Responding to Cultural Diversity in Families

Author(s):  
Trevor G. Mazzucchelli

The adoption of a comprehensive population-based approach to parenting support means that effective parenting programs must truly be inclusive and relevant to all cultures. This chapter introduces a series of four chapters that explore how evidence-based parenting support can best respond to barriers and challenges and embrace cultural diversity in families everywhere. Themes emerging from this content include the importance of understanding and respecting parents’ beliefs and values, the flexible and responsive delivery of evidence-based parenting programs, and collaboratively working toward shared goals. Considerable conceptual and empirical work is being undertaken in the area of parenting support for families of diverse cultural backgrounds. This work provides optimism for the positive impact that evidence-based parenting programs will have in the coming years for children, families, and communities globally.

Author(s):  
Matthew R. Sanders

An evidence-based intervention system must continuously evolve in response to evidence pertaining to its effectiveness. It also needs to adapt to the changing needs, interests, and preferences of parents. This chapter identifies important challenges for program developers, implementers, and evaluators to ensure parenting programs continue to remain relevant to people’s lives. Advances in understanding the nature and causes of individual differences in parental and children’s capacities for self-regulation remain an important issue for parenting practitioners to address. This work will need to include gaining a clearer understanding of nonresponders to parenting programs. As population-based approaches become more common, there is likely to be an increase in consumer demand for quality evidence-based programs and a call for better preservice training of professionals. The advantages and limitations of “branded” parenting programs are discussed. We envision a greater values orientation in programs and a focus on building the relational competencies of young people.


Author(s):  
Matthew R. Sanders

Evidence-based parenting support programs have achieved a great deal, and strong policy support has developed in many jurisdictions. This support is based on outcome evidence and economic arguments relating to the costs of not intervening. At the same time, there is by no means universal support for the implementation of population-based parenting programs. Challenges remain to shift public opinions and perceptions about the importance of parenting programs and to counter myths and misinformation about how universal programs can be used. It is sometimes ignored that programs such as Triple P involve blending of universal and targeted programs that are highly cost-effective and successful in reaching and engaging vulnerable families. The research focus must turn to ensuring parenting programs that are effectively applied to promote child, family, and community well-being not just to avert clinical cases of problematic children and young people.


2019 ◽  
Vol 36 (02) ◽  
pp. 56-74 ◽  
Author(s):  
Matthew R. Sanders

Evidence-based parenting support (EBPS) programs derived from social learning theory, cognitive behavioural principles, and developmental theory are among the most successful innovations in the entire field of psychological intervention. EBPS programs have been at the cutting edge of global dissemination efforts to increase community access to evidence-based parenting programs. Despite the widely recognised success of these efforts, existing models of parenting intervention are not a panacea, and much can be done to improved outcomes. Efforts to improve outcomes have included the emergence of a population-based approach to increase reach of intervention. This has included the development of flexible delivery modalities, including online parenting interventions, the incorporation of strategies to enhance cultural relevance and acceptability of programs, and more recently, applications with parents in very low resource settings. Further enhancements of outcomes are likely to be forthcoming as we gain a better understanding of the mechanisms that explain positive intervention effects and non-response to interventions. More cost-effective online professional training models are needed to disseminate and promote the sustained use of EBPS programs. New interventions are required for the most vulnerable parents when parenting concerns are complicated by other problems such as trauma, addictions, relationship conflict, family violence, mental health problems and intergenerational poverty. However, to scale effective programs, Commonwealth and state government policies and funding priorities need to respond to evidence about what works and make sustained investments in the implementation of parenting programs. Possible strategies to enhance the policy impact of intervention research are discussed.


Author(s):  
Karen M. T. Turner ◽  
Sabine Baker ◽  
Jamin J. Day

Increasingly, parents are looking to the Internet for information and advice about parenting. This presents an opportunity to broaden the reach and availability of evidence-based parenting support in an extremely cost-effective manner if we can harness the power of the Internet to deliver engaging and effective interactive programs. Online platforms provide the potential to tailor content and feedback to the user and reduce barriers to participation through ease and immediacy of access, flexibility and self-paced delivery, and increased privacy. This chapter examines the role of technology-assisted delivery of parenting support and discusses challenges in providing evidence-based parenting programs online. Learnings from research into the Triple P Online family of web-based programs are shared, including implementation issues that influence program outcomes, such as program engagement, dosage, and provision of professional support.


Author(s):  
Matthew R. Sanders

A population approach to parenting support uses diverse delivery in person and online delivery contexts to provide parents with access to evidence-based programs. No single discipline, service sector, or mode of delivery should monopolize the provision of evidence-based parenting programs. Many different helping professionals come into contact with parents seeking support for parenting issues. It is particularly important that primary care settings are deployed as destigmatized socially normative points of contact for parents. Pediatricians, general practitioners, and community child health nurses are often approached for parenting advice. Similarly, the early childhood education and child care and school settings are also important contexts for the delivery of preventively focused parenting services and programs. In addition to considering how Triple P has been applied in these contexts, this section considers how evidence-based programs can be delivered in the context of the workplace, following natural disasters, through the media, and via the Internet.


2019 ◽  
Author(s):  
Megan Wales Patterson ◽  
Lilla Pivnick ◽  
Frank D Mann ◽  
Andrew D Grotzinger ◽  
Kathryn C Monahan ◽  
...  

Adolescents are more likely to take risks. Typically, research on adolescent risk-taking has focused on its negative health and societal consequences. However, some risk-taking behaviors might be positive, defined here as behavior that does not violate the rights of others and that might advance socially-valuable goals. Empirical work on positive risk-taking has been limited by measurement challenges. In this study, we elicited adolescents’ free responses (n = 75) about a time they took a risk. Based on thematic coding, we identified positive behaviors described as risks and selected items to form a self-report scale. The resulting positive risk-taking scale was quantitatively validated in a population-based sample of adolescent twins (n = 1249). Second, we evaluated associations between positive risk-taking, negative risk-taking, and potential personality and peer correlates using a genetically informed design. Sensation seeking predicted negative and positive risk-taking equally strongly, whereas extraversion differentiated forms of risk-taking. Additive genetic influences on personality accounted for the total heritability in positive risk-taking. Indirect pathways from personality through positive and negative peer environments were identified. These results provide promising evidence that personality factors of sensation seeking and extraversion can manifest as engagement in positive risks. Increased understanding of positive manifestations of adolescent risk-taking may yield targets for positive youth development strategies to bolster youth well-being.


2021 ◽  
Vol 30 (12) ◽  
pp. S22-S29
Author(s):  
Gillian O'Brien ◽  
Patricia White

Background: Lower limb cellulitis poses a significant burden for the Irish healthcare system. Accurate diagnosis is difficult, with a lack of validated evidence-based tools and treatment guidelines, and difficulties distinguishing cellulitis from its imitators. It has been suggested that around 30% of suspected lower limb cellulitis is misdiagnosed. An audit of 132 patients between May 2017 and May 2018 identified a pattern of misdiagnosis in approximately 34% of this cohort. Objective: The aim of this pilot project was to develop a streamlined service for those presenting to the emergency department with red legs/suspected cellulitis, through introduction of the ‘Red Leg RATED’ tool for clinicians. Method: The tool was developed and introduced to emergency department clinicians. Individuals (n=24) presenting with suspected cellulitis over 4 weeks in 2018 were invited to participate in data gathering. Finally, clinician questionnaire feedback regarding the tool was evaluated. Results: Fourteen participants consented, 6 female and 8 male with mean age of 65 years. The tool identified 50% (n=7) as having cellulitis, of those 57% (n=4) required admission, 43% (n=3) were discharged. The remainder who did not have cellulitis (n=7) were discharged. Before introduction of the tool, all would typically have been admitted to hospital for further assessment and management of suspected lower limb cellulitis. Overall, 72% (n=10) of patients who initially presented with suspected cellulitis were discharged, suggesting positive impact of the tool. Clinician feedback suggested all were satisfied with the tool and contents. Conclusion: The Red Leg RATED tool is user friendly and impacts positively on diagnosis treatment and discharge. Further evaluation is warranted.


2012 ◽  
Vol 68 (2) ◽  
Author(s):  
Tim Tucker ◽  
Noel Woodbridge

The purpose of this study was to investigate church leaders’ perceptions of motivational factors for a sports ministry in churches in Pretoria. A survey questionnaire was developed by the researchers to investigate the above perceptions. The survey consisted of demographic questions and perception questions using a structured and a semi-structured questionnaire. The results of the survey were assessed by calculating the significance of each motivational factor for a sports ministry in the church, as perceived by the respondents. Participants were recruited from 32 church leaders from a wide variety of denominational and cultural backgrounds in Pretoria. Results showed that a sports ministry could assist the church in evangelism and fulfilling the Great Commission. Over 95% of all respondents agreed that a sports ministry would have a positive impact on evangelism. The results of the survey showed that the participants from the churches in Pretoria are supportive of a sports ministry as a general strategy to help churches to promote evangelism and outreach, to cross cultural barriers, to keep in touch with society and to provide a place for teaching life skills and develop leaders.


2021 ◽  
Vol 22 (2) ◽  
pp. 173-181 ◽  
Author(s):  
Sathira Kasun Perera ◽  
Susannah Jacob ◽  
Richard Sullivan ◽  
Michael Barton

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