Lasting Effects of an Interdisciplinary Home Visiting Program on Child Behavior: Preliminary Follow-Up Results of a Randomized Trial

Ordway, Monica Roosa; Sadler, Lois S.; Dixon, Jane; Close, Nancy; Mayes, Linda C.; Slade, Arietta

doi:10.1016/j.pedn.2013.04.006

Cited by 81 publications

(85 citation statements)

References 33 publications

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“…Only one parent from each household provided study data. Items 2,5,8,11,14 & 17). Parents are required to rate each subscale item on a Likert scale from 1 (strongly disagree) to 7 (strongly agree).…”

Section: Methodsmentioning

confidence: 99%

“…Understanding the development of RF is crucial given the relationship between how a parent chooses to respond to their child's needs, which affects the child's attachment status [2,9,10] as PARENT REFLECTIVE FUNCTIONING 4 well as the child's development and capacity to mentalize [1]; and circumscribes the health of the parent-child relationship overall [11,12].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, social interactions, family structure, family size, parenting quality [7] and environmental responses [8] influence the development of RF. The development of the RF neurological function is noteworthy as it provides individuals with the ability to predict behaviour, distinguish between manifestation and reality, and enhance interpersonal communications, self-organization [3], impulse control and affect regulation [7].Understanding the development of RF is crucial given the relationship between how a parent chooses to respond to their child's needs, which affects the child's attachment status [2,9,10] as PARENT REFLECTIVE FUNCTIONING 4 well as the child's development and capacity to mentalize [1]; and circumscribes the health of the parent-child relationship overall [11,12].Parental reflective functioning (PRF) pertains to a parent's proclivity to understand and comprehend mental states influencing their child's behaviour [13]; playing a crucial role in how parents respond to their child`s needs and feelings [9,14], and behaviors [3]. Parent reflective functioning is a core cognitive capacity that connects parents to their child's emotions and also to their own early attachment experiences in an integrated way, to see their parents' experience as distinct from their own and to provide a secure base for their own children [1,4,3].…”

mentioning

confidence: 99%

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Advancing Optimal Development in Children: Examining the Construct Validity of a Parent Reflective Functioning Questionnaire (Preprint)

Roo¹,

Wong²,

Rempel³

et al. 2018

Preprint

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Objective: We sought to examine the factor structure and select psychometric properties of the PRFQ in a sample of Canadian parents. Methods:We examined the factor structure and discriminant and construct validity of the PRFQ-18 among 308 parents (Males=120; Females=186) across Canada who also completed online measures of perceived stress, parental coping Scale, parenting competence social support.Results: A confirmatory factor analysis (CFA) confirmed the hypothesized 3-factor structure of the PRFQ-18 providing evidence that the PRFQ-18 may be a useful and practical measure of PRF in Canadian adults and showed minor revisions may improve the suitability of the PRFQ-18 for assessing PRF. Conclusions IntroductionDecades of research unequivocally demonstrate that reflective processes enhance parental insight and sensitivity toward children's emotions [1]. Reflective functioning (RF), first introduced by Fonagy and colleagues in 1991 describes an individual's cognitive capacity to recognize and interpret one's own mental state as well as the mental state of others to identify and comprehend meaning behind behaviour [2,3]. In the literature, RF is akin to mentalizating, which is a fundamental and intrinsic human capacity to regulate affect and attune to interpersonal relationships [4]. Likewise, maternal mind-mindedness is described as a mother's ability to recognize her child as a separate agent with independent thoughts, experiences, and emotions [5], and parental insightfulness is defined as a parent's representation of their child's intentions and mental states [6].Rather than a natural ability, RF is believed to develop through the internal organization of an individual's understanding of one's own and other's feelings and behaviours through experiences, social and emotional information, meaning making [2,3] and interactions with primary caregivers [7,2,3]. In addition, social interactions, family structure, family size, parenting quality [7] and environmental responses [8] influence the development of RF. The development of the RF neurological function is noteworthy as it provides individuals with the ability to predict behaviour, distinguish between manifestation and reality, and enhance interpersonal communications, self-organization [3], impulse control and affect regulation [7].Understanding the development of RF is crucial given the relationship between how a parent chooses to respond to their child's needs, which affects the child's attachment status [2,9,10] as PARENT REFLECTIVE FUNCTIONING 4 well as the child's development and capacity to mentalize [1]; and circumscribes the health of the parent-child relationship overall [11,12].Parental reflective functioning (PRF) pertains to a parent's proclivity to understand and comprehend mental states influencing their child's behaviour [13]; playing a crucial role in how parents respond to their child`s needs and feelings [9,14], and behaviors [3]. Parent reflective functioning is a core cognitive capacity that connects parents to their child's emotions and a...

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Advancing Optimal Development in Children: Examining the Construct Validity of a Parent Reflective Functioning Questionnaire (Preprint)

Roo¹,

Wong²,

Rempel³

et al. 2018

Preprint

View full text Add to dashboard Cite

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“…Children are more likely to have behavior problems and relationship difficulties in their school-age and adolescent years if their caregivers have limited capacity to recognize and respond to their early emotional cues (Egeland et al, 2000; Sroufe, Carlson, Levy, & Egeland, 1999). In contrast, children of caregivers who are able to respond to them sensitively are less likely to have behavioral problems (McClain et al, 2010; Ordway et al, 2014a). …”

Section: Parental Reflective Functioningmentioning

confidence: 99%

Parental Reflective Functioning: An Approach to Enhancing Parent-Child Relationships in Pediatric Primary Care

Ordway¹,

Webb²,

Sadler³

et al. 2015

Journal of Pediatric Health Care

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The current state of science suggests that safe, responsive, and nurturing parent-child relationships early in children’s lives promotes healthy brain and child development and protection against lifelong disease by reducing toxic stress and promoting foundational social-emotional health. Pediatric healthcare providers (HCP) have a unique opportunity to foster these relationships. However, such a role requires a shift in pediatric healthcare from a focus only on children to one that includes families and communities as well as the inclusion of children’s social and emotional health with their physical health. To foster healthy parent-child relationships, HCPs must develop the expertise to integrate approaches that support family’s socioemotional health into pediatric primary care. This article suggests ways in which pediatric HCPs can integrate a focus on parental reflective functioning into their clinical work, helping parents to understand some of the thoughts and feelings that underlie their children’s behavior.

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“…Most of this work related to specific disease processes such as asthma (Newcomb 2006, Allcock 2009), concomitant asthma and sickle cell disease (McClain, Ivy et al 2016), anxiety (Kozlowski, Lusk et al 2015), or eczema (Schuttelaar, Vermeulen et al 2009). Five programs were broader, including rehabilitative, preventive and some promotive aspects in obesity (Perman 2008, Stines, Perman et al 2011, Tyler and Horner 2016, parental functioning (Ordway, Sadler et al 2014), access to health care for vulnerable children (Lynam, Loock et al 2010, Wong, Lynam et al 2012) and wellbeing of runaway adolescent girls (Edinburgh and Saewyc 2009). …”

Section: Who Do Nurse Practitioners Work With?mentioning

confidence: 99%

How do nurse practitioners work in primary health care settings? A scoping review

Grant

Lines

Darbyshire

et al. 2017

International Journal of Nursing Studies

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Abstract:Objectives: This scoping review explores the work of nurse practitioners in primary health care settings in developed countries and critiques their contribution to improved health outcomes.Design: A scoping review design was employed and included development of a research question, identification of potentially relevant studies, selection of relevant studies, charting data, collating, summarising and reporting findings. An additional step was added to evaluate the methodological rigor of each study. Results: 74 articles from eight countries were identified, with the majority emanating from the United States of America. Nurse practitioners working in communities provided care mostly in primary care centres (n=42), but also in community centres (n=6), outpatient departments (n=6), homes (n=5), schools (n=3), child abuse clinics (n=1), via communication technologies (n=6), and through combined face-to-face and communication technologies (n=5). The scope of nurse practitioner work varied on a continuum from being targeted towards a specific disease process or managing individual health and wellbeing needs in a holistic manner. Enhanced skills included co-ordination, collaboration, education, counselling, connecting clients with services and advocacy. Measures used to evaluate outcomes varied widely from physiological data (n=25), hospital admissions (n=10), use of health services (n=15), self-reported health (n=13), behavioural change (n=14), patient satisfaction (n=17), cost savings (n=3) and mortality/morbidity (n=5). ConclusionsThe majority of nurse practitioners working in community settings did so within a selective model of primary health care with some examples of nurse practitioners contributing to comprehensive models of primary health care. Nurse practitioners predominantly worked with populations defined by an illness with structured protocols for curative and rehabilitative care. Nurse practitioner work that also incorporated promotive activities targeted improving social determinants of health for people rendered vulnerable due to ethnicity, Aboriginal identity, socioeconomic disadvantage, remote location, gender and aging. Interventions were at individual and community levels with outcomes including increased access to care, cost savings and salutogenic characteristics of empowerment for social change.

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Lasting Effects of an Interdisciplinary Home Visiting Program on Child Behavior: Preliminary Follow-Up Results of a Randomized Trial

Cited by 81 publications

References 33 publications

Advancing Optimal Development in Children: Examining the Construct Validity of a Parent Reflective Functioning Questionnaire (Preprint)

Advancing Optimal Development in Children: Examining the Construct Validity of a Parent Reflective Functioning Questionnaire (Preprint)

Parental Reflective Functioning: An Approach to Enhancing Parent-Child Relationships in Pediatric Primary Care

How do nurse practitioners work in primary health care settings? A scoping review

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