Evaluation of a Clinic‐Based Parent Education Program to Reduce the Risk of Infant and Toddler Maltreatment

Department of Health Services, School of Public Health and Community Medicine, University of Washington, Seattle 98195, USA.
Public Health Nursing (Impact Factor: 0.83). 09/2002; 19(5):377-89. DOI: 10.1046/j.1525-1446.2002.19507.x
Source: PubMed


Community-based parent education programs are a common component of service plans for abusive and potentially abusive parents. Despite their widespread use, few studies have evaluated the effect of such programs to change actual parenting behavior even though this is a key intervention goal. The purpose of this study was to evaluate whether a relatively brief and inexpensive clinic-based education program could benefit parents of infants and toddlers by alleviating parental stress and improving parent-child interaction. Participants were 199 parents of children 1 through 36 months of age who were at risk for parenting problems and child maltreatment due to serious life stress including poverty, low social support, personal histories of childhood maltreatment, and substance abuse. Program effects were evaluated in terms of improvement in self-reported parenting stress and observed parent-child interaction. Positive effects were documented for the group as a whole and within each of three subgroups: two community samples and a group of mothers and children in residential drug treatment. Additional analyses illustrated a dose-response relationship between program attendance and magnitude of gain in observed parenting skills.

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Available from: Colleen Huebner, May 08, 2014
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    • "However, program effects in these substance-abusing parent samples are compromised by low retention rates. A study in an outpatient setting found participants attended on average only 38% of sessions (Huebner, 2002), whilst another study that combined both home visitation and outpatient groups reported 51% of participants in the intervention group attended only half of the sessions (Catalano, Gainey, Fleming, Haggerty & Johnson 1999). Behaviourally based approaches implemented in residential programs have had similar problems with small sample sizes and high drop out rates (e.g., Knight, et al., 2007). "
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