Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems

Autor: Francesca Little, Jamie M. Lachman, Lucie Cluver, Raymond T Nhapi, Inge Wessels, Reshma Kassanjee, Frances Gardner, Judy Hutchings, Catherine L. Ward
Rok vydání: 2019
Předmět:
Adult
Male
Parents
Adolescent
Poison control
Child Behavior
Suicide prevention
Occupational safety and health
low‐ and middle‐income countries
law.invention
03 medical and health sciences
Social support
South Africa
Young Adult
0302 clinical medicine
HV
Randomized controlled trial
prevention
law
Intervention (counseling)
Injury prevention
Developmental and Educational Psychology
HQ
Humans
0501 psychology and cognitive sciences
Child
Problem Behavior
Parenting
05 social sciences
Human factors and ergonomics
Original Articles
Middle Aged
16. Peace & justice
Parenting for Lifelong Health
3. Good health
violence against children
Psychiatry and Mental health
Caregivers
Child
Preschool
Pediatrics
Perinatology and Child Health
Original Article
Female
Psychology
030217 neurology & neurosurgery
050104 developmental & child psychology
Clinical psychology
Zdroj: Journal of Child Psychology and Psychiatry, and Allied Disciplines
ISSN: 1469-7610
0021-9630
Popis: Background Parenting programs suitable for delivery at scale in low‐resource contexts are urgently needed. We conducted a randomized trial of Parenting for Lifelong Health (PLH) for Young Children, a low‐cost 12‐session program designed to increase positive parenting and reduce harsh parenting and conduct problems in children aged 2–9. Methods Two hundred and ninety‐six caregivers, whose children showed clinical levels of conduct problems (Eyberg Child Behavior Inventory Problem Score, >15), were randomly assigned using a 1:1 ratio to intervention or control groups. At t 0, and at 4–5 months (t 1) and 17 months (t 2) after randomization, research assistants blind to group assignment assessed (through caregiver self‐report and structured observation) 11 primary outcomes: positive parenting, harsh parenting, and child behavior; four secondary outcomes: parenting stress, caregiver depression, poor monitoring/supervision, and social support. Trial registration: ClinicalTrials.gov (NCT02165371); Pan African Clinical Trial Registry (PACTR201402000755243); Violence Prevention Trials Register (http://www.preventviolence.info/Trials?ID=24). Results Caregivers attended on average 8.4 sessions. After adjustment for 30 comparisons, strongest results were as follows: at t 1, frequency of self‐reported positive parenting strategies (10% higher in the intervention group, p = .003), observed positive parenting (39% higher in the intervention group, p = .003), and observed positive child behavior (11% higher in the intervention group, p = .003); at t 2, both observed positive parenting and observed positive child behavior were higher in the intervention group (24%, p = .003; and 17%, p = .003, respectively). Results with p‐values
Read the Commentary on this article at doi: 10.1111/jcpp.13172
Databáze: OpenAIRE
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