A Controlled Trial in Community Pediatrics to Empower Parents Who Are at Risk for Parenting Stress: The Supportive Parenting Intervention

Abstract

The goal of the Supportive Parenting Intervention is to prevent and/or decrease parenting stress and provide a sense of empowerment to parents with a newborn child. We evaluated the effectiveness of the Supportive Parenting Intervention in terms of parenting skills, social support, self-sufficiency, resilience, and child psychosocial health. A controlled trial with pre- and post-intervention testing was conducted in the setting of community pediatrics among parents at risk for developing parenting stress. The 177 parents in the control group received care-as-usual, whereas the 124 parents in the intervention group received six home visits by a trained Youth Health Care nurse during the first 18 months of the child’s life. The result with respect to parenting skills, social support (both from family and friends, and the partner), self-sufficiency, and resilience at the 18-month follow-up was either unchanged or (p < 0.05) worse compared to the respective baseline score for both groups. We found no significant difference between intervention and control group with respect to the child’s Child Behavior Check List (CBCL). This study shows no positive effect with respect to the indicators of parental empowerment. We recommend research to strengthen the intervention and its application in daily practice, for example by increasing the intervention duration, and to evaluate it in a large randomized controlled trial.

Individual Resilience Interventions: A Systematic Review in Adult Population Samples over the Last Decade

“…A complete list of the full text papers reviewed and rationale for exclusion is provided in Supplementary Material S1 . Of the 38 trials included, 33 were randomized controlled trials (RCT), and the other five were nonrandomized controlled studies (NRCS) [ 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 ].…”

Adding Structured Components to Home Visitation to Reduce Mothers’ Risk for Child Maltreatment: a Randomized Controlled Trial

“…Notably, this study found 22% of the control group versus 8% of the experimental group at risk for child maltreatment after the intervention, and overall improvement in six to nine outcome measures for 10% of the control group and 18% in the experimental group. However, a more recent study found no differences on parenting skills, social support, the parents’ self-sufficiency and resilience, and the child’s psychosocial health and behavior (Van Grieken et al, 2019 ), but this lack of effects may be due to several limitations in the study design, such as a non-random control group. While the intervention targets both mothers and fathers, mothers are mostly present during SP home visits (Bouwmeester-Landweer, 2006 ), and we therefore focus specifically on mothers in this study.…”