RNPilotNursing open2018

Evaluating the parent-adolescent communication toolkit: Usability and preliminary content effectiveness of an online intervention.

Elaine Toombs, Anita Unruh, Patrick McGrath

PMID 29344392

WHAT IT FOUND

Parents of adolescents rated an online communication toolkit highly, especially with ordered modules.

Parent-reported communication improved over 6 weeks; adolescent communication and emotional scores mostly did not improve.

Key findings

01Parents rated the PACT modules highly, and the ten modules did not differ significantly from one another.

02Parents with sequential module access rated overall usability significantly higher than those with unrestricted access.

03Parent-reported communication scores were significantly higher after PACT than before, while adolescent communication scores did not differ significantly.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The analysed sample was 16 parent-adolescent dyads, so results are preliminary. Recruitment was by word of mouth and was a convenience sample, so the families may not represent broader populations. Most families already had strong parent-adolescent relationships and low emotional distress, so the study may not apply to families with more severe problems. Families with severe psychological impairment were excluded. Many participants dropped out before finishing modules; only eight participants (50%) completed all ten modules. The videos did not work on some tablets and phones, which impaired completion. The study did not compare PACT with no intervention, so changes after PACT cannot be attributed to the toolkit alone. Analyses of communication and emotional outcomes were exploratory. Most dyads were mother-daughter, and gender comparisons were not possible.

The easy way to misread this

Do not conclude that PACT improves adolescent communication or emotional health. Adolescent communication scores did not differ significantly, and both groups received PACT, so the study cannot show whether the toolkit itself caused the parent-reported change.

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