Parents, infants, and day-care teachers: Interrelations and implications for better child care

Many young children are reared today in both family and child-care settings. The relation that exists between these two settings has important implications for child care. Bronfenbrenner's (1979) ecological model is used as a way to view the interrelations among children, families, and child-care programs. Data from a study of infants in day care provide information on the time infants spend in family and day-care contexts, how parents and caregivers view children's behavior in these two settings, and rates of otitis media (ear infections) and other illnesses for these children. Results show that infants spend about twice as many hours per day awake with parents as in day care. Regarding child behaviors, parents and caregivers seem to have similar behaviors they like and dislike, but they each see particular children quite differently with respect to these behaviors. Finally, infants in this sample were diagnosed with illnesses 60% to 70% of the time. Findings are discussed in terms of the ecological model with particular attention given to relations between parents and caregivers.     

Who Says What: Election Coverage and Sourcing of Child Care in Four Canadian Dailies

Advocates have called for universal, quality child care in Canada since the 1970s, but the issue seldom appeared to acquire political urgency. The 2006 election campaign seemed different. The governing Liberals promised to devote billions to a nascent national program. The Conservatives promised parents a cash allowance for young children. Child care seemed to be emerging as a significant issue in a political campaign. How was ECEC written about before, during and after Canadian election campaigns? Who is quoted and how? Our project mapped articles about child care in four major Canadian dailies between 2000 and 2008. We found that coverage spiked in 2000 and 2005–2006—during federal elections. Coverage nearly doubled in 2005–2006 in all but one paper. Using content analysis, we compared coverage of child care and sources in the 55 days before the start of campaigning, 55 days of campaigning, and 55 days following the 2006 election. We mapped and compared who said what, and how about child care policy and related issues, in Canada. We found: (1) that newspapers’ ideological slants are apparent in their choice of sources and focus; and (2) that more importantly, despite ideological differences, political figures outnumbered activists, parents and child care providers. With only minor variations across the newspapers, the voices of parents and child care activists were marginal especially in the 55 days of campaigning.     

After School Care for Children on the Autism Spectrum

Few programs exist for after school care designed to support children with Autism Spectrum Disorder (ASD). Not only do parents often depend on after school care, but also children with ASD are likely to benefit from opportunities to generalize skills in an authentic setting and interact with typically developing peers. This lack of support occurs at a time during which there is increasing research and community awareness regarding the need for high quality after school programs to support typically developing children. This study investigates reported experiences with and needs for after school care by parents of children with ASD. Survey results (N = 54) revealed that the majority of parents surveyed desired after school programs within their child’s school but are often denied access to such services or received low quality care for their child in after school programs. Recommendations are provided for future research and program development.     

Latino Foster Parent Health Perceptions of Chronic Conditions: A Qualitative Exploration

Prior work using nationally representative data of children in the child welfare system suggested that Latino foster parents were less likely to identify children in their care as having chronic conditions. Hispanics comprise over one-fifth of children in foster care, the majority of whom have special health care needs, and there is a growing need to recruit qualified Latino families into the child welfare system. Little is known about Latino parents’ health perceptions regarding chronic conditions, and potential reasons for differing identification rates of children with special health care needs. We conducted 17 home-based, in-depth interviews with Latino foster parents to explore health perceptions and cultural beliefs for children in their care around the concept of chronic illness. We found that Latino foster parents’ understanding of conditions that occurred “over and over again” related to emotional and behavioral health problems. In contrast, their perception of “chronic” was associated with terminal, biological conditions that had limited treatment options, such as cancer, HIV, and hepatitis. Latino foster parents did not interpret the survey question on chronic illness as it was intended, and their view of recurrent conditions did not reflect chronic health conditions. Developing survey questions that are culturally sensitive should improve accuracy in assessing chronic health conditions for this high-risk population. Sensitivity to cultural interpretation for this high-needs population is vital to enhancing communication between families and health providers caring for children in foster care.     

Parent ADHD and Evidence-Based Treatment for Their Children: Review and Directions for Future Research

One fourth to one half of parents of children with attention-deficit/hyperactivity disorder (ADHD) have ADHD themselves, complicating delivery of evidence-based child behavioral and pharmacological treatments. In this article, we review the literature examining the relation between parent ADHD and outcomes following behavioral and pharmacological treatments for children with ADHD. We also review research that has incorporated treatment of parent ADHD (either alone or in combination with child treatment) with the goal of improving parenting and child outcomes. Finally, we offer recommendations for future research on the relation between parent ADHD and evidence-based treatment outcomes for their children, with the purpose of advancing the science and informing clinical care of these families.     

Children of Mentally Ill Parents Participating in Preventive Support Groups: Parental Diagnoses and Child Risk

In the Netherlands, preventive support groups are offered to children of mentally ill parents. Given the variety of parental diagnoses it might be questionable if offering a standardized program for all these children is the most effective response. While no overall knowledge exists about the type of parental disorder and varying risk levels and support needs among the participating children, we examined whether there are differences between these children that are related to their parents’ diagnoses. With questionnaires we assessed risk factors in 122 mentally ill parents and their children: high parental illness severity, low perceived parental competence, parent–child interaction problems, poor family functioning, difficult child temperament, and low child competence. We also assessed the children’s psychosocial problems and negative cognitions about their parent’s illness. Results showed that most parents had co-morbidity (multiple diagnoses) and/or personality disorders. Children of parents with either of these conditions were more likely to be exposed to the risk factors: high parental illness severity, low perceived parental competence, problematic parent–child interaction, and low perceived child competence, compared to children of parents without these conditions. They were also faced with more risk factors and had more psychosocial problems and negative cognitions. From these results we may conclude that children of parents with co-morbidity and/or personality disorders require more extensive support than children of parents without these conditions. We suggest strengthening the children’s competence and involving parents as important focuses of preventive interventions for children at high risk. Longitudinal studies should test these assumptions.     

Child witness statements about sexual abuse in day‐care: reports from a case with confessions from the suspect

Evaluation of alleged sexual abuse at day‐care centres usually has to be based mainly on child statements about their own victimisation. This study points at other possible sources of information. Thus, the child may give contributions to the investigative procedure also as a witness of abuse of other children, as a participator of group interaction related to abuse and as a receiver of a disclosure about abuse from another child. Data are presented from a case where the suspect had confessed. A quarter of the children at the day‐care centre had given information about other children's exposure. For more than half of the children, there were witness statements that reflected what these particular children might have been exposed to. Context and statement characteristics seemed to make an evaluation of some of these statements possible. Information about interaction between children and about disclosures between children was strikingly scarce which was probably due to the lack of questions from parents and investigators in these areas. Witness statements from children about other children's exposure to abuse stand out as an interesting complementary source of information in investigations of abuse at day‐care centres and may also provide a basis for interpretations at a group level. Copyright © 2005 John Wiley & Sons, Ltd.     

Factors influencing the selection of toys for handicapped and normally developing preschool children

Factors influencing the selection and purchase of toys for children's use were investigated. Subjects were 73 parents or adult friends of normally developing or handicapped preschool children. In addition to providing demographic information about themselves, the subjects rated the importance of 17 factors influencing their selection and purchase of toys. Contrary to previous research, the sex of the child was reported to be of only minor importance in toy selection, as was the picture on the toy package. Two factors, safety and teaching new skills, were rated as extremely important. There were no significant differences in ratings as a result of sex, ethnicity, or whether or not the subjects were parents of a handicapped child. The findings suggest a substantial degree of agreement among parents about what they consider important when choosing toys for children.     

Gender Differences in Single Parents’ Living Arrangements and Child Care Time

Although seemingly identical in their circumstances, research has found single fathers to engage less in child care than single mothers. Guided by both a structuralist and a “doing gender” perspective, we examine gender differences in single parents’ child care time and whether the presence and gender of coresident adult kin moderate this association. Our sample drawn from the 2003–2013 American Time Use Survey (N?=?10,985) consists of non-cohabiting single parents aged 18 to 64 who live with at least one own child under age 18. We first found that single fathers spent slightly less time in all types of child care except play than single mothers. Either coresident adult female kin or adult male kin, or both predicted single parents’ spending less time in child care activities, particularly management. Living only with adult male kin also predicted single parents’ lower time spent in teaching. Lastly, gender differences in single parents’ child care time were larger in any child care, play, and teaching when living with both adult female kin and male kin than when living without any kin. The presence of both female kin and male kin may relieve the parent of tasks gender-appropriate to the related household members. Additional research about the contexts of gender differences in single parents’ child care enriches our understanding of parenting by men and women.     

Preschool child care and parents' use of physical discipline

Parenting practices, including the use of physical discipline, are shaped by multiple influences. Although much research focuses on how parent, child, and dyadic characteristics shape parenting practices, extra‐familial resources may also play a role. This paper focuses on how children's experiences of child care during the preschool years may affect one aspect of parenting—discipline practices. Using a rich, nationally representative data set, we explore the correlation between children's participation in centre based care, Head Start, or other non‐parental care arrangements and parents' use of physical discipline, and related phenomena, parents' experience of domestic violence and parenting stress. We conduct probit regressions of parents' use of physical discipline, and parents' experiences of domestic violence, on preschool child care experiences. For disadvantaged groups of children, who have higher risks of experiencing physical discipline and witnessing family violence, we find that Head Start participation is associated with an increase in the likelihood that parents say they never spank their children and reduction in reports of domestic violence. And, for children in two‐parent families, Head Start is associated with an increase in the likelihood that parents say they never spank their children and the likelihood that they do not say they would resort to spanking in a hypothetical situation. However, we find no evidence that non‐parental child care is associated with a lasting reduction in parenting stress. Copyright © 2005 John Wiley & Sons, Ltd.     

Parent–Child Roles in Decision Making About Medical Research

Our objective is to understand how parents and children perceive their roles in decision making about research participation. Forty-five children (ages 4–15 years) with or without a chronic condition and 21 parents were the participants. A semistructured interview assessed perceptions of up to 4 hypothetical research scenarios with varying levels of risk, benefit, and complexity. Children were also administered the Peabody Picture Vocabulary Test, Third Edition, to assess verbal ability, as a proxy for the child's cognitive development. The audiotaped interviews were transcribed and analyzed for themes related to parent and child decision-making roles. Both parents and children varied in their perceptions of decision-making roles. Child perceptions of parental influence on decision making as knowledge-based increased with cognitive development, whereas perceptions of parental influence as power-based decreased. Both children and parents commented that they would collaborate with each other when making decisions. Collaborative decision making appeared to increase with cognitive development. These findings suggest that approaches to child assent and parent permission should consider the parent–child relationship and how children and families typically make decisions. Future research is necessary to explain variation in the process of research decision making across children and families, explore the role of collaboration on children's decision-making skills, and understand developmental trajectories and mechanisms related to research decision making.     

Transgender Children and the Right to Transition: Medical Ethics When Parents Mean Well but Cause Harm

In this article, I argue that (1) transgender adolescents should have the legal right to access puberty-blocking treatment (PBT) without parental approval, and (2) the state has a role to play in publicizing information about gender dysphoria. Not only are transgender children harmed psychologically and physically via lack of access to PBT, but PBT is the established standard of care. Given that we generally think that parental authority should not go so far as to (1) severally and permanently harm a child and (2) prevent a child from access to standard physical care, then it follows that parental authority should not encompass denying gender-dysphoric children access to PBT. Moreover, transgender children without supportive parents cannot be helped without access to health care clinics and counseling to facilitate the transition. Hence there is an additional duty of the state to help facilitate sharing this information with vulnerable teens.     

Factors Influencing the Selection of Toys for Handicapped and Normally Developing Preschool Children

Factors influencing the selection and purchase of toys for children's use were investigated. Subjects were 73 parents or adult friends of normally developing or handicapped preschool children. In addition to providing demographic information about themselves, the subjects rated the importance of 17 factors influencing their selection and purchase of toys. Contrary to previous research, the sex of the child was reported to be of only minor importance in toy selection, as was the picture on the toy package. Two factors, safety and teaching new skills, were rated as extremely important. There were no significant differences in ratings as a result of sex, ethnicity, or whether or not the subjects were parents of a handicapped child. The findings suggest a substantial degree of agreement among parents about what they consider important when choosing toys for children.     

Ethnic Differences in Parental Perceptions of Genetic Testing for Deaf Infants

As genetic testing becomes an integral part of the evaluation of deaf infants and children, it is important to understand parental views on genetic testing. The purpose of this study is to examine parental reasons for, and beliefs about, genetic testing for deafness in early-identified infants, and to determine if they differ as a function of ethnicity. We present baseline data collected from 56 Caucasian, 59 Hispanic, and 24 Asian parents of deaf children participating in a longitudinal, prospective study on genetic testing for connexin-related deafness. The overall finding is that reasons for, and beliefs about, genetic testing for deafness varied as a function of ethnicity. Virtually all parents sought genetic testing to understand why their child is deaf. However, Asian and/or Hispanic parents were more likely than Caucasian parents to view family planning, helping with their child's medical care, and helping the family as other important reasons for testing, and were more likely than Caucasian parents to perceive genetic testing to be useful for these purposes. Asian and Hispanic parents were more likely than Caucasian parents to perceive genetic testing in harmful terms. Genetic testing fulfills a cognitive need for parents to understand why their child is deaf, yet differences in responses suggest that Asian and Hispanic parents may seek testing for other purposes. Understanding different perspectives on genetic testing for deafness will enhance genetic counselors' cultural competence and facilitate the pre-test genetic counseling session.     

Enabled or disabled? Working parents of disabled children and the provision of child‐care

This research explores the reported experiences of working parents of disabled children with respect to formal and informal sources of child‐care, the need for which extends beyond the childhood years. Forty families with at least one disabled child, representing a variety of family structures and work situations, participated in semi‐structured interviews. The resultant data revealed an analytical axis of disabling and enabling features of child‐care. These are illustrated here with reference to the parents' accounts. Disabling barriers were physical, attitudinal or material. However, some features of either formal or informal care served to dismantle these barriers. Where formal child‐care was available, appropriate, flexible and accommodating to the needs of both the parents and the disabled child, the parents reported being able to combine working and caring roles successfully. However, where formal supports were inadequate or non‐existent, parents who could rely on the support of family and friends to supply emotional and instrumental assistance reported balance between work and caring roles. Whilst all parents need satisfactory child‐care in the early years, these parents' needs extend beyond the childhood years: the parents' accounts highlighted their complex and long‐term child‐care needs. Options for further research were proposed which would emphasize negotiation within families over time, or would focus on intersections of other parts of the work‐family‐community system. Copyright © 1999 John Wiley & Sons, Ltd.     

PROMOTING PARENT-PROVIDER INTERACTION DURING YOUNG CHILDREN'S HEALTH-SUPERVISION VISITS

We prompted parents to increase their interactions with health-care providers during their children's health-supervision visits. Before scheduled appointments we asked parents of 32 infants and young children if they had specific child health questions or concerns. Sixteen parents randomly assigned to the prompted group were then prompted to initiate discussions of their concerns. Sixteen control parents discussed unrelated topics before their appointments. Prompted parents initiated significantly more interactions with health-care providers and more health and behavioral topics were discussed during their appointments. Both parent groups reported satisfaction with health-care services. Further research is needed to determine the clinical significance of outcomes associated with enhanced parent-provider interaction during children's health-supervision visits. These visits are ideal settings for behavioral research on improving health care for children and their families.     

Family Communication about Donor Conception: A Qualitative Study with Lesbian Parents

In this qualitative study of 10 lesbian couples who built their families through anonymous donor conception, we explore how lesbian parents experience communication about the donor conception within the family. While for these families “disclosure” of donor conception is often seen as evident, the way parents and children discuss this subject and how this is experienced by the parents themselves has not received much research attention. To meet this gap in the literature, in‐depth interviews with lesbian couples were conducted. An Interpretative Phenomenological Analysis showed that this family communication process can be understood within the broader relational context of parent–child relationships. Even though parents handled this family communication in many different ways, these were all inspired by the same motives: acting in the child's best interest and—on a more implicit level—maintaining good relations within the family. Furthermore, parents left the initiative for talking about the DC mostly to the child. Overall, parents aimed at constructing a donor conception narrative that they considered acceptable for both the children and themselves. They used different strategies, such as gradual disclosure, limiting the meaning of the donor, and justifying the donor conception. Building an acceptable donor conception narrative was sometimes challenged by influences from the social environment. In the discussion, we relate this qualitative systemic study to the broader issues of selective disclosure and bidirectionality within families.     

EXPANDING THE MOTHER-CHILD PARADIGM

Reliance on the mother–child dyad as the primary context for under–standing child development has caused fathers to be underrepresented in published research on child development and developmental psychopathology. In order to investigate whether this pattern was also evident in the work of future psychologists, we reviewed Dissertation Abstracts from 1986 through 1994. Results showed that fathers were the focus of significantly fewer dissertation studies (10.5%) than were mothers (59.5%) or both parents (30.0%). We argue that essentializing the mother–child bond is a political philosophy about the roles of men and women that places the discipline of psychology at risk for inadvertently becoming an apologist for the neoconservative political right. Specific suggestions for revising graduate training are presented. The social policy implications for continuing this trend into the next generation of psychologists are discussed.     

Parental Perceptions of Characteristics of Non-Parental Child Care: Belief Dimensions, Family and Child Correlates

Investigators argue that it is essential to consider why parents select non-parental child care arrangements in studying the effects of that care on a child’s development. Existing investigations explore family economic and demographic characteristics as determinants of child care choice. The present investigation examined a wide array of parents’ beliefs about characteristics of child care arrangements with the goal of determining if these could be reduced to coherent dimensions. The emergent belief sets were examined in relation to maternal and child characteristics as potential correlates. Two hundred and twenty respondents with children in non-parental care completed surveys. These individuals represent diverse ethnic and economic groups. Ratings of the importance of characteristics were factor analyzed resulting in a six factor solution: Practical Concerns, Institutional Structure, Curriculum, Scheduling, Child Centered Orientation and School Readiness. The latter factor, or program components promoting social skills and classroom behaviors associated with succeeding in school, was identified as the most important dimension. Parents describing their children as more difficult temperamentally and as less developmentally advanced tended to describe school readiness and curriculum issues as less important. Child characteristics accounted for unique variance above and beyond mothers’ characteristics in predicting to parental beliefs. Results suggest that parents as consumers possess coherent belief sets and are sensitive to children’s developmental needs in evaluating care arrangements.