‘Tell Me and I Forget,Teach Me and I May Remember,Involve Me and I Learn. And That's What It's About.’ How a Co‐design Methodology is Used in the Delivery of Parents Building Solutions: A Qualitative Study

There are many parenting programs delivered in Australia and Parents Building Solutions (PBS) is one of these. Collaboratively designed by Parentzone staff of Anglicare Victoria, it has a twenty year history of building the evidence base. PBS stands apart from other programs because parents actively co‐design the sessions and content with skilled facilitators. Understanding the drivers, processes and practices that make the co‐design methodology work, is fundamental to the implementation science that underpins the program.This study aimed to examine the way co‐design was used in the delivery of PBS, specifically looking at program implementation and outcomes. Focus groups and interviews were conducted with Parentzone staff (team leaders and facilitators) and parents who had recently completed a program. Ethics approval was provided and analysis was conducted using NVivo software with co‐design as the unit of analysis. Three major themes about co‐design were present across team leaders, facilitators and parents: 1) responsiveness and flexibility are central to the functionality of co‐design within PBS; 2) facilitators implement the co‐design methodology using a suite of knowledge and skills; and 3) parents report tangible results from participating in a co‐designed parenting program. There was an overwhelming appreciation from both facilitators and parents about the co‐designed implementation style. Facilitators and team leaders highly valued the flexibility of the program which enabled their ability to respond to parent's needs. Furthermore, parents believed they achieved tangible outcomes derived from strategies and support delivered in the program. The co‐design methodology used in PBS was evident for all stakeholders and was a driver of program implementation and its outcomes. The methodology described in this has practice implications for family therapists and others who work directly parents and families.     

Perceived Professional Gains of Master's Level Students Following a Person‐of‐the‐Therapist Training Program: A Retrospective Content Analysis

The Person‐of‐the‐Therapist Training (POTT) is a program designed to facilitate clinicians' ability to consciously and purposefully use themselves at the moment of contact with their clients in order to connect, assess, and intervene effectively. This qualitative study explored the experiences of 54 master's‐level students who were enrolled in an accredited marriage and family therapy program in the United States and examined their perceived professional gains following a 9‐month POTT course. Content analysis of trainees' reflections which they wrote at the end of the training revealed 6 primary themes: (a) increased awareness, (b) emotions, (c) improved clinical work, (d) humanity and woundedness, (e) meta‐awareness, and (f) factors that contributed to the learning process. Findings suggest that key outcomes of this training curriculum are congruent with its stated goals. Clinical and training recommendations are additionally provided. Video Abstract     

Program features and developmental experiences at a camp for youth with cancer

Purpose

The purpose of this case study was to explore how the program features of a camp for young people with cancer supported participants' developmental experiences.

Methods

This case study examined a one-week residential camp program near a large southern city. Data were collected from semi-structured interviews and focus groups with 22 campers aged 8–14, 19 adult staff members (camp administrators, activity specialists, medical staff, and counselors), four junior counselors aged 18–20 who had previously attended the camp as a camper because they had cancer, and from participant observations. Reliability and validity assurances were met in multiple ways. A constant comparison approach to data analysis indicated consistent themes that converged on the research questions.

Results

Positive developmental experiences reported at camp by campers and staff included a) increased positive attitudes (sociability, perseverance and confidence, and gratitude and appreciation) and b) respite (experiencing freedom, and finding a balance between “just being a kid” and managing difficult cancer issues). The camp supported the aforementioned developmental experiences through several key program features. The program features reflected the themes of full accommodation (integrated and accessible facilities and activities, and opportunities to be physically active) and intentional programming (“a habitat of fun,” proximity to similar others, engaging activities, caring relationships, and opportunities to maintain connection).

Conclusions

The camp contained features that supported developmental experiences, which is especially important because youth with cancer are especially at risk of negative outcomes such as anxiety, depression, and isolation. Findings from this case study illustrate how social support can enhance psychological and physical well-being through the provision of supports for the basic psychological needs of autonomy, relatedness and competence.     

Parenting and emotional well-being of adoptive school-aged children: The mediating role of attachment

This study focuses on the processes of adoptive parenting that affect children's emotional well-being. It aims to analyze the role of children's attachment as a mediator of the relationship between both parenting styles and parenting stress and children's positive and negative affect in adoptive families of school-aged children. The study included 322 Portuguese participants, divided into one group of adoptive parents (n = 135) and one comparison group of non-adoptive parents (n = 187); target-children were aged between 6 and 12 years. Self-report questionnaires were used to analyze the dimensions under study (parenting styles, parenting stress, children's attachment and children's emotional well-being). After conducting a preliminary analysis to identify potential differences between the adoptive and the non-adoptive parents, a mediation model was tested using the path analysis procedure. A baseline model was established, followed by a multi-group analysis in order to explore the model's invariance across the groups. Children's attachment mediated the relationship between parenting (styles and stress) and children's positive and negative affect. The multi-group analysis revealed that, for the adoptive group, both secure and anxious/ambivalent attachment mediated the association between parenting stress and negative affect; for the non-adoptive group, secure attachment was found to mediate the link between emotional warmth and positive affect. For both groups, the relationship between parenting stress and positive affect was mediated by secure attachment. Results pointed to the relevance of children's attachment in the association of parenting styles and parenting stress with children's emotional well-being. Moreover, differences concerning the mediation model emerged across the two groups, revealing that children's negative outcomes were better explained in the adoptive group. The results reinforce the importance of supporting adoptive parents after the adoption process.     

Social Support: A Key to Positive Parenting Outcomes for Mothers in Residential Drug Treatment with Their Children

SUMMARY

This study explored parenting experiences of ten mothers residing with their young children in four residential drug treatment facilities in New York City and how these experiences related to the perceived support of the social environment of the facility. Through the lenses of the self-in-relations theory and family-centered service model, the study examined the supportive function of the treatment program including the program structure, the staff, and fellow mothers in affecting the mothers' parenting experience and outcomes. Programmatic, policy, and research implications of the study's findings are discussed.     

Mejor Sola Que Mal Acompañada: Strengths and Challenges of Mexican-Origin Mothers Parenting Alone

Marriage is often viewed as central to family stability and health, and problem-saturated discourses about single parenting have failed to address the advantages of parenting alone. Heuristic methodology was used to examine the meanings and experiences of Latinas parenting alone. This study reflects the lived experiences of 20 Mexican-origin women who participated in a 1- to 2-hour, in-depth, semistructured interview. Data are presented by three exemplary portraits and five core consistencies embedded in a composite depiction. Overall, although parenting alone was challenging, it was considered beneficial and preferable, especially when the child's father's influence was problematic or detrimental to the family's well-being. Chicana feminism and an intersectionality lens is used to interpret findings. Implications for research and intervention are also discussed.     

Reducing hostile parenting through computer-mediated parenting education

ObjectiveThe present study evaluated a computer-mediated parent education program aimed at improving parents' self-concept and dysfunctional parenting practices.DesignEmployer-based parent education services were offered as part of a corporation's employee wellness program. Participants (N = 247) were asked to complete pre- and post-test surveys including surveys of demographic information, parental self-concept, and dysfunctional parenting behaviors.ResultsParticipants reported clinically significant levels of dysfunctional parenting practices at baseline. Results from the single-dose intervention indicated a significant decrease in hostile parenting from pre-test to post-test, which was likely predicted by parents' sense of competence at baseline.ConclusionComputer-mediated parent education workshops were efficacious in improving parents' self-concept and reducing parents' use of hostile parenting tactics. The study provides an important contribution to the extant literature by documenting the effectiveness of computer-mediated parenting programs, particularly those offered through the workplace.     

Deciding Not to Un–Do the “I Do:” Therapy Experiences of Women Who Consider Divorce But Decide to Remain Married

This study explores women's experience of marital therapy while they navigated decision making around divorce. A qualitative method was used to gain a deeper understanding of the participants' therapy and relationship decision‐making experiences. How are women's decisions whether or not to exit their marriage affected by therapy? The researchers interviewed 15 women who had considered initiating divorce before they turned 40 and had attended at least five marital therapy sessions but ultimately decided not to divorce. In general, participants reported that the therapy was helpful to them, their decision‐making process and their marriages. Five main themes emerged from the interviews: Women Initiated Therapy, Therapist Was Experienced as Unbiased, Therapy was Helpful, Importance of Extra‐therapeutic Factors, and Gradual Process.     

Emotionally Focused Couple Therapy for Parents Raising a Child with an Autism Spectrum Disorder: A Pilot Study

Many couples raising children diagnosed with an Autism Spectrum Disorder (ASD) are often resilient in confronting unique parental demands, while others experience greater risk for relational distress. Research has shown that Emotionally Focused Couple Therapy (EFT) is efficacious with couples raising chronically ill children and relevant to the relational demands of parents of children diagnosed with an ASD. This pilot study tested the effectiveness of EFT with seven couples presenting with moderate to severe distress, who were also parents of a child diagnosed with an ASD. Results demonstrated significant decreases in marital distress at posttreatment and 6‐month follow‐up. The study also identified several unique themes associated with couple distress and the parenting experiences of this population.     

What Parents Learn From Experience: The First Child as a First Draft?

This study sought evidence for the proposition that experiences with earlier‐born adolescents will improve parents' interactions with and parenting of later‐born adolescents. Participants were mothers, fathers, and both first‐ and second‐born siblings from 392 families participating in a longitudinal study. To collect information on siblings' family experiences, family members were interviewed individually in their homes. During the subsequent 2 to 3 weeks, 7 evening telephone interviews were also conducted, which focused on siblings' daily activities. Findings suggest that when parent‐adolescent relationships were measured at the same age for both siblings, parents experienced less conflict with their second‐born as compared with their firstborn adolescent offspring and exhibited greater knowledge of their second‐born offspring's daily activities as compared with their firstborns' daily experiences. These results are consistent with the notion that parents may learn from their childrearing experiences.     

“Why I Can't Stand Out in Front of My House?”: Street‐Identified Black Youth and Young Adult's Negative Encounters With Police

This street participatory action research (Street PAR) study organized 15 residents to document street‐identified Black youth and adult's negative experiences with police in Wilmington, Delaware. Data were collected on mostly street‐identified Black men and women aged 18–35 in the forms of (1) 520 surveys, (2) 24 individual interviews, (3) four dual interviews, (4) three group interviews, and (5) extensive field observations. Forty‐two percent of survey participants reported being stopped by police in the last year. However, with the exception of being “stopped,” participants overall reported little negative contact with police at least within the past year. Chi‐square and ANOVA analyses suggest an interactional relationship exists between race, gender, and age on experiences with police. Younger Black men (18–21) were found to have the most negative contact with police. Analysis suggests a smaller, more hardened mostly male variant of the larger street community has had repeated contact with police. Qualitative analysis reveals at least two major themes: (1) disrespect and disdain for residents and (2) low motivation for working with police. Street PAR methodology was also found to be instrumental in working with local residents and the Wilmington Police Department to improve conditions between residents and police.     

Adolescent Offenders' Qualitative Reflections on Desistance From Crime

Although many young offenders desist from crime during adolescence, little is known about this process. This study used a qualitative approach to elucidate adolescent offenders' experiences in desisting from crime. Thirty‐nine male adolescent offenders (M_age = 16.59 years) participated in a semistructured interview about the desistance process. One of four themes characterized adolescents' reflections on their own desistance: having a psychological reorientation, reacting to consequences, persisting, or being in the wrong place at the wrong time. Adolescents discussed five agentic moves they make to facilitate desistance: seeking and maintaining supportive relationships, navigating peer groups, working toward long‐term goals, structuring time, and finding sanctuaries from the outside. These findings highlight adolescents' strengths, resources, and active role in desisting from crime.     

Dissemination of an evidence-based parenting program: Clinician perspectives on training and implementation

The present study used a qualitative approach to examine clinicians' experiences as trainees of an evidence-based parenting program, parent–Child interaction therapy (PCIT). In order to explore factors related to successful implementation and maintenance of the PCIT program in a community setting, twenty-nine community clinicians completed phone interviews six months to four years after an initial forty-hour PCIT training workshop. Clinicians reported positive experiences with the training, but also described barriers related to agency, client, program, and training factors. Findings suggest that (1) trainees view the core components of PCIT as acceptable and valuable, (2) training costs and problems with third-party reimbursement can impede implementation, (3) clinicians may benefit from training that includes skills in motivation enhancement, and (4) ongoing consultation is valuable to clinicians, although trainees differ in their preferences regarding the manner of delivery (e.g., teleconference, live). This study brings clinicians into the conversation regarding barriers to and facilitators of evidence-based training and implementation.     

Experiencing parenthood,care and spaces of hospitality

Drawing on research conducted in Australia and the United Kingdom, this paper explores how parenting and care provision is entangled with, and thus produced through, consumption in hospitality venues. We examine how the socio‐material practices of hospitality provision shape the enactment of parenting, alongside the way child‐parent/consumer‐provider interactions impact upon experiences of hospitality spaces. We argue that venues provide contexts for care provision, acting as spaces of sociality, informing children's socialization and offering temporary relief from the work of parenting. However, the data also highlight various practices of exclusion and multiple forms of emotional and physical labour required from care‐providers. The data illustrate children's ability to exercise power and the ways in which parents’/carers’ experiences of hospitality spaces are shaped by their enactment of discourses of ‘good parenting’. Finally, we consider parents’/carers’ coping behaviours as they manage social and psychological risks associated with consumption in such public spaces of leisure.     

“It's really overwhelming”: Parent and service provider perspectives of parents aging out of foster care

Rates of pregnancy and parenthood among current and former foster youth are two to three times higher than non-foster youth peers. Repeat pregnancies among young mothers aging out of foster care also occur at higher rates than peers not involved with the child welfare system. Furthermore, mothers aging out of foster care demonstrate high levels of parenting stress and risk for child maltreatment. Indeed, this population is in significant need of help; however, beyond anecdotal evidence, little is known about the needs and day-to day experiences of this population. In order to tailor interventions to meet the needs of parents aging out, the perspectives of stakeholders must be taken into account. Using qualitative data gathered from separate small group interviews with parents aging out and service providers, this study examined participants' perceptions of parents' daily experiences, strengths, and needs. Findings indicated that parents aging out face overwhelming adversity and stress with little outside financial, emotional, or parenting support from family or friends. Yet, parents also expressed motivation to be good parents, resilience, and the desire to gain effective parenting skills. Although similar themes arose among parent and provider interviews, perceptions differed. Parents expressed hope and optimism in providing for their children while providers expressed systemic failure in preparing parents for independent living. Based on these findings, we conclude that parenting interventions specific to parents aging out may need to address three fundamental and key components: basic needs, social support, and effective parenting techniques.     

Looking inside the bag of tools: creating research encounters with parents with an intellectual disability

This paper examines the development of fieldwork methodology in a study that investigated the parenting experiences and parent support needs of a group of parents with an intellectual disability. It considers the ways in which the original planning for the project changed as the fieldwork unfolded, requiring adaptations to our methodological expectations and in the process deepening our understanding of the phenomena we were studying and reinforcing for us the importance of relationships in fieldwork‐based research. Three themes in particular are considered that became central to this research: research relationships; safety for participants/positioning of the researcher; suspending assumptions about impairment and disability and influences on life experiences.     

Beyond Behaviour — The Importance of Communication and Connection in Parenting ‘Defiant’ Children: Pilot Study and Program

Parents of children with defiant behaviour are frequently encouraged to establish clear behavioural expectations and consistency. Yet parental exhaustion, the constancy of the child's demands, and the child's push for control may compromise the success of the behavioural approach, leaving the family and therapist to search for other methods. This paper introduces parenting strategies developed as part of the ‘C Plus C — K Program’ for parents of primary school aged children (age range 5–12 years) with major behavioural problems. The program encourages parents to utilise relationship‐building parenting strategies. It is anticipated that over time, the child will develop self‐regulatory ability in situations of stress, leading to a reduction in problem behaviour. Preliminary data suggests that the program may be effective in achieving this aim. C Plus C strategies are illustrated with a fictional vignette based on common parenting situations.     

Case study of a health optimizing physical education-based comprehensive school physical activity program

In this article, we report a qualitative case study, in which we examined enablers and barriers related to the development, implementation, and sustainability of a comprehensive school physical activity program (CSPAP) aligned with the Health Optimizing Physical Education (HOPE) curriculum model at a middle school. Literature on program-diffusion and school-university partnerships guided data collection and analysis. Data sources included semi-structured interviews with the program implementation team (n = 9) and the school’s health and physical education teachers (n = 7); a focus group interview with students; documents (e.g., lesson plans), and observations. Constant comparison techniques were used to code and draw out themes from the data. Findings revealed the extensive effort needed for program implementation and highlighted the importance of strong external support mechanisms, conducting needs assessments, and training teachers to market physical activity programming. Partnerships may provide critical support for schools in their efforts to generate and sustain CSPAPs.