Abstract
Parents of children with emotional and behavioral needs frequently experience difficulty navigating community-based services for their child, as well as experience increased stress and parental strain. Peer-to-peer support programs are an emerging approach to assist these parents, and evidence suggests that they are effective in increasing parents’ perceptions of social support, self-efficacy, and well-being. However, these programs often focus on parents of youth with diagnosed mental health disorders, despite the potential benefit for parents of youth who are at-risk for significant emotional and behavioral problems. In the current study, we used a pre-post design to evaluate a community-based, peer-to-peer support prevention program delivered via telephone to parents (N = 139) of youth with emerging behavioral and emotional difficulties. We evaluated (1) whether the intervention was delivered as designed, (2) the pre- and post-intervention gains in social support and concrete support, and (3) whether parents’ level of participation in the intervention and program adherence predicted outcomes. Results indicated that the intervention was delivered as intended and resulted in increased parental perceived social support and concrete support over time. Furthermore, higher levels of parental participation and intervention adherence were associated with increases in perceived social support. Thus, findings suggest that it may be beneficial for parents of at-risk youth with significant emotional and behavioral difficulties to engage in a peer-to-peer phone support prevention program.
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References
Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50, 179–211. doi:10.1016/0749-5978(91)90020-T.
Angold, A., Messer, S. C., Stangl, D., Farmer, E. M. Z., Costello, E. J., & Burns, B. J. (1998). Perceived parental burden and service use for child and adolescent psychiatric disorders. American Journal of Public Health, 88, 75–80. doi:10.2105/AJPH.88.1.75.
Baker, C. N., Arnold, D. H., & Meagher, S. (2011). Enrollment and attendance in a parent training prevention program for conduct problems. Prevention Science, 12, 126–138. doi:10.1007/s11121-010-0187-0.
Bradley, R., Doolittle, J., & Bartolotta, R. (2008). Building on the data and adding to the discussion: The experiences and outcomes of students with emotional disturbance. Journal of Behavioral Education, 17, 4–23. doi:10.1007/s10864-007-9058-6.
Counts, J. M., Buffington, E. S., Chang-Rios, K., Rasmussen, H. N., & Preacher, K. J. (2010). The development and validation of the protective factors survey: A self-report measure of protective factors against child maltreatment. Child Abuse and Neglect, 34, 762–772. doi:10.1016/j.chiabu.2010.03.003.
Dane, A. V., & Schneider, B. H. (1998). Program integrity in primary and early secondary prevention: Are implementation effects out of control? Clinical Psychology Review, 18, 23–45. doi:10.1016/S0272-7358(97)00043-3.
Domitrovich, C. E., & Greenberg, M. T. (2000). The study of implementation: Current findings from effective programs that prevent mental disorders in school-aged children. Journal of Educational and Psychological Consultation, 71, 193–221. doi:10.1207/S1532768XJEPC1102_04.
Dusenbury, L., Brannigan, R., Falco, M., & Hansen, W. B. (2003). A review of research on fidelity of implementation: Implications for drug abuse prevention in school settings. Health Education Research, 18, 237–256. doi:10.1093/her/18.2.237.
Eames, C., Daley, D., Hutchings, J., Whitaker, C. J., Jones, K., Hughes, J. C., & Bywater, T. (2009). Treatment fidelity as a predictor of behaviour change in parents attending group-based parent training. Child: Care, Health and Development, 35, 603–612. doi:10.1111/j.1365-2214.2009.00975.x.
Eisner, M., & Meidert, U. (2011). Stages of parental engagement in a universal parent training program. The Journal of Primary Prevention, 32, 83–93. doi:10.1007/s10935-011-0238-8.
Girio-Herrera, E., Owens, J. S., & Langberg, J. M. (2013). Perceived barriers to help-seeking among parents of at-risk kindergarteners in rural communities. Journal of Clinical Child and Adolescent Psychology, 42, 68–77. doi:10.1080/15374416.2012.715365.
Hoagwood, K. E., Cavaleri, M. A., Olin, S. S., Burns, B. J., Slaton, E., Gruttadaro, D., & Hughes, R. (2010). Family support in children’s mental health: A review and synthesis. Clinical Child and Family Psychology Review, 13, 1–45. doi:10.1007/s10567-009-0060-5.
Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child Family Studies, 19, 629–645. doi:10.1007/s10826-009-9350-2.
Ireys, H. T., Chernoff, R., Stein, R. E. K., DeVet, K. A., & Silver, E. J. (2001). Outcomes of community-based family-to-family support: Lessons learned from a decade of randomized trials. Children’s Services: Social Policy, Research, and Practice, 4, 203–216. doi:10.1207/S15326918CS0404_04.
Kazdin, A. E. (1997). Parent management training: Evidence, outcomes, and issues. Journal of the American Academy of Child and Adolescent Psychiatry, 36, 1349–1356. doi:10.1097/00004583-199710000-00016.
Kutash, K., Cross, B., Madias, A., Duchnowski, A. J., & Green, A. L. (2012). Description of a fidelity implementation system: An example from a community-based children’s mental health program. Journal of Child and Family Studies, 21, 1028–1040. doi:10.1007/s10826-012-9565-5.
Kutash, K., Duchnowski, A. J., & Green, A. L. (in press). Meeting the mental health needs of youth with emotional and behavioral disorders. Beyond Behavior.
Kutash, K., Duchnowski, A. J., Green, A. L., & Ferron, J. M. (2011). Supporting parents who have youth with emotional disturbances through a parent-to-parent support program: A proof of concept study using random assignment. Administration and Policy in Mental Health and Mental Health Services Research, 38, 412–427. doi:10.1007/s10488-010-0329-5.
Kutash, K., Duchnowski, A. J., Green, A. L., & Ferron, J. M. (2013). Effectiveness of the Parent Connectors program: Results from a randomized controlled trial. School Mental Health, 5, 192–208. doi:10.1007/s12310-013-9106-4.
Kutash, K., Duchnowski, A. J., & Lynn, N. (2006). School-based mental health: An empirical guide for decision-makers. Tampa, FL: University of South Florida, The Louis de la Parte Florida Mental Health Institute, Department of Child & Family Studies, Research and Training Center for Children’s Mental Health.
Lucksted, A., McFarlane, W., Downing, D., Dixon, L., & Adams, C. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of Marital and Family Therapy, 38, 101–121. doi:10.1111/j.1752-0606.2011.00256.x.
McKay, M. M., Gopalan, G., Franco, L., Dean-Assael, K., Chacko, A., Jackson, J. M., & Fuss, A. (2011). A collaboratively designed child mental health service model: Multiple family groups for urban children with conduct difficulties. Research on Social Work Practice, 21, 664–674. doi:10.1177/1049731511406740.
Muthén, L. K., & Muthén, B. O. (1998). Mplus user’s guide (7th ed.). Los Angeles, CA: Muthén & Muthén.
Olin, S. S., Hoagwood, K. E., Rodriguez, J., Ramos, B., Burton, G., Penn, M., & Jensen, P. S. (2010). The application of behavior change theory to family-based services: Improving parent empowerment in children’s mental health. Journal of Child and Family Studies, 19, 462–470. doi:10.1007/s10826-009-9317-3.
Owens, P. L., Hoagwood, K., Horwitz, S. M., Leaf, P. J., Poduska, J. M., Kellam, S. G., & Ialongo, N. S. (2002). Barriers to children’s mental health services. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 731–738. doi:10.1097/00004583-200206000-00013.
Robbins, V., Johnston, J., Barnett, H., Hobstetter, W., Kutash, K., Duchnowski, A. J., & Annis, S. (2008). Parent to parent: A synthesis of the emerging literature. Tampa, FL: University of South Florida, The Louis de la Parte Florida Mental Health Institute, Department of Child & Family Studies.
Rodriguez, J., Olin, S. S., Hoagwood, K. E., Shen, S., Burton, G., Radigan, M., & Jensen, P. S. (2011). The development and evaluation of a parent empowerment program for family peer advocates. Journal of Child and Family Studies, 20, 397–405. doi:10.1007/s10826-010-9405-4.
Sanders, M. R., & Prinz, R. J. (2008). Ethical and professional issues in the implementation of population-level parenting interventions. Clinical Psychology: Science and Practice, 15, 130–136. doi:10.1111/j.1468-2850.2008.00121.x.
Schoenwald, S., Sheidow, A., & Letourneau, E. (2004). Toward effective quality assurance in evidence-based practice: Links between expert consultation, therapist fidelity, and child outcomes. Journal of Clinical Child and Adolescent Psychology, 33, 94–104. doi:10.1207/S15374424JCCP3301_10.
Spoth, R., Clair, S., Greenberg, M., Redmond, C., & Shin, C. (2007). Toward dissemination of evidence-based family interventions: Maintenance of community-based partnership recruitment results and associated factors. Journal of Family Psychology, 21, 137–146. doi:10.1037/0893-3200.21.2.137.
Utting, D., Monteiro, H., & Ghate, D. (2007). Interventions for children at risk of developing antisocial personality disorder. London: Policy Research Bureau.
Wagner, M. M. (1995). Outcomes for youths with serious emotional disturbance in secondary school and early adulthood. Future of Children, 5, 90–112. doi:10.2307/1602359.
Yeaton, W. H., & Sechrest, L. (1981). Critical dimensions in the choice and maintenance of successful treatments: Strength, integrity, and effectiveness. Journal of Consulting and Clinical Psychology, 49, 156–167. doi:10.1037/0022-006X.49.2.156.
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The development and preparation of this article was supported in part by the Institute of Education Sciences, U.S. Department of Education, through Grant R324B110001 to the University of Nebraska–Lincoln. The opinions expressed are those of the authors and do not necessarily represent views of the Institute or the U.S. Department of Education.
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January, SA.A., Duppong Hurley, K., Stevens, A.L. et al. Evaluation of a Community-Based Peer-to-Peer Support Program for Parents of At-Risk Youth with Emotional and Behavioral Difficulties. J Child Fam Stud 25, 836–844 (2016). https://doi.org/10.1007/s10826-015-0271-y
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DOI: https://doi.org/10.1007/s10826-015-0271-y