Home and group-based implementation of the “Growing Up Happily in the Family” program in at-risk psychosocial contexts

Abstract

Growing Up Happily in the Family" is a program to prevent child maltreatment targeted at parents of children aged 0-5 years old in at-risk psychosocial contexts. The program is delivered via either a group-based or a home-visit format. The objective of this study was to evaluate the impact of various implementation components in the home and group versions on changes in parental attitudes about child development and education. At-risk and non at-risk parents participated in the group-based (196 participants in 26 groups) and home-visit (95 participants) versions of the program delivered through local social services. We analyzed program adherence, adaptations, participant responsiveness, quality of delivery, and implementation barriers as predictors of changes in parental attitudes. The results showed that greater program adherence, better quality of delivery and participant responsiveness, and positive climate predicted changes in parental attitudes in both formats. Therefore, it is important to take into account the quality of the implementation process when testing the effectiveness of early group-based and home-visit interventions in at-risk families.

Parenting Styles and Short- and Long-term Socialization Outcomes: A Study among Spanish Adolescents and Older Adults

“…For example, in contexts where the authoritative parenting style has been found to be optimal, high levels of strictness is as important as high levels of parental warmth to foster optimal socialization outcomes (Baumrind, 1971(Baumrind, , 1983Darling & Steinberg, 1993;Lamborn et al, 1991;Maccoby & Martin, 1983;Steinberg et al, 1994). The importance of the warmth dimension in our study has also implications for psychosocial interventions addressing parenting, as it is in line with family intervention programs highlighting the importance of positive parenting (e.g., Álvarez, Padilla, & Máiquez, 2016 This paper also addressed important methodological gaps in the literature examining the link between parenting styles and short-and long-term socialization outcomes. Unlike previous studies (e.g., Martínez & García, 2007Rothrauff et al, 2009;Stafford et al, 2015;Stafford et al, 2016), this study used multisample confirmatory factor analysis to ensure that the parenting style measures used were invariant across age groups (adolescents and older adults) and across men and women.…”

Patterns of individual change and program satisfaction in a positive parenting program for parents at psychosocial risk

“…A quasi‐experimental design with an intervention group was used given that we were mainly interested in the patterns of change undergone by the intervention group and that effectiveness of this program with a control group was already tested in previous trials (Álvarez, Padilla, & Máiquez, ; Álvarez et al, ).…”

The role of the home visit in the comprehensive health care of children and adolescents

“…Observações importantes derivadas desse estudo demonstraram que os melhores preditores das mudanças parentais e da efetividade do programa foram a adesão, participação/interesse dos responsáveis e uma boa interação entre facilitadores do programa e os pais em ambos os grupos. 9…”

“…A maioria dos trabalhos envolveu crianças menores de cinco anos. 9,11,13,15 Excetuando-se os trabalhos com gestantes, apenas um envolveu adolescentes. 6 Para controle adequado dos sintomas, além da terapia medicamentosa é preciso abordar fatores que interferem diretamente nos resultados da asma, como o contato com alérgenos e irritantes, má-adesão ao tratamento e erros na técnica inalatória.…”

“…4 Atualmente é realizada com diversas finalidades no âmbito da criança e do adolescente, como educação de pais 5 , promoção do desenvolvimento infantil 5 , melhora do controle da asma 6 e identificação de vulnerabilidades familiares. 7,8 Alguns estudos que utilizaram a VD encontraram resultados positivos com potencial de melhora para saúde da população 6,[9][10][11] , enquanto outros mostraram resultados mistos. [12][13][14][15] Trabalho de revisão informa que a efetividade da VD na Pediatria ainda carece de esclarecimentos.…”