Measuring Child, Parent, and Family Outcomes at Individual and Population Levels

Author(s):  
Alina Morawska ◽  
Matthew R. Sanders

The hallmark of evidence-based approaches to parenting support is the systematic, comprehensive, and continuing measurement of outcomes, over time, across individuals and groups. The chapter beings by describing the typical targets of parenting intervention (e.g., child behavior and adjustment; parenting behavior and self-efficacy) as well as less frequently assessed, more distal, intervention targets (e.g., parent adjustment, couple relationships). The common types of assessments and best practice approaches to assessment are described. In particular, approaches to measuring individual child, parenting, and family outcomes, as well as approaches to measuring population-level outcomes are detailed. Finally, commonly used approaches to assess the effects of Triple P are outlined.

Author(s):  
Matthew R. Sanders ◽  
Karyn L. Healy ◽  
Julie Hodges ◽  
Grace Kirby

Abstract Parent-child relationships influence learning throughout a child’s formal schooling and beyond. The quality of parenting children receive has a major influence on their learning and developmental capabilities. Parental influence is important in the early years of life and extends throughout a child’s schooling. Parenting has a pervasive influence on children’s language and communication, executive functions and self-regulation, social and peer relationships, academic attainment, general behaviour and enjoyment of school. Schools can further enhance educational outcomes for students by developing the resources and expertise needed to engage parents as partners in learning. This can be achieved by delivering and facilitating access to a comprehensive system of high-quality, culturally informed, evidence-based parenting support programs. In this article, recent developments in the Triple P system of parenting support are used to illustrate how schools can develop a low-cost, comprehensive, high-quality parenting support strategy that blends universal components with targeted components for more vulnerable children. We identify potential organisational and logistical barriers to implementing parenting support programs and ways to address these.


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):  
Trevor G. Mazzucchelli

There is considerable evidence supporting the efficacy and effectiveness of parenting interventions based on social learning principles for a range of social, emotional, and health problems, involving different types of families and through a variety of delivery systems. The challenge now is “going to scale” in order to have a positive impact at a population level. This chapter introduces three best practice exemplars that have taken place in the United States, Ireland, and Australia, where a full multilevel systems approach to parenting support has been applied and evaluated. These applications provide important lessons regarding the barriers and facilitators that can influence an initiative’s success and degree of impact. By illustrating how these approaches have involved different populations, behavioral targets, evaluation designs, and means of assessing outcome, they also hint at the many possibilities that are available in future dissemination efforts.


Author(s):  
Matthew R. Sanders

The parenting of children takes place in many different kinds of contexts. To avoid a “one-size-fits-all” approach, evidence-based parenting programs must adapt to and accommodate the diverse needs of families in a community. These needs can change over time in an individual family. This section of the book illustrates the flexibility and robustness of the Triple P system in addressing the needs of different types of families. Individual chapters discuss the application of Triple P to working parents, fathers, grandparents, parents with mental health problems, and parents who have been through separation or divorce. The success of these efforts is related to gaining a clear understanding of the context within which parenting tasks and responsibilities are undertaken.


Author(s):  
Jessica A. Bartlett ◽  
Matthew R. Sanders

Childhood obesity rates are on the rise worldwide. Considering the significant health and economic costs associated with obesity, emphasis must be placed on addressing this public health dilemma from both preventive and treatment perspectives. Evidence-based parent-centered interventions are an effective way to target obesity in children. Parents play a central role in a child’s lifestyle habits. However, parental recruitment and engagement remains problematic. This challenge must be addressed from a population health framework if improvements in childhood obesity rates are to be achieved. This chapter provides a framework for the prevention and management of childhood obesity from a public health perspective. The need for a population approach to evidence-based parenting programs is advocated to shift population-level rates of obesity. The existing research base for such an approach is discussed, along with future directions for clinical practice and research.


2018 ◽  
Vol 52 (14) ◽  
pp. 894-902 ◽  
Author(s):  
Richard G Ellenbogen ◽  
Hunt Batjer ◽  
Javier Cardenas ◽  
Mitchel Berger ◽  
Julian Bailes ◽  
...  

One of the National Football League’s (NFL) Head, Neck and Spine Committee’s principal goals is to create a ‘best practice’ protocol for concussion diagnosis and management for its players. The science related to concussion diagnosis and management continues to evolve, thus the protocol has evolved contemporaneously. The Fifth International Conference on Concussion in Sport was held in Berlin in 2016, and guidelines for sports concussion diagnosis and management were revised and refined. The NFL Head, Neck and Spine Committee has synthesised the most recent empirical evidence for sports concussion diagnosis and management including the Berlin consensus statement and tailored it to the game played in the NFL. One of the goals of the Committee is to provide a standardised, reliable, efficient and evidence-based protocol for concussion diagnosis and management that can be applied in this professional sport during practice and game day. In this article, the end-of-season version of the 2017–18 NFL Concussion Diagnosis and Management Protocol is described along with its clinical rationale. Immediate actions for concussion programme enhancement and research are reviewed. It is the Committee’s expectation that the protocol will undergo refinement and revision over time as the science and clinical practice related to concussion in sports crystallise


Gerontology ◽  
2015 ◽  
Vol 62 (3) ◽  
pp. 253-262 ◽  
Author(s):  
Domantas Jasilionis ◽  
Vladimir M. Shkolnikov

In the second half of the 20th century, the advances in human longevity observed have been accompanied by an increase in the disparities between countries and regions. Education is one of the strongest predictors of life expectancy. Studies have shown that both relative and absolute mortality differences by education within countries have been increasing, even in the most developed and egalitarian countries. It is possible to assume that groups of highly educated people who systematically display life expectancy levels which are higher than the observed best practice (record) life expectancy at the national level are vanguards who are leading the way toward a lengthening of life for the remaining population groups. This evidence based on population-level statistics and exploring an important single factor could inspire further discussion about the possibilities for extending human length of life at the national level. However, more comprehensive and reliable data covering a larger number of countries and more covariates are needed for understanding health effects of education and prospects of human longevity.


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.


Author(s):  
Kate Sofronoff ◽  
Kylie M. Gray ◽  
Stewart L. Einfeld ◽  
Bruce J. Tonge

This chapter emphasizes the need for targeted support at a population level for families of children with disabilities. The significantly higher risk of child behavioral and emotional problems can leave parents open to much greater stress, social isolation, and a sense that no help is available. Evidence-based parenting support can redress this, but it is likely to take some time before such support is widely available. Engagement with both professionals and parents takes time and occurs within a political climate that can easily change and disrupt the introduction and sustainability of an effective program. Despite difficulties, however, when parents are able to access an evidence-based parenting program the outcomes are positive for both parents and children, and parents report greater confidence in moving forward with their children.


Author(s):  
Vanessa E. Cobham ◽  
Brett McDermott ◽  
Matthew R. Sanders

Natural disasters have become more frequent with climate change. Postdisaster, children and adolescents represent a particularly vulnerable group. Parents have a vital role in influencing how their children make sense of and respond to any potentially traumatic event. Supporting parents is particularly critical postdisaster, as parents will typically have been affected also, with implications for their parenting and the parent–child relationship. To date, only one postdisaster parenting intervention has been described and evaluated. A new, universal parenting intervention—Disaster Recovery Triple P (DRTP)—is introduced and efficacy data presented. Implementation issues to be considered in making a parenting intervention such as DRTP work in a postdisaster context are discussed.


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