The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention

Schmidt, Fred; Chomycz, Suzanne; Houlding, Carolyn; Kruse, Alexandra; Franks, John R.

doi:10.1007/s10826-013-9792-4

Cited by 21 publications

(19 citation statements)

References 35 publications

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“…Future studies in LMICs could incorporate a more extensive subscale measuring facilitator competence. Another promising area is understanding therapeutic alliancethe interpersonal processes between the facilitator and participant-in the context of interventions delivered by lay staff in different cultural settings (e.g., see Elvins & Green, 2008;Schmidt et al 2014).…”

Section: Limitationsmentioning

confidence: 99%

Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes

et al. 2019

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Objectives Previous studies of parenting programs suggest that facilitator fidelity, participant attendance and engagement often influence treatment outcomes. While the number of parenting program evaluations has been growing in low-and middle-income countries, little is known about the implementation processes and their impact on participant outcomes in these settings. Methods This study was nested within a cluster-randomised trial of a parenting program in South Africa. The paper aims to, first, describe the implementation of the intervention over 14 weeks. Second, using longitudinal multilevel analyses, the paper examines the impact of variation in observer-rated fidelity, attendance, and engagement on participant outcomesparenting and maltreatment reported by caregivers and adolescents aged 10-18 (N = 270 pairs), 14 outcome constructs. Results Fidelity, attendance and participant engagement rates were similar to those reported in high-income country studies. However, the participation and implementation characteristics did not predict participant outcomes. This may be due to limited variation in dosage as home visits were comprehensively provided when participants could not attend group sessions, and fidelity was monitored by the implementers and researchers. One statistically significant predictor after the multiple testing correction was higher fidelity predicting an increase in adolescent-reported maltreatment at follow-up, possibly due to an increase in reporting (incidence rate ratio 1.33, 95% CI [1.19, 1.49], p < 0.01). Conclusions Our study confirms that a high quality of implementation can be achieved in a low-resource context. Suggestions for future research on parenting programs include examining therapeutic alliance alongside program fidelity and facilitator skill as well as systematically recording program adaptations.

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Section: Limitationsmentioning

confidence: 99%

Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes

et al. 2019

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“…Several parent-targeted intervention programs (e.g., Cotter, et al, 2013;Enebrink et al, 2014;Hanisch et a., 2014;Katsikitis et al, 2013;Miller-Heyl et al, 1998;Morawska et al, 2014;Peterson et al, 2003;Schmidt et al, 2014;Spoth et al, 1995;Tucker et al, 1998;Ulfsdotter et al, 2014) have demonstrated that both parenting practices and PSE are positively influenced by parents' participation in such programs. The results of the current study showed that both the parent-only and the combined parent-student intervention improved parents' strict rule setting, and the combined intervention also improved PSE over time.…”

Section: Discussionmentioning

confidence: 99%

The Outcomes of an Alcohol Prevention Program on Parents’ Rule Setting and Self-efficacy: a Bidirectional Model

Glatz

Koning

2015

Prev Sci

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Most adolescents have their first encounter with alcohol in early or middle adolescence. Parents' rule setting about alcohol has been shown to be important to delay the onset and reduce the frequency of adolescents' alcohol drinking, but less is known about the potential role of parents' beliefs about their competence in and ability to influence their adolescents' drinking habits (i.e., parental self-efficacy [PSE], Bandura (Psychological Review, 84, 191-215, 1977). In this study, we examined the direction of influence between parents' rule setting and PSE as outcomes of the program "Prevention of Alcohol use in Students" (PAS), a prevention program aiming to reduce underage drinking by targeting parents and adolescents both separately and in a combined intervention. We tested two mediation processes in which the program would (a) have a direct effect on PSE, which in turn would increase parents' rule setting or (b) have a direct effect on parents' rule setting, which in turn would increase PSE. To examine these processes, we used a sample of 2562 parent-adolescent dyads (age 12 at baseline), followed annually over 3 years. The results showed that the combined intervention increased PSE via an increase in parents' rule setting. No significant effect of the intervention on rules about alcohol via PSE was found. This is the first study to test the mediation processes involving PSE and parental rule setting in an experimental context where parenting practices are being actively changed. The results suggest that giving parents concrete advice on how to deal with alcohol drinking in their adolescents and at the same time helping adolescents to develop healthy attitudes about alcohol drinking have a positive influence on parents' self-efficacy.

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“…Quantitative data provided descriptive information about the quality of parent–parent (group support/connectedness) and parent‐program (parent–group leader relationship and overall satisfaction) factors. Previous literature has underscored the importance of participant interaction with other group members, as well as those administering the intervention, for engaging culturally or linguistically diverse families in group‐based programs (Schmidt, Chomycz, Houlding, Kruse, & Franks, 2014; Whittaker & Cowley, 2012).…”

Section: Methodsmentioning

confidence: 99%

Parent engagement in an original and culturally adapted evidence‐based parenting program, Legacy for Children™

Rojo

Robinson

et al. 2020

Infant Mental Health Journal

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Human Subjects Approval: The information collection protocol was reviewed and approved by the IRB of Oklahoma State University, Protocol HE1484 "Legacy for Children TM Implementation Study." The study also received a Certificate of Confidentiality, issued by CDC. ABSTRACTLegacy for Children TM (Legacy) is an evidence-based program focused on promoting sensitive, responsive parenting for socioeconomically disadvantaged families. Legacy has recently been culturally and linguistically adapted for Spanish-monolingual Latino families and is being piloted in partnership with an early childhood education program. We conducted a mixed methods study to identify barriers and facilitators to engagement, using program monitoring data sources from both participant and group leader perspectives. We conducted qualitative analyses of open-ended data to identify distinct barriers (e.g., employment challenges, health-related challenges and appointments) and facilitators (e.g., other mothers in group, interest in program topics) to engagement that emerged across English and Spanish language curriculum versions; curriculum-specific barriers and facilitators were also documented. We interpret these findings in light of quantitative data on measures of engagement, showing that participants in the Spanish curriculum evidenced comparable levels of parent-group leader relationship quality relative to the English group, and higher levels of parent's group support/connectedness and overall satisfaction. These results offer promising considerations for optimizing families' engagement in parenting programs in the context of early care and education settings. K E Y W O R D Scultural adaptation, Latino, Legacy for Children TM , mixed methods, parenting RESUMENLegado para los Niños TM (Legado) es un programa basado en la evidencia que se centra en promover una crianza sensible y susceptible para familias con desventajas socioeconómicas. Recientemente, Legado se ha adaptado cultural y lingüísticamente para familias Latinas en las que sólo se habla español, y está siendo puesto en práctica experimental en asociación con un programa de educación en la temprana niñez. Llevamos a cabo un estudio con una variedad mixta de métodos para identificar obstáculos y promotores para ser incluidos usando recursos de información de la supervisión del programa provenientes de las perspectivas tanto de participantes como de líderes de grupo. Realizamos análisis cuantitativos de información no limitada de antemano para identificar diferentes obstáculos (v.g. dificultades de empleo, dificultades y citas 356 © 2020 Michigan Association for Infant Mental Health Infant Ment Health J. 2020;41:356-377. wileyonlinelibrary.com/journal/imhj SO ET AL. 357relacionadas con la salud) y promotores (v.g. otras madres en el grupo, interés en los temas del programa) para ser incluidos los cuales surgieron a lo largo de las versiones curriculares del inglés y del español; también se documentaron los obstáculos y promotores relacionados con el currículo específico. Interpretamos es...

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The Association Between Therapeutic Alliance and Treatment Outcomes in a Group Triple P Intervention

Cited by 21 publications

References 35 publications

Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes

Delivering a Parenting Program in South Africa: The Impact of Implementation on Outcomes

The Outcomes of an Alcohol Prevention Program on Parents’ Rule Setting and Self-efficacy: a Bidirectional Model

Parent engagement in an original and culturally adapted evidence‐based parenting program, Legacy for Children™

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