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ProVIA-Kids - outcomes of an uncontrolled study on smartphone-based behaviour analysis for challenging behaviour in
Rinat Meerson1,2, Hanna Buchholz1, Klaus Kammerer3
1Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Center of Mental Health, University Hospital of Wuerzburg, Wuerzburg, Germany.
Insights
This study shows the ProVIA-Kids app can help caregivers manage challenging behaviors in children with autism or developmental disabilities. The app improved caregiver stress and child behavior, demonstrating its potential as a valuable tool.
Area of Science:
- Child Psychology
- Developmental Disabilities
- Digital Health
Background:
- Challenging behavior (CB) is prevalent in children with autism spectrum disorder (ASD) or intellectual and developmental disabilities (IDD).
- Caregiver support is often limited, necessitating accessible and cost-effective interventions.
- Mental health applications offer a low-threshold solution for managing CB and supporting caregivers.
Purpose of the Study:
- To evaluate the feasibility and preliminary effectiveness of the ProVIA-Kids smartphone app.
- To assess the app's ability to identify causes of CB and provide individualized guidance.
- To determine the impact of the app on parental stress, child behavior, and caregiver well-being.
Main Methods:
- A pre-post study design involving 18 caregivers of children aged 4-11 with ASD, IDD, or both.
- An 8-week intervention using the ProVIA-Kids app for algorithm-based behavior analysis and guidance.
- Primary outcome: change in parental stress. Secondary outcomes: CB intensity, parenting, caregiver mood, and app feedback.
Main Results:
- Increased parental stress regarding feelings of incompetence was observed.
- Improvements were noted in parental stress experience related to CB and overreactive parenting.
- Descriptive improvements in CB intensity and caregiver mood were also reported.
Conclusions:
- The ProVIA-Kids app demonstrates high acceptance among participants.
- Pilot results suggest the app's potential to positively impact child behavior and caregiver mental health.
- ProVIA-Kids represents a novel digital approach to behavior analysis and intervention for CB.
Introduction:
Challenging behaviour (CB) is a common issue among children with autism spectrum disorder or intellectual and developmental disability. Mental health applications are low-threshold cost-effective tools to address the lack of resources for caregivers. This pre-post study evaluated the feasibility and preliminary effectiveness of the smartphone app ProVIA-Kids using algorithm-based behaviour analysis to identify causes of CB and provide individualized practical guidance to manage and prevent CB.
Methods:
A total of 18 caregivers (M = 38.9 ± 5.0) of children with a diagnosis of autism spectrum disorder (44%), intellectual and developmental disabilities (33%) or both (22%) aged 4-11 years (M = 7.6 ± 1.8) were included. Assessments were performed before and after an 8-week intervention period. The primary outcome was the change in parental stress. Caregiver stress experience due to CB was also rated daily via ecological momentary assessments within the app. Secondary outcomes included the intensity of the child's CB, dysfunctional parenting, feelings of parental competency as well as caregivers' mood (rated daily in the app) and feedback on the app collected via the Mobile Application Rating Scale.
Results:
We observed increases in parental stress in terms of conscious feelings of incompetence. However, we also saw improvements in parental stress experience due to CB and overreactive parenting, and descriptive improvements in CB intensity and caregiver mood.
Discussion:
ProVIA-Kids pioneers behaviour analysis in a digital and automated format, with participants reporting high acceptance. Pilot results highlight the potential of the ProVIA-Kids app to positively influence child behaviour and caregiver mental health over a longer intervention period.
Registration:
The study was registered at https://www.drks.de (ID = DRKS00029039) on May 31, 2022.
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