Feasibility and acceptability study of the online ACT-Raising Safe Kids program

Lotto, Camila Regina; Altafim, Elisa Rachel Pisani; Linhares, Maria Beatriz Martins

doi:10.1016/j.childyouth.2022.106591

Cited by 5 publications

(12 citation statements)

References 42 publications

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“…One study specifically focused on adolescent pregnant girls ( 54 ). Three studies provide reports in the context of the COVID-19 pandemic ( 41 , 51 , 56 ). Of these, two studies were conducted among providers engaged in parenting program delivery, who shared qualitative accounts of participant progress through the program ( 41 , 42 ).…”

Section: Resultsmentioning

confidence: 99%

“…Measured improvements among participants following full telehealth program participation were noted across child maltreatment risk ( 51 , 53 , 65 , 73 ), parenting skills and behaviors ( 51 , 52 , 63 , 64 , 67 , 70 , 71 , 73 ), mental health ( 26 , 60 , 70 ), engagement in services ( 53 , 62 , 78 ) as well as child-level behaviors ( 26 , 70 , 71 , 73 , 79 ). Of note, two articles describe provider-level data, via qualitative inquiry, on parent acceptance or progression through remote delivery services.…”

Section: Resultsmentioning

confidence: 99%

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Use of technology in evidence-based programs for child maltreatment and its impact on parent and child outcomes

Tiwari,

Recinos,

Garner

et al. 2023

Front. Digit. Health

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IntroductionTechnology has been used in evidence-based child maltreatment (CM) programs for over a decade. Although advancements have been made, the extent of the application of technology in these programs, and its influence on parental and child outcomes, remains unclear within the context of changes that emerged because of the COVID-19 pandemic. This scoping review provides a contextualized overview and summary of the use of technology in evidence-based parenting and child programs serving families impacted by child maltreatment and the effects of technology-enhanced programs on target outcomes.Materials and methodsUsing Arksey and O'Malley's methodological framework, we searched seven databases to identify peer-reviewed and grey literature published in English from 2000 to 2023 on evidence-based programs, according to the California Evidence-Based Clearinghouse (CEBC), that included technological supports for two populations: at-risk parents for child maltreatment prevention, and children and youth 0–18 years exposed to child maltreatment. All study designs were included.ResultsEight evidence-based parenting programs and one evidence-based child trauma program were identified as using technology across a total of 25 peer-reviewed articles and 2 peer-reviewed abstracts meeting inclusion criteria (n = 19 on parent-level programs; n = 8 on child-level programs). Four studies were published in the context of COVID-19. Two main uses of technology emerged: (1) remote programmatic delivery (i.e., delivering all or part of the program virtually using technology) and (2) programmatic enhancement (i.e., augmenting program content with technology). Improvements across parenting and child mental health and behavioral outcomes were generally observed.DiscussionTechnology use in evidence-based child maltreatment programs is not new; however, the small sample since the start of the COVID-19 pandemic in this review that met inclusion criteria highlight the dearth of research published on the topic. Findings also suggest the need for the inclusion of implementation outcomes related to adoption and engagement, which could inform equitable dissemination and implementation of these programs. Additional considerations for research and practice are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Use of technology in evidence-based programs for child maltreatment and its impact on parent and child outcomes

Tiwari,

Recinos,

Garner

et al. 2023

Front. Digit. Health

View full text Add to dashboard Cite

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“…Other parenting instruments used were: (1) the Parenting Mindfulness scale (Duncan, 2007;Duncan et al, 2009) in a Portuguese study (Santos et al, 2020); (2) the Parenting Sense of Competence Scale (PSOC; Gibaud-Wallston & Wanderman, 1978), in a Brazilian study (Lotto et al, 2022);…”

Section: Instruments and Measures Used In The Act Studiesmentioning

confidence: 99%

“…The present review identified one conducted during this period (Lotto et al, 2022). The study published using the remote format included 20 Brazilian mothers of children aged 2 to 6 years, and the results showed that the ACT online version was feasible, acceptable and showed improvements in caregivers' parenting practices after the intervention (Lotto et al, 2022). According to the participants' reports, there was a significant increase in emotional/behavioral regulation and parental sense of competence and a decrease in coercive practices in the post-intervention compared to the pre-intervention.…”

Section: The Act Program During the Covid-19 Pandemicmentioning

confidence: 99%

“…The online format included live sessions, and the participants highlighted the relevance of the in-person facilitator's presence in the remote sessions. Despite the positive effects, the authors emphasize that the technology could be a barrier to the participation of psychosocially vulnerable populations due to limited access to the Internet or Internet usage skills (Lotto et al, 2022).…”

Section: The Act Program During the Covid-19 Pandemicmentioning

confidence: 99%

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Prevention of Child Maltreatment: Integrative Review of Findings From an Evidence-Based Parenting Program

Altafim,

Magalhães,

Linhares

2023

Trauma, Violence, & Abuse

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This integrative review of the ACT Raising Safe Kids (ACT)—child maltreatment prevention program for parents—focuses on the program’s theoretical framework, examines the ACT studies about the effects on caregivers, and discusses the ACT’s implications for the practice and public policy. A systematic search of the PubMed, Web of Science, PsycINFO, and Lilacs databases was performed, along with a search on the ACT Program website and contacting program researchers. Twenty-five studies evaluating the ACT Program were reviewed. The evaluation studies were conducted in the United States, Brazil, Portugal, and Peru. The program improved parenting practices in general and targeted populations such as incarcerated parents, mothers with a history of childhood violence, and mothers of preterm children. Additionally, the program was effective in decreasing child behavioral problems. Overall, the ACT Program effectively decreased hostile, aggressive, and coercive parenting and child behavior problems, which are key predictors of family violence.

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Effectiveness of Remote Implementation of the ACT Raising Safe Kids Program: A Pilot Study

Burkhart,

Rasiah,

Knox

et al. 2024

Int. Journal on Child Malt.

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The objective of the study was to evaluate the effectiveness of remote implementation of the ACT Raising Safe Kids (ACT-RSK) program. The ACT-RSK program is an evidence-based group parenting program designed to promote positive parenting. The COVID-19 pandemic precipitated the creation of a remote implementation guide to deliver the program via telehealth. A small (N = 21) sample of caregivers of children aged 1 to 10 living in the USA participated in the 9-week program and completed pre- and post-intervention questionnaires. ACT Facilitators provided feasibility and fidelity feedback through a focus group and questionnaires. There was a significant improvement in positive parenting skills and a decrease in verbal and physical punishment. There were no improvements in parental nurturing or limiting and monitoring children’s media use. Facilitators and participants found remote implementation to be feasible and acceptable. Facilitators were able to maintain high fidelity to the model. The remote implementation of the ACT-RSK program has benefits to positive parental behaviors and discipline, but possibly not limiting and monitoring of children’s media use and nurturing behavior. However, characteristics of families’ experiences during the COVID-19 pandemic may have influenced these results. Remote implementation of the ACT-RSK program can be useful for promoting positive parental behaviors and discipline.

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Feasibility and acceptability study of the online ACT-Raising Safe Kids program

Cited by 5 publications

References 42 publications

Use of technology in evidence-based programs for child maltreatment and its impact on parent and child outcomes

Use of technology in evidence-based programs for child maltreatment and its impact on parent and child outcomes

Prevention of Child Maltreatment: Integrative Review of Findings From an Evidence-Based Parenting Program

Effectiveness of Remote Implementation of the ACT Raising Safe Kids Program: A Pilot Study

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