Improving parenting: the why and the how

Stewart‐Brown, Sarah

doi:10.1136/adc.2006.113522

Cited by 37 publications

(13 citation statements)

References 27 publications

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“…Parents with low levels of caring behavior may have underlying psychopathology or higher levels of hostility, creating an environment where acting out and risk taking by the children are more likely. Interventions to improve parent child relations and provide a safe context for children are effective and available (Pridham et al, 2010; Stewart Brown, 2008; Walker, 1996). …”

Section: Discussionmentioning

confidence: 99%

The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren

Keyes¹,

Süsser²,

Pilowsky³

et al. 2014

Preventive Medicine

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Objective Unintentional injury is the leading cause of death for schoolchildren. We assessed the association between externalizing psychopathology, parenting style, and unintentional injury in European children in the community. Methods Data were drawn from the School Children Mental Health in Europe project and included 4517 schoolchildren across seven diverse European regions. Past year injuries serious enough to seek medical atten tion were reported by mothers. Child mental health problems were assessed using validated measures and re ported by the mothers, teachers, and children. Parenting styles were based on The Parenting Scale and the Parent Behaviors and Attitudes Questionnaire. Results. Children with attention deficit/hyperactivity symptoms and oppositional defant symptoms had a higher risk of injury compared to other children whether based on parent report (OR = 1.47, 95% C.I. 1.2 1.9), teacher report (OR = 1.36, 95% C.I. 1.1 1.7), or parent- and teacher-report combined (OR = 1.53, 95% C.I. 1.1 2.1). Children who self reported oppositional symptoms also had higher risk of injury (OR = 1.6, 95% C.I. 1.1 2.4). Low caring behavior of parents increased the risk of injury (OR = 1.4, 95% C.I. 1.1-1.9). Conclusion Unintentional injury is a potential adverse health consequence of child externalizing problems. Interventions to improve parent child relationships and prevention as well as focused treatment for externaliz ing problems may reduce the burden of injury.

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Section: Discussionmentioning

confidence: 99%

The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren

Keyes¹,

Süsser²,

Pilowsky³

et al. 2014

Preventive Medicine

View full text Add to dashboard Cite

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“…Children usually spend a great amount of time with their parents. Parents and parenting are therefore essential to target within the field of health promotion and prevention of mental health problems for children [ 1 , 2 ]. One way to support parents is to offer participation in parent group programs [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…Parents and parenting are therefore essential to target within the field of health promotion and prevention of mental health problems for children [ 1 , 2 ]. One way to support parents is to offer participation in parent group programs [ 1 ]. Parenting programs generally aim to establish desirable change in parental behavior and thereby reduce problematic child behavior [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of a universal health-promoting parenting program: a randomized waitlist-controlled trial of All Children in Focus

2014

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BackgroundParenting programs have been highlighted as a way of supporting and empowering parents. As programs designed to promote children’s health and well-being are scarce, a new health-promotion program, All Children in Focus, has been developed. The purpose of this trial was to evaluate the potential effectiveness of the program in promoting parental self-efficacy and child health and development, as well as to investigate possible moderators of these outcomes.MethodsA multicenter randomized waitlist-controlled trial was conducted. The trial included 621 parents with children aged 3–12 years. Parents were randomized to receive the intervention directly or to join a waitlist control group. Parents completed questionnaires at baseline, 2 weeks after the intervention, and 6 months post-baseline. To evaluate potential effects of the program, as well as any moderating variables, multilevel modeling with a repeated-measures design was applied.ResultsParents in the intervention group reported that their self-efficacy (p < .001), as well as their perceptions of children’s health and development (p < .05), increased 6 months post-baseline when compared with parents in the control group. One variable was found to moderate both outcomes: parents’ positive mental health. Furthermore, parents’ educational level and number of children moderated parental self-efficacy, while the children’s age moderated child health and development. Having a poor positive mental health, a university-level education, more than one child in the family, and older children, made the families benefit more.ConclusionsIn the first randomized controlled trial of All Children in Focus, we found that the program appears to promote both parental self-efficacy and children’s health and development in a general population. Additionally, we found that families may benefit differently depending on their baseline characteristics. This contributes to an existing understanding of the advantages of offering universal parenting programs as a public health approach to strengthening families. However, further research is needed to investigate long-term effects and mediating variables, as well as the potential cost-effectiveness of the program.Trial registrationCurrent Controlled Trials: ISRCTN70202532. November 7th 2012.

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“…A common strategy or approach that has been deployed in recent decades is to involve parents in programs that aim at improving parenting style. Most of the research covering parental support programs focuses on established parental or child risk factors that could contribute to avoiding health or developmental problems for children rather than promoting health and development [2]. To prevent such negative outcome and to counterbalance risk factors, many programs aim for strengthening or developing protective factors [1-3].…”

Section: Introductionmentioning

confidence: 99%

The effects and costs of the universal parent group program – all children in focus: a study protocol for a randomized wait-list controlled trial

et al. 2013

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Background: In recent decades, parents have been involved in programs that aim to improve parenting style and reduce child behavior problems. Research of preventive parenting programs has shown that these interventions generally have a positive influence on both parents and children. However, to our knowledge there is a gap in the scientific literature when it comes to randomized controlled trials of brief, manual-based structured programs which address general parenting among the population, and focus on promoting health. A four-session universal health promotion parent group program named All Children in Focus was developed. It aims at promoting parental competence and children's positive development with the parent-child relationship as the target. There is currently no randomized controlled trial existing of the program. Methods/Design: A prospective multicenter randomized wait-list controlled trial is being conducted. Approximately 600 parents with children ranging in age from 3-12 years have been recruited in eleven municipalities and city districts in the County of Stockholm, Sweden. Parents are randomized at baseline to an intervention group, which receives the program directly, or to a waiting-list control group, which participates in the program six months later. Changes in parenting and child health and development are assessed with measures immediately post-intervention and six months after the baseline. Observations of a minor group of parents and children are conducted to explore possible relations between parental reports and observed behaviors, as well as changes in the interaction between parent and child. Further, data collected within the evaluation will also be applied to evaluate the possible cost-effectiveness of the program. Discussion: This paper describes a study protocol of a randomized controlled trial. Except for the quantitative outcome measures to evaluate the effectiveness of All Children in Focus, this protocol also describes health economic and qualitative analyses to deepen the knowledge of the program. We further discuss some issues regarding the implementation of the program in municipalities and city districts.Trial registration: Current Controlled Trials ISRCTN70202532

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Improving parenting: the why and the how

Cited by 37 publications

References 27 publications

The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren

The health consequences of child mental health problems and parenting styles: Unintentional injuries among European schoolchildren

Effectiveness of a universal health-promoting parenting program: a randomized waitlist-controlled trial of All Children in Focus

The effects and costs of the universal parent group program – all children in focus: a study protocol for a randomized wait-list controlled trial

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