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Gepubliceerd in: Cognitive Therapy and Research 2/2021

16-03-2020 | Original Article

Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions

Auteurs: Brian E. Bunnell, Lynne S. Nemeth, Leslie A. Lenert, Nikolaos Kazantzis, Esther Deblinger, Kristen A. Higgins, Kenneth J. Ruggiero

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 2/2021

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Abstract

Background

Homework, or between-session practice of skills learned during therapy, is integral to effective youth mental health TREATMENTS. However, homework is often under-utilized by providers and patients due to many barriers, which might be mitigated via mHealth solutions.

Methods

Semi-structured qualitative interviews were conducted with nationally certified trainers in Trauma Focused Cognitive Behavioral Therapy (TF-CBT; n = 21) and youth TF-CBT patients ages 8–17 (n = 15) and their caregivers (n = 12) to examine barriers to the successful implementation of homework in youth mental health treatment and potential mHealth solutions to those barriers.

Results

The results indicated that many providers struggle to consistently develop, assign, and assess homework exercises with their patients. Patients are often difficult to engage and either avoid or have difficulty remembering to practice exercises, especially given their busy/chaotic home lives. Trainers and families had positive views and useful suggestions for mHealth solutions to these barriers in terms of functionality (e.g., reminders, tracking, pre-made homework exercises, rewards) and user interface (e.g., easy navigation, clear instructions, engaging activities).

Conclusions

This study adds to the literature on homework barriers and potential mHealth solutions to those barriers, which is largely based on recommendations from experts in the field. The results aligned well with this literature, providing additional support for existing recommendations, particularly as they relate to treatment with youth and caregivers.
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Metagegevens
Titel
Barriers Associated with the Implementation of Homework in Youth Mental Health Treatment and Potential Mobile Health Solutions
Auteurs
Brian E. Bunnell
Lynne S. Nemeth
Leslie A. Lenert
Nikolaos Kazantzis
Esther Deblinger
Kristen A. Higgins
Kenneth J. Ruggiero
Publicatiedatum
16-03-2020
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 2/2021
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-020-10090-8

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