Stress in Mothers with Intellectual Disabilities

Both low parental IQ and stress have been shown to be associated with parenting difficulties and adverse child outcomes. We examined stress in parents with low IQ as a potential contributor to their documented parenting problems. Eighty-two mothers with intellectual disabilities (IQ < 80; labelled as having mental retardation) were given the Parenting Stress Index and they were found to be enduring very high levels of overall stress (95th percentile), stress related to child characteristics (95th percentile), and stress related to other life experiences (90th percentile) as compared to the normative test group. We divided the 82 mothers with intellectual disabilities into three groups depending on the age of their children. The mothers with school-age children reported significantly higher stress than parents of infant/toddler and preschool children. A hierarchical regression analysis revealed that child age and living in a crowded environment were significant predictors of parenting stress. The results confirm that mothers with intellectual disabilities experience extreme stress that, together with other factors, may hinder adequate parenting.     

The wellness behavior interaction model

A cognitive-behavioral model for conceptualizing wellness is proposed consisting of situational/antecedent variables, person variables, and consequence variables which, taken individually or together, may serve to describe and explain wellness behavior. The model also is interactional in the sense that different categories of variables or factors within a category may impact on each other in a multidirectional fashion. A selective review of research relating to each variable is provided to demonstrate the need for such a multidimensional conceptual scheme for wellness.     

2～6岁儿童母亲教育观念结构及其影响因素

对北京市各城区共2598名2—6岁儿童母亲的教育观念进行测查,探讨其结构组成和可能的影响因素。结果发现,母亲教育观念具有一定的整体构成和较稳定因素成分,主要由儿童发展现、对儿童发展的期望和儿童教育观三维度、十八因素构成;各维度间相互作用、相互影响;儿童年龄、性别、母亲受教育水平、职业等对母亲教育观念具有显著的影响。     

AN ALTERNATING TREATMENTS COMPARISON OF TWO INTENSIVE INTERVENTIONS FOR FOOD REFUSAL

We compared two treatment packages involving negative reinforcement contingencies for 3 children with chronic food refusal. One involved physically guiding the child to accept food contingent on noncompliance, whereas the other involved nonremoval of the spoon until the child accepted the presented food. Subsequent to baseline, an alternating treatments comparison was implemented in a multiple baseline design across subjects. After each child had been exposed to at least nine sessions of each treatment condition and percentage of bites accepted had increased to at least 80%, the child's caregivers selected the preferred treatment package. The results indicated that both treatments were effective in establishing food acceptance. However, physical guidance was associated with fewer corollary behaviors, shorter meal durations, and parental preference.     

Providing Choice Making Opportunities Within and Between Daily School Routines

The purpose of this study was to investigate the effects of providing choice making opportunities, embedded within and between daily school routine activities, on the frequency of protests and task initiations exhibited by a student with a severe intellectual disability. An ABABC single-subject design was used to evaluate the effects of choice making opportunities embedded within and between three daily routine activities. During phase A, the classroom staff directed the student's participation without providing choice making opportunities within the activities. In phase B, staff provided choice making opportunities embedded within steps of each activity. Phase C extended choice making opportunities by providing the participant with a choice between activities as well as within the steps of the activities after it was noted that the first step of beginning the activities occasioned more protests than the other steps. The results of this study replicate earlier research showing that embedded choice making opportunities within routines reduced protests and increased task initiations. The addition of choice making opportunities between activities during phase C further reduced the incidents of protests.     

Effective Parenting as the Integration of Lessons and Dialogue

Our discussion of parenting is based on the premise that ecosystem contingencies and rules sometimes govern the child's social development in contradictory ways. While contingencies inform the child about self control tactics, rules outline principles of communal control operating beyond the child's direct influence. Parents guide their children through lessons which demonstrate contingency control and through dialogue promoting the children's awareness about the limited nature of this control. When parents integrate lessons and dialogue, they optimize their children's chances of self regulation while also helping the children to sustain synchronous community interactions.     

The Potential Mediating Role of Parenting Practices in the Development of Conduct Problems in a Clinic-Referred Sample

Research has consistently found associations among parenting practices, socioeconomic disadvantage, ethnicity and conduct problems in children. We investigated whether parenting practices might mediate the relation between ethnicity and conduct problems and the relation between socioeconomic status (SES) and conduct problems. The subjects were 141 clinic-referred children between the ages of 6 and 17 and their primary custodial parents. Using multiple indicators for each construct, except ethnicity, the mediational role of parenting was tested using structural equation modeling. The results indicated that the effects of SES on conduct problems was largely mediated by the influence of ineffective parenting practices. In contrast, ethnicity was not associated with conduct problems in this clinic-referred sample, even prior to controlling for SES and parenting practices, suggesting that the link between minority status and conduct problems may be dependent on the demographic characteristics of the sample. Exploratory analyses also revealed that there were ethnic differences in the types of parenting practices that were most strongly associated with conduct problems.     

Triple P-Positive Parenting Program: Towards an Empirically Validated Multilevel Parenting and Family Support Strategy for the Prevention of Behavior and Emotional Problems in Children

This paper outlines the theoretical and empirical foundations of a unique multilevel parenting and family support strategy designed to reduce the prevalence of behavioral and emotional problems in preadolescent children. The program known as Triple P-Positive Parenting Program is a multilevel system of family intervention, which provides five levels of intervention of increasing strength. These interventions include a universal population-level media information campaign targeting all parents, two levels of brief primary care consultations targeting mild behavior problems, and two more intensive parent training and family intervention programs for children at risk for more severe behavioral problems. The program aims to determine the minimally sufficient intervention a parent requires in order to deflect a child away from a trajectory towards more serious problems. The self-regulation of parental skill is a central construct in the program. The program uses flexible delivery modalities (including individual face-to-face, group, telephone assisted, and self-directed programs) to tailor the strength of the intervention to the requirements of individual families. Its multidisciplinary, preventive and community-wide focus gives the program wide reach, permitting the targeting of destigmatized access points through primary care services for families who are reluctant to participate in parenting skills programs. The available empirical evidence supporting the efficacy of the program is discussed and its implications for research on dissemination are discussed.     

The ecobehavioral relationship between teachers' and disabled preschoolers' behaviors before and after supervisor training

A previous study (Hundert & Hopkins, 1992) demonstrated the functional relationship between preschool supervisor training and increased child and teacher behaviors. The present study describes a ecobehavioral analysis to suggest how the intervention worked. Following a baseline phase, three preschool supervisors were trained in a collaborative team approach where classroom and resource teachers jointly developed strategies to promote peer interaction of preschoolers with disabilities in three integrated classes. The results indicated that after the intervention: (a) the frequency of children's interactive play doubled during both training and generalization sessions; (b) covariations of peer interaction and teacher behaviors shifted from being related to the presence of a resource teacher in the class, to classroom teacher focus on groups that included a child with disabilities; and, (c) these shifts in child-teacher relationships were not clearly associated with changes in the frequency of teacher behaviors. The contribution of an ecobehavioral analysis to the understanding of complex environment-behavior relationships before and after an intervention is discussed.     

The social validation and training of conversational skills

Three reliably measured components of conversation-questioning, providing positive feedback, and proportion of time spent talking-were identified and validated as to their social importance. The social validity of the three conversational behaviors was established with five female university students and five female junior-high students. Each was videotaped in conversations with previously unknown adults. The conversational ability of each girl was evaluated by a group of 13 adult judges who viewed each tape and rated each conversant "poor" to "excellent" on a seven-point rating scale. The average ratings of the girls correlated at r = 0.85 with the specified behavioral measures. These procedures were replicated with additional subjects and judges and yielded a correlation of r = 0.84. The high correlations between ratings and the objective measures suggested that the specified conversational behaviors were socially important aspects of conversational ability. Employing a multiple-baseline design across the behaviors of asking questions and providing positive feedback, an attempt was made to train four girls who used these behaviors minimally to engage in the behaviors in conversations with adults. Adult judges were again employed to rate randomly selected samples of the girls' skills in pre- and posttraining conversations. The average ratings of the girls before training were lower than both the university girls and the junior high-school girls. After training, the girls' conversational abilities were rated substantially higher than those of their junior high-school peers. These rating data validated the benefits of the training and the social importance of the behavioral components of questions and feedback in conversation. The authors suggest that it may be necessary for traditional behavior analysis measurement systems to be supplemented by social-validation procedures in order to establish the relationship between "objectively" measured behaviors and complex classes of behavior of interest to society.