20 results on '"Fang, Zuyi"'
Search Results
2. A Virtuous Circle: Stakeholder Perspectives of a Short-Term Intensive Parent Training Programme Delivered within the Context of Routine Services for Autism in China
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Fang, Zuyi, Lachman, Jamie M., Zhang, Cheng, Qiao, Dongping, and Barlow, Jane
- Abstract
Although the evidence of parent training programmes for families of autistic children has continued to grow, little is known about the experiences and perceptions of key stakeholders, especially in low- and middle-income countries. This qualitative study was part of a larger real-world evaluation of a short-term intensive parent training programme in routine services delivered to caregivers of autistic children aged 3--6 years in China. It aimed to provide insights into programme acceptability, reasons for participant involvement, and factors related to programme implementation. Fourteen caregivers participated in the in-depth interviews, and two focus group discussions were conducted with eight practitioners. Data were analysed using a combination of data- and theory-driven approaches. Findings point to the needs in low autism resource settings for substantial practice and feedback; group support; individualised coaching; more autism-related knowledge, resources and activities for children and extended family members; and organisational support to practitioners. Further research is suggested to address the recommendations and assess their effectiveness empirically.
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- 2022
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3. Parent training programmes for families of young children with autism spectrum disorder in China : systematic review and real-world mixed-methods evaluation
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Fang, Zuyi, Barlow, Jane, and Lachman, Jamie
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Parenting ,Child welfare ,Evidence-based social work ,Autism - Abstract
Background: Autism Spectrum Disorder (ASD) is associated with elevated levels of child behavioural problems that limit child daily activities and impose challenges to parenting. Parent training programmes have been shown to be effective in improving the behavioural adjustment of children with ASD, but there has been limited evidence to date of the effectiveness of such programmes in China. This DPhil thesis involved: a) the conduct of a large systematic review of parent training programmes for families of children with a broad range of developmental disabilities in mainland China and b) a real-world evaluation of the effectiveness of a short-term intensive parent training programme, called Beijing Stars and Rain Education Institute for Autism (SREIA), delivered to Chinese caregivers of young children with ASD in the context of routine service provision. Methods and Analysis: The systematic review involved a search of Chinese and English databases, as well as the grey literature. Where possible, multi-level meta-analyses were conducted to synthesise the data evaluating the effectiveness of such programmes in reducing child emotional and behavioural problems, improving parent-child relationships, and diminishing child abuse. Subgroup analyses and meta-regression were carried out to investigate treatment effects for different diagnoses, including ASD, as well as to explore potential moderators with a focus on the intervention and delivery components. Risk of bias was assessed for each study and outcome domain. The SREIA programme was evaluated using a quasi-experimental design involving a mixed-methods approach. Participants were drawn from the SREIA programme waiting list. Data were collected at baseline and immediately post-intervention. The primary outcome was child behavioural problems measured by the Child Behaviour Checklist Externalising Scale. Secondary outcomes included child ASD symptoms, caregiver mental health, caregiver knowledge, parenting styles, and family function. Between-group comparisons were conducted using a difference-in-differences technique with propensity score weighting. A process evaluation was undertaken in parallel to assess participant involvement, programme acceptability, and programme delivery. Qualitative in-depth interviews were conducted with caregivers who were identified based on participant attendance and engagement rates, and focus group discussions were held with all programme practitioners, with the purpose of developing a deeper understanding of the quantitative results and exploring the experiences of stakeholders in participating in and delivering the programme. Data collection was structured around three theoretical concepts - participant involvement, programme acceptability, and programme delivery - as well as stakeholder perceived changes and areas for improvement. Qualitative data were analysed using thematic analysis with a combination of data-driven and theory-driven approaches. Results: The systematic review identified 20 randomised controlled trials and 11 quasi-experimental studies involving 2410 families of children diagnosed with ASD, Attention Deficit/Hyperactivity Disorder, Epilepsy, or Tourette Syndrome. Overall, the programmes showed effectiveness in reducing child emotional and behavioural problems (g = -1.37, 95% CI [-2.03, -0.71]) and improving the parent-child relationship (g = 0.47, 95% CI [0.21, 0.73]). Only one study assessed the impact on child abuse, finding that the programme reduced physical and verbal harsh disciplines (RR = 0.51, 95% CI [0.28, 0.92]). A subset of ASD-focused programmes was found to have a large effect on child emotional and behavioural adjustment (g = -1.47, 95% CI [-2.42, -0.52]; 9 studies, 627 participants). Moderator analyses suggested that improving parental knowledge, self-regulation strategies, and empathy increased programme success, whereas the use of reinforcement appeared to temporarily increase child behavioural problems. In terms of programme delivery methods, the systematic review found that programmes with a longer duration; a combination of group and individual sessions; rapport building; ongoing communication extended beyond sessions; and delivery in hospitals or service agencies, were more effective. However, the risk of bias was generally high across studies and outcome domains. Another feature of the included programmes was their brevity, although parent training programmes for ASD can often be delivered with higher intensity in contexts such as China, where the need for such programmes is greater. Moreover, there was an absence of evaluations of programmes delivered as part of routine services. The findings of the review highlighted the need for an evaluation of a more intensive parent training programme within a Chinese context of routine service delivery. The final sample size for the real-world SREIA evaluation was 111, with 63 caregiver-child dyads in the treatment group and 48 dyads in the waitlist control group. The statistical analyses showed that the programme successfully reduced child externalising behaviours (b = -2·71, 95% CI [-5·23, -0·18]; Cohen's d = -2.80), compared to the waitlist control group. It was also effective in increasing parental knowledge of Autism and child development (b = 2.08, 95% CI [2.07, 2.17] ; d = 2.91), reducing parental mental health symptoms (b = -5.96, 95% CI [-11.74, -0.17] ; d = -2.89), and diminishing over-reactive parenting (b = -0.63, 95% CI [-0.98, -0.27]; d = -5.02). An investigation of version differences found that the version with a smaller group size was more effective in reducing externalising problems (b = -3.77, 95% CI [-6.26, -1.28]; d = -4.26), improving parental mental health (b = -12.52, 95% CI [-19.87, -5.18]; d = -4.79), and increasing parental knowledge (b = 3.03, 95%CI [1.82, 4.24]; d = 7.05), while the other version with a larger group size had a greater treatment effect in reducing parental over-reactivity (b = -0.72, 95% CI [-1.15, 0.28]; d = -4.68). However, the version analysis was underpowered and thus should be interpreted with caution. The programme had high levels of participant attendance, engagement, and satisfaction. Exploratory analyses suggested that initial parent mental health concerns were inversely related to participant engagement, and that higher satisfaction and engagement could potentially increase treatment effects. The qualitative study identified two caregivers from each of the seven caregiver groups based on their levels of attendance and engagement as rated by programme practitioners on a daily basis, resulting in 14 caregivers participating in the in-depth interviews. Two focus group discussions were conducted with four programme practitioners in each group. Results of the qualitative data highlighted the benefits of practice and feedback during and between sessions, flexible mentoring, peer support, and ASD information that is delivered in the initial sessions, as well as the need for more individualised coaching, ASD-related resource sharing, formal mental health support, structured activities for children, brief training for other family members, and organisational resources for practitioners. Conclusion: Overall, this DPhil thesis provides support to the implementation of programmes that combine parent training and support to caregivers of children with ASD, especially in areas where there is a paucity of ASD-related resources and substantial unmet family need. This thesis also identifies the need for better organisational infrastructure to improve practitioner capacity, offer them mental health support, and reduce their workload. Moreover, it demonstrates the feasibility and advantages of conducting rigorous mixed-methods evaluations in real-world conditions, with the purpose of building the evidence base in low-resource settings. This thesis calls for closer partnerships between implementers, researchers, and programme end users; and for more research to investigate the implementation and effectiveness of parent training programmes delivered in low- and middle-income countries.
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- 2021
4. Early childhood interventions in educational settings that promote school readiness for children with autism and other developmental disabilities: Systematic review
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Fang, Zuyi, Liu, Xinran, Zhang, Cheng, and Qiao, Dongping
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- 2023
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5. When left-behind children become adults and parents: The long-term human capital consequences of parental absence in China
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Zheng, Xiaodong, Fang, Zuyi, Wang, Yajun, and Fang, Xiangming
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- 2022
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6. Associations between childhood maltreatment and educational, health and economic outcomes among middle-aged Chinese: The moderating role of relative poverty
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Zheng, Xiaodong, Fang, Zuyi, Shangguan, Shuangyue, and Fang, Xiangming
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- 2022
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7. Parenting Interventions That Promote Child Protection and Development for Preschool-Age Children with Developmental Disabilities: A Global Systematic Review and Meta-Analysis.
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Fang, Zuyi, Liu, Xinran, Zhang, Cheng, Lachman, Jamie M., and Qiao, Dongping
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MIDDLE-income countries , *MENTAL health , *RESEARCH funding , *PARENT-child relationships , *CHILDREN'S accident prevention , *PARENTING , *EVALUATION of medical care , *META-analysis , *DESCRIPTIVE statistics , *SYSTEMATIC reviews , *CHILD development , *CHILD development deviations , *SOCIAL skills , *HEALTH promotion , *CHILD behavior , *LANGUAGE acquisition , *PATIENT aftercare , *LOW-income countries - Abstract
Global guidelines emphasize the critical role of responsive caregiving in terms of reducing violence against children and promoting early childhood development. However, there is an absence of global evidence synthesis on the effects of early childhood parenting programs for children with developmental disabilities. This systematic review and meta-analysis aims to investigate the effectiveness of parenting interventions delivered for preschool-age children with developmental disabilities in reducing violence against children, altering violence-related factors, and promoting child development. We searched for randomized controlled trials with inactive control. Estimates were pooled using robust variance estimations. Meta-regressions were conducted to explore sources of heterogeneity. In all, 33 studies met the inclusion criteria. The results showed that parenting programs improved child behavior, parental mental health, parenting practices, parental self-efficacy, parent–child interaction, child language skills, and child social skills post-intervention. No studies provided data on the actual occurrence of violence against children. Effects might vary by diagnosis, delivery modality, and world region. The findings supported the delivery of parenting programs to alter factors associated with violence against children and promote child language and social skills for families of young children with developmental disabilities, especially attention deficit hyperactivity disorder, autism, intellectual disability, and language disorders. More research using rigorous methods, long-term follow-ups, and transparent reporting is needed, particularly within more low- and middle-income countries. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Feasibility and Acceptability of Parenting for Lifelong Health Program in Mainland China.
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Wang, Weiwei, Liu, Shiqin, Liang, Yuzhu, Lachman, Jamie M., Fang, Zuyi, and Zhang, Huiping
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PREVENTION of child abuse ,PATIENT selection ,HUMAN services programs ,RESEARCH funding ,FOCUS groups ,FAMILY conflict ,INCOME ,CENTER for Epidemiologic Studies Depression Scale ,T-test (Statistics) ,EVALUATION of human services programs ,PILOT projects ,QUESTIONNAIRES ,INTERVIEWING ,HUMAN research subjects ,PARENT-child relationships ,PARENTING ,CONFIDENCE ,DESCRIPTIVE statistics ,PRE-tests & post-tests ,BEHAVIOR disorders in children ,THEMATIC analysis ,AGGRESSION (Psychology) ,RESEARCH methodology ,PSYCHOLOGICAL abuse ,PSYCHOLOGICAL stress ,MARITAL status ,PSYCHOLOGY of parents ,SOCIAL support ,PSYCHOLOGICAL tests ,CONFIDENCE intervals ,DISCIPLINE of children ,PATIENT participation ,MENTAL depression ,EDUCATIONAL attainment ,EMPLOYMENT - Abstract
Purpose: Parenting for Lifelong Health for Young Children (PLH-YC) is a program to prevent child maltreatment. This study aimed to examine the feasibility, acceptability and preliminary effects of the adapted program for Chinese parents. Methods: A pre–post single-arm pilot trial was conducted with 21 Chinese parents. A mixed-method design was utilized to collect questionnaire-based quantitative data and qualitative data of interviews and focus group discussions. Results: Program implementation was feasible, with overall high recruitment, enrollment, attendance, acceptability and fidelity. Quantitative results demonstrated reductions in general child maltreatment, physical and emotional abuse, child behavioral problems, and improvements in positive parenting. Thematic analyses identified reduced violent discipline, psychological aggression, and child behavioral problems, strengthened parent–child bonds, increased parenting confidence, and decreased family conflict. Conclusion: The adapted PLH-YC program for Chinese parents has shown good feasibility and acceptability, and exhibited a significant association with reduced child maltreatment. Further randomized controlled trials are required. [ABSTRACT FROM AUTHOR]
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- 2024
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9. Early-life exposure to parental mental distress and adulthood depression among middle-aged and elderly Chinese
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Zheng, Xiaodong, Shangguan, Shuangyue, Fang, Zuyi, and Fang, Xiangming
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- 2021
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10. How are parental mental health and parenting practices associated with externalizing behaviors among young children with autism in China? A cross‐sectional study and indirect effect analysis.
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Fang, Zuyi, Lachman, Jamie M., Qiao, Dongping, and Barlow, Jane
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CROSS-sectional method , *CULTURAL awareness , *MENTAL health , *RESEARCH funding , *AUTISM , *PARENTING , *DESCRIPTIVE statistics , *EXTERNALIZING behavior , *PARENTS of children with disabilities , *PSYCHOLOGY of parents , *NEEDS assessment , *PSYCHOSOCIAL factors - Abstract
Children with autism are more likely to exhibit externalizing behaviors than children without autism. A cross‐sectional study was undertaken to investigate how parental mental health status and parenting practices contributed to the variance in externalizing behaviors among families of young children with autism in Chinese mainland, and whether parenting behaviors had any indirect effects on the relationship between parental mental health symptoms and externalizing behaviors. Data were drawn from the baseline assessment of a quasi‐experimental study of a parent training program delivered to Chinese caregivers of children with autism aged 3 to 6 from diverse backgrounds (N = 111). Results showed that parental mental health symptoms and parenting behaviors explained the variance in child externalizing behaviors. Parental mental health problems and parental over‐reactivity were linked to higher levels of child externalizing behaviors, whereas positive parenting was associated with less frequent externalizing behaviors. Positive parenting partially explained the relationship between parental mental health symptoms and externalizing behaviors. The findings of this study highlight the importance of actively attending to the psychological and parenting needs of caregivers in autism treatment programs. It points to the need for the development of culturally sensitive strategies to promote parental mental health and increase the use of positive parenting skills among parents of children with autism. [ABSTRACT FROM AUTHOR]
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- 2024
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11. Iatrogenic fracture during shoulder dislocation reduction: characteristics, management and outcomes
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Pan, Xiaohui, Yao, Yong, Yan, Hongyong, Wang, Jun, Dai, Lei, Qu, Xincong, Fang, Zuyi, Feng, Feng, and Zhou, Yan
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- 2021
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12. Evaluating the dissemination and scale-up of two evidence-based parenting interventions to reduce violence against children: study protocol
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Shenderovich, Yulia, Ward, Catherine L., Lachman, Jamie M., Wessels, Inge, Sacolo-Gwebu, Hlengiwe, Okop, Kufre, Oliver, Daniel, Ngcobo, Lindokuhle L., Tomlinson, Mark, Fang, Zuyi, Janowski, Roselinde, Hutchings, Judy, Gardner, Frances, and Cluver, Lucie
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- 2020
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13. Adaptations and staff experiences in delivering parenting programmes and other family support services in three community-based organisations in Cape Town, South Africa during the COVID pandemic.
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Shenderovich, Yulia, Sacolo-Gwebu, Hlengiwe, Fang, Zuyi, Lachman, Jamie, Cluver, Lucie, and Ward, Catherine
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SOCIAL support ,UNEMPLOYMENT ,NONPROFIT organizations ,HUMAN research subjects ,WORK ,FOOD security ,RESEARCH methodology ,TIME ,FAMILY health ,COMMUNITY health services ,INTERVIEWING ,PARENTING ,HUMAN services programs ,INFORMED consent (Medical law) ,EXPERIENTIAL learning ,COMMUNITY-based social services ,RESEARCH funding ,PSYCHOLOGICAL adaptation ,STATISTICAL sampling ,THEMATIC analysis ,FAMILY services ,COVID-19 pandemic ,PSYCHOLOGICAL stress - Abstract
We explore how organisations working on parenting programmes and other types of family support and violence prevention in low-resource settings experienced the pandemic. In August 2020–May 2021, we interviewed (1) staff from three community-based organisations delivering evidence-informed parenting interventions and other psychosocial services for families in Cape Town, South Africa, (2) staff from a parenting programme training organisation and (3) staff from two international organisations supporting psychosocial services in South Africa. Interviews (22) were thematically analysed, with findings in three areas. First, respondents noted changes in the context, including the job losses, food insecurity, and stress experienced by local communities, and reductions in organisational funding. Second, we found that in response to these context changes, the organisations shifted their focus to food provision and COVID prevention. Parenting and psychosocial programmes were adapted – e.g. by changing the physical delivery settings, reducing group sizes, and taking up digital and phone implementation. Participants reported improved perceptions of remote delivery as a feasible approach for working with families – but internet and phone access remained challenging. Third, the pandemic brought new responsibilities for staff, and both the challenges of working from home and the health risks of in-person work. [ABSTRACT FROM AUTHOR]
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- 2023
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14. A virtuous circle: Stakeholder perspectives of a short-term intensive parent training programme delivered within the context of routine services for autism in China.
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Fang, Zuyi, Lachman, Jamie M, Zhang, Cheng, Qiao, Dongping, and Barlow, Jane
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TREATMENT of autism , *EDUCATION of parents , *CAREGIVERS , *FOCUS groups , *DISCUSSION , *STAKEHOLDER analysis , *INTERVIEWING , *QUALITATIVE research , *HUMAN services programs , *FAMILY relations - Abstract
Although the evidence of parent training programmes for families of autistic children has continued to grow, little is known about the experiences and perceptions of key stakeholders, especially in low- and middle-income countries. This qualitative study was part of a larger real-world evaluation of a short-term intensive parent training programme in routine services delivered to caregivers of autistic children aged 3–6 years in China. It aimed to provide insights into programme acceptability, reasons for participant involvement, and factors related to programme implementation. Fourteen caregivers participated in the in-depth interviews, and two focus group discussions were conducted with eight practitioners. Data were analysed using a combination of data- and theory-driven approaches. Findings point to the needs in low autism resource settings for substantial practice and feedback; group support; individualised coaching; more autism-related knowledge, resources and activities for children and extended family members; and organisational support to practitioners. Further research is suggested to address the recommendations and assess their effectiveness empirically. While much knowledge about autism derives from high-income countries, most people diagnosed with autism reside in low- and middle-income countries, where little is documented in terms of local interventions. This is also true for parent training programmes for families of autistic children. An evaluation was conducted to understand the effects of a short-term intensive parent training programme delivered in routine services for families of autistic children in China. This study reported results from the in-depth interviews with 14 participating caregivers and group discussions with eight group leaders. The interviews and discussions were aimed at learning (1) to what extent the programme components were deemed acceptable, (2) what affected caregivers' attendance and engagement in the programme and (3) what affected group leaders' delivery of the programme. Findings suggested that future parent training programmes provide adequate opportunities for caregivers to practice and receive feedback; group support; coaching experience tailored to individual challenges; more autism-related knowledge, resources and activities for children and extended family members; and organisational support to group leaders. This study highlights the value of qualitative research and points to the need for more empirical studies to address the recommendations, so that research findings can be better utilised to promote practices. [ABSTRACT FROM AUTHOR]
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- 2022
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15. Controlled Trial of a Short-term Intensive Parent Training Program within the Context of Routine Services for Autistic Children in China.
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Fang, Zuyi, Lachman, Jamie M., Qiao, Dongping, and Barlow, Jane
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PARENTING education , *AUTISTIC children , *CHILD Behavior Checklist , *EXTERNALIZING behavior , *MENTAL illness , *RANDOMIZED controlled trials , *BEHAVIOR disorders in children - Abstract
Recent systematic reviews found limited rigorous research conducted to date of the effectiveness of parent training programs in reducing behavioral problems for autistic children in low- and middle-income countries. This study is aimed at evaluating the effectiveness of a short-term intensive parent training program for autistic children aged three to six in the context of routine service provision in China. A quasi-experiment was conducted involving the local implementing organization and using a waitlist control. Data were collected at baseline and immediate post-intervention. The primary outcome was child behavioral problems measured using the Child Behavior Checklist Externalizing scale. Between-group comparisons used a difference-in-differences design with propensity score weighting to reduce sources of bias. A process evaluation was undertaken in parallel to assess participant involvement, program acceptability, and delivery. The protocol was prospectively registered with ClinicalTrials.gov (NCT04257331). The final sample size was 111 (treatment: 63; comparison: 48). Results suggest that the program was associated with improvements in child externalizing behaviors (b = -2.71, 95% CI [-5.23, -0.18]), parental mental health symptoms (b = -5.96, 95% CI [-11.74, -0.17]), over-reactive parenting (b = -0.63, 95% CI [-0.98, -0.27]), and parental knowledge (b = 2.08, 95% CI [2.07, 2.17]). Exploratory analysis of factors related to implementation indicated that baseline parental mental health was related to participant engagement, and that satisfaction and engagement levels were potentially linked to positive treatment effects. Findings suggest that short-term intensive parent training programs that are provided by trained non-specialists, could potentially be used as an alternative to traditional prohibitively costly services that are delivered intensively for consecutive years in low-resource contexts. Follow-ups are needed to investigate its long-term benefits. [ABSTRACT FROM AUTHOR]
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- 2022
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16. Parenting Programs That Address Physical Abuse in Childhood for Families of Children With Developmental Disabilities in Mainland China: Systematic Review and Meta-Regression.
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Fang, Zuyi, Barlow, Jane, and Zhang, Cheng
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PREVENTION of child abuse , *PARENTING education , *META-analysis , *EVALUATION of human services programs , *SYSTEMATIC reviews , *EPILEPSY , *FAMILIES , *DEVELOPMENTAL disabilities , *MENTAL health , *AUTISM , *PARENT-child relationships - Abstract
Millions of children in China are diagnosed with developmental disabilities (DD), many of whom are subject to physical abuse. While a significant body of research suggests that parenting interventions can reduce the incidence and risk of such abuse, there is currently limited evidence of their effectiveness for this population or from non-English-speaking countries. This review involved searches in both English and Chinese databases to identify randomized controlled trials and quasi-experimental studies of parenting interventions for families of children with DD in mainland China. Multilevel meta-analyses were undertaken to examine the effectiveness of parenting programs. Subgroup analyses and meta-regression were conducted to investigate heterogeneity and identify potential moderators with a focus on intervention and delivery components. Risk of bias was assessed for each study. Thirty-one studies were included. The results showed that parenting interventions could reduce child emotional and behavioral problems (CEBP) and improve the parent–child relationship, although only one study directly measured the actual incidence of abuse. Programs for autism and epilepsy had stronger treatment effects. Teaching knowledge about CEBP, skills to improve parental mental health, and techniques to cultivate empathy were associated with program success; however, positive reinforcement was associated with more problems. The results also supported the delivery of programs with longer duration, a combination of group and individual sessions, efforts to build rapport, ongoing communication outside the programs, and delivery in hospitals or service agencies. Further research is needed, however, in addition to improvements in the quality of research and reporting. [ABSTRACT FROM AUTHOR]
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- 2022
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17. Factors Associated With Violence Against Children in Low- and Middle-Income Countries: A Systematic Review and Meta-Regression of Nationally Representative Data.
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Cerna-Turoff, Ilan, Fang, Zuyi, Meierkord, Anne, Wu, Zezhen, Yanguela, Juan, Bangirana, Clare Ahabwe, and Meinck, Franziska
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CHILD abuse & psychology , *PREVENTION of child sexual abuse , *VIOLENCE prevention , *MIDDLE-income countries , *META-analysis , *CONFIDENCE intervals , *SYSTEMATIC reviews , *REGRESSION analysis , *DOMESTIC violence , *CHILDREN'S accident prevention , *SURVEYS , *SOCIOECONOMIC factors , *LOW-income countries - Abstract
Background: This systematic review and meta-regression sought to identify the relative importance of factors associated with physical, emotional, and sexual violence against children in low- and middle-income countries. Understanding of factors associated with violence is important for targeted programming and prevention on the population level. Methods: We searched 17 electronic databases from 1989 to 2018 and reports from child violence surveys. Nationally representative studies that described evidence on potential factors associated with violence against children under 18 years old were included. The search was restricted to the English language. Factors were synthesized quantitatively using robust variance estimation, with 95% confidence intervals, for each violence type. Results: We identified 8,346 unduplicated studies, and 103 publications met our eligibility criteria. The data distribution was uneven across region, country income status, factors, and violence types. Of the 94 eligible studies quantitatively synthesized, no specific factors were significant for physical violence. Lower household socioeconomic status, being a girl, and primary education of mothers and adults in the household were associated with emotional violence, and being a girl was associated with sexual violence. Conclusion: A broad spectrum of factors merit consideration for physical violence policy and prevention among the general population of children in low- and middle-income countries. Conversely, a tailored approach may be warranted for preventing emotional and sexual violence. Information is unequally distributed across countries, factors, and violence types. Greater emphasis should be placed on collecting representative data on the general population and vulnerable subgroups to achieve national reductions in violence against children. [ABSTRACT FROM AUTHOR]
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- 2021
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18. Parenting Interventions During the COVID-19 Pandemic: A Systematic Review of the Rationales, Process, Feasibility, Acceptability, and Impacts of Adaptation.
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Fang Z, Martin M, Copeland L, Evans R, and Shenderovich Y
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Evidence shows that parenting interventions are an effective method of reducing caregiver-perpetrated child maltreatment. The recent COVID-19 pandemic has changed the provision of parenting interventions worldwide, with many interventions adapting to continue providing services during the crisis. This global systematic review examined how parenting interventions targeting child maltreatment and its risk and protective factors were adapted during the COVID-19 pandemic. We searched for studies published between 2020 and 2022 and identified 31 eligible studies. The data on the rationale, process, feasibility, acceptability, and impacts of adaptations were narratively synthesized in accordance with the Framework for Reporting Adaptations and Modifications to Evidence-Based Interventions. Results showed that most adaptations were proactive and focused on delivery methods, predominantly digitalization. While feasibility and acceptability were generally observed, the impacts of adapted programs were inconclusive. Inadequate reporting, especially regarding rationale, fidelity, facilitator capacity building, stakeholder involvement, and decision-making processes, was noted. The review recommends enhanced planning, documentation, and reporting of program adaptations using established guidelines, as well as process and impact evaluations., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: ZF and YS were involved in one of the included studies. ZF, MM, and YS have worked on Parenting for Lifelong Health program evaluations. There is no other conflict of interest.
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- 2024
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19. Global estimates of violence against children with disabilities: an updated systematic review and meta-analysis.
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Fang Z, Cerna-Turoff I, Zhang C, Lu M, Lachman JM, and Barlow J
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- Child, Chronic Disease, Humans, Observational Studies as Topic, Prevalence, Violence, Disabled Children
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Background: Previous meta-analysis evidence shows that children (aged 0-18 years) with disabilities experience high amounts of violence. During the past decade, there has been a substantial increase in the volume of available data, and we therefore aimed to update the evidence and provide a current global estimate of violence against children with disabilities., Methods: For this systematic review and meta-analysis, we searched 18 English-language international databases for observational studies published in English or Chinese between Aug 17, 2010, and Sept 16, 2020, and three Chinese databases for studies published from database inception to Sept 16, 2020. We used search terms structured around the concepts of disability, child, and violence-defining violence as physical, emotional, or sexual violence, or neglect, and considering disability as physical, mental, intellectual, and sensory impairments, and chronic diseases. We also searched 11 grey-literature repositories and hand searched the reference lists of included records for observational studies. We double screened records for studies that measured violence against children with disabilities. We excluded studies that included only people who had experienced violence or that did not provide separate estimates for children if adults were also included. Two authors independently extracted data and appraised study quality. We pooled estimates using three-level, mixed-effects meta-analyses, and did subgroup analyses. This study was prospectively registered with PROSPERO, CRD42020204859., Findings: We found and screened 26 204 records, of which we excluded 25 844. We assessed 386 full text articles and finally included 98 studies (with 16 831 324 children) in our analysis. Our results showed that the overall prevalence of violence against children with disabilities was 31·7% (95% CI 27·1-36·8; I
2 =99·15%; 16 807 154 children, 92 studies) and the overall odds ratio of children with versus without disabilities experiencing violence was 2·08 (1·81-2·38; I2 =91·5%; 16 811 074 children, 60 studies). Sensitivity analyses suggested a high degree of certainty for these estimates, although there was a high degree of heterogeneity across most estimates. There was some risk of publication bias, although the included studies were, on average, of medium quality. The estimates of violence differed by the type of violence, disability, and perpetrator. Children in economically disadvantaged contexts were especially vulnerable to experiencing violence., Interpretation: This review shows that children with disabilities experience a high burden of all forms of violence, despite advances in awareness and policy in the past 10 years. Our results indicate a need for increased partnerships across disciplines and sectors to protect children with disabilities from violence. Additional well designed research is also needed, especially in under-represented and economically disadvantaged populations., Funding: There was no funding source for this study., Competing Interests: Declaration of interests We declare no competing interests., (Copyright © 2022 Elsevier Ltd. All rights reserved.)- Published
- 2022
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20. The Science of Scale for Violence Prevention: A New Agenda for Family Strengthening in Low- and Middle-Income Countries.
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Shenderovich Y, Lachman JM, Ward CL, Wessels I, Gardner F, Tomlinson M, Oliver D, Janowski R, Martin M, Okop K, Sacolo-Gwebu H, Ngcobo LL, Fang Z, Alampay L, Baban A, Baumann AA, de Barros RB, Bojo S, Butchart A, Dippenaar W, Exavery A, Fang X, Ferdinandi I, Foran HM, Heinrichs N, Hutchings J, Kisyombe D, Massetti G, Mazak J, Mbuyi H, Singh P, Polsky K, Rakotomalala S, Raleva M, Savo R, and Cluver L
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- Child, Humans, Income, Organizations, Poverty, Developing Countries, Violence prevention & control
- Abstract
Ending all violence against children by 2030 is a core part of Sustainable Development Goals 5 and 16. A number of promising violence reduction strategies have been identified in research studies. However, we lack an understanding of the implementation and impact of these programs in respect to their delivery at a large scale or within existing service systems, particularly in low- and middle-income countries (LMICs). We advocate for greater collaboration between researchers, policymakers, donors, governments, non-governmental organizations, and program managers and staff to study how violence prevention programs operate on a large scale. We describe a new initiative aiming to foster such collaborations in the field of family strengthening programs., Competing Interests: LC, CW, JL, JH, and FG were involved in the development of the PLH programs. YS, JL, and IW worked on the PLH trials in South Africa and based their doctoral work on these. RJ and MM's current master's work is based on PLH. The work of LC, YS, IW, CW, JL, FG, and SB is partly funded by the UKRI GCRF Accelerating Achievement for Africa's Adolescents Hub. The work of JL and MM has been supported by a GCRF Center Hub Grant. The work of LC, YS, IW, CW, JL, FG, HF, ABab, MR, NH, and RJ has been partly funded by grants under the European Research Council's Horizon 2020 program. The work of JL, CW, and FG has also been funded by UNICEF Thailand, and the work of JH, LA, JL, CW, and FG by UNICEF Philippines. Further, JL is the former Executive Director and receives income as a current Senior Advisor and PLH Trainer at Clowns Without Borders South Africa (a non-profit organization responsible for PLH implementation). LN is Co-Director of Clowns Without Borders South Africa. CW reports grants from the National Research Foundation of South Africa and the World Childhood Foundation. RJ reports a grant from the University of Cape Town during the conduct of the study. Outside the submitted work, SB reports income from IntraHealth Inc. ABut is the co-chair of the INSPIRE: Seven strategies for ending violence against children technical package implementation working group and is a lead author of the package. NH reports involvement in two other parenting programs—Triple P and Parent-Child Interaction Therapy. JH receives occasional income as a PLH Trainer. Outside the submitted work, JM's organization, Schola Empirica, receives grants from the European Social Fund. Further, JM receives income from these grants in his role as program evaluator. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Shenderovich, Lachman, Ward, Wessels, Gardner, Tomlinson, Oliver, Janowski, Martin, Okop, Sacolo-Gwebu, Ngcobo, Fang, Alampay, Baban, Baumann, de Barros, Bojo, Butchart, Dippenaar, Exavery, Fang, Ferdinandi, Foran, Heinrichs, Hutchings, Kisyombe, Massetti, Mazak, Mbuyi, Singh, Polsky, Rakotomalala, Raleva, Savo and Cluver.)
- Published
- 2021
- Full Text
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