Parenting programs during adolescence: Outcomes from universal and targeted interventions offered in real‐world settings

Alfredsson, Elin; Thorvaldsson, Valgeir; Axberg, Ulf; Broberg, Anders

doi:10.1111/sjop.12446

Cited by 12 publications

(12 citation statements)

References 42 publications

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“…The majority of parenting programs are found in nonmedical settings, [18][19][20] and strive to modify parenting practices through the use of behavioral and social learning theories [21]. In general, parenting programs effectively change behaviors [19,21] and are successful in improving family conflicts, parenting practices, and adolescent behavioral and mental health [22,23]. Despite evidence that parenting programs improve adolescent health, [20] increase positive parenting practices, [22,23] and reduce economic costs, [24,25] support programs for parents of adolescents have yet to be integrated into universal practice in healthcare settings.…”

Section: Introductionmentioning

confidence: 99%

“…In general, parenting programs effectively change behaviors [19,21] and are successful in improving family conflicts, parenting practices, and adolescent behavioral and mental health [22,23]. Despite evidence that parenting programs improve adolescent health, [20] increase positive parenting practices, [22,23] and reduce economic costs, [24,25] support programs for parents of adolescents have yet to be integrated into universal practice in healthcare settings. Instead, the majority of parenting programs in healthcare settings are centered on serving parents of young children (e.g., early family educators, birthing classes, assistance programs for childhood behavioral problems), not adolescents [18,[26][27][28].…”

Section: Introductionmentioning

confidence: 99%

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How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study

Jones

Grout

Gilbert

et al. 2021

BMC Health Serv Res

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Background This study explored the rewards and difficulties of raising an adolescent and investigated parents’ level of interest in receiving guidance from healthcare providers on parenting and adolescent health topics. Additionally, this study investigated whether parents were interested in parenting programs in primary care and explored methods in which parents want to receive guidance. Methods Parents of adolescents (ages 12–18) who attended an outpatient pediatric clinic with their adolescent were contacted by telephone and completed a short telephone survey. Parents were asked open-ended questions regarding the rewards and difficulties of parenting and rated how important it was to receive guidance from a healthcare provider on certain parenting and health topics. Additionally, parents reported their level of interest in a parenting program in primary care and rated how they would like to receive guidance. Results Our final sample included 104 parents, 87% of whom were interested in a parenting program within primary care. A variety of parenting rewards and difficulties were associated with raising an adolescent. From the list of parenting topics, communication was rated very important to receive guidance on (65%), followed by conflict management (50%). Of health topics, parents were primarily interested in receiving guidance on sex (77%), mental health (75%), and alcohol and drugs (74%). Parents in the study wanted to receive guidance from a pediatrician or through written literature. Conclusions The current study finds that parents identify several rewarding and difficult aspects associated with raising an adolescent and are open to receiving guidance on a range of parenting topics in a variety of formats through primary care settings. Incorporating such education into healthcare visits could improve parents’ knowledge. Healthcare providers are encouraged to consider how best to provide parenting support during this important developmental time period.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study

Jones

Grout

Gilbert

et al. 2021

BMC Health Serv Res

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

“…The school years are a period of the life-course where young people are progressively at increased risk for mental health problems and educational disengagement [ 1 , 2 ]. Prior research demonstrates the positive impact of parental involvement on children who participated in various school-based prevention programs [ 1 , 3 ]. Moreover, relationship between parental involvement in youth programs and improved parent/child communication, bonding, and perceptions of one another was suggested.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and effect of adding a concurrent parental component to a school-based wellness program using two modes of mobile-based technology – mixed methods evaluation of RCT

et al. 2022

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Background This study assessed the feasibility and effect of two mobile modes (WhatsApp vs. a specially designed app) in their delivery of updates and assignments to parents. Methods Two three-armed, randomized, controlled feasibility studies were conducted. In each trial, four schools with a total of 418 students in grade 5th, mean age 10.1 years, were randomly allocated to the control arm, youth-only arm, or youth & parental component arm. Only the data of those that completed all three assessments (pre, post and 3 months post program) were analyzed: 133 in the first trial and 137 in the second. In the youth-only arm, students participated in an interactive age-tailored prevention program delivered in 10 weekly, 90-min sessions on self-care behaviors, media literacy, self-esteem, and positive body image. The control groups in both studies received three health- and nutrition-related sessions. In the parental arm, in addition to the ‘Favoring-Myself–Young’s ten sessions program, parents received updates and were requested to complete shared assignments with their children. In the first year, the assignments were sent via WhatsApp, and in the following year via “Favoring Myself” smartphone application. Facilitators were third year undergraduate students. They used a detailed semi-structured guide and received 4-weekly hours of didactic and group dynamic supervision. Mixed-methods assessments were performed using semi-structured interviews with ten parents and five school staff members each year, as well as a computerized self-report questionnaire. Results Feasibility of parent-adolescent shared assignments in both digital modes was lower than expected. The use of WhatsApp had higher feasibility and uptake than the use of the special application. The addition of the concurrent parental component via WhatsApp was associated with superior improvement in self-esteem and identification of advertisement strategies, compared with the youth-only program. However, adolescents in the youth-only program delivered via the smartphone application demonstrated superior improvement compared to those in the youth and parental component arm. Conclusions Although the addition of the concurrent parenting component was praised by the actively participating parents, overall, under the chosen structure and population, it did not prove to add statistically significant value to the youth-only arm. Trial registrations NCT03216018 (12.7.2017) and NCT03540277 (26.4.2018).

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“…Prior research demonstrates the positive impact of parental involvement on children who participated in various school-based prevention programs [1][2][3]. Findings from previous studies suggest a relationship between parental involvement in youth programs and improved parent/child communication, bonding, and perceptions of one another.…”

Section: Introductionmentioning

confidence: 99%

Feasibility and Effect of Adding a Concurrent Parental Component to a School-Base Wellness Program Using Two Modes of Mobile-Based Technology – Mixed Methods Evaluation of RCT

Golan

Benifla

Samo

et al. 2021

Preprint

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Background: This study assessed the feasibility and effect of two mobile modes (WhatsApp vs. a specially designed app) in their delivery of updates and assignments to parents.Methods: Two three-armed, randomized, controlled feasibility studies were conducted. Participants were randomly allocated to the control arm, youth-only arm, or youth & parental component arm. In the parental component, parents received updates and were requested to complete shared assignments with their children. In the first year, the assignments were sent through WhatsApp and in the following year via the specially designed smartphone application. Students and parents filled out questionnaires at three measure points: pre and post intervention and at three months follow-up. Mixed-methods assessments were performed using semi-structured interviews with parents and school staff members, as well as a computerized self-report questionnaire.Results: The addition of the concurrent parental component via WhatsApp was associated with superior improvement in self-esteem and identification of advertisement strategies, compared with the youth-only program. However, adolescents in the youth-only program delivered via the specially designed application demonstrated superior improvement compared to those in the youth & parental component arm.Conclusions: Although the addition of the concurrent parenting component was praised by the actively participating parents, overall, this intervention was not statistically superior to the youth-only arm. Only a few variables demonstrated statistically significant improvement, usually with a small effect size. The use of WhatsApp had higher feasibility and uptake than the use of the specially designed application. Under the chosen structure and population, it seems that the program did not have the intended impact. Parents who expressed specific resistance may have negatively affected their children, causing them to be less engaged. A cost-benefit analysis of programs with parental components as well as the development of strategies to enhance parent-school partnership are warranted.Trial registrations: NCT04129892 (1.11.2017) and NCT03540277 (26.4.2018)

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Parenting programs during adolescence: Outcomes from universal and targeted interventions offered in real‐world settings

Cited by 12 publications

References 42 publications

How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study

How can healthcare professionals provide guidance and support to parents of adolescents? Results from a primary care-based study

Feasibility and effect of adding a concurrent parental component to a school-based wellness program using two modes of mobile-based technology – mixed methods evaluation of RCT

Feasibility and Effect of Adding a Concurrent Parental Component to a School-Base Wellness Program Using Two Modes of Mobile-Based Technology – Mixed Methods Evaluation of RCT

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