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Fierloos IN, Windhorst DA, Fang Y, Hosman CMH, Jonkman H, Crone MR, Jansen W, Raat H. The association between perceived social support and parenting self-efficacy among parents of children aged 0-8 years. BMC Public Health 2023; 23:1888. [PMID: 37775741 PMCID: PMC10541688 DOI: 10.1186/s12889-023-16710-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/24/2023] [Accepted: 09/06/2023] [Indexed: 10/01/2023] Open
Abstract
Strengthening social support has been recognized as a potentially effective strategy to enhance parenting self-efficacy, but empirical evidence is limited. This study examined the association between perceived social support and parenting self-efficacy.Data of 647 parents of children aged 0-8 years, gathered in the CIKEO cohort study in the Netherlands, were analysed. Data were collected between October 2017 and December 2019. Multivariable linear regression models were used to examine the association between social support and parenting self-efficacy. The mean age of the participants was 33.8 years (SD = 4.9); 94.9% mothers. At the start of the study, 15.1% parents perceived low to moderate social support. Parents who experienced lower levels of social support at the start of the study reported lower parenting self-efficacy at follow-up (β: 0.13; 95% CI: 0.05, 0.21), independent of potential socio-demographic confounders. Experiencing an increase in perceived social support during the study period was associated with an increase in parenting self-efficacy (β: 0.15; 95% CI: 0.10, 0.21). Our findings indicate perceived social support is associated with parenting self-efficacy among parents of children aged 0-8 years. Future longitudinal studies need to confirm our findings and may examine which social support interventions are effective in strengthening parenting self-efficacy.
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Affiliation(s)
- Irene N Fierloos
- Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Dafna A Windhorst
- Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands
- Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands
- Department of Public Health, TNO Child Health, Leiden, The Netherlands
| | - Yuan Fang
- Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands
| | - Clemens M H Hosman
- Department of Health Promotion, Maastricht University, Maastricht, The Netherlands
- Department of Clinical Psychology, Radboud University Nijmegen, Nijmegen, The Netherlands
- Hosman Prevention and Innovation Consultancy, Berg en Dal, The Netherlands
| | | | - Matty R Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
| | - Wilma Jansen
- Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands
- Department of Youth, City of Rotterdam, Rotterdam, The Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus University Medical Center, P.O. Box 2040, Rotterdam, 3000 CA, The Netherlands.
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Fang Y, van Grieken A, Windhorst DA, Fierloos IN, Jonkman H, Hosman CMH, Wang L, Crone MR, Jansen W, Raat H. Longitudinal associations between parent, child, family factors and dyssomnias in children from birth to 8 years: The CIKEO study. J Affect Disord 2023; 323:496-505. [PMID: 36513160 DOI: 10.1016/j.jad.2022.12.012] [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: 12/01/2021] [Revised: 11/23/2022] [Accepted: 12/04/2022] [Indexed: 12/14/2022]
Abstract
BACKGROUND Dyssomnias, are the most common parent-reported sleep complaints in young children. The present study investigated the prevalence, one-year development (incidence and persistence) of dyssomnia in early childhood, and the parent, child, and family factors associated with dyssomnia. METHODS Longitudinal data of 700 children aged 0-8, gathered in the CIKEO cohort study in the Netherlands were analyzed. Dyssomnias were defined as the presence of night awakenings ≥3 times per night or sleep-onset latency of >30 min. Least absolute shrinkage and selection operator (LASSO) was used to identify the parental, child, and family factors associated with the incidence and persistence of dyssomnias in children. RESULTS The mean age of the children (47 % girls) was 3.2 ± 1.9 years at baseline and 4.4 ± 1.8 years at follow-up. The prevalence of dyssomnias was 13.3 % and 15.4 % at baseline and follow-up, respectively. The incidence and persistence rates of dyssomnias at follow-up were 12.0 % and 37.6 %, respectively. New incidence of insomnia was associated with being a girl, having medical conditions, experiencing stressful life events, and lower parenting self-efficacy at baseline (P < 0.05). Higher levels of parental psychological distress were associated with the persistence of dyssomnias in children (P < 0.05). CONCLUSIONS Dyssomnias are common with a moderate persistent rate in young children. Several parental, child, and family factors in relation to the incidence and persistence of dyssomnias were identified. Preventive programs and interventions targeting modifiable factors, particularly parental psychological distress, parenting self-efficacy, and resilience to stressful life events, might benefit child sleep.
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Affiliation(s)
- Yuan Fang
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Amy van Grieken
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | - Dafna A Windhorst
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands; Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, the Netherlands; TNO Child Health, Leiden, the Netherlands
| | - Irene N Fierloos
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands
| | | | - Clemens M H Hosman
- Department of Health Promotion, Maastricht University, Maastricht, the Netherlands; Department of Clinical Psychology, Radboud University, Nijmegen, the Netherlands; Hosman Prevention and Innovation Consultancy, Berg en Dal, the Netherlands
| | - Lu Wang
- Friedman School of Nutrition Science and Policy, Tufts University, Boston, MA 02111, USA
| | - Matty R Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, the Netherlands
| | - Wilma Jansen
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands; Municipality of Rotterdam, Rotterdam, the Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, the Netherlands.
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Fierloos IN, Windhorst DA, Fang Y, Jonkman H, Crone MR, Hosman CMH, Tan SS, Raat H. Socio-demographic characteristics associated with perceived social support among parents of children aged 0-7 years: the CIKEO study. BMC Public Health 2022; 22:2441. [PMID: 36575393 PMCID: PMC9795715 DOI: 10.1186/s12889-022-14830-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 12/07/2022] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Social support has been associated with numerous positive outcomes for families' health, wellbeing and empowerment. This study examined which socio-demographic characteristics are associated with perceived social support among parents of children aged 0-7 years. METHOD Cross-sectional data of 1007 parents of children aged 0-7 years, gathered in the CIKEO cohort study in the Netherlands, were analysed. Social support was assessed with the Multi-dimensional Scale of Perceived Social Support (MSPSS). Linear regression models were used to examine associations between socio-demographic characteristics and perceived social support. RESULTS The mean age of the participants was 34.1 years (SD = 5.1); 92.9% were mothers. The multivariable regression model showed that fathers (β: -0.15, 95% CI: - 0.22, - 0.08), parents with a low educational level (β: -0.12, 95% CI: 0.18, - 0.06), parents with a low income (β: -0.10, 95% CI: - 0.19, - 0.01), unemployed parents (β: -0.14, 95% CI: - 0.20, - 0.07), and parents of older children (β: -0.07; 95% CI: - 0.13, 0.00) perceived lower levels of social support. Interaction analyses showed that parents with a migration background and a low educational level were particularly susceptible to perceiving lower levels of support (β: -0.34, 95% CI: - 0.52, - 0.15). CONCLUSION Fathers, parents with a low educational level, parents with a low income, unemployed parents, parents of older children, and parents with both a migration background and a low educational level are at increased risk of perceiving lower levels of social support. IMPLICATIONS We recommend to develop, implement and evaluate intervention strategies to strengthen perceived social support among the abovementioned subgroups of parents, in order to improve families' health, wellbeing and empowerment. TRIAL REGISTRATION NTR7607 in the Netherlands trial registry.
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Affiliation(s)
- Irene N. Fierloos
- grid.5645.2000000040459992XDepartment of Public Health, Erasmus University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
| | - Dafna A. Windhorst
- grid.5645.2000000040459992XDepartment of Public Health, Erasmus University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands ,grid.10417.330000 0004 0444 9382Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Kapittelweg 29, 6525 EN Nijmegen, The Netherlands ,grid.4858.10000 0001 0208 7216TNO Child Health, Sylviusweg 71, 2333 BE Leiden, the Netherlands
| | - Yuan Fang
- grid.5645.2000000040459992XDepartment of Public Health, Erasmus University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
| | - Harrie Jonkman
- grid.426562.10000 0001 0709 4781Verwey-Jonker Institute, Kromme Nieuwegracht 6, 3512 HG Utrecht, The Netherlands
| | - Matty R. Crone
- grid.10419.3d0000000089452978Department of Public Health and Primary Care, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands
| | - Clemens M. H. Hosman
- grid.5012.60000 0001 0481 6099Department of Health Promotion, Maastricht University, Peter Debyeplein 1, 6229 HA Maastricht, The Netherlands ,grid.5590.90000000122931605Department of Clinical Psychology, Radboud University, Thomas van Aquinostraat 4, 6525 GD Nijmegen, The Netherlands ,Hosman Prevention and Innovation Consultancy, Knapheidepad 6, 6562 DW Berg en Dal, The Netherlands
| | - Siok Swan Tan
- grid.5645.2000000040459992XDepartment of Public Health, Erasmus University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
| | - Hein Raat
- grid.5645.2000000040459992XDepartment of Public Health, Erasmus University Medical Center, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands
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Fierloos IN, Windhorst DA, Fang Y, Bannink R, Stam M, Slijkerman CAA, Jansen W, Raat H. A prospective study on the association between social support perceived by parents of children aged 1-7 years and the use of community youth health care services. Front Public Health 2022; 10:950752. [PMID: 36249185 PMCID: PMC9561893 DOI: 10.3389/fpubh.2022.950752] [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: 05/23/2022] [Accepted: 08/29/2022] [Indexed: 01/24/2023] Open
Abstract
Aim This study examined the association between social support perceived by parents of children aged 1-7 years and the use of additional community youth health care services. Methods Data of 749 parents of children aged 1-7 years, gathered in the CIKEO cohort study in the Netherlands, were analyzed. Social support was assessed with the Multidimensional Scale of Perceived Social Support. Data on the use of additional community youth health care services during a period of 1.5 years were obtained from the electronic records of participating youth health care organizations. Multivariable logistic regression models were used to examine the association between perceived social support and the use of additional youth health care services and to explore moderation by the parent's educational level. Results The mean age of the responding parents was 33.9 years (SD = 5.1); 93.6% were mothers. Parents who perceived low to moderate levels of social support had 1.72 (95% CI: 1.11, 2.66) times higher odds of using one or more additional youth health care services during the study period compared to parents who perceived high levels of social support at baseline. This association was independent of predisposing factors, but not independent of need factors (p > 0.05). Furthermore, the association was moderated by the educational level of the parent (p = 0.015). Among parents with a high educational level, low to moderate levels of perceived social support at baseline were associated with 2.93 (95% CI: 1.47, 5.83) times higher odds of using one or more additional youth health care services during the study period independent of predisposing and need factors. Among parents with a low or middle educational level the association between perceived social support and use of additional youth health care services was not significant. Conclusion Our findings provide evidence that low to moderate levels of perceived social support are associated with a higher use of additional community youth health care services among parents of children aged 1-7 years, especially among high educated parents. Recommendations for policy and practice are provided.
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Affiliation(s)
- Irene N. Fierloos
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands
| | - Dafna A. Windhorst
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands,Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, Netherlands,TNO Child Health, Leiden, Netherlands
| | - Yuan Fang
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands
| | | | | | | | - Wilma Jansen
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands,Department of Social Development, City of Rotterdam, Rotterdam, Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus Medical Center, Rotterdam, Netherlands,*Correspondence: Hein Raat
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Fang Y, Raat H, Windhorst DA, Fierloos IN, Jonkman H, Hosman CMH, Crone MR, Jansen W, van Grieken A. The Association between Stressful Life Events and Emotional and Behavioral Problems in Children 0-7 Years Old: The CIKEO Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19031650. [PMID: 35162672 PMCID: PMC8835208 DOI: 10.3390/ijerph19031650] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/17/2021] [Revised: 01/26/2022] [Accepted: 01/26/2022] [Indexed: 02/04/2023]
Abstract
Background: Stressful life events (SLEs) are recognized risk factors for emotional and behavioral problems, but the association is understudied among young children. Our aim was to examine the association between exposure to SLEs and emotional and behavioral problems in young children up to 7 years old. Methods: We analyzed baseline data from 959 children (mean age = 3.3 years; SD = 1.9; 47.5% girls) in the CIKEO study, a community-based longitudinal study in the Netherlands. Linear regression was used to assess the associations between the total as well as the individual exposure to SLEs experienced in the past 12 months, and emotional and behavioral problems assessed by CBCL 1.5-5. Interactions of SLEs and child age, sex, ethnic background, and socioeconomic status were explored. Results: Higher total exposure to SLEs, as indicated by the number of SLEs, was significantly associated with higher CBCL total, internalizing and externalizing problem scores (p for trend < 0.05). The results did not differ by child age, sex, ethnic background, or family SES. Six out of the 12 SLEs explored were independently associated with greater CBCL total/externalizing/internalizing scores (p < 0.05). Conclusions: Exposure to SLEs is associated with higher levels of emotional and behavioral problems in young children, and the impact of SLEs may vary depending on the types of events. Stressful life events might be a useful target for interventions to improve emotional and behavioral well-being among young children.
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Affiliation(s)
- Yuan Fang
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
| | - Hein Raat
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
- Correspondence:
| | - Dafna A. Windhorst
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
- Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, 6525 GD Nijmegen, The Netherlands
- TNO Child Health, 2316 ZL Leiden, The Netherlands
| | - Irene N. Fierloos
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
| | - Harrie Jonkman
- Verwey-Jonker Institute, 3512 HG Utrecht, The Netherlands;
| | - Clemens M. H. Hosman
- Department of Health Promotion, Maastricht University, 6229 HA Maastricht, The Netherlands;
- Department of Clinical Psychology, Radboud University, 6525 XZ Nijmegen, The Netherlands
- Hosman Prevention and Innovation Consultancy, 6562 DW Berg en Dal, The Netherlands
| | - Matty R. Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands;
| | - Wilma Jansen
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
- Department of Social Development, Municipality of Rotterdam, 3000 LP Rotterdam, The Netherlands
| | - Amy van Grieken
- Department of Public Health, Erasmus University Medical Centre, 3000 CA Rotterdam, The Netherlands; (Y.F.); (D.A.W.); (I.N.F.); (W.J.); (A.v.G.)
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Fang Y, van Grieken A, Fierloos IN, Windhorst DA, Jonkman H, Hosman CMH, Crone MR, Jansen W, Raat H. Parental, child and socio-contextual factors associated with parenting self-efficacy among parents of children aged 0-7 years old: the CIKEO study. Soc Psychiatry Psychiatr Epidemiol 2022; 57:623-632. [PMID: 34417858 PMCID: PMC8934325 DOI: 10.1007/s00127-021-02161-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2021] [Accepted: 07/30/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND A high parenting self-efficacy (PSE) has been associated with positive parenting and positive child development. However, there is limited and inconsistent information on factors associated with PSE. OBJECTIVE To investigate factors associated with PSE in parents of children aged 0-7 years old, and to explore whether the associations were different between mothers and fathers. METHODS We performed a cross-sectional analysis of the baseline data from a prospective cohort study: the CIKEO study. A total of 1012 parents (mean age = 33.8, SD = 5.0) completed self-reported measure of PSE and 18 potential factors associated with PSE. RESULTS Multivariable models revealed that lower parenting stress, fewer child behavior problems, better eating behavior, better parental and child general health, a smaller number of children living in the household, higher perceived level of social support and having a migration background were associated with higher levels of PSE (p < 0.05). The association between family functioning and PSE differed between mothers and fathers (p for interaction = 0.003): with beta and 95% confidence interval being: 1.29 (- 2.05, 0.87), and 0.23 (- 0.46, 3.29), respectively. CONCLUSIONS A range of parental, child and social-contextual factors in relation to PSE were identified. The patterns of associations for most of the factors were similar among mothers and fathers. However, the association between family functioning and PSE might differ for mothers and fathers. Our findings are relevant for tailoring and implementing successful interventions and effective policy making in child care. TRIAL REGISTRATION Netherlands National Trial Register number NL7342. Date of registration: 05-November-2018, retrospectively registered.
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Affiliation(s)
- Yuan Fang
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands
| | - Amy van Grieken
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands
| | - Irene N. Fierloos
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands
| | - Dafna A. Windhorst
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands ,Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behavior, Radboud University Medical Center, Nijmegen, The Netherlands ,TNO Child Health, Leiden, The Netherlands
| | | | - Clemens M. H. Hosman
- Department of Health Promotion, Maastricht University, Maastricht, The Netherlands ,Department of Clinical Psychology, Radboud University, Nijmegen, The Netherlands ,Hosman Prevention and Innovation Consultancy, Berg en Dal, The Netherlands
| | - Matty R. Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
| | - Wilma Jansen
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA Rotterdam, The Netherlands ,Municipality of Rotterdam, Rotterdam, The Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus University Medical Centre, Rotterdam, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.
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Fierloos IN, Windhorst DA, Fang Y, Mao Y, Crone MR, Hosman CMH, Jansen W, Raat H. Factors associated with media use for parenting information: A cross-sectional study among parents of children aged 0-8 years. Nurs Open 2021; 9:446-457. [PMID: 34672428 PMCID: PMC8685885 DOI: 10.1002/nop2.1084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 08/04/2021] [Accepted: 09/08/2021] [Indexed: 11/16/2022] Open
Abstract
Aim Media use may strengthen parents’ capacities to deal with parenting issues. This study examined which factors are associated with media use for parenting information. Design Cross‐sectional data of 658 parents of children aged 0–8 years, gathered in the CIKEO cohort study in the Netherlands, were analysed. Methods Multivariable logistic regression models were used to examine which factors were associated with media use for parenting information. Results The mean age of the participants was 33.8 years (SD = 5.0); 94.7% were mothers; 77.4% used media for parenting information. Parents with more questions or concerns (OR: 1.40, 95% CI: 1.23, 1.59), and parents who received parenting information from their social contacts (OR: 5.57, 95% CI: 3.22, 9.61), had higher odds of media use for parenting information. Older parents (OR: 0.95, 95% CI: 0.91, 1.00), and parents of older children (OR: 0.84, 95% CI: 0.74, 0.95), had lower odds of media use for parenting information.
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Affiliation(s)
- Irene N Fierloos
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Dafna A Windhorst
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.,Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboud University Medical Center, Nijmegen, The Netherlands.,TNO Child Health, Leiden, The Netherlands
| | - Yuan Fang
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - Yuping Mao
- Department of Communication Studies, California State University Long Beach, Long Beach, CA, USA
| | - Matty R Crone
- Department of Public Health and Primary Care, Leiden University Medical Center, Leiden, The Netherlands
| | - Clemens M H Hosman
- Department of Health Promotion, Maastricht University, Maastricht, The Netherlands.,Department of Clinical Psychology, Radboud University, Nijmegen, The Netherlands.,Hosman Prevention and Innovation Consultancy, Berg en Dal, The Netherlands
| | - Wilma Jansen
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands.,Department of Social Development, Municipality of Rotterdam, Rotterdam, The Netherlands
| | - Hein Raat
- Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands
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Phillipson L, Johnson K, Fielding E, Cridland E, Hall D, Neville C, Hasan H. Rethinking respite in Australia: A naturalistic effect study of a multicomponent community program to promote respite knowledge, attitudes and behaviours of carers of people with dementia. HEALTH & SOCIAL CARE IN THE COMMUNITY 2021; 29:1566-1583. [PMID: 33170999 DOI: 10.1111/hsc.13223] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 09/02/2020] [Accepted: 10/08/2020] [Indexed: 06/11/2023]
Abstract
'Rethink Respite' was a prospective, naturalistic cohort study conducted in the Illawarra-Shoalhaven (NSW, Australia) to improve knowledge, attitudes and uptake of respite strategies in carers of people with dementia. A convenience sample of n = 70 carers were recruited in 2014-15 to establish a baseline for knowledge, attitudes and use of respite for a cohort of carers in the region. Carer perceived need for respite, burden and self-efficacy were also assessed. A co-designed multi-component community-based intervention was subsequently rolled at in the region from 2015 to 2016. The intervention supported: awareness raising media; carer education sessions; access to web and print respite information resources; and an option to participate in a tailored one-on-one in-home coaching program. At program completion, a follow-up survey was administered to the cohort, with n = 44/70 responding. All n = 44 respondents reported participation in and exposure to 'Rethink Respite' media, information and education during the intervention period. Eighteen of the 44 also self-selected to receive the active tailored coaching support. At follow-up, few positive results were reported on the assessed carer variables for the cohort over time. However, post hoc sub-group analyses found those who also self-selected to receive active support (provided through coaching) (n = 18), showed improvements to their respite knowledge, attitudes and self-efficacy (p < .05). Intention to use respite, and levels of personal gain from caring in this sub-group also increased (p < .05). In contrast, carers who only participated in the informational/educational aspects of the program (and did not self-select to the respite coaching), experienced negative changes over time to their respite beliefs and 'role captivity'. Overall, this pilot study suggests that passive respite information and educational strategies are insufficient, without more active supports (tailored respite coaching) to address observed carer decline over time. Future research should seek to replicate these results using a larger sample and an experimental design.
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Affiliation(s)
- Lyn Phillipson
- Faculty of Arts, Social Sciences and Humanities, School of Health and Society, University of Wollongong, Wollongong, NSW, Australia
- Australian Health Services Research Institute, University of Wollongong, Innovation Campus, Wollongong, NSW, Australia
| | - Keryn Johnson
- Australian Health Services Research Institute, University of Wollongong, Innovation Campus, Wollongong, NSW, Australia
| | - Elaine Fielding
- School of Nursing, Faculty of Health, Queensland University of Technology, Brisbane City, QLD, Australia
| | - Elizabeth Cridland
- Australian Health Services Research Institute, University of Wollongong, Innovation Campus, Wollongong, NSW, Australia
- Illawarra Shoalhaven Local Health District, Warrawong, NSW, Australia
| | - Danika Hall
- Australian Health Services Research Institute, University of Wollongong, Innovation Campus, Wollongong, NSW, Australia
| | - Christine Neville
- School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, QLD, Australia
| | - Helen Hasan
- Australian Health Services Research Institute, University of Wollongong, Innovation Campus, Wollongong, NSW, Australia
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Reparaz C, Rivas S, Osorio A, Garcia-Zavala G. A Parental Competence Scale: Dimensions and Their Association With Adolescent Outcomes. Front Psychol 2021; 12:652884. [PMID: 33935914 PMCID: PMC8082951 DOI: 10.3389/fpsyg.2021.652884] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 03/11/2021] [Indexed: 11/22/2022] Open
Abstract
Positive family functioning during adolescence is usually studied analyzing parents' competences and children's relationship abilities. We present an instrument for the assessment of parental competence, which encompasses both educational style and transmission of values. The objective of the study was to analyze its factor structure and to assess its value in predicting adolescent outcomes. We recruited 2,459 high school students, aged 12–15, in 40 schools from Spain, Peru, Mexico, and Chile. They responded to the instrument and to other questions regarding lifestyles. Exploratory and confirmatory factor analyses were carried out in order to assess the internal structure of the instrument, and internal consistency of the resulting dimensions was calculated. Finally, regression analyses were performed to establish associations between the parenting dimensions and adolescent outcomes. Factor analyses showed a consistent structure, with good fit indices in the four countries. The final four factors include parenting styles (Warmth and Demandingness) and education in values (Fortitude and Privacy). Regression analyses showed associations with adolescent outcomes. For example, adolescents' life satisfaction was best predicted by Warmth and Education in fortitude. Practical implications are suggested.
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Affiliation(s)
- Charo Reparaz
- School of Education and Psychology, Universidad de Navarra, Pamplona, Spain
| | - Sonia Rivas
- School of Education and Psychology, Universidad de Navarra, Pamplona, Spain
| | - Alfonso Osorio
- School of Education and Psychology, Universidad de Navarra, Pamplona, Spain.,Institute for Culture and Society, Universidad de Navarra, Pamplona, Spain.,IdisNA, Navarra Institute for Health Research, Pamplona, Spain
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