No abstract

Objective: Investigate (a) whether including fathers in parent training enhances outcomes and (b) whether mothers and fathers benefit equally from parent training. Method: Using traditional meta-analysis methodology, 26 studies that could answer the research questions were identified and meta-analyzed. Results: Studies that included fathers, compared with those that did not, reported significantly more positive changes in children's behavior and desirable parenting practices, but not in perceptions toward parenting. Compared with mothers, fathers reported fewer desirable gains from parent training. Conclusions: Fathers should not be excluded from parent training and should be encouraged to attend. Further research should seek to understand how parent-training programs might better meet the needs of fathers.

SYNOPSISObjective. The goal of the present investigation was to provide a meta-analytic review of the research on affect and parenting in nonclinical samples. Design. The authors conducted analyses on the overall mean effect size for 63 studies (k = 18,211). Affect was coded as either positive or negative, and parenting behavior was coded as either supportive-positive or harsh-negative. Moderators included definition of affect, time frame of measurement, reporter, child age, and parent gender. Results. The authors' analyses support the association between parental affect and parenting behavior, and this relation was consistent across types of affect and parenting, as well as gender of parent. Significant methodological moderators of these relations include time frame match and reporter match. Child age moderated the relation between negative affect and supportive-positive parenting, but not harsh-negative parenting. Last, both negative and positive affect showed specificity in their association with parenting behavior. Conclusion. Parental affect appears to be a reliable correlate of parenting behaviors in the general population. In addition, consistent with theory (T. Dix, 1991), negative affect was more strongly related to hostile parenting, and positive affect was more strongly related to supportive parenting. Methodological factors, such as time frame of measurement and reporter, as well as demographic variables, should be carefully considered in the design and interpretation of future studies of parental affect and parenting behaviors.

Theory and research suggest that posttraumatic stress disorder (PTSD) may mediate the relationship between child sexual abuse and adult sexual assault. However, little empirical research has examined the mediational role of PTSD. In the present study, the authors use structural equation modeling to examine the degree to which the three symptom clusters that define PTSD (reexperiencing, avoidance, and hyperarousal) contribute to sexual revictimization. To assess PTSD symptomatology, undergraduate women completed questionnaires (N = 1,449), which detailed the history and severity of childhood and adult sexual assault experiences. Results indicated that PTSD mediated sexual revictimization. When PTSD symptom clusters were examined individually, only the hyperarousal cluster was a significant mediator. Results are discussed in terms of information-processing mechanisms that may underlie sexual revictimization.

Objective To assess the impact of the novel coronavirus disease 2019 (COVID-19) pandemic on the delivery of, and parent satisfaction with, therapy services for children with disabilities in early intervention, school, and outpatient settings.Study design There were 207 parents of children with disabilities who completed a web-based survey about their child[ren]'s access to, and satisfaction with, therapy services during COVID-19. Parents also completed the Family-Provider Partnership Scale and the Telehealth Satisfaction Scale. Satisfaction was compared between families receiving therapies in school, early intervention, outpatient, and multiple settings.Results Forty-four percent of parents reported low satisfaction with their child[ren]'s therapy services during the pandemic. Access to telehealth positively predicted overall satisfaction and satisfaction with the family-provider partnership, whereas receiving school-based therapies negatively predicted overall satisfaction and satisfaction with the family-provider partnership.Conclusions School-based therapies are legally mandated for eligible students, free of cost to families, integrated in the academic setting, and less burdensome on parents than other services. Thus, given the disparity in parental satisfaction regarding school-based service delivery, addressing therapy delivery in school-based settings during the duration of COVID-19 is critical for preventing increased disparities and more effectively meeting children's needs. Telehealth seems to be a promising option for continuing high-quality services during the duration of the COVID-19 pandemic and for families who face barriers in accessing services in general. Future studies are warranted with larger and more diverse samples, as well as longitudinal studies that monitor service access and parent satisfaction throughout the remainder of the pandemic.

Children with medical complexity (CMC) account for a disproportionate share of pediatric health-care utilization and cost that is largely attributable to long hospitalizations, frequent hospital readmissions, and high use of emergency departments. In response, the Centers for Medicare and Medicaid Services Health Care Innovation Center supports the development and testing of innovative health-care payment and service delivery models. The purpose of this article is to describe the CMS-funded coordinated health care for complex kids (CHECK) program, an innovative system of health-care delivery that provides improved, comprehensive, and well-coordinated services to CMC. The CHECK program uses a combination of high-tech and low-tech interventions to connect patients, stakeholders, and providers. It is anticipated that the investment in additional support services to CMC will result in improved quality of care that leads to a reduction in unnecessary inpatient hospitalizations, readmissions, and emergency department visits and a total cost savings. The CHECK program has the potential to inform future cost-effective health-care models aimed at improving the quality of life and care for CMC and their families.

No abstract

No abstract