Feasibility of Internet-based parent training for low-income parents of young children

Parent training programs promote positive parenting and benefit low-income children, but are rarely used. Internet-based delivery may help expand the reach of parent training programs, although feasibility among low-income populations is still unclear. We examined the feasibility of Internet-based parent training, in terms of Internet access/use and engagement, through two studies. In Study 1, 160 parents recruited from Women, Infants, and Children (WIC) centers completed a brief paper survey regarding Internet access and use (all parents received government aid). We found high levels of access, openness, and comfort with the Internet and Internet-enabled devices. In Study 2, a pilot study, we assessed use of an online parenting program in a project with a sample of 89 predominately low-income parents (75% received government aid). Parents learned about a new, online parenting program (the “5-a-Day Parenting Program”) and provided ratings of level of interest and program use 2-weeks and 4-weeks later. Local website traffic was also monitored. At baseline, parents were very interested in using the web-based program, and the majority of parents (69.6%) reported visiting the website at least once. However, in-depth use was rare (only 9% of parents reported frequent use of the online program). Results support the feasibility of Internet-based parent training for low-income parents, as most parent were able to use the program and were interested in doing so. However, results also suggest the need to develop strategies to promote in-depth program use.     

Identifying Children's Needs When Parents Access Drug Treatment: The Utility of a Brief Screening Measure

SUMMARY

This study evaluated whether a brief screening measure of child psychosocial functioning completed by parents could assist drug and alcohol workers to identify which of their client's children needed follow-up support. As part of a broader research and intervention program for 4–13 year old children with substance dependent parents, the Strengths and Difficulties Questionnaire (SDQ) and a broader clinical assessment were completed with the families of 48 children. Validating its usefulness in this population, significant and moderate correlations were found between SDQ scores and workers' assessments of children's social, emotional, and cognitive development and schooling.     

Parent adoption and implementation of obesity prevention practices through building children's asking skills at family child care homes

BackgroundEarly childhood education programs provide a setting to reach children and parents to modify home environments to prevent obesity. The Healthy Opportunities for Physical Activity and Nutrition Home (HOP’N) Home project was a novel approach that linked Family Child Care Homes (FCCH) to home environments by developing children’s asking skills for healthful home environmental change through curricular activities.ObjectiveTo evaluate the feasibility of engaging parents in obesity prevention practices through building children's asking skills at FCCH.MethodsFCCHs (n = 5 settings) and children (n = 25; aged 3−5 years; female = 36 %; non-Hispanic white = 91 %; low socioeconomic status = 28 %; overweight/obese = 52 %) and parents (n = 25) participated in a pre-post cohort design. We assessed children's body mass index and self-report variables at three time points. HOP'N Home included continuous staff training, group time, dramatic play, meal prompts, songs, and home activities.ResultsFCCH providers implemented 83%–100% of intervention activities. All parents (100 %) adopted the program, most (87 %) returned completed homework activities to FCCHs, and over 90 % implemented changes in the home. Percent of overweight/obese children decreased from pre-intervention (50 %) to post-intervention (29 %,p = 0.06) and follow-up (38 %,p = 0.06).ConclusionsIt is feasible to build children's asking skills and pair this strategy with home activities to engage parents to prevent obesity.     

Understanding the implementation of the Grow! parenting program: Findings from a mixed methods pilot study

Evaluating the implementation of parenting interventions is critical to program diffusion and quality across populations and settings, and to enhancing treatment outcomes. This article presents implementation findings from a pilot study of Grow!, a universal parenting program targeting parents of five to eight years olds that aims to improve child outcomes through strengthened parenting. Grow! was implemented at two community sites in central Pennsylvania by trained facilitators. Implementation data was gathered from facilitators and participants using mixed methods, including surveys, observation checklists, semi-structured interviews, and focus group discussions. These data were analyzed and integrated to explore, within the context of Proctor et al.'s (2011) implementation outcome framework, four implementation outcomes (i.e., acceptability, appropriateness, fidelity, and feasibility). Overall, these findings demonstrate that Grow! can be, and was, implemented effectively in a community setting. Moreover, they demonstrate how the Proctor et al. (2011) framework can be operationalized and applied specifically to hybrid effectiveness-implementation design studies.     

Evaluating the Political Participation of Licensed Social Workers in the New Millennium

Abstract

The social work literature is replete with studies evaluating direct practice or clinical interventions, but strikingly few have assessed how well social workers are faring in the political arena. The sample in this study consists of 396 randomly selected social workers licensed in 11 states who completed a 25-30 minute telephone survey. Social workers were surveyed to determine: (1) to what degree social workers participate politically; (2) whether they have the psychological engagement, or motivation, necessary to participate; and (3) whether social workers feel adequately prepared by their program to do policy work. Implications for social work education are discussed.     

The impact of para-professional social workers and community health care workers in Côte d'Ivoire: Contributions to the protection and social support of vulnerable children in a resource poor country

BackgroundResearch indicates a disproportionate impact of HIV and AIDS in sub-Saharan African countries, leading to many vulnerable families and children. Many of these communities have limited resources to support these vulnerable families, especially orphans and vulnerable children (OVC).Study aims and objectiveThis study set out to investigate how para-professional social workers and community health workers (PSWCHW) impact the provision of services and the psychosocial wellbeing and protection of vulnerable children in the community.MethodsThis quasi-experimental research study used data from an independent Save the Children program evaluation study in Côte d'Ivoire. We compared the health and psychosocial wellbeing of identified vulnerable children supported by para-professionals (n = 334) and children not receiving para-professional support (n = 213).FindingsSupport services and activities provided by PSWCHW included encouraging the children to be part of psychosocial support groups. Many of the children reported legal issues that ranged from getting a birth certificate issued to fighting or quarrelling with adults, disputes, public insults, beatings, and refusing to go to school. We found that the engagement of PSWCHW helped three out of four children go to school (compared to only one in four of the children without PSWCHW). PSWCHW also helped the children improve access to health care services.ConclusionsCommunities in sub-Saharan Africa should continue to consider the integrated utilization of para-professional social workers and community health care workers to support and improve psychosocial wellbeing of orphaned and vulnerable children which, in turn, enhances child protection services and access to healthcare.     

The concept of Children in Need: The answer or the problem for family support?

This paper attempts to describe and assess the impact of the 1989 Children Act on the family support aspects of statutory child care social work. Having outlined some of the ideological challenges to family support work, it goes on to trace the main themes in the relevant professional and research literature. The family support clauses of the 1989 Children Act are outlined followed by a brief account of the dominant concerns which preceded their implementation. The findings of a recently completed study of the implementation of the Children in Need clauses of the Act, are described and brief conclusions drawn about the way in which the more negative outcomes might have been minimised, by counter-balancing the requirement for social workers to prioritise access to services, by a more robust dissemination of research findings about family support.     

Providing context to the implementation of health promoting schools: A case study

PurposeIssues related to program context are important components of population health interventions and particularly among complex, adaptive initiatives in schools. Health Promoting Schools (HPS) is a global approach to support early development of healthy behaviors among children and youth. The purpose of this study was to explicate the practical and contextual processes that influenced implementation of HPS in schools in Nova Scotia (Canada).MethodsUsing a case-study approach, data was collected using interviews (n = 14) with principals, teachers and parents, observations collected during school visits and document review in five diverse schools.ResultsCase study schools reported a variety of HPS practices and three key themes emerged that provided context to the processes that facilitated their implementation. The results suggest that although school characteristics (theme 1), like staff allocation, physical location and resources, are important, these barriers can be mitigated by building organizational capacity (theme 2) and establishing a supportive school community culture (theme 3).ConclusionsThe study provided insight to the variability in implementation by describing how contextual barriers were experienced and mitigated by schools. Establishing a broad system to support HPS, with collaboration across health and education sectors, could help to progress adoption, implementation and sustainability of HPS.     

Psychological aspects op physical handicap

Abstract

The promotion of home management of asthma has increased the popularity of education programs amongst health professionals. Our clinical experience has led us to believe presently available asthma education programs are inadequately used by parents of children with asthma. The authors summarise the results of a survey of program attendance and discuss relevant issues, including the opportunities for social workers to improve the current situation.     

Children of adult consumers of mental health services: Towards principles of practice

Abstract

This paper discusses the development of a peer support and advocacy Network, Young Mothers for Young Women. The Network evolved through a participatory action research project into young mothers experiences of violence. Through the Network, young women participate in a community development approach to violence reduction. As part of the Network, young women offer peer support to other young women. Network members also engage in ongoing community education and advocacy about issues, such as poverty, isolation and sexism which increase young womens vulnerability to violence. An important aim of this paper is to make visible the dialogue between social workers and young women on which the Network relies. This paper is motivated by the concern that as social work enters an era of increasing accountability it is critical that workers articulate the often invisible role they play in facilitating participatory processes.     

Introduction

ABSTRACT

The paper considers the levels of coherence and dissonance between the education and training needs of social work practitioners working in a virtual environment and the focus of the requirements and learning and teaching approaches currently in use on social work programmes within education settings in England. The paper argues a gap exists in the way information and communication skills are currently conceptualised to support the education and training of social workers. It appears that e-learning is often considered in relation to its functional advantages and that similarly ICT skills are considered in terms of computer program literacy. The much wider question of the development of competence for virtual practice and how e-learning may support this development require much greater consideration and application.     

Examining the equivalence of fidelity over two generations of KEEP implementation: A preliminary analysis

Problem

In order to obtain and maintain positive outcomes garnered from evidence-based practice (EBP) models, it is necessary to implement them effectively in “real world” settings, to continually monitor intervention fidelity to prevent drift, and to train new staff due to turnover. The fidelity monitoring processes that are commonly employed in research settings are labor intensive and probably unrealistic to employ in community agencies given the additional burden and cost that they represent over and above the cost of implementing the EBP. Efficient strategies for implementing fidelity monitoring and staff training procedures within the inner context of agency settings are needed to promote agency self-sufficiency and program sustainability.

Method

A cascading implementation model was used whereby agencies who achieved proficiency in KEEP, an EBP designed to prevent placement disruptions in foster and kinship child welfare homes, were trained to take on fidelity management roles to improve the likelihood of program sustainability. Agency staff were trained to self-monitor fidelity and to train internal staff to achieve model fidelity. A web-based system for conducting fidelity assessments and for onsite/internal and remote program quality monitoring was utilized.

Results

Scores on fidelity ratings from streamed observations of intervention sessions showed no differences for foster parents treated by first generation interventionists trained by model developers compared to a second generation of interventionists trained by the first generation.

Conclusion and relevance to child welfare

Development of the local intra-agency capacity to manage quality intervention delivery is an important feature of successful EBP implementation. Use of the cascading implementation model appears to support the development of methods for effective monitoring of fidelity of the KEEP intervention, for training new staff, and ultimately for the development of internal methods for maintaining program sustainability and effectiveness.     

Process evaluation of a preschool physical activity intervention using web-based delivery

Background and purposePreschool/childcare settings offer a practical target for physical activity interventions. Online learning programs have the potential for greater public health reach and impact. The SHAPES-Dissemination (SHAPES-D) project adapted the original SHAPES in-person intervention for online delivery to teachers. The purpose of this paper is to describe the implementation monitoring and process evaluation for the SHAPES-D project.MethodsNine preschools with 26 classrooms participated. A total of 41 teachers were trained via online learning to implement the SHAPES-D program in their classrooms. The dose received, completeness, and fidelity of implementation were assessed through website metrics, teacher surveys and interviews, and classroom observations.ResultsDose received was adequate (73%). Observed completeness and physical activity enjoyment fidelity were high (100%), although moderate-to-vigorous physical activity fidelity and social environment fidelity were low (25% each). Overall implementation was high (91%).DiscussionResults indicate that the online method of delivery is viable for dissemination. The online delivery system provides an easy method of monitoring dose received. This may be the first structural intervention to monitor dose received through web metrics.ConclusionThe adaptation of an in-person intervention to an online delivery system increases the potential for dissemination of a successful program to increase physical activity in preschool settings.     

Multimedia Interactive Training Development–Journey: Discovering Social Services CD-ROM

SUMMARY

This article describes a multimedia 9-module training program which uses text, graphics, animation, narration, and video as well as a planned approach to the use of color, pace, tone, setting, and instructional activities to achieve its goal of orienting new workers to the complexity of a public social service agency.     

Parenting Styles: The Impact on Student Achievement

ABSTRACT

Parenting style and its impact on student achievement in a multidimensional society continues to pose significant challenges to clinicians, researchers, educators, and parents alike. This literature review summarizes the research surrounding five domains: (1) parental control; (2) gender and parenting style; (3) parental education; (4) perceptual differences between parents and their children; and (5) ethnicity and diversity. Behavioral control and psychological control were found to be two inherent features of parental style that have a direct affect on student achievement. Adolescents' perceived level of independence when interacting with their parents also seemed to have a direct relationship on their academic achievement. Research concerning children's progress in mathematics as related to parenting style and gender stereotype was also uncovered. Evidence was found to support the notion that parental education can have an indirect impact on children's academic achievement in various cultures. Implications for future research are identified including the need for applied research in learning communities factoring in variables for family structure, expectations, ethnicity, communication, and involvement.     

Implementing paraprofessional strength-based early intervention home visitations

The purpose of the present study is to evaluate the implementation process for Parenting Plus, an early intervention program in a rural, western Canadian health district. Parenting Plus, as modeled after Hawaii Healthy Start, provides strength-based paraprofessional home visitations to overburdened parents of newborns. The general inductive approach guided the studies design and the methods used for data collection and analysis. Semi-structured in-depth interviews were conducted with health care practitioners and focus groups with program participants were held until theoretical saturation was achieved for both. Recommendations for policy and practice address the need for intersectoral involvement as crucial to a strength-based pilot project's success. Future research needs not only to look at the mode of service delivery but also, more importantly, at how the characteristics of the home visitor can effect change in the participant and what level of experience or education (paraprofessional or professional) is best suited to a particular client population.     

Does allocation to a control condition in a Randomized Controlled Trial affect the routine care foster parents receive?

‘Strengthening Foster parents in Parenting’ (SFP) is a support program for foster parents who care for foster children with externalizing problem behavior. Its effectiveness was examined with a Randomized Controlled Trial (RCT). In this paper, we examine the treatment as usual (TAU) that was offered in the control condition of this RCT. For this purpose, the TAU from the SFP control group was compared with TAU provided to a similar group of foster parents outside any RCT.Our results show that TAU is diverse and varies widely. Furthermore, being part of the control condition was positively associated with both the counseling frequency from the foster care services and with external help-seeking behavior (finding and using additional support).In order to prevent condition contamination in future trials, TAU should be clearly described and standardized, and treatment fidelity should be carefully monitored.     

Locus of Control and Marital Termination:

Abstract

This is a pilot study which compares the effects of two divorce laws on the functioning of parents and children immediately after the separation and two years later. The Parenting Act of 1987 in Washington state is a novel approach to divorce, which was intended to reduce parental conflict by focusing on parenting functions and responsibilities rather than on custody. Parents divorcing under the previous law (a no-fault, joint custody permissible approach) and their children were used for comparison. Two hundred consecutively divorcing couples, for each law, divided equally between a heavily urban county and a rural county were invited to participate. Both parents were asked to rate their own adjustment and the adjustment of each of their children. Respondents were surveyed again two years later. Proponents of the Parenting Act expected that the new law would reduce interparental conflict, help fathers stay more involved with their children, improve the reliability of support payments, and reduce the impact of divorce on children. The expected benefits of the Parenting Act were not demonstrated in this study, although children were somewhat more likely to reside with their fathers than children whose parents divorced under the “no-fault” law. Furthermore, the Parenting Act appeared to have an adverse effect on parents' post-divorce adjustment. However, the low response rate limits the reliability of these conclusions.     

The implementation of SPARX-R computerized mental health program in alternative education: Exploring the factors contributing to engagement and dropout

BackgroundComputerized cognitive behavioral therapy (cCBT) has been shown to improve mental health and wellbeing in youth, however, high drop out and low engagement rates are reported in many studies. This study examined the factors that contribute to engagement and dropout with SPARX-R, cCBT program for preventing depression and improving wellbeing with a group of vulnerable 15–20 year olds attending alternative education (AE).MethodsStudents who took part in a randomized controlled trial (RCT) of SPARX-R completed a post-intervention implementation questionnaire (n = 28) and provided verbal or written feedback (n = 12) on their experience of the program. Furthermore, process evaluation questionnaires completed after each level of SPARX-R examined the views of participating students, including those who dropped out of the study. Staff views were also explored through a post-intervention questionnaire and interviews.ResultsThe majority of the students considered SPARX-R easy to use and agreed that the program made sense to them. However, less than half of the participants reported that they liked the look of the program or considered it fun, and only a third reported that they would recommend SPARX-R to a friend. Those categorized as being at risk for depression, as assessed on the Short Moods and Feelings Questionnaire, rated the program higher in terms of its relevance and usefulness in comparison to those with no symptoms or clinical symptoms of depression. Technical issues, lengthiness and the lack of positive focus were the main reasons reported for negative reactions and disengagement with SPARX-R. Staff expressed a need for increased flexibility in delivery and complementing computerized programs with face-to-face activities to improve student engagement.ConclusionsComputerized delivery can offer multiple benefits to mental health promotion and prevention in educational settings. Further research is needed to examine how such programs can be incorporated into existing approaches and made more positive and adaptable to support universal delivery for more vulnerable young people.     

Prevention of Depressive Symptoms in Preadolescent Children of Divorce

Abstract

This study investigated the efficacy of an intervention program (the Depression Prevention Program for Children), which was successful overall in preventing depressive symptoms in 5th and 6th grade children, for a subset of those children-those whose parents have divorced. The 12-week program taught cognitive and social problem solving skills to children in group sessions conducted in their middle schools. There were 59 children in the treatment group-thirty-one (31) children from intact families and 28 children whose parents were divorced. The children completed the Children's Depression Inventory at pretest, posttest, and at 6-month intervals after completion for a 2-year period. The program was effective in preventing depressive symptoms in both groups. However, there was a significant group × time interaction, indicating that for children of divorce, the effectiveness may begin to diminish over time. These findings are discussed in terms of the various factors which might influence the response of children of divorce to this and other interventions.