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IntroductionParents' science support and adolescents' motivational beliefs are associated with adolescents' expectations for their future occupations; however, these associations have been mostly investigated among White, middle-class samples. Framed by situated expectancy-value theory, the current study investigated: (1) the associations between parents' science support in 9th grade and Latine adolescents' science intrinsic value, utility value, and STEM career expectations in 11th grade, and (2) whether these indicators and the relations among them differed by adolescents' gender and parents' education.MethodsStudy participants included Latine adolescents (n = 3060; Mage = 14.4 years old; 49% female) in the United States from the High School Longitudinal Study of 2009.ResultsAnalyses revealed a significant, positive association between parents' science support and Latine adolescents' science utility value. Additionally, there was a significant, positive association between parents' science support and Latinas' science intrinsic value, but not for Latinos' science intrinsic value. Latine adolescents' science utility value, but not their science intrinsic value, predicted their concurrent STEM career expectations. Though there were no significant mean level differences in adolescents' science utility value or parents' science support based on adolescents' gender, the measure of adolescents' science intrinsic value varied across girls and boys. Finally, adolescents whose parents had a college degree received greater science support from parents compared to adolescents whose parents had less education than a college degree.ConclusionFindings suggest parents' science support and adolescents' intrinsic and utility values have potential associations with Latine adolescents' STEM career expectations near the end of high school.

Despite high rates of mental health concerns among youth, they are unlikely to receive mental health care, with mental health stigma acting as a barrier. The present study explores youth perceptions of the influences of stigma and what should be done to address it, drawing on a large (n = 705) mixed methods dataset of youth aged 14 to 24 from the National MyVoice Text Message Cohort. Thematic analysis indicated four themes: (1) perceptions of high levels of ignorance about mental health, (2) a continuum from a desire for greater openness to a desire for privacy related to mental health, (3) feeling shamed and dismissed for mental health concerns, and (4) the role of adults in perpetuating of mental health stigma and adults' responsibility in combating it. Subgroup comparisons revealed variations in endorsement of themes based on gender, age, and race/ethnicity. Implications for research and practice are discussed. [ABSTRACT FROM AUTHOR]

Born out of the traditional model of psychoanalysis for adults, child psychoanalytic psychotherapists initially focused primarily on their young patients' inner world. Cultural, economic, and theoretical changes have, however, led child psychotherapists to re-evaluate the importance of the environment, and particularly the role of parents, in the lives of children and young people. In contemporary clinical practice, child psychotherapists often include work with parents when addressing mental health difficulties in children and adolescents. However, no clear theoretical and clinical framework exists for working with parents in psychoanalytic child psychotherapy. This paper provides an overview of the various ways child psychoanalytic psychotherapists engage with parents, as well as a discussion of the commonalities and divergences in different psychoanalytic approaches to parent work. The aim of the paper is to synthesise current literature and to clarify this area of work. This is a narrative review of the literature on the types of engagement and models of work with parents of children and adolescents currently offered by child psychoanalytic psychotherapists. The literature reflects the absence of one accepted formulation and practice in parent work. Despite the growing literature, the lack of cross-referencing and shared language using existing and new psychoanalytic ideas perpetuates the field's fragmentation. In the current cultural and economic context, where other modalities thrive on evidence-based data, the survival of child psychoanalytic psychotherapy in public mental health provision is uncertain. An integrated formulation is needed both to help therapists in their work with parents and allow the evaluation of work with families. [ABSTRACT FROM AUTHOR]

Abstract Difficulties in social communication and interaction skills characteristic of autism are reported to play a critical role in high parenting stress. A widely acknowledged lack of effective supports make it more likely that parents of autistic children continue to experience increasingly greater levels of parenting stress over time. The current study aimed to further understand parent perceptions of social supports following their completion of a parent-implemented social skills intervention for their autistic child. Specifically, we explored additional supports beyond those targeting their child that parents of autistic children may perceive as necessary. We interviewed seven parents with autistic children to better understand their perception of the support systems available to, and utilized by, them. Inductive thematic analysis generated two primary themes: (1) parent’s emotions as leading of support needs and (2) support networks utilized or sought after by parents of autistic children. Our findings highlight the experiences and feelings of parents of autistic children regarding the support systems they perceive to be available and those they use and/or need. An understanding of parent experiences and perceived needs can be used to promote change, in particular, specific parent support following diagnosis and throughout the intervention process to encourage parent psychological well-being may be beneficial.

This study aimed to determine the level of parents' support and work relationship toward the public schools' performance. Using a descriptive correlation technique, the study involved 100 public school teachers in the Municipality of Maitum. Slovin's formula was utilized to get the desired sample of the population Based on the study results, parents' support was very high regarding parents' volunteerism, attendance at school functions, and helping the children academically and socially in the classroom. The level of work relationship was very high in terms of communicating, parenting, learning at home, and decision-making. The level of school performance in East Maitum District was very high in terms of leadership and governance, curriculum and learning, accountability and continuous development, and management resources. Lastly, there was a significant relationship between parents' support and school performance, parents' support and work relationship, and work relationship and school performance. [ABSTRACT FROM AUTHOR]

Difficulties in social communication and interaction skills characteristic of autism are reported to play a critical role in high parenting stress. A widely acknowledged lack of effective supports make it more likely that parents of autistic children continue to experience increasingly greater levels of parenting stress over time. The current study aimed to further understand parent perceptions of social supports following their completion of a parent-implemented social skills intervention for their autistic child. Specifically, we explored additional supports beyond those targeting their child that parents of autistic children may perceive as necessary. We interviewed seven parents with autistic children to better understand their perception of the support systems available to, and utilized by, them. Inductive thematic analysis generated two primary themes: (1) parent's emotions as leading of support needs and (2) support networks utilized or sought after by parents of autistic children. Our findings highlight the experiences and feelings of parents of autistic children regarding the support systems they perceive to be available and those they use and/or need. An understanding of parent experiences and perceived needs can be used to promote change, in particular, specific parent support following diagnosis and throughout the intervention process to encourage parent psychological well-being may be beneficial. [ABSTRACT FROM AUTHOR]

This study identified risk, promotive, and protective factors for handgun carriage among 265 primarily African American adolescents (M age = 14.3) living in low-income urban areas. Community-based violent victimization and witnessing violence and in-person and cyber forms of peer victimization increased the probability of handgun carriage. Community collective efficacy, including caregiver-reported social connectedness and informal social control, and community developmental strengths/supports, including youth-reported community recognition for prosocial involvement and community developmental assets, moderated relations between both violent victimization and witnessing violence and handgun carriage. School developmental strengths/supports, including school developmental assets and family prosocial involvement in school, moderated relations between in-person and cyber victimization and handgun carriage. Family developmental strengths/supports, including family developmental assets and family recognition and opportunities for prosocial involvement, were associated with lower odds of handgun carriage. Study findings revealed distinct protective factors related to community violence exposure or peer victimization that can inform youth violence prevention efforts. [ABSTRACT FROM AUTHOR]

Mindfulness strategies can have a large impact on emotional regulation, emotional intelligence, and interpersonal relationships. Parents of children on the autism spectrum may experience greater stress, depression, and strained interpersonal relationships than those with typically developing children or those with children experiencing other developmental delays. The purpose of the current study was to evaluate the feasibility, acceptability, and initial effects of a virtual Mindful Self-Compassion workshop for parents of children on the autism spectrum and the impact on stress, self-compassion, parenting self-efficacy, and mindfulness. This pilot study used a mixed-method approach to test this hypothesis. Participants completed surveys before and after the brief workshop and participated in a 1-hr focus group within 1 week of completing the surveys. The findings indicate that a short, 3-day virtual workshop may be effective toward improving parents' mindfulness and self-compassion. Parents reported feeling more mindful in their day-to-day life, more self-compassionate during difficult times, and more patient with themselves and other people in their family. A brief, virtual workshop may be effective for short-term improvements in outcomes for parents of children on the autism spectrum. [ABSTRACT FROM AUTHOR]

Higher educational institutions were forced to stop face-to-face classes and shift to online learning during the COVID-19 pandemic. The government of Ethiopia closed schools in all educational institutions on 16 March 2020, and then directed educational institutions to teach students online. This study was conducted to discover the determinants of online teaching practices at teachers training colleges. A cross-sectional study design was conducted using randomly selected 343 students from Injibara College of Teacher's Education, Ethiopia. Results of the statistical analyses revealed that socio-demographic characteristics of students do not affect the effectiveness of the online learning system; but determinates that are directly related to the online learning system, such as infrastructure, access to the internet, parent support, and technological resources have a significant effect. Online learning at the study area was only 77% effective, which indicates that there is a need for intervention to make it more effective. Therefore, we recommend to governmental and non-governmental institutions to establish ICT centers and provide online learning trainings. [ABSTRACT FROM AUTHOR]

Objective To explore the cost-effectiveness of a web-based support tool for parents of children with Juvenile idiopathic arthritis. Methods A multi-centred randomized controlled trial was conducted in paediatric rheumatology centres in England. The WebParC intervention consisted of online information about JIA and its treatment and a toolkit using cognitive-behavioural therapy principles to support parents manage their child's JIA. An economic evaluation was performed alongside the trial involving 220 parents. The primary outcome was the self-report Pediatric Inventory for Parents measure of illness-related parenting stress, with two dimensions: difficulty and frequency. These measures along with costs were assessed post intervention at 4 and 12 months. Costs were calculated for healthcare usage using a UK NHS economic perspective. Data was collected and analysed on the impact of caring costs on families. Uncertainty around cost-effectiveness was explored using bootstrapping and cost-effectiveness acceptability curves. Results The intervention arm showed improved average Pediatric Inventory for Parents scores for the dimensions of frequency and difficulty, of 1.5 and 3.6 respectively at 4 months and 0.35 and 0.39 at 12 months, representing improved PIP scores for the intervention arm. At both 4 and 12 month follow-up, the average total cost per case was higher in the control group when compared with the intervention arm with mean differences of £360 (95% CI £29.6 to £691) at 4 months and £203 (95% CI £16 to £390) at 12 months. The probability of the intervention being cost-effective ranged between 49% and 54%. Conclusion The WebParC intervention led to reductions in primary and secondary healthcare resource use and costs at 4 and 12 months. The intervention demonstrated particular savings for rheumatology services at both follow-ups. Future economies of scale could be realised by health providers with increased opportunities for cost-effectiveness over time. Trial registration ISRCTN, ISRCTN13159730. [ABSTRACT FROM AUTHOR]

Introduction: Raising a child with social communication and emotion regulation challenges, such as those experienced in the context of an autism spectrum disorder (ASD), is associated with family disruption and parental stress. Research shows that parents of children and young people with ASD can experience challenges in managing their child’s behaviour and experience a sense of disconnectedness, a lack of support from the “system”, and a broader lack of understanding within the community. Methods: A therapeutic parent group was held in parallel to a young person group working on social skills. The young person cohort included both boys and girls in early adolescence with neurodevelopmental diagnoses. The parent group provided a space for participants to focus on themselves, tune into their own emotions, and receive support in relation to their lived experiences of parenting. Parental outcomes were assessed using standard measures, and the experiences of the groups were captured qualitatively through focus groups with both parents and staff. Results: The project found that the therapeutic parent group was effective in supporting parents to feel less stressed and more in control, as well as less alone in their parenting journey. Qualitative data indicated that the groups filled an identified need within the service and were engaging and acceptable to parents.

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AbstractPurposeMethodsResultsConclusions\nIMPLICATIONS FOR REHABILITATIONTo explore the impact of the online ENVISAGE program for parents of children with neurodevelopmental disabilities (NDD) on parents’ perception of themself, their child with a disability, and their family, as well as to explore experiences of participating in the program in Croatia.In this before-after discourse analysis study, participants took part in the five-week ENVISAGE program. There were two semi-structured interviews for each participant: within one month before and after participating in the program. The proportions of positive, neutral, and negative sentences about themself, their child, and their family from two interviews were compared on an individual and group level. The perceived changes and experiences with the program were also analyzed qualitatively.Data from thirteen participants were included. From the three pre-determined discourse categories (self, child, and family), most changes were observed in parents’ perception of self (average increase in positive views of 8.8% and decrease in negative of 5.3%). Qualitative results showed multiple positive self-perceived impacts on parents’ lives. Participants’ experiences with ENVISAGE were consistently positive; all believed they benefited from the program.The results support our assumption that participation in ENVISAGE positively affects multiple areas of life, particularly parents’ views of themself.ENVISAGE is an online, 5-week empowerment program for parents of children with neurodevelopmental disabilities that was tested for the first time in Croatia in this study.Results show that ENVISAGE mostly led to the improvements in the perception of self and their child with a disability.For all parents, ENVISAGE was a positive experience and a program they would recommend to other parents.ENVISAGE is an online, 5-week empowerment program for parents of children with neurodevelopmental disabilities that was tested for the first time in Croatia in this study.Results show that ENVISAGE mostly led to the improvements in the perception of self and their child with a disability.For all parents, ENVISAGE was a positive experience and a program they would recommend to other parents. [ABSTRACT FROM AUTHOR]

Persistent concerns exist regarding the relationship between socioeconomic status (SES) and science achievement, prompting ongoing research into the factors enabling some low-SES students to excel in science despite the odds. This study seeks to identify multiple combinations of individual, family, and school conditions that contribute to successful outcomes within this demographic. Utilising a sample of 1,460 low-SES Chinese students, aged 15, from the 2015 Programme for International Student Assessment (PISA), this study employs fuzzy-set qualitative comparative analysis (fsQCA) as its methodological approach. The results reveal seven viable pathways that can equally enable low-SES students to achieve academic success in science. These pathways involve a combination of multiple factors, such as parental emotional support, school science instruction practices, and science-related attitudes and beliefs. The analysis also indicates that certain causal factors (i.e. parental emotional support, extrinsic motivation, enquiry-based science instruction practices, or teacher adaptation of science instruction), can be absent in the configurations, but can still contribute to academic resilience when complemented by other conditions (e.g. elevated levels of intrinsic motivation, epistemological beliefs about science, teacher-directed science instruction, or teacher support in science classes). [ABSTRACT FROM AUTHOR]

Gender diverse youth (GDY) have improved mental health when affirmed by parents, but little is known about the support parents of GDY seek, receive, and still need. This qualitative study explored experiences of parents of GDY to better understand their support needs. Parents of GDY submitted videos and were interviewed about their journey supporting their GDY. Data collection continued until thematic saturation was reached. Audio recordings from videos and interviews were transcribed and analyzed via an inductive thematic analysis using the rigorous and accelerated data reduction technique. In total, 25 parents of GDY (mean age 15 years, range 6–21 years) from 12 states provided video recordings and interviews; 36% were People of Color and 28% were fathers. We identified four themes and 12 subthemes. Theme 1: support through education included acknowledging ignorance about gender diversity and remedying ignorance. Theme 2: engaging community noted that support was multilayered and based around the family unit and pre-existing community. Theme 3: expanding community included acknowledgement that seeking new community was important for many to reduce feelings of isolation. It also highlighted that "safe spaces" for parents of GDY were not always safe for those of other marginalized groups, particularly People of Color. Theme 4: support in healthcare spaces centered experiences navigating medical and mental healthcare for GDY and feeling supported and unsupported in those spaces. Parents identified numerous ways they sought, received, and needed support to understand and affirm their GDY. These findings will aid development of targeted support interventions for parents of GDY. Further research is needed to evaluate the impact of these interventions on GDY health. [ABSTRACT FROM AUTHOR]

Background: Many families of children with acquired brain injuries (ABI) desire opportunities to connect with peers who have shared similar experiences, but such opportunities are often unavailable. Heads Together Online Peer Education (HOPE) is a co-designed online video-based resource that provides information and early support to families following paediatric ABI. This study is part of a larger co-creation project using a community-based participatory research approach to develop and implement HOPE for families impacted by paediatric ABI in Australia. This study aimed to explore parents' and clinicians' perspectives regarding HOPE's usability, acceptability, and future implementation. Methods: Parents and clinicians were recruited from a state-wide, interdisciplinary rehabilitation service. Parents were eligible to participate if their child had sustained an ABI within 2 years of recruitment. Participants accessed HOPE, completed the System Usability Scale (SUS), and participated in a semi-structured interview. Transcripts were analysed using inductive content analysis. Results: Ten parents and 13 rehabilitation clinicians participated. Average SUS scores were 80.5/100 and 81.73/100, respectively. Participants were satisfied with HOPE's family-centred content and delivery. They expressed having benefited from using HOPE and offered suggestions for its optimisation. Finally, participants reflected on how HOPE could be introduced to and used by families, and its potential usefulness in educating others about paediatric ABI. Conclusions: HOPE was developed through a family-led co-design process and aims to provide information and support to families in the early stages following paediatric ABI. This study's findings demonstrate HOPE's usability and acceptability from end-users' perspectives and will guide implementation. Heads Together Online Peer Education (HOPE) is an online video resource that provides information and early support to families following childhood acquired brain injury (ABI). This study explored parents' and rehabilitation clinicians' experiences of using HOPE, and whether they found HOPE enjoyable and user-friendly. These results will help guide how we provide HOPE to families following childhood ABI within rehabilitation. This article belongs to the Collection Clinical Implementation to Optimise Outcomes. [ABSTRACT FROM AUTHOR]

Objective: Parent peer advocacy, mentoring, and support programs, delivered by parents with lived child protection (CP) experience to parents receiving CP intervention, are increasingly recognized internationally as inclusive practices that promote positive outcomes, but little is known about what shared characteristics exist across these types of programs and what variations may exist in service delivery or impact. This scoping review examines 25 years (1996–2021) of empirical literature on these programs to develop a systematic mapping of existing models and practices as context for program benefits and outcome achievement. Method: Studies were selected using a systematic search process. The final sample comprised 45 publications that addressed research on 24 CP-related parent peer advocacy and support programs. Data analysis explored how programs were studied and conceptualized and examined their impact on parents, professionals, and the CP system. Results: Substantial variation in program settings, target populations, aims, advocate roles, and underlying theoretical frameworks were identified. Across program settings, existing empirical evidence on impact and outcomes also varied, though positive impacts and outcomes were evident across most settings. Conclusions: Findings from this review highlight the need to account better for parent peer advocacy and support program variations in future practice development to ensure alignment with inclusive and participatory principles and goals. Future research is also needed to address current knowledge gaps and shed light on the impact of these differences on individual, case, and system outcomes.

Objective: Parent peer advocacy, mentoring, and support programs, delivered by parents with lived child protection (CP) experience to parents receiving CP intervention, are increasingly recognized internationally as inclusive practices that promote positive outcomes, but little is known about what shared characteristics exist across these types of programs and what variations may exist in service delivery or impact. This scoping review examines 25 years (1996–2021) of empirical literature on these programs to develop a systematic mapping of existing models and practices as context for program benefits and outcome achievement. Method: Studies were selected using a systematic search process. The final sample comprised 45 publications that addressed research on 24 CP-related parent peer advocacy and support programs. Data analysis explored how programs were studied and conceptualized and examined their impact on parents, professionals, and the CP system. Results: Substantial variation in program settings, target populations, aims, advocate roles, and underlying theoretical frameworks were identified. Across program settings, existing empirical evidence on impact and outcomes also varied, though positive impacts and outcomes were evident across most settings. Conclusions: Findings from this review highlight the need to account better for parent peer advocacy and support program variations in future practice development to ensure alignment with inclusive and participatory principles and goals. Future research is also needed to address current knowledge gaps and shed light on the impact of these differences on individual, case, and system outcomes. [ABSTRACT FROM AUTHOR]

Mellow Babies aims to improve mothers' mental wellbeing and the quality of their interactions with their baby. The feasibility of a definitive trial of Mellow Babies was assessed using a waiting-list randomised pilot trial (Clinicaltrials.gov: NCT02277301). Mothers with substantial health/social care needs and a child aged <13 months were randomly allocated either to a 14-week Mellow Babies programme or to receive usual care whilst on a waiting list for the intervention. Rates of recruitment and retention as well as participants' views of their experience in this study were recorded. Outcomes were parenting behaviour, assessed by the blind-rated Mellow Parenting Observation System (primary) and self-report maternal wellbeing pre- and post-intervention/waiting period. We recruited 38 eligible participants: 36 (95%; 18 intervention, 18 control) completed baseline measures, and 28 (74%; 15 intervention, 13 control) provided post-intervention data. Two practitioners took part in feedback interviews. Intervention participants had significantly more positive interactions with their babies at post-intervention compared to those in the control group (p = 0.019), adjusted for pre-intervention scores. There was no significant improvement in mothers' mental wellbeing on any measure. A definitive trial of Mellow Babies is feasible and should include longer follow up of mothers and the opportunity for fathers to take part. [ABSTRACT FROM AUTHOR]

In general, it is recommended by the World Health Organisation that individuals engage in at least sixty minutes of physical exercise. However, the guidelines or daily minimum required physical activities for adolescents necessitate substantial support. The study aims to explore the various sources of support and the relationship between adolescents' social support and physical activity adherence in their daily lives. This study utilised a systematic review of five major databases, without any time restrictions, and without limiting the geographical scope. The PRISMA technique was employed, resulting in the inclusion of approximately 86 publications that met the criteria. The studies revealed that parents, family, peers, friends, and teachers play a crucial role in providing social support. Irrespective of the sources of social support, there is a range of effects and relationships between social support and physical activity in adolescents, which can vary from positive to negative. Therefore, certain research studies suggest that encouraging adolescents or children to engage in physical exercise may result in them resisting the pressure and exhibiting lower levels of activity. Thus, fostering knowledge and promoting awareness about health can help adolescents engage in physical activity. [ABSTRACT FROM AUTHOR]

Background Promoting physical activity (PA) and fundamental movement skills (FMS) in early childhood is necessary to address the high rates of inactivity in children. Parent support is a determinant of PA in children, however, parental intentions to support are not always translated into behavior resulting in an intention–behavior gap. Purpose Positioned within the multi-process action control (M-PAC) framework, this study used an explanatory concurrent mixed-methods design to explore parents' intentions and support of PA and FMS during early childhood. Methods Parents (N =124) of children aged 3–4 years completed an online survey consisting of items assessing reflective (e.g. attitudes), regulatory (e.g. planning), and reflexive (e.g. habit) processes of M-PAC and intentions and support for child PA and FMS. A subset of parents (n =20) completed a semi-structured online interview guided by the M-PAC framework. Results Significantly more parents intended to support PA (71%) compared with FMS (44%; p <0.001) and successfully translated intentions into action for PA (57%) compared with FMS (27%; p <0.001). Discriminant function analysis showed parent behavior profiles for PA and FMS support were associated with a combination of reflective, regulatory, and reflexive processes, however, these differed based on support behavior. Qualitative findings highlighted parents' differential views on PA and FMS support and contextualized the psychological processes associated with each. Conclusions Parent PA support interventions during early childhood should include strategies for supporting FMS. Interventions should prioritize fostering a combination of reflective, regulatory, and reflexive behaviors to translate intentions to support PA and FMS into behavior among parents of young children. [ABSTRACT FROM AUTHOR]

This study aimed to develop and evaluate the acceptability and feasibility of a web-based platform for parents to support preschoolers' development of physical literacy. Specifically, this intervention focused on children's motor and social-emotional skill development. Twenty parents (Mage = 35.7, SD = 4.2) of preschool-aged children (Mage = 4.1, SD = 0.6) were assigned three intervention modules and completed weekly usage and feedback questionnaires (1 = strongly disagree, 5 = strongly agree). Parents (n = 15) also completed a follow-up interview. Parents indicated the modules were useable (4.5/5), useful (4.5/5), feasible (4.4/5), enjoyable (4.5/5), and acceptable (4.5/5). Five themes underlying parental engagement were generated: (a) activity organization and planning, (b) (de)motivators, (c) parent knowledge and skills, (d) experience with the platform, and (e) application to everyday routines. The online modules under investigation were deemed both acceptable and feasible by parents. However, factors such as time and knowledge may impact parental engagement at home. Future research is needed to better understand the antecedents to parent physical literacy support behaviors in the early years. [ABSTRACT FROM AUTHOR]

Using a three-wave (mean age 14.4, 17.4, and 20.4 years) longitudinal design (N = 1,834; 55.6% females), we set out to map direct and indirect effects of adolescent peer victimization and mental health on academic achievement in early adulthood, and the buffering effect of positive family relations. Data was collected in Sweden 2012 to 2018. We found concurrent (βs =.13–.28) but no longitudinal transactional effects between peer victimization and symptoms of depression, anxiety, and conduct disorder (CD). Peer victimization, depression, and CD had longitudinal direct effects on poorer academic achievement in early adulthood (βs =.09–.11). Positive family relations did not moderate the effects. The results indicate that prevention and interventions against peer victimization and poor mental health may contribute to a higher proportion of individuals graduating from high school. [ABSTRACT FROM AUTHOR]

High-risk infants are discharged home from hospital with increased care needs and the potential for the emergence of developmental disabilities, contributing to high levels of parental stress and anxiety. To enable optimal outcomes for high-risk infants and their families, developmental follow-up programs need to continue following hospital discharge. However, current follow-up care for high-risk infants is variable in terms of type, access and equity, and there seems to be a gap in existing services such as supporting the transition home, parental support, and inclusion of all at-risk infants regardless of causality. Routine follow-up that identifies developmental delays or neuromotor concerns can facilitate timely referral and access to targeted intervention during critical periods of development. The Kids+ Parent Infant Program (PIP) is a unique model of developmental follow-up that shares some characteristics with established programs, but also includes additional key elements for a seamless, wrap-around service for all high-risk infants and their families living in a regional area of Australia. This community-based program provides integrated assessment and intervention of infants, alongside parent support and education, embracing a holistic model that accounts for the complexity and interrelatedness of infant, parent, medical and developmental factors. By prioritising the well-being of high-risk infants and their families, the Kids+ PIP paves the way for improved developmental outcomes and provides an innovative model for developmental follow-up, with the potential for reproduction in other healthcare settings.

This study aimed to develop and validate a scale of parental competency of science-gifted students in South Korea. The parental competency of science-gifted students is constructed in three dimensions (Learner, Fosterer, Scientist) from the literature review. We in-depth-interviewed science-gifted students and parents to discover the competency behavior indicators. To confirm the content validity, 15 experts in Korea conducted a Delphi method. We were determined lifelong learning, information utilization as the sub-elements of learner, partnership, parenting attitude, empathy of fosterer, and science capability, responsibility in science, and career preparation of scientist. As a result, we developed the initial instrument with 45 items. To validate the instrument, we carried out an online survey with 512 parents. Finally, 23 items of the measurement instrument for parental competency underwent development with three dimensions and eight sub-dimensions. This study provides a reliable instrument for parental competency and contributes to its enhancement for science-gifted students. [ABSTRACT FROM AUTHOR]

Existing studies have explored the repercussions of school closures. The researchers were interested in exploring the virtual health and physical education program (VHPEP) by identifying existing practices, drawing a more profound understanding of teachers' experiences, identifying parents' roles played in support of their children and teachers, and finally recommending inputs for a better VHPEP. Using a criterion-based selection, twenty participants, encompassing ten teachers and ten parents, were recruited for this study. The study employed a qualitative case study design. The results found that implementing VHPEP involved various issues and challenges in class management, including limited student interaction, difficulty sustaining interest, ineffective assessment methods, and instances of student cheating. These challenges prompted teachers to shift their pedagogical practices, focusing on making adjustments and developing new strategies to ensure student participation. Additionally, the study found that teachers experienced anxieties and realized the importance of self-reflection, including the importance of implementing measures to mitigate anxieties, gaining new perspectives on teaching, and grappling with the unique difficulties and opportunities of the virtual teaching modality. This study also shed light on the diverse roles that parents played in supporting their children and collaborating with teachers. Lastly, the study identified crucial aspects for improving VHPEP. While this study gives much attention to valuable insights provided by teachers and parents as collaborative partners for a quality VHPEP, caution should be exercised because the research is based on specific contexts and individual experiences. [ABSTRACT FROM AUTHOR]

The extant literature has clearly demonstrated that transgender and nonbinary adolescents (TNBA) face extreme stress related to navigating gender identity and expression across various social environments. Additionally, parents are perhaps the most critical aspect of support for TNBA, and research has repeatedly identified the benefits of parent support for adolescent mental health. However, few studies underscore how TNBA and parents within the same family perceive parent support after adolescents disclose that they are transgender or nonbinary. The present qualitative study uses a life history calendar (LHC) interview approach with 20 TNBA-parent dyads (40 individual interviews) to explore TNBA-parent perceptions of parent support and adjustment related to TNBA gender identity and affirmation. Findings yielded three main points regarding parental support for TNBA. First, the time between disclosure to a parent and puberty mattered for parental support and adjustment processes. Second, parents who stepped into their child's gender journey during their child's adolescence grappled with feelings of grief and loss as they were making decisions to support their child's gender affirmation. For many of these families, stigma-related fears and adolescent distress impacted parent support for their child's gender journey. Third, parents lacked a familiar and affirming roadmap in their own families and communities, and although parents connected with other parents of trans kids for support, for some, these supportive resources presented challenges. Continued research can further study the complex drivers of support and the potential impact of these support processes on adolescent and parental well-being. Highlights: Life History Calendar qualitative interview approach to dyadic data collection with trans and nonbinary adolescents and one of their parents; Dyadic qualitative analysis; Findings underscore dyadic perspectives of parent support and adjustment to transgender and nonbinary adolescent gender identity and affirmation after TNBA disclosure of gender identity to parents. [ABSTRACT FROM AUTHOR]

Purpose: To explore the experiences and needs of parents with an infant diagnosed at risk of cerebral palsy (CP) and to receive feedback on a new online support program (Parenting Acceptance and Commitment Therapy; PACT). Materials and methods: Eleven parents from eight family dyads (8 mothers, 3 fathers) with infants under 24 months of age (age range 10-24 months) recently diagnosed as at risk of CP as well as fourteen clinicians participated in this qualitative study through interviews. Results: Parents reported conflicting emotions and grief. Further, they reported that they wanted honesty, support and normalisation of their experiences from clinicians. Parents pointed to a gap in service delivery in terms of non-pathologising psychological support specific to their needs. Clinicians reported a lack of skills in supporting distressed parents. Parent feedback on PACT was positive, with parents receptive to the online delivery. Conclusions: Parents want acceptance without pathologisation, honesty, and flexible support. Clinicians working with children at risk of CP need training in grief awareness and support for their own coping. Health services should consider building better parental support into their systems of care. [ABSTRACT FROM AUTHOR]

Objective: This pilot study sought to explore the experience of children with sensory over‐responsivity (SOR) during a sensory meltdown and the extent that parents feel confident about strategies they use to support their child. Background: A large percentage of children with sensory processing challenges present with SOR. A better understanding of the experience of children with SOR is suggested to clarify severity and help parents respond effectively. Method: A retrospective analysis was conducted. An anonymous survey questionnaire was sent to 110 members of an online support group. Thirty‐six parent responses were collected from families of children with sensory processing challenges in San Francisco. Results: Results indicated 88.9% of parents reported their child experiencing an SOR meltdown, with 51.4% having asked their child what a sensory meltdown feels like, and 31.4% reporting an experience of pain. Those children who responded to the question "does it hurt?" offered descriptions reflective of an "assault" (e.g., "it feels like knives are stabbing my bones," "it's killing me," "it's completely overwhelming"). Only 30.6% of parents reported feeling confident about how to respond to their child during sensory events. Conclusion: Descriptions reported in this exploratory study suggest a change in terminology. Preliminary evidence suggests that these meltdowns may be more accurately described as sensory assaults. Implications: This perspective could influence parental and societal views of children with SOR. More research is needed to determine how widespread the experience of pain with SOR is and if a better understanding of children's experiences can inform family interventions. [ABSTRACT FROM AUTHOR]

Shawna M Campbell,1 Tanya Hawes,1 Kellie Swan,1 Rae Thomas,2,3 Melanie J Zimmer-Gembeck1,4 1School of Applied Psychology, Griffith University, Gold Coast, QLD, Australia; 2Tropical Australian Academic Health Centre, Townsville, QLD, Australia; 3College of Medicine and Dentistry, James Cook University, Townsville, QLD, Australia; 4Griffith Centre for Mental Health, Griffith University, Gold Coast, QLD, AustraliaCorrespondence: Melanie J Zimmer-Gembeck, School of Applied Psychology, Griffith University, Parklands Drive, G40_7.86, Southport, Gold Coast, QLD, 4222, Australia, Tel +61 07 5678 9085, Email m.zimmer-gembeck@griffith.edu.auAbstract: Parent–Child Interaction Therapy (PCIT) is an intensive parent support program for caregivers and their children who exhibit difficult-to-manage disruptive behaviors. After more than four decades of research supporting its efficacy for reducing children’s disruptive behaviors and improving parent–child relationships, PCIT has become one of the most popular and widely disseminated parenting support programs in the world. The evidence for the efficacy of PCIT can be found in many reviews of randomized clinical trials and other rigorous studies. To add to those reviews, our aim was to provide practical guidance on how PCIT can be part of an evidence-based program for families that depends on practitioner expertise, as well as attention to families’ diverse needs. To do this, we describe the evolution of PCIT as practiced in a university-community partnership that has continued for over 20 years, alongside a narrative description of selected and recent findings on PCIT and its use in specific client presentations across four themes. These themes include studies of 1) whether the standard manualized form of PCIT is efficacious across a selection of diverse family situations and child diagnoses, 2) the mechanisms of change that explain why some parents and some children might benefit more or less from PCIT, 3) whether treatment content modifications make PCIT more feasible to implement or acceptable to some families, at the same time as achieving the same or better outcomes, and 4) whether PCIT with structural modifications to the delivery, such as online or intensive delivery, yields similar outcomes as standard PCIT. Finally, we discuss how these directions in research have influenced research and practice, and end with a summary of how the growing attention on parent and child emotion regulation and parents’ responses to (and coaching of) their children’s emotions has become important to PCIT theory and our practice.Keywords: parent–child interaction therapy, parent support, child externalizing behavior, emotion regulation, autism spectrum disorder, evidence-based practice

AbstractThis study aims to gain insight into the development of parenthood six months after delivery of a preterm infant due to the mother’s preeclampsia or HELLP syndrome. In this qualitative interview study, we conducted individual interviews with the Working Model of the Child Interview to tap into the subjective experiences of parents who went through preterm delivery due to preeclampsia or HELLP. The interview data were analyzed using thematic analysis. From February up to and including December 2017, parental couples were included of whom the mother had suffered from severe preeclampsia or HELLP, and whose child had been born at a gestational age of less than 32 weeks. Parents also filled out a depression, an anxiety and a bonding questionnaire. Five parental couples, five fathers and five mothers, were interviewed. Many statements made clear that these parents are undergoing a distinctive development. Fear of losing the baby was still central to all parents and they were afraid of being a parent or forming a loving bond. Importantly, both fathers and mothers described loss of control, recurring memories and catastrophic fears. Psychological support should help parents regulate the shock, process traumatic experiences and integrate the frightening life event into parenthood development. Therefore, proper monitoring of parenthood development is necessary to detect problems, intervene and prevent adverse consequences.

Music-Oriented Parent Counseling (MOPC) is a clinical way to work with parents, using musical improvisations and listening. This study examined effects of MOPC on level of stress, quality of life perception and daily use of music by the parents of autistic children. Fourteen parents of young autistic children received either three MOPC sessions (n = 7) or ten MOPC sessions (n = 7), parallel to either music therapy (MT) or standard care for their children. Change in parental stress, parents' perception on children's and families' quality of life and the daily use of music (routine and joint music activities) were measured with standardized assessments and parent interviews. Descriptive and inferential parametric statistics were conducted, as well as thematic analysis. We found little change and no significant effect on parental stress. Children's quality of life showed improvement with but not without MT and a tendency towards a larger improvement with high-intensity than low-intensity MOPC. Family quality of life showed less change but a somewhat larger improvement in high-intensity than low-intensity MOPC. Routine music activities increased in high-intensity MOPC but decreased in low-intensity MOPC; joint music activities showed less change but a similar trend. Qualitative analysis of the interviews suggested that parents participating in high-intensity MOPC felt less stressed, perceived improved quality of life, and increased music use. Findings provide preliminary support for high-intensity MOPC to help parents of autistic children increase children's and families' quality of life and music use. More research is needed to confirm these findings. [ABSTRACT FROM AUTHOR]

BackgroundParents of infants in neonatal intensive care units (NICUs) are often unintentionally marginalized in pursuit of optimal clinical care. Family Integrated Care (FICare) was developed to support families as part of their infants' care team in level III NICUs. We adapted the model for level II NICUs in Alberta, Canada, and evaluated whether the new Alberta FICare™ model decreased hospital length of stay (LOS) in preterm infants without concomitant increases in readmissions and emergency department visits.MethodsIn this pragmatic cluster randomized controlled trial conducted between December 15, 2015 and July 28, 2018, 10 level II NICUs were randomized to provide Alberta FICare™ (n = 5) or standard care (n = 5). Alberta FICare™ is a psychoeducational intervention with 3 components: Relational Communication, Parent Education, and Parent Support. We enrolled mothers and their singleton or twin infants born between 32 0/7 and 34 6/7 weeks gestation. The primary outcome was infant hospital LOS. We used a linear regression model to conduct weighted site-level analysis comparing adjusted mean LOS between groups, accounting for site geographic area (urban/regional) and infant risk factors. Secondary outcomes included proportions of infants with readmissions and emergency department visits to 2 months corrected age, type of feeding at discharge, and maternal psychosocial distress and parenting self-efficacy at discharge.ResultsWe enrolled 654 mothers and 765 infants (543 singletons/111 twin cases). Intention to treat analysis included 353 infants/308 mothers in the Alberta FICare™ group and 365 infants/306 mothers in the standard care group. The unadjusted difference between groups in infant hospital LOS (1.96 days) was not statistically significant. Accounting for site geographic area and infant risk factors, infant hospital LOS was 2.55 days shorter (95% CI, - 4.44 to - 0.66) in the Alberta FICare™ group than standard care group, P = .02. Secondary outcomes were not significantly different between groups.ConclusionsAlberta FICare™ is effective in reducing preterm infant LOS in level II NICUs, without concomitant increases in readmissions or emergency department visits. A small number of sites in a single jurisdiction and select group infants limit generalizability of findings.Trial registrationClinicalTrials.gov Identifier NCT02879799 , retrospectively registered August 26, 2016.

Abstract Background Child health and development can be promoted by strengthening and supporting parents. Research on parental support programs based on positive psychology and a health-promoting approach aimed at all parents, and in particular parents of infants is limited. All Children in Focus (ACF) is a parental support program that has been evaluated in a randomized trial in parents of children 3–12 years. The ACF is based on health promotion aiming to increase parents’ confidence and child’s well-being. In the current study, we will study the effects of a revised version of the ACF called Little ACF adapted to parents with children aged 1–2 years. Methods The study includes a randomized controlled trial (RCT) taking place at several Child Health Centers (CHCs) in Sweden. The RCT will evaluate the efficacy of Little ACF (intervention) in comparison with four digital lectures about child development and parenting (active control). Parents are recruited at the 10-, 12-, or 18-month visits to CHC by CHC-nurses. Data to assess changes in parental competencies and child socio-emotional development are collected through online questionnaires completed by parents at five time points: baseline, post-intervention, after 6 and 12 months, and when the child is 3 years old. Discussion The paper describes a study protocol of a randomized controlled trial evaluating the effects of a parental support program during infancy. Several issues related to the methodology and implementation are discussed. Trial registration ClinicalTrials.gov NCT05445141. Registered on 6 July 2022.

The parents know their baby best, and parents leading a neonatal ward round can easily be incorporated into your everyday practice and consultant ward rounds. It requires very little other than some communication with parents and colleagues about what to expect. How it runs will depend on parents' priorities that day, and where they are in their neonatal journey. Here I will describe some of the potential barriers and, more importantly, some of the expected benefits of this practice which more fully embraces parents as partners in care. [ABSTRACT FROM AUTHOR]

Parents of children with intellectual or developmental disabilities have unique challenges in navigating the developmental period of adolescence. The present study explored the experiences of parents connected with disability services throughout the island of Ireland of parenting their child during adolescence. Five focus groups were conducted with twenty-five parents of adolescents and young adults with intellectual or developmental disabilities. Parents were asked open-ended questions about their experiences of raising their adolescent child. Transcripts of the focus groups were coded using reflexive thematic analysis. On the journey from childhood to adolescence parents have to manage a number of different stressors with and for their child. These occur at societal, service provision, familial, and personal levels, with each stressor interacting with others to create vicious circles of struggle. Parents' struggles are multi-fold, and are not discreet entities that can be separated. The struggle is dynamic and continuous. [ABSTRACT FROM AUTHOR]

The math children are exposed to at home is a crucial source of early math knowledge, but little is known about parents’ general approaches for supporting their children’s math development at home. The current study examined what general pedagogical approaches parents believed to be most important to use in their home and if these beliefs aligned with the approaches they reported using most often. In a survey of 344 U.S. preschool parents (56% mothers, 61% sons, 77% White, 79% with a bachelor’s degree or more), 83% of parents showed a mismatch in the pedagogical approach they used most often compared to what they believed to be most important to use. The most popular pedagogical approach to use was incorporating math during daily living experiences (the “daily living” approach) compared to three other approaches. Notably, although used most often, the “daily living” approach was the approach most frequently selected as least important. Rather, “direct teaching” was the approach most frequently selected as most important. Overall, this suggests a disconnect between how parents approach their home math support and what they believe is most important for their child’s math development at home.

Mellow Babies aims to improve mothers’ mental wellbeing and the quality of their interactions with their baby. The feasibility of a definitive trial of Mellow Babies was assessed using a waiting-list randomised pilot trial (Clinicaltrials.gov: NCT02277301). Mothers with substantial health/social care needs and a child aged p = 0.019), adjusted for pre-intervention scores. There was no significant improvement in mothers’ mental wellbeing on any measure. A definitive trial of Mellow Babies is feasible and should include longer follow up of mothers and the opportunity for fathers to take part.

Introduction: Parents of children with dyslexia may be at elevated risk for parenting stress and mental health concerns. Our aim was to explore the emotional experience of growing up with dyslexia in Australia from parents' perspectives. In so doing, we also developed an understanding of parents' own mental health and support needs informed by their lived experience. Methodology: Seventeen interviews with mothers of children (9–14 years; 16 with a diagnosis of dyslexia) were analysed using Braun and Clarke's reflexive thematic analysis approach. Analysis: Five themes were developed to address our aim: Theme 1: Years in the wilderness: Life before diagnosis; 2: "I struggle at times to see her struggle"; 3. School struggles: Advocating for our children and managing distress; 4. "It's a full‐time job" and a "long slog"; 5: Care for the carer: Social support and coping strategies. Conclusions: Our analysis suggests that mothers of children with dyslexia may be at elevated risk for mental health concerns. Specifically, chronic worry and stress, secondary distress, challenges to parenting self‐efficacy, and lack of support and understanding (feeling isolated) were highlighted as plausible risk factors. Mothers described coping strategies at the community level (e.g., school connectedness) and at the individual level (e.g., "acceptance") as protective. [ABSTRACT FROM AUTHOR]

Aim: This study aims to review the existing literature on Internet‐based health interventions directed to support parents of children aged 0–5 years. Methods: We systematically searched electronic databases between January 2000 and 2018. The search consisted of terms describing eHealth, intervention and families and/or children. Results: Internet‐based parent support interventions were most often directed at rehabilitation and selective prevention, and we identified more studies on mental health (57%) than somatic health (41%). Developmental disorders were the most frequently studied mental health condition (n = 33), while interventions for obesity (15%) were the most studied somatic health condition. Forty‐four percent of mental health studies were RCTs and 65% of interventions were theory driven. Interventions most often used a behavioural approach, included guidance and delivered content via text‐based information. Conclusion: Several significant gaps were identified such as the need for more research outside of English‐speaking countries, more systematic reviews and effect studies. This review also elucidates the need for researchers to improve reporting on the theoretical approaches employed in interventions, and to focus on determining the importance of guidance. Finally, program developers should consider using more audio‐visual technology to avoid reinforcing social inequalities in access to healthcare. [ABSTRACT FROM AUTHOR]

Background: Child health and development can be promoted by strengthening and supporting parents. Research on parental support programs based on positive psychology and a health-promoting approach aimed at all parents, and in particular parents of infants is limited. All Children in Focus (ACF) is a parental support program that has been evaluated in a randomized trial in parents of children 3–12 years. The ACF is based on health promotion aiming to increase parents' confidence and child's well-being. In the current study, we will study the effects of a revised version of the ACF called Little ACF adapted to parents with children aged 1–2 years. Methods: The study includes a randomized controlled trial (RCT) taking place at several Child Health Centers (CHCs) in Sweden. The RCT will evaluate the efficacy of Little ACF (intervention) in comparison with four digital lectures about child development and parenting (active control). Parents are recruited at the 10-, 12-, or 18-month visits to CHC by CHC-nurses. Data to assess changes in parental competencies and child socio-emotional development are collected through online questionnaires completed by parents at five time points: baseline, post-intervention, after 6 and 12 months, and when the child is 3 years old. Discussion: The paper describes a study protocol of a randomized controlled trial evaluating the effects of a parental support program during infancy. Several issues related to the methodology and implementation are discussed. Trial registration: ClinicalTrials.gov NCT05445141. Registered on 6 July 2022. [ABSTRACT FROM AUTHOR]

Providing parents and their teenage children with an opportunity to experience voice modification techniques and discussions about mental health issues could alleviate some of their tremendous minority stress. Speech-language pathologists and counselors can use experiential learning and a multidimensional family approach to support parents and their trans teenagers to build connections and learn individual perspectives on their personal phases of transitioning. Participants of the 3-hour webinar included nine dyads of parents and youths across the United States. Topics on voice modification and mental health strategies were presented. Only parents completed the pre- and post-surveys to measure confidence in their knowledge to support their youth's voice and mental health needs. There were 10 Likert scale questions (5 voice, 5 mental health). The Kruskal–Wallis H -test results revealed that the median responses to the pre and post voice survey did not show a statistically significant change (H = 8.0, p = 0.342). Similarly, the mental health surveys did not reach significance (H = 8.0, p = 0.433). However, the growth trend shows strong promise for developing effective future experiential training workshops as a viable service provision for increasing parents' knowledge in supporting their trans child's voice and mental health needs. [ABSTRACT FROM AUTHOR]

This article examines neighborhood-level factors to help explain why adolescent birth rate trajectories differ in certain communities in California, with rates in some areas remaining elevated or increasing while rates in other areas with similar demographic characteristics declined. Researchers conducted in-depth interviews with 94 community stakeholders and 22 focus groups with 186 adolescents from five “promising” communities (with declining adolescent birth rates) and five “struggling” communities (persistently elevated or increasing rates). Promising communities had more employment prospects, better neighbor interactions, and greater educational opportunities for youth. Parent–child communication around sex and youth knowledge of clinics were also more common. In contrast, struggling communities tended to have higher perceived levels of crime and poverty and more negative attitudes toward youth. These findings illustrate the complexity of factors that influence adolescents’ lives and decision-making. Synergistic community-based approaches to adolescent health and development are critical to promote positive health outcomes.