A Feasibility Pilot Intervention Program to Teach Parenting Skills to Mothers of Poly-Victimized Children

Pereira, Paulo Celso; D’Affonseca, Sabrina Mazo; Williams, Lúcia Cavalcanti de Albuquerque

doi:10.1007/s10896-012-9490-9

Cited by 11 publications

(9 citation statements)

References 32 publications

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“…Five studies 280,601,604,605,610 were excluded because they did not include a relevant evaluation of the intervention of interest. The remaining six studies 583,588,590,594,595,602 were excluded because there was either no specific focus on child outcomes (n = 3 583,590,602 ) or no specific focus on maltreatment (n = 3 588,594,595 ). …”

Section: Excluded Studiesmentioning

confidence: 99%

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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BackgroundChild maltreatment is a substantial social problem that affects large numbers of children and young people in the UK, resulting in a range of significant short- and long-term psychosocial problems.ObjectivesTo synthesise evidence of the effectiveness, cost-effectiveness and acceptability of interventions addressing the adverse consequences of child maltreatment.Study designFor effectiveness, we included any controlled study. Other study designs were considered for economic decision modelling. For acceptability, we included any study that asked participants for their views.ParticipantsChildren and young people up to 24 years 11 months, who had experienced maltreatment before the age of 17 years 11 months.InterventionsAny psychosocial intervention provided in any setting aiming to address the consequences of maltreatment.Main outcome measuresPsychological distress [particularly post-traumatic stress disorder (PTSD), depression and anxiety, and self-harm], behaviour, social functioning, quality of life and acceptability.MethodsYoung Persons and Professional Advisory Groups guided the project, which was conducted in accordance with Cochrane Collaboration and NHS Centre for Reviews and Dissemination guidance. Departures from the published protocol were recorded and explained. Meta-analyses and cost-effectiveness analyses of available data were undertaken where possible.ResultsWe identified 198 effectiveness studies (including 62 randomised trials); six economic evaluations (five using trial data and one decision-analytic model); and 73 studies investigating treatment acceptability. Pooled data on cognitive–behavioural therapy (CBT) for sexual abuse suggested post-treatment reductions in PTSD [standardised mean difference (SMD) –0.44 (95% CI –4.43 to –1.53)], depression [mean difference –2.83 (95% CI –4.53 to –1.13)] and anxiety [SMD –0.23 (95% CI –0.03 to –0.42)]. No differences were observed for post-treatment sexualised behaviour, externalising behaviour, behaviour management skills of parents, or parental support to the child. Findings from attachment-focused interventions suggested improvements in secure attachment [odds ratio 0.14 (95% CI 0.03 to 0.70)] and reductions in disorganised behaviour [SMD 0.23 (95% CI 0.13 to 0.42)], but no differences in avoidant attachment or externalising behaviour. Few studies addressed the role of caregivers, or the impact of the therapist–child relationship. Economic evaluations suffered methodological limitations and provided conflicting results. As a result, decision-analytic modelling was not possible, but cost-effectiveness analysis using effectiveness data from meta-analyses was undertaken for the most promising intervention: CBT for sexual abuse. Analyses of the cost-effectiveness of CBT were limited by the lack of cost data beyond the cost of CBT itself.ConclusionsIt is not possible to draw firm conclusions about which interventions are effective for children with different maltreatment profiles, which are of no benefit or are harmful, and which factors encourage people to seek therapy, accept the offer of therapy and actively engage with therapy. Little is known about the cost-effectiveness of alternative interventions.LimitationsStudies were largely conducted outside the UK. The heterogeneity of outcomes and measures seriously impacted on the ability to conduct meta-analyses.Future workStudies are needed that assess the effectiveness of interventions within a UK context, which address the wider effects of maltreatment, as well as specific clinical outcomes.Study registrationThis study is registered as PROSPERO CRD42013003889.FundingThe National Institute for Health Research Health Technology Assessment programme.

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Section: Excluded Studiesmentioning

confidence: 99%

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

Macdonald

Livingstone

Hanratty

et al. 2016

Health Technol Assess

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“…Although it is beyond the scope of this paper to describe all recent Brazilian studies or programs of parental intervention, it is also worth mentioning Project Parceria (Partnership), a secondary and tertiary prevention of violence program designed to teach positive skills to mothers victims of intimate partner violence to prevent behavioral problems in children (Pereira, D'Affonseca, & Williams, 2013;Williams, Santini, & D'Affonseca, 2014). Additionally, Santini, D'Affonseca, Ormeño, and Williams (2012) describe a case study using the Parceria Project with a 43-year-old mother who had been previously incarcerated.…”

Section: Un Estudio De Caso Utilizando El Programa Act De Prevención mentioning

confidence: 99%

A Case Study with the ACT Raising Safe Kids Parenting Program

Silva¹,

Carlos

Williams

2016

Temas Psicol.

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The aim of this paper is to describe a case study of an intervention conducted with a Brazilian mother using the ACT Raising Safe Kids Program -a universal program to prevent violence against children. This study evaluated behavioral aspects of the mother and her six-year old son with pre-post intervention measures, and follow-up. The mother fi lled the Brazilian instrument Parental Style Inventory (IEP), as well as the ASEBA (CBCL, ASR and ABCL) prior and after the intervention, and at follow-up; in addition to the ACT Program Assessment Questionnaire after the intervention. The husband fi lled the CBCL and the ABCL in all the study's phases. Results pointed to a change in parental style after intervention (from "High Average" to "Excellent"). Agreement between informants about the child´s behavior was found, and disagreement between spouses about mother´s behaviors. The fact that the couple decided to separate during the intervention hinders an accurate interpretation of the discrepant results. Studies involving group application of the ACT Program are needed in Brazil. Keywords:Child abuse, universal prevention, ACT program. Um Estudo de Caso com o Programa Parental ACT para Educar Crianças em Ambientes SegurosResumo O objetivo deste artigo é relatar um estudo de caso descrevendo uma intervenção feita a uma mãe com o Programa ACT para Educar Crianças em Ambientes Seguros -programa de prevenção universal à violência contra a criança Tal estudo avaliou características comportamentais de uma mãe e seu fi lho de seis anos, com medidas de pré-teste/pós-teste/follow-up. A mãe preencheu o Inventário de Estilos Parentais e os instrumentos ASEBA (CBCL, ASR e ABCL) antes e após a intervenção e no follow-up, além do Questionário de Avaliação do Programa ACT após o treino. O marido, informante eleito pela participante, preencheu o CBCL e o ABCL em todas as fases do estudo. Os resultados apontaram para uma mudança no estilo parental do cuidador após intervenção (de "Regular Acima da Média" para "Ótimo"). Houve concordância entre os informantes quanto ao comportamento da criança

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“…Further studies based on Projeto Parceria with distinct populations obtained promising results. Pereira, D'Affonseca and Williams [45] implemented the project with 17 mothers of adolescents who were reported to the Judicial System of Brazil because they had been victims of multiple forms of abuse by various family members. As 15 of such mothers were also victims of IPV, Projeto Parceria was used.…”

Section: The Projeto Parceria (Partnership Project)mentioning

confidence: 99%

The Parceria Project: A Brazilian Parenting Program to Mothers with a History of Intimate Parter Violence

Albuquerque¹,

Santini²,

D’Affonseca³

2014

ijap

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This paper takes in consideration the association between child abuse and intimate partner violence (IPV), as well as its implications to children's healthy development. In general, parenting programs do not consider the history of IPV that participants may present. Thus, they tend to not offer a special help to victimized mothers to cope with their emotional problems and other difficulties they may face in educating their children. The present article provides a description of Projeto Parceria (Partnership Project), a Brazilian program to mothers with a history of IPV after a brief review on parenting programs. Such program encompasses two units: a psychotherapeutic and an educational one. The psychotherapeutic unit deals with the emotional aspects associated with a history of IPV, thereby maximizing the aspects of parenting skills and child behavior management of the educational unit. Examples of studies using Projeto Parceria are presented indicating positive results and suggesting future research to test the project widely in randomized control evaluations.

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A Feasibility Pilot Intervention Program to Teach Parenting Skills to Mothers of Poly-Victimized Children

Cited by 11 publications

References 32 publications

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

The effectiveness, acceptability and cost-effectiveness of psychosocial interventions for maltreated children and adolescents: an evidence synthesis

A Case Study with the ACT Raising Safe Kids Parenting Program

The Parceria Project: A Brazilian Parenting Program to Mothers with a History of Intimate Parter Violence

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