver intervention content and embeds reflective practice into service provision (microcoaching) to enhance parents’ empowerment and reduce service dependency. A training session, manuals, session plans, and templates were also developed to support the delivery of microcoaching. Feedback data from parents overall indicated that PaRK-Lite met their needs, suggesting that service providers can play a key role in the early phases of service innovation for parents. Conclusions: The co-designed technology-assisted parenting intervention aims to offer both parents and clinicians a novel and engaging resource for intervening with maladaptive parenting, contributing to efforts to respond to childhood adversity and improve child mental health. Future research in the field of human-computer interaction and health service design can consider our findings in creating engaging interventions that have a positive impact on the well-being of children and families. 
SN  - 2561-326X
UR  - https://formative.jmir.org/2024/1/e55639
UR  - https://doi.org/10.2196/55639
UR  - http://www.ncbi.nlm.nih.gov/pubmed/39576676
DO  - 10.2196/55639
ID  - info:doi/10.2196/55639
ER  -