An Examination of Parental Behavioral Intentions to Use Youth Evidence-Based Services
| dc.contributor.advisor | Nakamura, Brad J. | |
| dc.contributor.author | Choy, Spencer | |
| dc.contributor.department | Psychology | |
| dc.date.accessioned | 2024-03-11T22:20:05Z | |
| dc.date.available | 2024-03-11T22:20:05Z | |
| dc.date.issued | 2023 | |
| dc.description.degree | Ph.D. | |
| dc.identifier.uri | https://hdl.handle.net/10125/107995 | |
| dc.subject | Clinical psychology | |
| dc.subject | evidence-based services | |
| dc.subject | parents | |
| dc.subject | theory of planned behavior | |
| dc.subject | treatment engagement | |
| dc.title | An Examination of Parental Behavioral Intentions to Use Youth Evidence-Based Services | |
| dc.type | Thesis | |
| dcterms.abstract | Research on parental consumers of youth mental health evidence-based services (EBS) is developing quickly. A focus on treatment attitudes and structural barriers has dominated such scholarship; however, such research is not necessarily fully informed by relevant theoretical frameworks that have the potential promise for powerful application(s). Ajzen’s (1991) theory of planned behavior (TPB) is a widely-examined theoretical framework to understand and predict behavior through behavioral intentions that are influenced by attitudes, subjective norms, and perceived behavioral control. Although the TPB has generally been used to predict physical health behaviors, some researchers have applied it to adults to understand their intentions and behavior to seek mental health services. Furthermore, over the past several years, these types of studies have even expanded to parental intentions for seeking general and evidence-based youth mental health services. Thus, this study aimed to understand parental intentions to seek and utilize evidence-based services through structural equation modeling (SEM). With a diverse community sample of 351 parents, results indicated that none of the three models, including the original TPB model (model one), fit the data well. Across the models, there was no significant positive effect for parental help-seeking attitudes about youth mental health services on their intentions to seek EBS. However, findings consistently showed significant and positive direct effects of subjective norms and perceived behavioral control on evidence-informed action. In the expanded models (models two and three), there was no significant and negative direct effect of parental perceptions of treatment barriers on intentions, but there was a significantly negative indirect effect on intentions through perceived behavioral control. Additionally, caregivers’ perceived knowledge about youth services had a significant and positive direct effect on their intentions. Regarding parental empowerment about service system navigation, there was a counterintuitive negative direct effect on evidence-informed action in model two, and an expected positive indirect effect on intentions through perceived behavioral control in model three. Although none of the measurement models fit the data well, the original TPB model fit the data the best. These findings provide considerations for further refinement of frameworks in regards to understanding parental intentions to seek and utilize EBS for their children’s mental health challenges. | |
| dcterms.extent | 145 pages | |
| dcterms.language | en | |
| dcterms.publisher | University of Hawai'i at Manoa | |
| dcterms.rights | All UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner. | |
| dcterms.type | Text | |
| local.identifier.alturi | http://dissertations.umi.com/hawii:11869 |
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