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A Remote Parenting Program and Parent and Staff Perspectives: A Randomized Trial.

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Title: A Remote Parenting Program and Parent and Staff Perspectives: A Randomized Trial.
Authors: Smith, Joanne A., Chang, Susan M., Brentani, Alexandra, Fink, Günther, Lopez-Boo, Florencia, Torino, Belen Michel, Codina, Marta Rubio, Walker, Susan P.
Source: Pediatrics. 2023Suppl2, Vol. 151, pS1-S17. 19p.
Subjects: Medical consultation, Parent attitudes, Parenting education, Evaluation of human services programs, Confidence intervals, Attitudes of medical personnel, Human services programs, Randomized controlled trials, Qualitative research, Descriptive statistics, Data analysis software, Telemedicine, COVID-19 pandemic
Geographic Terms: Jamaica, Brazil
Abstract: OBJECTIVES: To assess impact and implementation of remote delivery of a parenting program following suspension of in-person visits during the coronavirus disease 2019 pandemic. METHODS: Impact of remote delivery of the Reach Up parenting program on parenting practices was evaluated by randomized trial in Jamaica. Mothers with children aged 5 to 24 months who met 1 of 7 at-risk criteria were enrolled at health centers. Participants were randomly assigned to intervention or control using random number tables generated by a statistician. Intervention comprised a manual for parents with illustrated play activities, phone calls, and short message service messages. The control group received usual care. Parent practices were measured using an adapted Family Care Indicators telephone-administered questionnaire by interviewers unaware of group assignment. Qualitative interviews were conducted with staff and parents in Jamaica and Brazil and staff in Ecuador to identify facilitators and barriers to remote delivery of Reach Up. RESULTS: Two hundred forty-seven participants were assessed at endline (control n = 130; intervention n = 117). Intervention increased parent activities that support child development, effect size 0.34 SD (95% confidence interval 0.03-0.53), and use of praise, odds 2 times higher with intervention. There were no benefits to interactive language or play materials. Qualitative results showed parents appreciated program continuation and felt motivated to help their child, and methods were acceptable to staff. Barriers included poor mobile phone access, difficulty contacting parents, and feedback limitations without in-person contact. CONCLUSIONS: Remote delivery methods have potential to contribute to scaling of parenting programs. [ABSTRACT FROM AUTHOR]
Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: A Remote Parenting Program and Parent and Staff Perspectives: A Randomized Trial.
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  Data: <searchLink fieldCode="AR" term="%22Smith%2C+Joanne+A%2E%22">Smith, Joanne A.</searchLink><br /><searchLink fieldCode="AR" term="%22Chang%2C+Susan+M%2E%22">Chang, Susan M.</searchLink><br /><searchLink fieldCode="AR" term="%22Brentani%2C+Alexandra%22">Brentani, Alexandra</searchLink><br /><searchLink fieldCode="AR" term="%22Fink%2C+Günther%22">Fink, Günther</searchLink><br /><searchLink fieldCode="AR" term="%22Lopez-Boo%2C+Florencia%22">Lopez-Boo, Florencia</searchLink><br /><searchLink fieldCode="AR" term="%22Torino%2C+Belen+Michel%22">Torino, Belen Michel</searchLink><br /><searchLink fieldCode="AR" term="%22Codina%2C+Marta+Rubio%22">Codina, Marta Rubio</searchLink><br /><searchLink fieldCode="AR" term="%22Walker%2C+Susan+P%2E%22">Walker, Susan P.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. 2023Suppl2, Vol. 151, pS1-S17. 19p.
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  Data: <searchLink fieldCode="DE" term="%22Jamaica%22">Jamaica</searchLink><br /><searchLink fieldCode="DE" term="%22Brazil%22">Brazil</searchLink>
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  Data: OBJECTIVES: To assess impact and implementation of remote delivery of a parenting program following suspension of in-person visits during the coronavirus disease 2019 pandemic. METHODS: Impact of remote delivery of the Reach Up parenting program on parenting practices was evaluated by randomized trial in Jamaica. Mothers with children aged 5 to 24 months who met 1 of 7 at-risk criteria were enrolled at health centers. Participants were randomly assigned to intervention or control using random number tables generated by a statistician. Intervention comprised a manual for parents with illustrated play activities, phone calls, and short message service messages. The control group received usual care. Parent practices were measured using an adapted Family Care Indicators telephone-administered questionnaire by interviewers unaware of group assignment. Qualitative interviews were conducted with staff and parents in Jamaica and Brazil and staff in Ecuador to identify facilitators and barriers to remote delivery of Reach Up. RESULTS: Two hundred forty-seven participants were assessed at endline (control n = 130; intervention n = 117). Intervention increased parent activities that support child development, effect size 0.34 SD (95% confidence interval 0.03-0.53), and use of praise, odds 2 times higher with intervention. There were no benefits to interactive language or play materials. Qualitative results showed parents appreciated program continuation and felt motivated to help their child, and methods were acceptable to staff. Barriers included poor mobile phone access, difficulty contacting parents, and feedback limitations without in-person contact. CONCLUSIONS: Remote delivery methods have potential to contribute to scaling of parenting programs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=163418571
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1542/peds.2023-060221F
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 19
        StartPage: S1
    Subjects:
      – SubjectFull: Medical consultation
        Type: general
      – SubjectFull: Parent attitudes
        Type: general
      – SubjectFull: Parenting education
        Type: general
      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Human services programs
        Type: general
      – SubjectFull: Randomized controlled trials
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Telemedicine
        Type: general
      – SubjectFull: COVID-19 pandemic
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      – SubjectFull: Jamaica
        Type: general
      – SubjectFull: Brazil
        Type: general
    Titles:
      – TitleFull: A Remote Parenting Program and Parent and Staff Perspectives: A Randomized Trial.
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            NameFull: Smith, Joanne A.
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              M: 05
              Text: 2023Suppl2
              Type: published
              Y: 2023
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              Value: 151
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