Evidence map›Paper›PMID 35715966›Full record

ArticleEarly intervention in psychiatry2023

The School of Hard Talks: A telehealth parent training group for caregivers of adolescents and young adults.

Emily R Kline, Heather Thibeau, A Simone Sanders, Beshaun J Davis, Alicia Fenley, Theresa McIntyre, Kelly English, Matcheri S Keshavan

Abstract read
In one paragraph

Article in Early intervention in psychiatry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Emily R KlineDepartment of Psychiatry, Boston Medical Center, Boston, Massachusetts, USA.ORCID 0000-0003-1746-7283
Heather ThibeauDepartment of Psychiatry, Boston Medical Center, Boston, Massachusetts, USA.
A Simone SandersDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Beshaun J DavisDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Alicia FenleyDepartment of Psychology, Boston University, Boston, Massachusetts, USA.
Theresa McIntyreChildren's Behavioral Health Knowledge Center, Massachusetts Department of Mental Health, Boston, Massachusetts, USA.
Kelly EnglishChildren's Behavioral Health Knowledge Center, Massachusetts Department of Mental Health, Boston, Massachusetts, USA.
Matcheri S KeshavanDepartment of Psychiatry, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.

Funding

Reducing Duration of Untreated Psychosis through Motivational Interviewing for Loved OnesK23MH118373 · NIMH · BOSTON MEDICAL CENTER · PI KLINE, EMILY R · 2019 to 2022
$638k
NIMH NIH HHS K23 MH118373NIMH NIH HHS K23MH118373
6 · The paper itself

Abstract

aimA large body of evidence demonstrates the importance of the family environment in the developmental trajectory of mental illness in young people. Caregiver communication skills training represents a potential model for influencing the outcomes of adolescents and young adults struggling with emerging mental health and behavioural difficulties. The aim of the current study is to describe the development of a telehealth group training intervention for caregivers of adolescents and young adults, and to report the results of a pilot feasibility-effectiveness study that took place in 2020-2021.

methodsThe "School of Hard Talks" intervention consisted of 8 h of training in communication skills consistent with motivational interviewing techniques. All pilot study participants were assigned to receive the intervention. Outcomes of interest were family conflict, caregiver stress, caregiver self-efficacy and expressed emotion (EE). Participants were assessed three times: prior to the intervention, after the intervention and 12 weeks later.

resultsA total of 62 participants enrolled in the study, of whom 49 completed the intervention. Large, significant improvements were observed over time in all four domains of interest. Qualitative feedback from parents was very positive and added context to quantitative observations.

conclusionsThe School of Hard Talks was a feasible and effective intervention targeting both caregiver wellbeing as well as important mechanisms of risk for youth psychopathology, namely family conflict and EE. Further research involving a larger sample and a control condition are needed to confirm these findings.

Indexed as

CaregiversTelemedicineAdolescentHumansParentsPilot ProjectsSchoolsYoung Adultadolescentcaregiversmental healthmotivational interviewingyoung adult

Identifiers

PMID35715966
PMCPMC10588675

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.