1
|
Kerr DCR, Owen LD, Henry KL, Capaldi DM, Tiberio SS, Bailey JA. Prospective Intergenerational Associations between Parents' and Children's Illicit Substance Use During Adolescence. Subst Use Misuse 2024:1-5. [PMID: 39077814 DOI: 10.1080/10826084.2024.2383606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 07/31/2024]
Abstract
OBJECTIVE Intergenerational studies have identified relations between adolescents' and their future offspring's cannabis and alcohol use, but rarely have examined the association for other illicit drug use. Given the low prevalence of such use in community populations, we pooled data from three prospective intergenerational studies to test this link. METHOD Participants were 1,060 children of 937 parents who had been repeatedly assessed since early adolescence. Children and parents reported on their use of cocaine, stimulants, hallucinogens, sedatives/tranquilizers, and opiates/narcotics from ages 10 to 18 years. Intergenerational similarities in any versus no use of these drugs were formally modeled using logistic regression. Patterns also were descriptively analyzed. RESULTS Parent illicit substance use was associated with significantly higher odds of child use (adjusted odds ratio [95% confidence interval] = 2.682 [1.328-5.416], p = 0.006). However, intergenerational continuity was modest; 87% of children whose parent used illicit drugs in adolescence did not use such drugs, and 77% of parents of children who used illicit drugs had not themselves used these drugs during adolescence. CONCLUSIONS The use of illicit substances by parents during their teenage years poses a risk for their offspring's similar behaviors. However, the discontinuity of these behaviors across generations implies children are largely resilient to or protected from this risk, and conversely that other aspects of parents' and children's experiences or characteristics may be more powerful risks for children's illicit drug use than this transgenerational influence.
Collapse
Affiliation(s)
| | - Lee D Owen
- Oregon Social Learning Center, Eugene, OR, USA
| | - Kimberly L Henry
- Department of Psychology, Colorado State University, Fort Collins, CO, USA
| | | | | | - Jennifer A Bailey
- Social Development Research Group, School of Social Work, University of Washington, Seattle, WA, USA
| |
Collapse
|
2
|
Moscato EL, Albee MV, Anil A, Hocking MC. The interaction of family functioning and disease- and treatment-related factors on quality of life for children after cancer. J Psychosoc Oncol 2024:1-13. [PMID: 38831549 DOI: 10.1080/07347332.2024.2354298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2024]
Abstract
PURPOSE Children with cancer experience low quality of life (QOL), yet heterogeneity underscores a need to understand how risk and resilience factors interact. This study evaluated if family functioning relates to QOL differentially depending on diagnosis and treatment intensity. METHODS Participants included children (ages 8-14) who completed treatment within six months for either brain tumor (BT; n = 42) or non-central nervous system solid tumor (ST; n = 29). Caregivers and children rated QOL and family functioning. Treatment intensity was categorized as low, moderate, or high. Cross-informant moderation models tested hypothesized interactions. RESULTS Child-reported family functioning significantly interacted with diagnosis and treatment intensity in models of caregiver-reported QOL. More maladaptive family functioning was associated with reduced QOL for children with BT and moderately-intense treatments. CONCLUSIONS Children with BT and moderate treatment intensities are sensitive to family functioning, highlighting an at-risk group to target for family-level intervention. Future work should evaluate these associations longitudinally.
Collapse
Affiliation(s)
- Emily L Moscato
- Center for Biobehavioral Health, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA
| | - May V Albee
- Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Ashley Anil
- Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Matthew C Hocking
- Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA, USA
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
| |
Collapse
|
3
|
Parent J, Highlander A, Loiselle R, Yang Y, McKee LG, Forehand R, Jones DJ. Technology-Enhanced BPT for Early-Onset Behavior Disorders: Improved Outcomes for Children With Co-Occurring Internalizing Symptoms. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY : THE OFFICIAL JOURNAL FOR THE SOCIETY OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY, AMERICAN PSYCHOLOGICAL ASSOCIATION, DIVISION 53 2024; 53:246-259. [PMID: 37494309 PMCID: PMC10811290 DOI: 10.1080/15374416.2023.2222391] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/28/2023]
Abstract
OBJECTIVE Early-onset behavior disorders (BDs) are common and costly. The evidence-base for Behavioral Parent Training (BPT), the standard of care for early intervention for BDs in young children, is well-established; yet, common comorbidities such as internalizing symptoms are common and their impact, not well understood. The goal of the current study was to examine the potential for technology to improve BPT effects on observed parenting and child behavior outcomes for families of children recruited for clinically significant problem behavior who also presented with relatively higher internalizing symptoms. METHOD Families with low incomes (N = 101), who are overrepresented in statistics on early-onset BDs, were randomized to an evidence-based BPT program, Helping the Noncompliant Child (HNC), or Technology-Enhanced HNC (TE-HNC). Children were ages 3 to 8 years (55.4% were boys). Child race included White (64.0%), Black or African American (21.0%), more than one race (14.0%), and Hispanic/Latinx (13.9%). RESULTS Families in both groups evidenced improvement in internalizing symptoms at posttreatment; however, TE-HNC yielded the greatest improvement in positive parenting and child compliance at posttreatment and follow-up for children with the highest internalizing symptoms at baseline. CONCLUSIONS TE-HNC resulted in improved parenting and child behavior outcomes for children with elevated levels of co-occurring internalizing symptoms at baseline relative to standard HNC. We posit that these added benefits may be a function of TE-HNC, creating the opportunity for therapists to personalize the treatment model boosting parent skill use with more complex presentations, although a formal test of mediation will be important in future work.
Collapse
Affiliation(s)
- Justin Parent
- Warren Alpert Medical School, Brown University, Providence, RI
- Bradley/Hasbro Children’s Research Center, E. P. Bradley Hospital, East Providence, RI
| | | | - Raelyn Loiselle
- University of North Carolina at Chapel Hill, Chapel Hill, NC
| | - Yexinyu Yang
- University of North Carolina at Chapel Hill, Chapel Hill, NC
| | | | | | | |
Collapse
|
4
|
Tone EB, Henrich CC. Principles, policies, and practices: Thoughts on their integration over the rise of the developmental psychopathology perspective and into the future. Dev Psychopathol 2024:1-9. [PMID: 38415398 DOI: 10.1017/s0954579424000257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/29/2024]
Abstract
Developmental psychopathology has, since the late 20th century, offered an influential integrative framework for conceptualizing psychological health, distress, and dysfunction across the lifespan. Leaders in the field have periodically generated predictions about its future and have proposed ways to increase the macroparadigm's impact. In this paper, we examine, using articles sampled from each decade of the journal Development and Psychopathology's existence as a rough guide, the degree to which the themes that earlier predictions have emphasized have come to fruition and the ways in which the field might further capitalize on the strengths of this approach to advance knowledge and practice in psychology. We focus in particular on two key themes first, we explore the degree to which researchers have capitalized on the framework's capacity for principled flexibility to generate novel work that integrates neurobiological and/or social-contextual factors measured at multiple levels and offer ideas for moving this kind of work forward. Second, we discuss how extensively articles have emphasized implications for intervention or prevention and how the field might amplify the voice of developmental psychopathology in applied settings.
Collapse
Affiliation(s)
- Erin B Tone
- Department of Psychology, Georgia State University, Atlanta, GA, USA
| | | |
Collapse
|
5
|
Liverpool S, Eisenstadt M, Mulligan Smith A, Kozhevnikova S. An App to Support Fathers' Mental Health and Well-Being: User-Centered Development Study. JMIR Form Res 2023; 7:e47968. [PMID: 37578834 PMCID: PMC10463090 DOI: 10.2196/47968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Revised: 05/30/2023] [Accepted: 06/22/2023] [Indexed: 08/15/2023] Open
Abstract
BACKGROUND Numerous studies describe the popularity and usefulness of parenting programs. In particular, parenting programs are generally viewed as effective for supporting parents' mental well-being during key transition periods. However, the evidence base for fathers is limited owing to their lack of involvement in parenting programs and scarcity of tailored support. OBJECTIVE This paper aimed to describe the co-design process for a universal digital intervention for fathers (fatherli) and the outline of a logic model with its expected outcomes. METHODS Following established guidelines for co-designing and developing complex interventions, we conducted a nonsystematic review of the available literature to gather key information, developed market surveys to assess fathers' needs and interests, consulted with key stakeholders to obtain expert opinions, and engaged in a rapid iterative prototyping process with app developers. Each step was summarized, and the information was collated and integrated to inform a logic model and the features of the resulting intervention. RESULTS The steps in the co-design process confirmed a need for and interest in a digital intervention for fathers. In response to this finding, fatherli was developed, consisting of 5 key features: a discussion forum for anyone to post information about various topics (the forum), a socializing platform for fathers to create and engage with others in small groups about topics or points of shared interest (dad hub), a tool for fathers to find other fathers with shared interests or within the same geographic location (dad finder), a resource for fathers to access up-to-date information about topics that interest them (dad wiki), and a portal to book sessions with coaches who specialize in different topics (dad coaching space). The evidence-based logic model proposes that if fatherli is successfully implemented, important outcomes such as increased parental efficacy and mental health help-seeking behaviors may be observed. CONCLUSIONS We documented the co-design and development process of fatherli, which confirmed that it is possible to use input from end users and experts, integrated with theory and research evidence, to create suitable digital well-being interventions for fathers. In general, the key findings suggest that an app that facilitates connection, communication, and psychoeducation may appeal to fathers. Further studies will now focus on acceptability, feasibility, and effectiveness. Feedback gathered during pilot-testing will inform any further developments in the app to increase its applicability to fathers and its usability.
Collapse
Affiliation(s)
- Shaun Liverpool
- Faculty of Health, Social Care and Medicine, Edge Hill University, Ormskirk, United Kingdom
- Evidence Based Practice Unit, Anna Freud National Centre for Children and Families, University College London, London, United Kingdom
- fatherli Ltd, 103c Camley St, Kings Cross, N1C 4PF, London, United Kingdom
| | - Mia Eisenstadt
- Evidence Based Practice Unit, Anna Freud National Centre for Children and Families, University College London, London, United Kingdom
- fatherli Ltd, 103c Camley St, Kings Cross, N1C 4PF, London, United Kingdom
| | - Aoife Mulligan Smith
- fatherli Ltd, 103c Camley St, Kings Cross, N1C 4PF, London, United Kingdom
- Division of Psychology and Language Sciences, Faculty of Brain Sciences, University College London, London, United Kingdom
| | - Sofia Kozhevnikova
- fatherli Ltd, 103c Camley St, Kings Cross, N1C 4PF, London, United Kingdom
- School of Biosciences, University of Nottingham, Nottingham, United Kingdom
| |
Collapse
|
6
|
Acosta J, Parent J, Hare M, DiMarzio K, Sisitsky M, McMakin DL. Development of the Nighttime Parenting Scale: Differentiating nighttime versus general parenting practices and their impact on youth sleep health. Sleep Health 2023; 9:489-496. [PMID: 37393144 DOI: 10.1016/j.sleh.2023.05.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Revised: 03/06/2023] [Accepted: 05/08/2023] [Indexed: 07/03/2023]
Abstract
OBJECTIVES The current study provides a novel method of assessing the impact of nighttime parenting practices on youth sleep health during the sensitive transition from childhood to adolescence (ie., peri-puberty). Specifically, we aimed to advance the measurement of nighttime parenting by developing a conceptually driven questionnaire for use in research and clinical settings. METHOD A total of 625 parents (67.9% mothers) of peripubertal youth (age M=11.6, SD=1.31) were recruited online and completed self-report questionnaires. The sample was primarily White (67.4%), followed by 16.5% Black, 13.1% Latinx, and 9.6% Asian. Factor structure was examined through four empirically-driven stages (ie, exploratory factor analyses, confirmatory factor analyses, examining internal and test-retest reliability, and indices of validity). Furthermore, the current study sought to validate nighttime parenting as a unique construct by exploring associations with peripubertal youth sleep health. RESULTS A factor structure consisting of six dimensions of nighttime parenting was established (ie, nighttime supportiveness, hostility, physical control, limit-setting, media monitoring, and co-sleeping behaviors). Furthermore, the current measure demonstrated strong psychometric properties. Finally, the established dimensions were cross-sectionally associated with youth sleep health indices. CONCLUSIONS This study extends previous research by examining the influence of distinct domains of parenting practices that specifically occur at nighttime and how these differentially relate to youth sleep health. Results suggest that intervention and/or prevention programs targeting sleep should place emphasis on fostering positive parenting at nighttime as a strategy for creating an evening environment that is conducive to optimizing youth sleep health.
Collapse
Affiliation(s)
- Juliana Acosta
- Center for Children and Families, Florida International University, Miami, Florida, USA; Mailman Center for Child Development, University of Miami Miller School of Medicine, Miami, Florida, USA.
| | - Justin Parent
- Center for Children and Families, Florida International University, Miami, Florida, USA; Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, Rhode Island, USA; Bradley/Hasbro Children's Research Center, E. P. Bradley Hospital, Providence, Rhode Island, USA.
| | - Megan Hare
- Center for Children and Families, Florida International University, Miami, Florida, USA
| | - Karissa DiMarzio
- Center for Children and Families, Florida International University, Miami, Florida, USA
| | - Michaela Sisitsky
- Center for Children and Families, Florida International University, Miami, Florida, USA
| | - Dana L McMakin
- Center for Children and Families, Florida International University, Miami, Florida, USA; Department of Neurology, Nicklaus Children's Hospital, Miami, Florida, USA
| |
Collapse
|
7
|
Philipp DA, Prime H, Darwiche J. An ultra-brief systemic intervention to address child mental health symptomatology. FAMILY PROCESS 2023; 62:469-482. [PMID: 36959726 DOI: 10.1111/famp.12875] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/22/2022] [Revised: 02/13/2023] [Accepted: 02/14/2023] [Indexed: 06/08/2023]
Abstract
Drawing on decades of research in family systems, coparenting, and developmental science, we present a clinical approach to address unmet service needs in children's mental health. Specifically, we describe Lausanne Family Play - Brief Intervention (LFP-B) - a manualized family systems approach providing a caregiver-caregiver-child therapy (and sibling/s, when applicable). The LFP-B is ultra-brief, typically delivered in as few as three sessions (two assessment sessions followed by a video feedback session), with the aim of reducing children's mental health symptomatology by enhancing the coparenting relationship. We review literature on systemic family therapies and provide a rationale for including coparents and children in child mental health care. We then provide a rationale for using behavioral observations and video feedback in treatment, drawing on research in related family-based treatments (e.g., parent-child therapies). Finally, we provide an overview of the LFP-B manual and a case illustration.
Collapse
Affiliation(s)
- Diane A Philipp
- Garry Hurvitz Centre for Community Mental Health at Sickkidis, Toronto, Ontario, Canada
- Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada
| | - Heather Prime
- Department of Psychology, York University, Toronto, Ontario, Canada
- LaMarsh Centre for Child & Youth Research, York University, Toronto, Canada
| | - Joëlle Darwiche
- Family and Development Research Center, Institute of Psychology, University of Lausanne, Lausanne, Switzerland
| |
Collapse
|
8
|
Perry KJ, Penner F, Contreras HT, Santos RP, Sarver DE. A U.S. National Study of Family Resilience During the COVID-19 Pandemic. JOURNAL OF CHILD AND FAMILY STUDIES 2023; 32:1627-1642. [PMID: 37304391 PMCID: PMC10134703 DOI: 10.1007/s10826-023-02581-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2022] [Accepted: 04/09/2023] [Indexed: 06/13/2023]
Abstract
The COVID-19 pandemic has significantly disrupted the lives of children and their caregivers. Recent research has examined the impact of the pandemic on child and caregiver functioning but there is a paucity of work examining the impact of the pandemic on the broader family system. The current study examined family resilience during the COVID-19 pandemic across three aims: Aim 1 tested whether meaning, control, and emotion systems form a unitary family adaption factor, Aim 2 evaluated a concurrent model of family resilience, and Aim 3 examined whether parent gender and vaccination status moderated paths in the final model. A nationally representative sample of U.S. parents (N = 796; 51.8% fathers, M age = 38.87 years, 60.3% Non-Hispanic White) completed a cross-sectional survey about themselves and one child (5-16 years old) between February-April 2021, including measures of COVID-19 family risk and protective factors, pre-existing family health vulnerabilities, race, COVID-19 stressors, and family adaptation. Confirmatory Factor Analysis demonstrated that the meaning (i.e., family making meaning of COVID-19), control (i.e., stability in routines), and emotional (i.e., family support) facets of family adaptation are unique but related. A path model revealed that there were concurrent effects from COVID-19 exposure, pre-existing vulnerabilities, and racial diversity status to the family protective, vulnerability, and adaptation variables. Additionally, parent COVID-19 vaccination status altered the association between pre-existing family health vulnerabilities and the family protective factor. Overall, results underscore the importance of examining pre-existing and concurrent risk and protective factors for family resilience during a stressful, global, and far-reaching event.
Collapse
Affiliation(s)
- Kristin J. Perry
- Edna Bennett Pierce Prevention Research Center, The Pennsylvania State University, 314 Biobehavioral Health Building, University Park, PA 16802 USA
| | - Francesca Penner
- Child Study Center, School of Medicine, Yale University, 230 S Frontage Rd, New Haven, CT 06519 USA
| | | | - Roberto P. Santos
- University of Mississippi Medical Center, 2500 N. State St, Jackson, MS 39216 USA
- Department of Population Health Sciences, John D. Bower School of Population Health, University of Mississippi Medical Center, 2500N. State St, Jackson, MS 39216 USA
| | - Dustin E. Sarver
- Department of Psychiatry and Human Behavior, School of Medicine, University of Mississippi, Medical Center, 2500N. State St, Jackson, MS 39216 USA
- Center for the Advancement of Youth, University of Mississippi Medical Center, 4400 Old Canton Rd, Jackson, MS 39211 USA
| |
Collapse
|
9
|
Gonzalez JC, Klein CC, Barnett ML, Schatz NK, Garoosi T, Chacko A, Fabiano GA. Intervention and Implementation Characteristics to Enhance Father Engagement: A Systematic Review of Parenting Interventions. Clin Child Fam Psychol Rev 2023; 26:445-458. [PMID: 36947287 PMCID: PMC10031187 DOI: 10.1007/s10567-023-00430-x] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2023] [Indexed: 03/23/2023]
Abstract
In recent years, the prevalence rates of children's mental health disorders have increased with current estimates identifying that as many as 15-20% of children meet criteria for a mental health disorder. Unfortunately, the same robust parenting interventions which have long targeted some of the most common and the most treatable child concerns (e.g., externalizing, disruptive behavior, and aggression) have also shown consistently low rates of father engagement. This persistent issue of engagement comes in the wake of an increasingly large body of literature which highlights the unique positive contributions fathers make to children and families when they are engaged in parenting interventions. As the role fathers play in families shifts to become more inclusive of childcare responsibilities and less narrowly defined by financial contributions, it becomes increasingly important to understand how best to engage fathers in interventions that aim to enhance parenting efficacy and family outcomes such as coparenting. The current review examined intervention (e.g., format and setting) and implementation characteristics (e.g., training and agency-level changes) associated with father engagement. Particular attention is paid to studies which described father-specific engagement strategies (e.g., inviting fathers directly, father-only groups, and adapting intervention to incorporate father preferences). A total of 26 articles met inclusion criteria after screening and full-text review. Results indicate that father engagement (i.e., initiating treatment) remains low with 58% of studies either not reporting father engagement or having engagement rates below 50%. More than two-thirds of studies did not include specific father engagement strategies. Those that did focused on changes to treatment format (e.g., including recreational activities), physical treatment setting (e.g., in-home and school), and reducing the number of sessions required for father participation as the most common father-specific engagement strategies. Some studies reported efforts to target racially and ethnically diverse fathers, but review results indicated most participants identified as Non-Hispanic White. Interventions were largely standard behavioral parent training programs (e.g., PCIT and PMT) with few exceptions (e.g., COACHES and cultural adaptations), and very few agencies or programs are systematically making adjustments (e.g., extended clinic hours and changes to treatment format) to engage fathers. Recommendations for future directions of research are discussed including the impact of differential motivation on initial father engagement in treatment, the importance of continuing to support diverse groups of fathers, and the potential for telehealth to address barriers to father engagement.
Collapse
Affiliation(s)
| | | | - Miya L Barnett
- University of California, Santa Barbara, Santa Barbara, USA
| | | | - Tina Garoosi
- University of California, Santa Barbara, Santa Barbara, USA
| | | | | |
Collapse
|
10
|
Hiadzi RA, Agyeman JA, Akrong GB. 'Baby mamas' in Urban Ghana: an exploratory qualitative study on the factors influencing serial fathering among men in Accra, Ghana. Reprod Health 2023; 20:37. [PMID: 36859283 PMCID: PMC9976522 DOI: 10.1186/s12978-023-01585-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2022] [Accepted: 02/19/2023] [Indexed: 03/03/2023] Open
Abstract
BACKGROUND Biological fathering, especially in patrilineal societies, was traditionally acceptable only in the context of marriage to the mother of the child. Many men were polygynous, often staying in one household with all their wives and children. However, this phenomenon has been on the decline in recent times, mainly due to Christianity, which encourages monogamy while frowning on polygyny. The Ghanaian family has for the past few years been undergoing changes due to migration, urbanization, and industrialization. With an increase in non-marital births and the dissolution of marital unions, multi-partner fertility is likely to increase. Contemporary Ghanaian perspectives on the circumstances that lead men to engage in paternal multi-partner fertility, otherwise referred to in this study as serial fathering, are scanty, hence this study examines the factors that lead to serial fathering among Ghanaian men. METHODS The study employed the qualitative method, using in-depth interviews with twenty (20) serial fathers and a focus group discussion with seven (7) women. RESULTS It was found that factors such as the attitude of women in relationships, the duolocal post-marital residential pattern, and the age at first birth are some of the reasons why some men father children with multiple partners. CONCLUSION The study concludes that both situational and personal factors account for the phenomenon of serial fathering amongst men in Prampram, Ghana, and these factors bring about distinctions in serial fathering as occurring either within or outside of marriage.
Collapse
Affiliation(s)
| | - Jemima Akweley Agyeman
- grid.8652.90000 0004 1937 1485Department of Sociology, University of Ghana, Accra, Ghana
| | - Godwin Banafo Akrong
- grid.54549.390000 0004 0369 4060School of Management and Economics, University of Electronic Science and Technology of China, Chengdu, 611731 China
| |
Collapse
|
11
|
Acri M, Chun Y, Yin S, Msw, Fang C, Joe S, McKay M. Male Caregivers and Engagement in a Family Strengthening Program for Child Disruptive Behavior Disorders. Community Ment Health J 2022; 58:1513-1521. [PMID: 35362804 DOI: 10.1007/s10597-022-00966-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/11/2021] [Accepted: 03/15/2022] [Indexed: 01/27/2023]
Abstract
Awareness and interest in involving male caregivers in child mental health treatment has grown, especially for youth with disruptive behavior disorders like oppositional defiant disorder (ODD). The purpose of this study was to examine the relationship between male caregiver involvement and treatment engagement for child ODD. Children (n = 122) ages 7-11 and their caregivers participated in the 4 Rs 2 Ss Strengthening Families Program for child-onset ODD. Families were compared based on male caregiver presence. Families with a male caregiver were significantly more resourced with respect to income, educational status, and food security. Additionally, they were over three times less likely to drop out of the program than those without a male caregiver. The presence of a male caregiver was associated with increased resources and higher rates of engagement in services than single, female-headed families. Future research is needed to discern the underlying mechanisms of this association.
Collapse
Affiliation(s)
- Mary Acri
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA.
| | - Yung Chun
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Shuya Yin
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Msw
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Cao Fang
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Sean Joe
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| | - Mary McKay
- Department of Child & Adolescent Psychiatry, New York University Langone School of Medicine, One Park Avenue, Room# 7-308, New York, NY, 10016, USA
| |
Collapse
|
12
|
Gonzalez JC, Flores I, Tremblay M, Barnett ML. Lay Health Workers Engaging Latino Fathers: A qualitative study. CHILDREN AND YOUTH SERVICES REVIEW 2022; 141:106601. [PMID: 37638347 PMCID: PMC10457086 DOI: 10.1016/j.childyouth.2022.106601] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/29/2023]
Abstract
Behavioral Parent Training programs (BPTs) are evidence-based interventions that have been shown to be effective when implemented in various contexts and with different racial/ethnic minority families. Despite evidence showing their effectiveness within the Latinx community, disparities in access to BPTs still persist. In addition, fathers continue to show low rates of attendance and engagement despite evidence suggesting positive outcomes for the youth and family when fathers are involved in BPT treatment. Lay health workers (LHWs), community members without specialized metal health training that often live in the communities they serve, have been identified as engagement specialists that are uniquely positioned to reduce racial/ethnic disparities in access to services. The current study utilized a qualitative approach to examine this workforce's perspectives on engaging Latino fathers in parenting services in children's mental health. Qualitative themes revealed that LHWs have generally positive attitudes towards engaging Latino fathers in parenting interventions (i.e., benefits to parent-child relationship) despite experiencing barriers to engagement (e.g., culturally defined gender roles, fathers being less likely to ask for help). Themes also elucidate various engagement strategies that LHWs use to engage fathers in treatment (e.g., adapting treatment setting). Considerations for future LHW trainings and workforce development are discussed with a focus on how to incorporate cultural values in the use of father-engagement strategies.
Collapse
Affiliation(s)
- Juan Carlos Gonzalez
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara
| | - Iliana Flores
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara
| | - Madeleine Tremblay
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara
| | - Miya L. Barnett
- Department of Counseling, Clinical, & School Psychology, University of California, Santa Barbara
| |
Collapse
|
13
|
Kohl PL, Krauss MJ, King C, Cheng SY, Fowler P, Goodwin DN, Tillis CD, Sullivan H, Sorg A, Mueller NB. The impact of responsible fatherhood programs on parenting, psychological well-being, and financial outcomes: A randomized controlled trial. FAMILY PROCESS 2022; 61:1097-1115. [PMID: 34988991 DOI: 10.1111/famp.12752] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/31/2021] [Revised: 10/05/2021] [Accepted: 12/01/2021] [Indexed: 06/14/2023]
Abstract
The objective of this study was to examine differences in parenting, psychological well-being, and economic outcomes between fathers receiving two different programs offered by Fathers & Families Support Center for economically disadvantaged fathers: (a) Family Formation (FF), a 6-week/240-h program focused on economic stability/mobility, responsible fatherhood, and healthy relationships, with case management and legal services; (b) Economic Stability (ES), a 4-week/80-h program focused only on economic stability with limited case management and legal services. A randomized controlled trial (RCT) was used to compare fathers in FF (n = 350) vs. ES (n = 342). Surveys were administered at enrollment and 3- and 12-months postintervention. Linear and generalized linear mixed models were used to assess changes in program outcomes over time and across study groups. Four hundred and eighty-two fathers responded to either follow-up survey (251 FF, 231 ES). Nearly all (98%) were non-white (93% Black, 5% other/mixed race) and were on average 34 years old. Approximately 46% attended ≥75% of program sessions (FF 48% vs. ES 44%). Both FF and ES groups experienced improvements in parenting, psychological well-being, and financial outcomes after the programs, but changes in outcomes over time did not differ significantly by program. The lack of difference in outcomes between fathers in FF and ES groups could be due to a similar core focus on employment-related curriculum for both groups. Gaining financial stability could have contributed to positive improvements in other fatherhood domains. Implications for future research and practice are discussed herein.
Collapse
Affiliation(s)
- Patricia L Kohl
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| | - Melissa J Krauss
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| | - Courtney King
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| | - Shih-Ying Cheng
- Jane Addams College of Social Work, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Patrick Fowler
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| | | | - Cheri D Tillis
- Fathers and Families Support Center, St. Louis, Missouri, USA
| | | | - Amy Sorg
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| | - Nancy B Mueller
- Brown School Evaluation Center at Washington University in St. Louis, St. Louis, Missouri, USA
| |
Collapse
|
14
|
Abstract
Borderline personality disorder symptoms (BPDsx) in mothers have been linked to psychopathology in their offspring. However, it is still unclear whether BPDsx in fathers influences offspring psychopathology and, if so, how this risk transmission may occur. A total of 448 father-mother-offspring triads completed a longitudinal study following children from birth until age 20 and included self-report questionnaires and clinical interviews when children were 15 and 20 years old. Results revealed that paternal BPDsx were predictive of youth BPDsx and internalizing symptoms, even after controlling for maternal BPDsx. Chronic family stress was a significant mediator of the relationship between paternal BPDsx and offspring BPDsx, internalizing symptoms, and externalizing symptoms. Fathers' expressed emotion and child temperament were not significant mediators. Although offspring sex predicted youth outcomes, it was not a significant moderator of the association between paternal BPDsx and offspring symptoms. Finally, controlling for comorbid paternal disorders weakened the association between paternal BPDsx and youth psychopathology.
Collapse
|
15
|
Yaremych HE, Persky S. Recruiting Fathers for Parenting Research: An Evaluation of Eight Recruitment Methods and an Exploration of Fathers' Motivations for Participation. PARENTING, SCIENCE AND PRACTICE 2022; 23:1-32. [PMID: 37346458 PMCID: PMC10281717 DOI: 10.1080/15295192.2022.2036940] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/23/2023]
Abstract
Objective We evaluated eight recruitment methods (Craigslist, Facebook ads, Google AdWords, in-person, newspaper, parenting magazines, ResearchMatch, and direct mailing) in terms of their ability to accrue fathers of 3- to 7-year-old children into a laboratory-based behavioral trial for parents. The trial was related to child obesity risk and parental health behaviors. Design Each recruitment method was implemented such that half its occurrences advertised for fathers only, and half advertised for mothers and fathers. Methods were evaluated in terms of number of fathers recruited, cost- and time-efficiency, response rates, and demographic characteristics of individuals recruited. We also assessed fathers' and mothers' motivations for participating in the study. 101 fathers and 260 mothers were recruited. Results Father-targeted ads were essential for father recruitment; 79% of accruals from father-targeted ads were male, whereas only 14% of accruals from parent-targeted ads were male. Craigslist, ResearchMatch, and Facebook ads were the most cost-efficient for accruing fathers. A greater proportion of fathers was motivated by increasing fathers' representation in research (16%) compared to mothers who wished to increase mothers' representation in research (5.4%). Similar proportions of fathers and mothers were motivated by improving their parenting knowledge and improving their child's health. Conclusions Future researchers should employ father-targeted recruitment materials (rather than parent-targeted) that capitalize on fathers' unique motivations for participating in research.
Collapse
Affiliation(s)
- Haley E Yaremych
- Department of Psychology & Human Development, Vanderbilt University, PMB 552, 230 Appleton Place, Nashville, TN 37203-5721
| | - Susan Persky
- National Human Genome Research Institute, National Institutes of Health, Bldg 31 Rm B1B36, 31 Center Drive, Bethesda, MD 20892
| |
Collapse
|
16
|
Potter SN, Harvey DJ, Sterling A, Abbeduto L. Mental Health Challenges, Parenting Stress, and Features of the Couple Relationship in Parents of Children With Fragile X Syndrome. Front Psychiatry 2022; 13:857633. [PMID: 35432025 PMCID: PMC9012337 DOI: 10.3389/fpsyt.2022.857633] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2022] [Accepted: 03/07/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Individuals with fragile X syndrome (FXS) have significant delays in cognition and language, as well as anxiety, symptoms of autism spectrum disorder, and challenging behaviors such as hyperactivity and aggression. Biological mothers of children with FXS, who are themselves FMR1 premutation or full mutation carriers, are at elevated risk for mental health challenges in addition to experiencing stress associated with parenting a child with significant disabilities. However, little is known about fathers in these families, including the ways in which parental well-being influences the mother-father relationship and the impact of child characteristics on paternal and couple functioning. METHOD The current study examined features of, and relationships between, parental well-being, couple well-being, and child functioning in 23 families of young boys with FXS. Mothers and fathers independently completed multiple questionnaires about their individual well-being, couple functioning, and child behavior. One parent per family also completed an interview about the child's adaptive skills. RESULTS Results suggest that both mothers and fathers in these families experience clinically significant levels of mental health challenges and elevated rates of parenting stress relative to the general population. Findings also indicate that the couples' relationship may be a source of strength that potentially buffers against some of the daily stressors faced by these families. Additionally, parents who reported less parenting stress had higher couples satisfaction and dyadic coping. Finally, parents of children with less severe challenging behaviors exhibited fewer mental health challenges, less parenting stress, and higher levels of both couples satisfaction and dyadic coping. Parents of children with higher levels of adaptive behavior also reported less parenting stress and higher couples satisfaction. CONCLUSION Overall, this study provides evidence that families of children with FXS need access to services that not only target improvements in the child's functioning, but also ameliorate parental stress. Family-based services that include both mothers and fathers would lead to better outcomes for all family members.
Collapse
Affiliation(s)
- Sarah Nelson Potter
- MIND Institute, UC Davis Health, Sacramento, CA, United States.,Department of Psychiatry and Behavioral Sciences, UC Davis Health, Sacramento, CA, United States
| | - Danielle J Harvey
- Department of Public Health Sciences, UC Davis Health, Sacramento, CA, United States
| | - Audra Sterling
- Waisman Center, University of Wisconsin-Madison, Madison, WI, United States.,Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, WI, United States
| | - Leonard Abbeduto
- MIND Institute, UC Davis Health, Sacramento, CA, United States.,Department of Psychiatry and Behavioral Sciences, UC Davis Health, Sacramento, CA, United States
| |
Collapse
|
17
|
Johnson CM, Sharkey JR, Umstattd Meyer MR, Gómez L, Allicock MA, Prochnow T, Beltrán E, Martinez L. Designing for Multilevel Behavior Change: A Father-Focused Nutrition and Physical Activity Program for Mexican-Heritage Families in South Texas Border Communities. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph181910117. [PMID: 34639420 PMCID: PMC8508574 DOI: 10.3390/ijerph181910117] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/27/2021] [Revised: 09/17/2021] [Accepted: 09/19/2021] [Indexed: 11/16/2022]
Abstract
Fathers significantly influence family functioning, as coparents and partners, and must be part of family-based approaches to behavioral health interventions or programs. But little is known regarding how to support Latino fathers in health promotion within their family systems, specifically for Latino families living in border communities. Program development was embedded in a larger community-based grant and part of a longstanding academic-community collaboration. An interdisciplinary research team applied theories related to health behavior, family systems, behavior change, and community engagement to develop a father-focused and family-centered behavioral program for Mexican-heritage fathers and children living near the Texas-Mexico border to support changes in nutrition and physical activity at the individual and family levels. Promotoras de salud (trained community health workers) delivered the program through group sessions, check-in calls, and at-home activities. Group session activities were designed to engage family triads and dyads using experiential education related to nutrition and physical activity, like cooking lessons and active play, over a six-week period. Future research can use the program approach and curricula as a roadmap for designing context-specific and culturally-relevant programs for Latino families. Additional research is needed to explore how approaches like this can support families and their health goals.
Collapse
Affiliation(s)
- Cassandra M. Johnson
- Nutrition and Foods Program, School of Family and Consumer Sciences, Texas State University, San Marcos, TX 78666, USA
- Correspondence: ; Tel.: +1-(512)-245-9196
| | - Joseph R. Sharkey
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - M. Renée Umstattd Meyer
- Department of Public Health, Robbins College of Health and Human Sciences, Baylor University, Waco, TX 76706, USA;
| | - Luis Gómez
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - Marlyn A. Allicock
- The University of Texas Health Science Center, Department of Health Promotion and Behavioral Sciences, Houston School of Public Health-Dallas Regional Campus, Dallas, TX 75207, USA;
| | - Tyler Prochnow
- Department of Health and Kinesiology, College of Education and Human Development, Texas A&M University, College Station, TX 77843, USA;
| | - Elva Beltrán
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| | - Luz Martinez
- Department of Health Promotion and Community Health Sciences, School of Public Health, Texas A&M University, College Station, TX 77843, USA; (J.R.S.); (L.G.); (E.B.); (L.M.)
| |
Collapse
|
18
|
Parent Characteristics and Practices Classify Lifetime Substance Use Among Mexican Children. Int J Ment Health Addict 2021. [DOI: 10.1007/s11469-021-00634-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
19
|
Papa was a rollin' stone: how father's psychological distress impacts child's internalizing and externalizing symptoms. Eur Child Adolesc Psychiatry 2021; 30:1223-1235. [PMID: 32772180 DOI: 10.1007/s00787-020-01613-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Accepted: 08/01/2020] [Indexed: 10/23/2022]
Abstract
While parental psychological distress is a commonly examined risk factor in the development and maintenance of child's emotional and behavioral problems, there is an incomplete understanding of the unique contribution of the father. The current study examines whether paternal psychological distress (i.e., depression, anxiety, and anger) exacerbates child's internalizing and externalizing behaviors, as well as whether a child's internalizing and externalizing behaviors exacerbate paternal psychological distress. The National Institute of Child and Human Development (NICHD)'s Study of Early Child Care and Youth Development (SECCYD) longitudinal dataset was utilized. A bivariate latent difference score model was applied to examine the interdependence of each member within the dyad. This novel statistical technique allowed for the examination of the influence of psychological distress in the father-child dyad across 10 years. Results indicated that paternal anger is a risk factor associated with the development and maintenance of internalizing and externalizing behaviors in children. Likewise, children's behavioral problems served as a contributing factor to paternal anger and anxiety. Results were nonsignificant for the effect of depression on change in internalizing and externalizing problems. The initial levels correlated with each other, but one did not affect the change in the other. Overall, the results have clinical implications, as they can be applied to the creation or modification of intervention plans by shifting the focus from the primary outcome being a decrease in child problem behavior to an overall reduction of psychological distress in the family unit.
Collapse
|
20
|
A school-based parenting program for children with attention-deficit/hyperactivity disorder: Impact on paternal caregivers. J Sch Psychol 2021; 86:133-150. [PMID: 34051909 DOI: 10.1016/j.jsp.2021.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2020] [Revised: 01/13/2021] [Accepted: 04/07/2021] [Indexed: 11/21/2022]
Abstract
Engaging male caregivers within school settings is a major need within the educational field. Paternal engagement may be particularly important for children with attention-deficit/hyperactivity disorder (ADHD). Children with ADHD have increased risk for a number of poor educational outcomes, which may be attenuated by the benefits of positive male caregiver involvement. The Coaching Our Acting Out Children: Heightening Essential Skills (COACHES) program has been illustrated to be an effective approach for engaging, retaining, and improving the parenting of male caregivers of children with ADHD in clinical settings. The present study reports on the efficacy of the COACHES in Schools program, an adaptation intended for deployment in elementary school settings. Sixty-one male caregivers were randomly assigned to COACHES in Schools or a waitlist control. Results indicated that male caregivers in COACHES in Schools used significantly more praise and less negative talk in a parent-child activity relative to male caregivers in the waitlist control at post-treatment and one-month follow-up. Distal outcomes related to child behavior at home and at school were not significantly different. Implications of the results for future studies and continued efforts to engage male caregivers within school settings are discussed.
Collapse
|
21
|
Nicolia AC, Fabiano GA, Gordon CT. An investigation of predictors of attendance for fathers in behavioral parent training programs for children with ADHD. CHILDREN AND YOUTH SERVICES REVIEW 2020; 109:104690. [PMID: 32863500 PMCID: PMC7454040 DOI: 10.1016/j.childyouth.2019.104690] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Behavioral parent training programs are evidence-based treatment for children with attention-deficit/hyperactivity disorder (ADHD), yet attendance in such programs is variable. Relative to mothers of children with ADHD, far less is known about fathers and what predicts their attendance in treatment. The current study aimed to explore predictors of father (N = 171) attendance using data from four studies that tested the efficacy of behavioral parent training programs aimed specifically at fathers. A hierarchical regression was performed to test four potential predictors of attendance, including father race/ethnicity, father education level, child medication status, and father ratings of the child's oppositional defiant disorder symptoms. Father education level was determined to be a significant predictor of attendance, whereas father race/ethnicity, child medication status, and father ratings of the child's ODD behavior were not. The results suggest that future parent training interventions may need to be adapted to improve attendance from fathers of lower education levels.
Collapse
Affiliation(s)
- Andrea C. Nicolia
- Corresponding author at: University at Buffalo, State University of New York, Department of Counseling, School, and Educational Psychology, 409 Baldy Hall, Buffalo, NY 14260, United States. (A.C. Nicolia)
| | | | | |
Collapse
|
22
|
Barnett ML, Bernal NA, Luis Sanchez BE. Direct-to-Consumer Marketing for Parent-Child Interaction Therapy: Impact of Language and Messenger. JOURNAL OF CHILD AND FAMILY STUDIES 2020; 29:71-81. [PMID: 33311965 PMCID: PMC7728243 DOI: 10.1007/s10826-019-01575-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
OBJECTIVES Parent-Child Interaction Therapy (PCIT) is an effective therapy to treat early onset disruptive behavior problems and child physical maltreatment. In order to support the successful implementation and sustainment of PCIT, strategies are needed to recruit parents into care, especially for racial and ethnic minority families, who often have lower rates of access and utilization of mental health services. METHODS This study investigated the impact of direct-to-consumer advertisements on parents' attitudes towards PCIT. Advertisements were delivered in Spanish and English, with either a parent testimony or therapist explaining the treatment. Participants were parents of children between the ages of 2 and 7, who were recruited through Amazon Mechanical Turk. Participants (N = 204) were 38.2% female and 49.5% Spanish speaking. RESULTS There were no main effects for language or messenger related to PCIT Help-Seeking Intentions, Attitudes, or Stigmatization. However, there was an interaction effect for language and messenger for PCIT Help-Seeking Intentions. Specifically, Spanish-speaking participants had higher intentions when the messenger was a therapist rather than a parent, and had lower intentions than English-speaking parents when the messenger was a parent. CONCLUSIONS These findings are promising for direct-to-consumer advertising strategies that may help recruit more Spanish-speaking families into PCIT, which could help address disparities in access to mental health services.
Collapse
Affiliation(s)
- Miya L Barnett
- Department of Counseling, Clinical and School Psychology University of California Santa Barbara
| | - Natalie A Bernal
- Department of Counseling, Clinical and School Psychology University of California Santa Barbara
| | | |
Collapse
|
23
|
Witt S, Bloemeke J, Bullinger M, Dingemann J, Dellenmark-Blom M, Quitmann J. Agreement between mothers', fathers', and children's' ratings on health-related quality of life in children born with esophageal atresia - a German cross-sectional study. BMC Pediatr 2019; 19:330. [PMID: 31510959 PMCID: PMC6737655 DOI: 10.1186/s12887-019-1701-6] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2019] [Accepted: 08/29/2019] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Esophageal atresia (EA) is a rare congenital malformation, which is characterized by the discontinuity of the esophagus. We investigated the agreement between mothers', fathers', and children's' ratings on health-related quality of life (HRQOL) in children born with EA. We aimed to broaden the understanding of subjective experiences of HRQOL from different perspectives. We hypothesized that the agreement between mother and father ratings would be high, whereas the agreement between child and mother ratings as well as child and father ratings would show more substantial differences. METHODS We obtained data from 40 families (23 mother-father dyads of children aged 2-7 years and 17 mother-father-child triads of children and adolescents aged 8-18 years) with children born with EA, who were treated in two German hospitals. HRQOL was measured using the generic PedsQL™ questionnaires and the condition-specific EA-QOL© questionnaires. We calculated intraclass coefficients and performed one-way repeated measures ANOVAs to analyze differences for each domain as well as for the total scores. RESULTS Intraclass correlation coefficients (ICCs) indicated a strong agreement (≥.80) between mother and father reports of children's HRQOL for both generic and condition-specific measurements. The ICCs for the generic HRQOL for mother/father-child-dyads revealed only fair to good agreement, whereas ICCs for condition-specific HRQOL showed high agreement for mother-child and father-child-agreement. Analyses of Covariance revealed differences in mother/father-child agreement in the generic domain School, both parents reporting lower HRQOL scores than the children themselves. Fathers reported significantly higher scores in the condition-specific domain Social than their children. CONCLUSIONS Results showed that mothers' and fathers' reports corresponded to each other. Nonetheless, these reports might not be interchangeably used because mother-child and father-child agreement showed differences. Children might know the best on how they feel, and parent proxy-report is recommended when reasons such as young age, illness, or cognitive impairments do not allow to ask the child. But parent-report - no matter if reported by mother or father - should only be an additional source to broaden the view on the child's health status and well-being. The current study contributes to a better understanding of the complex family relationships involved when parenting a child born with EA.
Collapse
Affiliation(s)
- Stefanie Witt
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Center for Psychosocial Medicine, Martinistraße 52, W 26, 20246 Hamburg, Germany
| | - Janika Bloemeke
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Center for Psychosocial Medicine, Martinistraße 52, W 26, 20246 Hamburg, Germany
| | - Monika Bullinger
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Center for Psychosocial Medicine, Martinistraße 52, W 26, 20246 Hamburg, Germany
| | - Jens Dingemann
- Hannover Medical School, Center of Pediatric Surgery, Carl-Neuberg-Str. 1, 30625 Hannover, Germany
| | - Michaela Dellenmark-Blom
- Department of Pediatric Surgery, The Queen Silvia Children’s Hospital, 416 85 Gothenburg, Sweden
| | - Julia Quitmann
- Department of Medical Psychology, University Medical Center Hamburg-Eppendorf, Center for Psychosocial Medicine, Martinistraße 52, W 26, 20246 Hamburg, Germany
| |
Collapse
|