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A Pilot Randomized Controlled Trial of the Family Assessment and Feedback Intervention (FAFI): Effects on Mental Health Literacy and Attitudinal Engagement with Health Supports and Services

  • Masha Y. Ivanova,
  • Allison Hall,
  • Stanley Weinberger,
  • Sara L. Buckingham,
  • William E. Copeland,
  • Phoenix Crockett,
  • Justin Dainer-Best,
  • Casey D’Alberto,
  • Lauren Dewey,
  • DeShan Foret,
  • Maria Galano,
  • Lisa Goodrich,
  • Lindsay Holly,
  • Nalini Emily Lane,
  • Maureen Leahy,
  • Mathew Lerner,
  • Jasmine Marsh,
  • Ellen W. McGinnis,
  • Melissa Paiva-Salisbury,
  • Judith S. Shaw,
  • Pamela Swift,
  • Rebekah Tinker,
  • James J. Hudziak

摘要

This randomized controlled trial tested the Family Assessment and Feedback Intervention (FAFI), a new intervention to enhance family engagement with emotional and behavioral health services. The FAFI is a guided conversation with families about results of their multidimensional assessment that is set in the context of motivational enhancement. It differs from other assessment-with-feedback interventions by extending the focus of assessment beyond the target child to parents and the family environment, addressing parental emotional and behavioral problems and competencies, spanning a broad range of children’s and parents’ strengths and difficulties, and being generalizable to many settings and practitioners. Participants were 81 families in primary care pediatrics. The FAFI was associated with a significant increase in parental mental health literacy and with an increase in parental attitudinal engagement with health supports and services that closely approached statistical significance (p = .052), while controlling for children’s age and gender and family socioeconomic status.