Impact of a pediatric digital mental health intervention on caregiver sleep and stress: A retrospective exploration of moderators of improvement

Caregivers of children with more severe symptoms experienced higher stress and sleep disturbances. Greater session engagement was linked to greater child symptom improvement, and greater child symptom improvement was associated with greater reductions in caregiver sleep problems and stress. This highlights how a pediatric DMHI can drive meaningful improvements in MH that extend beyond the child, creating positive ripple effects for caregivers as well.