parenting support
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Author(s):  
Enrique Callejas ◽  
Sonia Byrne ◽  
María José Rodrigo

AbstractWhile positive parenting programs are an initiative aligned with the Family-Centered Care model and the Council of Europe’s Recommendation on Positive Parenting, implementation in healthcare centers remains a challenge. The aims of this study were to (1) investigate how the hybrid version (online course plus face-to-face activities) of the program “Gain Health & Wellbeing From 0 to 3” was implemented in Spain from professionals’ perspective, and (2) explore the perceived impact of this hybrid version of the program on the implementers’ professional development. We used a qualitative mixed-methods design that included focus groups and surveys. Fifty professionals from 17 centers completed the survey on professional development. Thirty-one of these also participated in the focus groups to address the first aim. The key themes identified from the focus group were professional training, parent recruitment, program features, organizational issues, parental responses, and program sustainability. Survey results related to positive professional impact fit nicely with subthemes concerning collaboration with parents, parental needs, center coordination, and future expectations. The perceived relevance of the parenting program and its positive impact on the implementers’ professional development were potential predictors for the adoption and sustainability of the program in the public health system.


2022 ◽  
Vol 8 (1) ◽  
Author(s):  
Katarzyna Kostyrka-Allchorne ◽  
Claire Ballard ◽  
Sarah Byford ◽  
Samuele Cortese ◽  
David Daley ◽  
...  

Abstract Background In the UK, children with high levels of hyperactivity, impulsivity and inattention referred to clinical services with possible attention-deficit/hyperactivity disorder (ADHD) often wait a long time for specialist diagnostic assessment. Parent training (PT) has the potential to support parents during this difficult period, especially regarding the management of challenging and disruptive behaviours that often accompany ADHD. However, traditional face-to-face PT is costly and difficult to organise in a timely way. We have created a low-cost, easily accessible PT programme delivered via a phone app, Structured E-Parenting Support (STEPS), to address this problem. The overall OPTIMA programme will evaluate the efficacy and cost-effectiveness of STEPS as a way of helping parents manage their children behaviour while on the waitlist. To ensure the timely and efficient evaluation of STEPS in OPTIMA, we have worked with children’s health services to implement a remote strategy for recruitment, screening and assessment of recently referred families. Part of this strategy is incorporated into routine clinical practice and part is OPTIMA specific. Here, we present the protocol for Phase 1 of OPTIMA—a study of the feasibility of this remote strategy, as a basis for a large-scale STEPS randomised controlled trial (RCT). Methods This is a single arm observational feasibility study. Participants will be parents of up to 100 children aged 5-11 years with high levels of hyperactivity/impulsivity, inattention and challenging behaviour who are waiting for assessment in one of five UK child and adolescent mental health or behavioural services. Recruitment, consenting and data collection will occur remotely. The primary outcome will be the rate at which the families, who meet inclusion criteria, agree in principle to take part in a full STEPS RCT. Secondary outcomes include acceptability of remote consenting and online data collection procedures; the feasibility of collecting teacher data remotely within the required timeframe, and technical difficulties with completing online questionnaires. All parents in the study will receive access to STEPS. Discussion Establishing the feasibility of our remote recruitment, consenting and assessment strategy is a pre-requisite for the full trial of OPTIMA. It can also provide a model for future trials conducted remotely.


2021 ◽  
Author(s):  
Liesbeth Theuns‐Boumans ◽  
Jolanda Mathijssen ◽  
Carin Rots‐de Vries ◽  
Ien Goor

2021 ◽  
Author(s):  
Aya Saito

Background: Previous studies have suggested an association between higher levels of parental autistic traits and negative aspects of parenting; however, the domain of autistic traits specifically associated with parenting difficulties has not been investigated yet. Moreover, it remains to be determined whether this association exists even after controlling for children’s characteristics.Aims: This study examined the relationship between each domain of parental autistic traits and parenting difficulties after controlling for children’s characteristics in a Japanese community sample.Methods and Procedures: Surveys were administered to 1,373 Japanese adults who were parents to children in kindergartens, nursery schools, and elementary schools. Outcomes and Results: The results showed that parents with higher levels of autistic traits had more parenting difficulties. Even after controlling for children’s sex, age, and emotional/behavioral problems, paternal impaired communication and maternal poor attention switching, impaired communication, and lack of imagination related to higher parenting difficulties, while a higher maternal level of attention to detail was associated with lower difficulties in parenting. Conclusions and Implications: The findings of this study highlight the importance of focusing on parental autistic traits and providing appropriate parenting support considering these traits.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
B. Wright ◽  
R. Hargate ◽  
M. Garside ◽  
G. Carr ◽  
T. Wakefield ◽  
...  

Abstract Background Over 90% of the 50,000 deaf children in the UK have hearing parents, many of whom were not expecting a deaf child and may require specialist support. Deaf children can experience poorer long-term outcomes than hearing children across a range of domains. After early detection by the Universal Newborn Hearing Screening Programme, parents in the UK receive support from Qualified Teachers of the Deaf and audiologists but resources are tight and intervention support can vary by locality. There are challenges faced due to a lack of clarity around what specific parenting support interventions are most helpful. Methods The aim of this research was to complete a systematic scoping review of the evidence to identify early support interventions for parents of deaf infants. From 5577 identified records, 54 met inclusion criteria. Two reviewers screened papers through three rounds before completing data extraction and quality assessment. Results Identified parent support interventions included both group and individual sessions in various settings (including online). They were led by a range of professionals and targeted various outcomes. Internationally there were only five randomised controlled trials. Other designs included non-randomised comparison groups, pre / post and other designs e.g. longitudinal, qualitative and case studies. Quality assessment showed few high quality studies with most having some concerns over risk of bias. Conclusion Interventions commonly focused on infant language and communication followed by parental knowledge and skills; parent wellbeing and empowerment; and parent/child relationship. There were no interventions that focused specifically on parent support to understand or nurture child socio-emotional development despite this being a well-established area of poor outcome for deaf children. There were few UK studies and research generally was not of high quality. Many studies were not recent and so not in the context of recent healthcare advances. Further research in this area is urgently needed to help develop evidence based early interventions.


2021 ◽  
pp. 80-98
Author(s):  
Carmel Devaney ◽  
Rosemary Crosse ◽  
Nuala Connolly ◽  
Catherine O'Donohoe ◽  
Caroline Jordan ◽  
...  

2021 ◽  
Vol 52 (3) ◽  
pp. 317-343
Author(s):  
Soyoung Lee ◽  
Meejung Chin ◽  
Miai Sung

The contemporary neighborhood literature discusses the complex relationships among neighborhood environments, social support, and parenting. Grounded in the Person-Process-Context-Time (PPCT) model, we examined how different sources of social support interact with Korean mothers’ perception of disorder in their neighborhoods, and if social support increases or decreases their parenting stress in rural and metropolitan areas. Using STATA 14.0, we conducted multiple regression modeling including tests for interaction effects. Our sample (from the 8th Wave PSKC) included 1,300 mothers of seven-year-old children who were transitioning to first grade. The results showed that for metropolitan mothers, support from neighbors was important. Interestingly, receiving social support from friends/colleagues could increase or reduce their parenting stress depending on the type of residential neighborhood. Both rural and metropolitan mothers who reported negative impressions of their neighborhood environment experienced more parenting stress. However, these relationships disappeared when controlling for the interactions between mothers’ perception of disorder in their neighborhood and social support. These findings suggest that the social support that mothers receive from neighbors, and friends/colleagues, in general, play an important role in relieving parenting stress when raising first graders. However, living in disorganized, unsafe, or stressful neighborhood environments may restrict mothers’ parenting choices due to anxiety and limited outdoor space, resulting in increased parenting stress. Therefore, careful consideration of neighborhood characteristics is required to develop community-based parenting support services as part of family-friendly policies to effectively reduce the burden of parenting school-aged children in Korea.


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