A Universal Early Parenting Education Intervention in Community-Based Primary Care Settings: Development and Installation Challenges

Abstract

Prevention and early intervention programmes, which aim to educate and support parents and young children in the earliest stages of the family lifecycle, have become an increasingly popular policy strategy for tackling intergenerational disadvantage and developmental inequality. Evidence-based, joined-up services are recommended as best practice for achieving optimal outcomes for parents and their children; however, there are persistent challenges to the development, adoption and installation of these kinds of initiatives in community-based primary health care settings. In this paper, we present a description of the design and installation of a multi-stakeholder early parenting education and intervention service model called the Parent and Infant (PIN) programme. This new programme is delivered collaboratively on a universal, area-wide basis through routine primary care services and combines standardised parent-training with other group-based supports designed to educate parents, strengthen parenting skills and wellbeing and enhance developmental outcomes in children aged 0–2 years. The programme design was informed by local needs analysis and piloting to establish an in-depth understanding of the local context. The findings demonstrate that a hospitable environment is central to establishing interagency parenting education and supports. Partnership, relationship-building and strategic leadership are vital to building commitment and buy-in for this kind of innovation and programme implementation. A graduated approach to implementation which provides training/education and coaching as well as organisational and administrative supports for practice change, are also important in creating an environment conducive to collaboration. Further research into the impact, implementation and cost-effectiveness of the PIN programme will help to build an understanding of what works for parents and infants, as well as identifying lessons for the development and implementation of other similar complex prevention and intervention programmes elsewhere. This kind of research coupled with the establishment of effective partnerships involving service providers, parents, researchers and policy makers, is necessary to meeting the challenge of improving family education and enhancing the capacity of family services to help promote positive outcomes for children.

Family Nursing Care during the Transition to Parenthood: A Scoping Review

“…This concept includes subjective, emotional, mental, and physical aspects, which influence the outcomes of both parents and children. Furthermore, enhanced parenting knowledge was proven to be associated with positive child development and socioemotional well-being [ 30 ]. Hence, the importance of warranting central attention to this concept in pre- and postnatal care is underscored.…”

Bem-Te-Quero – Uma Proposta De Intervenção Para Uma Parentalidade Competente

“…São vários os autores que apontam os primeiros anos de vida como o "golden moment" para o desenvolvimento da criança, referindo que é um período fulcral para a implementação de programas de educação parental com resultados efetivos na área dos cuidados psicológicos e da promoção de fatores protetores do ambiente familiar (Hickey, McGilloway, Leckey, & Stokes, 2018;Hariawan, Nurul, Muhamemad & Arifin, 2019).…”

“…Deste modo, a intervenção com famílias tem merecido um maior investimento e preocupação social e política (Craveiro & Relvas, 2016), originando uma eclosão no campo da Educação Parental, com o desenvolvimento de ações e iniciativas de natureza mais profissionalizada e centrada nas potencialidades da família. Esta intervenção precoce com as famílias, para além do benefício direto para as mesmas, com substanciais ganhos na melhoria da sua qualidade de vida, tem evidenciado uma relação positiva custo-efetividade com diminuição de custos económicos diretos e indiretos (Hickey, McGilloway, Leckey & Stokes, 2018).…”

Perceptions of Healthcare Clinicians on Occupational Therapists Providing Services During Well-Baby Visits

“…A common theme found in the literature was that parents and caregivers are receptive to learning about child development [13][14][15][16]. Researchers Parush and Hahn-Markowitz [ 15 ] conducted a study of an early prevention program where mothers help their infants' development in the first couple months after birth.…”