Parent perceptions of an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering

PurposeRecent research has identified approximately half of children who stutter present with self-regulation challenges. These manifest in elevated inattentive and/or impulsive behaviours, aligned with attention deficit hyperactivity disorder (ADHD) symptoms. These symptoms have been found to influence the child’s responsiveness to their stuttering treatment, and may exacerbate the psychosocial consequences of stuttering for them and their families. Early stuttering intervention identifies parents as key agents of change in the management of their children’s stuttering. This study sought feedback from parents regarding their experiences with an integrated stuttering treatment and behavioral self-regulation program for early developmental stuttering, addressing the child’s self-regulation challenges.MethodEight parents of children who stutter who had co-occurring self-regulation challenges completed the integrated program. This incorporated the Triple P--Positive Parenting Program adapted for the developmental stuttering population, and the Curtin University Stuttering Program (CUSP). Semi-structured qualitative interviews were conducted to capture parents’ reflections on, and experiences with, the integrated program.ResultsThematic analysis identified several major themes regarding the parents’ experiences with the integrated program: emotional impact on parents, child self-regulation, link between stuttering and behaviour, parent self-regulation, impact on family dynamics, and overall positive perceptions of the integrated program. All of the parents indicated they would recommend the program to future parents of children who stutter.ConclusionThis study provides insights into parents’ perceptions regarding an integrated intervention approach for early stuttering and behavior management. It also indicates how adopting a holistic approach to stuttering intervention is positive and has social validity.     

The experiences of transgender and non-binary children and young people and their parents in healthcare settings in England,UK: Interviews with members of a family support group

Abstract

Background: Transgender and non-binary children and young people and their parents in England, UK are poorly served across a range of healthcare settings. Whilst UK equalities legislation and international guidance on transgender healthcare pathways protects this group from discrimination and mandates an affirmative approach, services in England are not keeping pace.

Aims: This study aims to draw on the experiences of transgender and non-binary children, young people and their parents in a support group in England in order to investigate their experiences of healthcare provision, and to develop some ideas for improvement.

Method: Data was collected with participants in a family support group which offers a parent helpline service, social groups for children and parents, and training for schools and other organizations. 65 parents and children from 27 families from the family support group attended participatory workshops where they were given a range of briefs: “health,” “family,” “friends,” and “education.” Their participation involved being asked to define their own interview questions and collect data by interviewing each other. Their interview notes constituted the raw data. Data was coded inductively by the author with respondent checking as a second stage.

Results: Results constitute the views of a small group of people, so cannot be generalized. However, they do illustrate some of the issues which may arise. Participants’ experiences elicited five key themes: professionals’ perceived lack of clinical and therapeutic knowledge; mental distress caused by excessive waiting lists; professionals’ stereotyped gender assumptions; direct discrimination within healthcare settings; and a lack of attention to parent and child voice, especially in terms of school-based experiences and where a patient had a diagnosis of autism.     

Delivering Parent-Teen Therapy for ADHD through Videoconferencing: a Preliminary Investigation

Adolescents with ADHD demonstrate notoriously poor treatment utilization. Barriers to access have been partially addressed through tailored therapy content and therapist delivery style; yet, additional challenges to engaging this population remain. To leverage modern technology in support of this aim, the current study investigates parent-teen therapy for ADHD delivered over a videoconferencing format. In this preliminary feasibility study, teens and parents (N = 20) received an empirically supported dyadic therapy that incorporates skills-based modules with motivational interviewing. The videoconferencing interface was deemed feasible with nearly all families completing treatment. Acceptable therapeutic alliance was reported and key mechanisms of change were engaged (i.e., adolescent motivation to meet goals, parent strategy implementation). Families reported high satisfaction, despite minor disturbances associated with delivering therapy via videoconferencing. Treatment integrity and fidelity were acceptable, though slightly reduced compared to clinic-based trials of the same protocol. Therapists perceived that videoconferencing enhanced treatment for 50% of families. Reductions in participant ADHD symptoms and organization, time management, and planning problems from baseline to post-treatment were noted by parents and teachers. However, open trial results of this study should be interpreted with caution due to their uncontrolled and preliminary nature.     

Internet-based parent management training: a randomized controlled study

ObjectiveThe current study evaluated the efficacy of an Internet-based parent-training program for children with conduct problems. Dose–response ratio and costs for the program were also considered.MethodParents of 104 children (aged 3–12 years) were randomly allocated to either parent training or a waitlist control condition. Diagnostic assessment was conducted at baseline and parent ratings of child externalizing behaviors and parent strategies were completed before and after treatment and at 6-month follow-up.ResultsAt post-treatment assessment, children whose parent(s) had received the intervention showed a greater reduction in conduct problems compared to the waitlist children. Between group intent-to-treat effect sizes (Cohen’s d) on the Eyberg Intensity and Problem scales were .42 and .72, respectively (study completers .66 and 1.08). In addition, parents in the intervention group reported less use of harsh and inconsistent discipline after the treatment, as well as more positive praise. Effects on behavior problems were maintained at 6-month follow-up.ConclusionsThe results support the efficacy of parent training, administered through Internet, with outcomes comparable to many of the group-based parent training programs. The efficacy, low cost, and higher accessibility make this intervention a fitting part in a stepped-care model.     

Effects of a Center-Based Parent Training Package on Parents’ Accuracy of Generalized Program Implementations at Home

Abstract

The purpose of this study was to evaluate the effects of a parent training package on parents’ accuracy of program implementations and their children’s goal achievements on parent-implemented programs at home. Parents also completed a quiz with questions about three-contingencies before and after the training. Three mother-child dyads participated in this study. All three children were 4-year-old boys with developmental delays. We employed a multiple baseline across three parent-child dyads as the primary design combined with a pretest and posttest. The individual parent training sessions consisted of office meetings and in-vivo classroom coaching sessions on program implementations. Each parent was trained individually to mastery criteria on program implementations using the Teacher Performance Rate Accuracy Scale (TPRA). After completing the parent training package, all parents acquired program implementations skills, and their program implementation skills were generalized to teach new behaviors at home with a high level of fidelity. Their quiz scores on three-term contingencies also increased to a relatively high level.     

Adolescent–parent attachment characteristics and quality of youth sport friendship

ObjectivesTo examine the link between security of adolescent–parent attachment relationships and experiences of friendship quality in male team sport participants.Design and methodNinety six male adolescents involved in team sports completed self-report assessments of relationship security with a key parental attachment figure and of the nature of their friendship with a nominated sporting best friend. Teammates and coaches also provided ratings related to how easy they found it to get along with participants.ResultsResults provided evidence that the nature of the adolescent–parent attachment relationship was significantly related to sporting friendship experiences. More secure adolescent–parent attachment characteristics corresponded to more positive sporting friendships. Furthermore, sporting friendship dyads where both friends reported more secure attachment relations with parents were experienced more positively than dyads where both friends were less securely attached to parents or even where one friend was less securely attached.ConclusionThere is a suggestion that adolescent attachment relations with parents are indicative of underpinning working models of attachment that may subsequently influence the manner in which youngsters negotiate friendships in sporting contexts.     

Parenting a Child with Phenylketonuria (PKU): an Interpretative Phenomenological Analysis (IPA) of the Experience of Parents

Phenylketonuria (PKU) is a rare inherited metabolic disorder which can cause neurological damage if left untreated. PKU is identified through newborn screening in developed countries, and treatment begins immediately to prevent these severe consequences. When a child is diagnosed, parents must assume immediate responsibility for the management of PKU and prevention of neurological damage. Quantitative studies have identified significant psychosocial stressors for parents, but little is known about how the parents experience this process. This study aimed to explore the experiences of parents of children with PKU under the age of two. It is the first study to examine these experiences in this way. Seven parents were interviewed about their experiences, and interpretative phenomenological analysis was used to analyse the data. Three main themes were identified: control, striving for normality and acceptance of PKU as a continuum. Links between the themes and processes underpinning the results were explored with relation to existing literature and theories from a clinical psychology perspective. The role of acceptance of PKU was central to the parent’s experiences. Clinical implications and suggestions for further research are discussed.     

Parent Roles and Facilitation Strategies as Influenced by a Mobile-Based Technology During a Family Nature Hike

Abstract

Families use mobile technologies in many educational spaces, such as museums or other informal learning venues to support their social learning experience. This trend encourages parents to take on new facilitation roles during their children’s technologically driven learning experiences. This study provides an in-depth look at how one type of mobile technology shaped parent roles, facilitation, and family learning in an outdoor setting. The qualitative case study uses sociocultural learning theory with a lens toward parent roles during a mobile-based family learning experience in the outdoors to analyze the 1-hour hike of one case study family. Findings from a thematic analysis of the video data resulted in 6 parental roles embodied by the parents during their hike with an e-Trailguide. A secondary analysis provided evidence that the e-Trailguide facilitated collaborative observations of the natural world for the parents and children. Recommendations for mobile-based designs that support family, outdoor learning are included.     

Peers,parents, and coaches,oh my! The relation of the motivational climate to boys' intention to continue in sport

ObjectivesMotivational climates (Ames, 1992) and goal orientations (Nicholls, 1989) are essential in understanding children's experiences with sport. We examined the perceived task-involving motivational climates created by parents, peers, and coaches and their task goal orientation in relation to male adolescent athletes' sport competence, self-esteem and enjoyment, and ultimately, their intention to continue participating.DesignWe used a cross-sectional design with a large convenience sample of male adolescent athletes from the U.S. (N = 405, ages 12–15 years).MethodBoys anonymously completed survey questionnaires during their physical education classes at school.ResultsTask goal orientation was explained by task-involving parent, peer, and coach initiated motivational climates, although parent and peer climates were most influential. Boys with higher task goal orientations reported greater sport competence, self-esteem, and more enjoyment in sport. Intention to continue playing sport primarily was predicted by the boys' enjoyment, and secondarily, by their self-esteem.ConclusionsConsistent with past research, task motivational climates from parents, peers, and coaches play a key role in boys' enjoyment of their sport, which is essential for continued participation.     

A pilot study exploring the use of a telephone-assisted planning intervention to promote parental support for physical activity among children and youth with disabilities

Parent support is an important contributor to physical activity (PA) among children and youth with disabilities (CYD). Although many parents of CYD are motivated to provide parent PA support, CYD remain insufficiently active. The multi-process action control model has been applied to understand parent PA support and highlights behavioral regulation strategies such as action and coping planning as critical for translating intentions into behavior. Parents may struggle to create and carryout planning without support. There is no known research examining telephone support as a tool to promote planning and subsequent parent PA support behavior.MethodParents (43 mothers and 6 fathers) of CYD (child M_age = 12.53 years ± 5.53; 75% male; 38.6% developmental disability) completed a baseline questionnaire and were subsequently randomized to a telephone-assisted planning experimental group twice over four weeks (n = 23) or a control group who had access to planning tools but no telephone assistance (n = 26).ResultsNo significant main or interaction effects emerged for parent PA support behavior. However, a significant time × condition interaction was found for behavioral regulation strategies (i.e., action and coping planning and self-monitoring; F(1,44) = 5.05, p = 0.03) indicating a significant increase in the use of behavioral regulation strategies for parent PA support from baseline, for parents assigned to the telephone-assisted intervention.ConclusionThese findings suggest potential for planning support as a tool to enhance behavioral regulation strategies related to parent PA support among parents of CYD.     

Pilot Evaluation of the ACT Raising Safe Kids Program on Children’s Bullying Behavior

Research documents that parents play a critical role in the development and maintenance of behavior problems in children. Few bullying prevention programs, however, target children in early childhood or include a parenting component in spite of experts recommending that parent training in behavior management be addressed. Based upon these recommendations, the present study examines the relationship among parent characteristics (hostility, depression, and overall parenting skills) and child bullying and the effects of the American Psychological Association’s ACT Raising Safe Kids program on reducing early childhood bullying. The ACT-RSK program is a primary family violence and child physical abuse prevention program for parents of young children. Fifty-two parents/caregivers, representing children ages 4–10, completed the Brief Symptom Inventory, the ACT Parents Raising Safe Kids Scale, and Early Childhood Bullying Questionnaire (derived from the Child Behavior Checklist and Strengths and Difficulties Questionnaire). Twenty-five of these parents/caregivers were trained in effective parenting including nonviolent discipline, child development, anger management, social problem-solving skills, effects of violent media on children, and methods to protect children from exposure to violence through the ACT-RSK program. The remaining 27 parents/caregivers received treatment as usual. Results indicate decreased bullying in children whose parents completed the ACT-RSK program. Furthermore, of the parent characteristics assessed, parental hostility is the only significant parent predictor for child bullying. These findings suggest the efficacy of this brief intervention for preventing bullying.     

Breaking Down Barriers: Museum as Broker of Home/School Collaboration

ABSTRACT

Parents have a major influence on children's learning, yet parent involvement remains weak in many communities. This article addresses the role of a museum in bringing home and school together, describing results from 2 complementary studies of a museum-designed and -implemented parent involvement program. The first study was an exploratory, mixed-methods investigation designed to understand the program's impact on parents' engagement in their children's learning. The second study used a grounded theory approach to develop theoretical hypotheses about the programmatic mechanisms that facilitated parents' engagement. In terms of impact, the program gave parents a platform through which to create new and more meaningful spaces for connecting to their children's learning, including conceptual spaces, social spaces, and physical spaces. In terms of mechanisms, the program first helped parents to build relevant capital and then to author new and relevant ways of engaging with their children's schooling. Taken together, study results broaden current thinking about the spaces in which parent engagement occurs and emphasize the important community-based role that museums can play to bring parents and schools together in support of children's development.     

Stress in youth sport: A developmental investigation of tennis parents

ObjectiveThis study investigated the stage-specific stressors experienced by British tennis parents whose children were situated either in the sampling, specializing or investment stages of participation in the sport [Côtè, J. (1999). The influence of the family in the development of talent in sport. The Sport Psychologist, 13, 395–417].Design and methodA qualitative design was employed with semi-structured interviews conducted with twenty two British tennis parents; six parents representing each of the first two stages of sports participation and ten representing the investment stage. Data was analyzed through a process of inductive content analysis following the method proposed by Miles and Huberman [Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis. London: Sage]. Data matrices were developed for each category of parent to allow for the comparison of the data between themes.Results and conclusionThree general dimensions of parental stressor emerged: Organizational, Competitive and Developmental. Organizational stressors included demands related to finance, time, training and coaching, and governing body systems; competitive stressors related to behavior, performance and morality-related issues associated with their child's matches; and developmental stressors centered on educational issues, uncertainty of tennis transitions, and future decision making. While sampling stage parents encountered few developmental stressors compared to later stage parents, a range of competitive stressors were highly prominent. Organizational stressors were particularly foremost for specializing and investment stage parents. Implications are discussed with reference to further research into the parental stress process and to the importance of stage-specific parent education initiatives.     

Parents’ moral intentions towards antisocial parent behaviour: An identity approach in youth sport

ObjectivesGrounded in personal and social identity theory, the purpose of this study was to examine whether parents’ personal and social identity perceptions influence their moral intentions towards antisocial parent behaviour in a youth sport setting.DesignParents of competitive youth ice hockey players (N = 437) read a vignette that either described a parent from the participant’s own team (i.e., ingroup), or a parent from an opposing team (i.e., outgroup) acting antisocially towards an athlete from the participant’s own team, an opposing athlete, or their own child. Parents were asked whether they would respond to the antisocial behaviour in the form of direct or indirect criticism or report the behaviour to the coach or to the league.ResultsParents were more likely to directly criticize ingroup parents than outgroup parents and they were more likely to indirectly criticize outgroup parents than ingroup parents. Further, parents with stronger social identities reported higher intentions to indirectly criticize an outgroup parent. There were no main effects for reporting behaviour (to coach or league), and personal identity did not moderate relationships with moral intentions towards antisocial behaviour.ConclusionBy providing parents with a situation that includes antisocial parent behaviour in the immediate youth sport environment, novel insight was gathered with regard to what contextual elements might drive parents’ intention to criticize, but not report antisocial behaviour.     

Effect of Make Parenting a Pleasure on Parenting Skills and Parental Depression

Abstract

This paper explores a feasibility trial examining the effects of the Make Parenting A Pleasure (MPAP), a 12-week parent training program designed to promote family resilience by strengthening the following factors: parental resilience, social connections, concrete support in times of need, knowledge of parenting and child development, and social and emotional competence in children. Fifty-nine (59) participants were assigned to either a treatment group (n?=?32) or a waitlist control group (n?=?27). Results showed that participants in the MPAP treatment group demonstrated an increase in parenting skills and child development knowledge as well as a decrease in parental depression when compared to waitlist control group participants. Results emphasize the importance of promoting resiliency by supporting parents through direct instruction and skill development.     

The Effects of Fast Start Reading: A Fluency-BasedHome Involvement Reading Program,On the Reading Achievement of Beginning Readers

This study tested the effects of a fluency-based home reading program called Fast Start. Thirty beginning first-grade students, representing a wide range of early reading abilities, were randomly assigned to experimental or control conditions for a period of 11 weeks.

Parents and students in the experimental group received Fast Start training, weekly materials packets, and weekly telephone support. Control group parents and students received the parent involvement opportunities typical for their family and classroom. Significant effects for those students most at-risk in reading (as measured by pretest) were found on measures of Letter/Word recognition and reading fluency. Verbal and written survey information collected from the experimental group indicated generally positive perceptions of the program by parents.     

If It's Offered,Will They Come? Influences on Parents' Participation in a Community-Based Conduct Problems Prevention Program

This study examined influences on the rate and quality of parent participation in the Fast Track Program, a multi-system, longitudinal preventive intervention for children who are at risk for conduct problems. A theoretical model of the relations among family coordinator characteristics, parent characteristics, the therapeutic engagement between family coordinator and parent, and rate and quality of parent participation was the basis for this study. Family coordinators are the Fast Track program personnel who conduct group-based parent-training sessions and home visits. Participants in this study included 12 family coordinators (42% were African American, 58% European American) and 87parents (55% were African American, 45% European American). The level of therapeutic engagement between the parent and the family coordinator was positively associated with the rate of parent attendance at group training sessions. The extent of family coordinator-parent racial and socioeconomic similarity and the extent of the family coordinator's relevant life experiences were highly associated with the level of therapeutic engagement. The quality, but not the rate, of participation was lower for African American parents. Implications of these findings for preventive intervention with this population are discussed.     

The associations between autistic and communication traits in parents and developmental outcomes in children at familial risk of autism at 6 and 24 months of age

BackgroundSeveral studies have explored relationships between parent broader autism phenotype and offspring communication, and have reported that autistic-like traits in parents are related to offspring communication difficulties and autism severity. However, past research has focused on studying such associations in childhood and we know very little about them in infancy. With accumulating evidence that interventions administered during infancy may be most effective in reducing ASD symptoms, it is imperative to examine whether relationships between parent autistic-like traits and child communication appear even earlier during this critical period of life.MethodThis longitudinal study collected data from infant siblings of autistic children (N = 32) and infants with no family history of autism (N = 45) to explore how autistic-like traits in parents related to child developmental outcomes during infancy.ResultsParental communication difficulties and autistic-like traits were found to be associated with a range of child behaviours in the first two years of life, including social-emotional difficulties at 6 and 24 months, lower communication and emerging cognition at 24 months, and increased autistic behaviours at 24 months.ConclusionsBased on the results, it appears that some of the difficulties seen in parents are relayed to children genetically. These findings contribute to ASD research concerning early communication development in children and heritability of ASD traits and may have important implications in monitoring child development. Furthermore, since the current study found a significant association between autistic traits in parents and child social-emotional behaviour as early as 6 months of age, it provides evidence of the value of assessing interventions that target infancy.     

Marriage and Attachment

SUMMARY

Attachment behavior (Bowlby, 1969) is considered an integral part of intimate human relating throughout the life span. This research examined the recollections of ten happy couples in long-term marriages as to their attachment experiences in childhood, and their current attachment experiences in marriage. The findings indicated that none of these happily married subjects were raised in homes where both parents were physically and emotionally available. Yet, in adult life they had clearly succeeded in establishing fulfilling long-term relationships. These findings suggested that attachment behavior is subject to modification throughout the life cycle and is not rigidly fixed in childhood. The data suggested that insight, changes in the parent/subject relationship, and the marital relationship were some of the primary factors which could account for the changes in attachment behavior.