1
|
Allen S, Bradley SK, Savage E. Experience and impact of the 1-2-3 magic parent programme for children with ADHD on the family unit from the mothers' perspectives: A narrative analysis. J Child Health Care 2023; 27:5-17. [PMID: 34404274 DOI: 10.1177/13674935211039933] [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: 11/16/2022]
Abstract
Parent programmes are often used in the clinical management of children with ADHD. Research into parent programmes has predominantly been concerned with their effectiveness and much less attention has been paid to the impact that they may be having on the family and the inter-relationships between family members. This study explores the perspectives and experiences of parents of children with ADHD, who participated in a parent programme, including its impact on the family unit. A purposive sample of six mothers of children with ADHD who completed a 1-2-3 Magic parent programme in Ireland was invited to take part in this qualitative study. Data were collected by means of individual in-depth, semi-structured interviews and a narrative inquiry approach further informed analysis of the interview data. Two major narrative constructions of experience: 'parent programme as positive' and 'parent programme as negative' were identified. Outcomes from this study illustrated some unintended consequences caused by the parent programme (i.e. sibling rivalry and conflict arising between family members). Mothers believed that the parent programme was a beneficial intervention, but it was not without its flaws and they felt it was helpful for their family when used in conjunction with other supports and mediations.
Collapse
Affiliation(s)
- Stephanie Allen
- Nursing and Midwifery Department, 8795University College Cork, College of Medicine and Health, Brookfield Health Sciences Complex, Ireland.,School of Nursing and Midwifery Department, Trinity College Dublin, Dublin, Ireland
| | - Stephen K Bradley
- Jigginstown Manor, Naas, Co. Kildare, Ireland.,Faculty of Lifelong Learning, Institute of Technology, Carlow, Ireland
| | - Eileen Savage
- Nursing and Midwifery Department, 8795University College Cork, College of Medicine and Health, Brookfield Health Sciences Complex, Ireland
| |
Collapse
|
2
|
Butler J, Gregg L, Calam R, Wittkowski A. Parents' Perceptions and Experiences of Parenting Programmes: A Systematic Review and Metasynthesis of the Qualitative Literature. Clin Child Fam Psychol Rev 2020; 23:176-204. [PMID: 31820298 PMCID: PMC7192883 DOI: 10.1007/s10567-019-00307-y] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/30/2022]
Abstract
Supporting parents to meet the challenges of their caregiving role is identified as a public health concern and a priority in policies internationally. Quantitative research has established the efficacy of parenting programmes but less is understood about the key aspects that make interventions meaningful and helpful to families. We aimed to explore parents' experiences and perceptions of parenting programmes in order to highlight the parent voice and identify key factors that parents perceive to be meaningful and improve our understanding of the acceptability and perceived benefits of parenting programmes. Six key electronic databases were searched systematically for qualitative research and eligibility for inclusion was established. A thematic synthesis was undertaken. Twenty-six studies were included, spanning 17 years of parenting research and involving 822 parents. Three main themes and nine subthemes were identified: (1) a family's journey (prior to the parenting programme, outcomes (including changes in the parent, child and wider family) and post-intervention), (2) aspects perceived to be important or valuable (group leader or facilitator, programme content and delivery and value of the group) and (3) challenges or difficulties (barriers to engagement or attendance, programme content and suggestions for improvement). Reported outcomes of parenting programmes included changes in the parent alongside changes in the child and family more widely. Key recommendations to improve provision of accessible, clinically and cost-effective interventions for parents include ensuring high-quality training and supervision of facilitators, balancing flexibility and fidelity to ensure tailored content to meet individual needs, a sensitivity to parental adversity, the need for wider familial support and the availability of ongoing support following the end of a parenting programme.
Collapse
Affiliation(s)
- J Butler
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Zochonis Building, Brunswick Street, Manchester, M13 9PL, England, UK
- Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK
| | - L Gregg
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Zochonis Building, Brunswick Street, Manchester, M13 9PL, England, UK
| | - R Calam
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Zochonis Building, Brunswick Street, Manchester, M13 9PL, England, UK
| | - A Wittkowski
- Division of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester Academic Health Science Centre, Zochonis Building, Brunswick Street, Manchester, M13 9PL, England, UK.
- Greater Manchester Mental Health NHS Foundation Trust, Manchester, UK.
| |
Collapse
|
3
|
Ohlauson K, Nilsson S. Multi-Children Parents' Experiences of Parental Support by Attending Parental Group for Multi-Children Parents in Sweden. Glob Pediatr Health 2020; 7:2333794X20908762. [PMID: 32284958 PMCID: PMC7139177 DOI: 10.1177/2333794x20908762] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 10/28/2019] [Accepted: 01/17/2020] [Indexed: 11/23/2022] Open
Abstract
This study investigated multi-children parents’ (MCPs) experiences of support in
their parental role by participating in parental group for MCPs. Focus group
interviews were performed with 20 MCPs consisting of 9 mothers and 11 fathers,
with a mean number of children of 2.35 per family. Each interview lasted about 1
hour, and it was analyzed by content analysis method. One theme was revealed:
parental group for MCPs gives access to reflection and development on MCP
issues. This related to 2 categories: support in the MCPs’ role through internal
development and support in the MCPs’ role through external influences. The
study’s conclusion highlights the support of MCPs in their parental role by
attending a parental group for MCPs and should be offered to achieve
empowerment. Clinical implications are that a mix of men and women with
different numbers of children of various ages of siblings should compose
parental groups for MCPs.
Collapse
Affiliation(s)
- Kerstin Ohlauson
- Institute of Health and Care Sciences and Learning and Leadership for Health Care Professionals, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| | - Stefan Nilsson
- Institute of Health and Care Sciences and University of Gothenburg Centre for Person-Centred Care, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
| |
Collapse
|