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Parental attendance in two early-childhood training programmes to improve nurturing care: A randomized controlled trial

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  • Martins, Rafaela Costa
  • Machado, Adriana Kramer Fiala
  • Shenderovich, Yulia
  • Soares, Tâmara Biolo
  • da Cruz, Suélen Henriques
  • Altafim, Elisa Raquel Pisani
  • Linhares, Maria Beatriz Martins
  • Barros, Fernando
  • Santos, Iná S.
  • Murray, Joseph

Abstract

Parent training programmes have significant potential to improve the quality of children's early environments and thereby their development and life-course outcomes. The aim of this study was to identify and explain the extent to which parents engaged in two group-based training programmes, offered to high-risk families enrolled in a randomized controlled trial study called PIÁ in Southern Brazil. The programmes were: (1) ACT: Raising Safe Kids, a 9-week programme aiming to reduce harsh parenting and maltreatment and improve positive parenting practices; (2) Dialogic book-sharing (DBS), an 8-week programme aiming to promote parental sensitivity and improve child cognitive development and social understanding. Of the 123 mothers randomly allocated to the ACT programme, 64.2% (n = 79) completed the course, and of 124 mothers allocated to DBS, 76.6% (n = 95) completed the course. After the interventions, mothers were very positive about the experience of both programmes but highlighted practical difficulties in attending. In adjusted regression analyses, only two variables significantly predicted ACT course completion (maternal age and distance between the intervention site and household); no significant predictor was found for DBS attendance. We conclude that although high completion rates are possible, there are important challenges to engaging parents of young children in training programmes, and practical difficulties occurring during training courses may be more important for attendance than baseline participant characteristics.

Suggested Citation

  • Martins, Rafaela Costa & Machado, Adriana Kramer Fiala & Shenderovich, Yulia & Soares, Tâmara Biolo & da Cruz, Suélen Henriques & Altafim, Elisa Raquel Pisani & Linhares, Maria Beatriz Martins & Barro, 2020. "Parental attendance in two early-childhood training programmes to improve nurturing care: A randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 118(C).
    • Handle: RePEc:eee:cysrev:v:118:y:2020:i:c:s019074092030829x
    DOI: 10.1016/j.childyouth.2020.105418
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    References listed on IDEAS

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    1. Knox, Michele & Burkhart, Kimberly, 2014. "A multi-site study of the ACT Raising Safe Kids program: Predictors of outcomes and attrition," Children and Youth Services Review, Elsevier, vol. 39(C), pages 20-24.
    2. Altafim, Elisa Rachel Pisani & McCoy, Dana Charles & Linhares, Maria Beatriz Martins, 2018. "Relations between parenting practices, socioeconomic status, and child behavior in Brazil," Children and Youth Services Review, Elsevier, vol. 89(C), pages 93-102.
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    1. Lotto, Camila Regina & Altafim, Elisa Rachel Pisani & Linhares, Maria Beatriz Martins, 2022. "Feasibility and acceptability study of the online ACT-Raising Safe Kids program," Children and Youth Services Review, Elsevier, vol. 141(C).
    2. Francis, Taja & Baker-Henningham, Helen, 2021. "The Irie Homes Toolbox: A cluster randomized controlled trial of an early childhood parenting program to prevent violence against children in Jamaica," Children and Youth Services Review, Elsevier, vol. 126(C).
    3. Alessandra Schneider & Michelle Rodrigues & Olesya Falenchuk & Tiago N. Munhoz & Aluisio J. D. Barros & Joseph Murray & Marlos R. Domingues & Jennifer M. Jenkins, 2021. "Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of an Observational Measure for Parent–Child Responsive Caregiving," IJERPH, MDPI, vol. 18(3), pages 1-15, January.

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