Daniel Michelson1, Ilan Ben-Zion1, Alana I James2, Lucy Draper3, Caroline Penney3, Crispin Day4. 1. Department of Psychology, Institute of Psychiatry, King's College London, London, UK. 2. Department of Psychology, Royal Holloway, University of London, London, UK. 3. Centre for Parent and Child Support, South London and Maudsley NHS Foundation Trust, London, UK. 4. Department of Psychology, Institute of Psychiatry, King's College London, London, UK Centre for Parent and Child Support, South London and Maudsley NHS Foundation Trust, London, UK.
Abstract
OBJECTIVE: To develop and test the feasibility of a peer-led parenting intervention for parents of adolescent children. DESIGN: Formative evaluation using a mixed-method cohort design. SETTING: Socially deprived community sites in London, UK. PARTICIPANTS: Parents seeking help with managing behavioural difficulties of an index adolescent child (aged 11-17 years). INTERVENTION: A structured, group-based intervention ('Living with Teenagers') delivered by trained peer facilitators. MAIN OUTCOME MEASURES: We assessed feasibility in terms of uptake and completion rates (% parents completing ≥5 sessions); social validity (assessed by service satisfaction measure and participant interviews); and potential for impact (assessed by parent-reported measures of adolescent behaviour and mental health, parenting satisfaction, expressed emotion, and disciplinary practices). RESULTS: Participants (n=41) were predominately (79%) from minority ethnic backgrounds and nearly half were lone parents. Most had not previously accessed a structured parenting programme. The completion rate was 71%. Significant changes (p<0.05) were observed in reduced parental concern about adolescent problems, increased parenting satisfaction and less negative expressed emotion. There were non-significant changes in disciplinary practices and adolescent mental health. Participants were highly satisfied with their service experience and endorsed the acceptability of the intervention's content, materials and peer-led format, while suggesting an expanded number of sessions and more skills practice and demonstrations. CONCLUSIONS: Peer-led parenting groups are feasible and potentially effective for supporting parents of adolescents living in socially disadvantaged communities. These findings warrant more rigorous testing under controlled conditions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
OBJECTIVE: To develop and test the feasibility of a peer-led parenting intervention for parents of adolescent children. DESIGN: Formative evaluation using a mixed-method cohort design. SETTING: Socially deprived community sites in London, UK. PARTICIPANTS: Parents seeking help with managing behavioural difficulties of an index adolescent child (aged 11-17 years). INTERVENTION: A structured, group-based intervention ('Living with Teenagers') delivered by trained peer facilitators. MAIN OUTCOME MEASURES: We assessed feasibility in terms of uptake and completion rates (% parents completing ≥5 sessions); social validity (assessed by service satisfaction measure and participant interviews); and potential for impact (assessed by parent-reported measures of adolescent behaviour and mental health, parenting satisfaction, expressed emotion, and disciplinary practices). RESULTS:Participants (n=41) were predominately (79%) from minority ethnic backgrounds and nearly half were lone parents. Most had not previously accessed a structured parenting programme. The completion rate was 71%. Significant changes (p<0.05) were observed in reduced parental concern about adolescent problems, increased parenting satisfaction and less negative expressed emotion. There were non-significant changes in disciplinary practices and adolescent mental health. Participants were highly satisfied with their service experience and endorsed the acceptability of the intervention's content, materials and peer-led format, while suggesting an expanded number of sessions and more skills practice and demonstrations. CONCLUSIONS: Peer-led parenting groups are feasible and potentially effective for supporting parents of adolescents living in socially disadvantaged communities. These findings warrant more rigorous testing under controlled conditions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Entities:
Keywords:
Adolescent Health; Child Psychiatry; Child Psychology; Comm Child Health; Health services research
Authors: Crispin Day; Jackie Briskman; Mike J Crawford; Lisa Foote; Lucy Harris; Janet Boadu; Paul McCrone; Mary McMurran; Daniel Michelson; Paul Moran; Liberty Mosse; Stephen Scott; Daniel Stahl; Paul Ramchandani; Timothy Weaver Journal: Health Technol Assess Date: 2020-03 Impact factor: 4.014
Authors: Laura-Louise Arundell; Helen Greenwood; Helen Baldwin; Eleanor Kotas; Shubulade Smith; Kasia Trojanowska; Chris Cooper Journal: Syst Rev Date: 2020-05-26