A Pilot Study of an Attachment‐Based Parenting Intervention for Parents of Adolescents in China: Translation, Modifications, and Preliminary Effectiveness
Bibliographic record
Abstract
ABSTRACT Adolescent mental health problems have increased internationally, and over one‐quarter of Chinese adolescents—approximately 40 million teens—have reported significant mental health problems in recent years. This study tailored and evaluated the acceptance, uptake, and effectiveness of Connect, a brief manualized trauma‐informed and attachment‐based parenting program, for Mandarin‐speaking families in Beijing, China. 30 parents (aged 36–50 years, Mage = 44.6, SD = 3.2; 83.3% mothers, 16.7% fathers) of youth aged 10–16 years (Mage = 13.4, SD = 1.5; 50.0% female) were enrolled in a single‐arm pilot study with preprogram and postprogram assessments of youth mental health, parental functioning, and quality of parent–child relationships. Careful translation was necessary to retain program nuances and meaning, including references to Chinese idioms and poems to enhance cultural meaning. Program modifications included tailoring role plays to reflect culturally relevant domains of parent–youth conflict, direct prompting of parents in reflection exercises and discussions, and a deeper emphasis on empathy in parent–child relationships. These modifications enhanced rather than diminished core program fidelity within this cultural context. Program enrolment, attendance, retention, and parents' feedback revealed strong program acceptance and perceived cultural fit. Parents also reported significant reductions in youth internalizing and externalizing problems, youth‐to‐parent and parent‐to‐youth physical and psychological aggression, parent depressed mood, and parenting strain. The findings align with previous randomized clinical trials and implementation studies of Connect across diverse countries, contexts, and clinical populations. Replication is required with larger samples, randomized designs, and using parent and youth measures to sensitively capture the quality of parent–child relationships.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.003 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.000 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".