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Parent and facilitator experiences of an intensive parent and infant programme delivered in routine community settings

  • Yvonne Leckey (a1), Gráinne Hickey (a2), Ann Stokes (a3) and Sinéad McGilloway (a4)

Abstract

Aim:

The aims of this study were to (1) assess the initial experiences of parenthood amongst mainly disadvantaged mothers; (2) explore their views on the extent to which they felt they had benefitted (or not) from participating in a newly developed, intensive mother and baby support programme in the community; and (3) explore the perspectives of those who delivered the programme (i.e., facilitators), most of whom were Public Health Nurses (PHNs).

Background:

Positive parent–child interactions and appropriate levels of infant stimulation are essential to promoting a child’s well-being and laying a foundation in the early years for positive developmental outcomes. It is important, therefore, to examine participants’ experiences of community-based, family-focused, early prevention and intervention programmes.

Methods:

This study was undertaken as part of a larger evaluation of a newly developed parent and infant (PIN) programme which was delivered in two disadvantaged areas in Ireland. One-to-one interviews were conducted with both mothers (n = 22) and facilitators (n = 8) (including three PHNs) plus six focus groups with an additional sub-group of facilitators (n = 17).

Findings:

The collective findings suggest that mothers found the programme helpful in promoting a greater understanding of their infants’ behaviour and needs, and in alleviating stress and concerns associated with motherhood. Mothers described feeling more knowledgeable about the importance of regular and appropriate infant interaction to encourage learning and development. Facilitators, specifically PHNs, also reported a greater awareness of the value of infant socioemotional development for their clinical practice and observed greater positive communication between mothers and infants.

Conclusion:

These findings suggest that a community-based, intensive mother and baby programme can help to promote parental competence and enhance infant learning and development. Additional benefits in terms of early intervention and positive changes to public health nursing practice are also discussed.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Author for correspondence: Yvonne Leckey, Maynooth University Department of Psychology, Maynooth University, County Kildare, Ireland. E-mail: Yvonne.Leckey@mu.ie

References

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Axford, N, Lehtonen, M, Kaoukji, D, Tobin, K and Berry, V (2012) Engaging parents in parenting programs: lessons from research and practice. Children and Youth Services Review 34, 2061–71.
Bagdi, A and Vacca, J (2005) Supporting early childhood social-emotional well-being: the building blocks for early learning and school success. Early Childhood Education Journal 33, 145–50.
Barlow, J, Coren, E and Stewart‐Brown, S (2003) Parent‐training programmes for improving maternal psychosocial health. Cochrane Database of Systematic Reviews 4.
Barlow, J, McMillan, AS, Kirkpatrick, S, Ghate, D, Barnes, J and Smith, M (2010a) Health‐led interventions in the early years to enhance infant and maternal mental health: a review of reviews. Child and Adolescent Mental Health 15, 178–85.
Barlow, J, Smailagic, N, Ferriter, M, Bennett, C and Jones, H (2010b) Group-based parent-training programmes for improving emotional and behavioural adjustment in children from birth to three years old. Cochrane Database of Systematic Reviews 3.
Barlow, J and Stewart-Brown, S (2001) Understanding parenting programmes: parents’ views. Primary Health Care Research and Development 2, 117–30.
Baumann, AA, Powell, BJ, Kohl, PL, Tabak, RG, Penalba, V, Proctor, EK, … Cabassa, LJ (2015) Cultural adaptation and implementation of evidence-based parent-training: a systematic review and critique of guiding evidence. Children and Youth Services Review 53, 113–20.
Black, MM, Walker, SP, Fernald, LC, Andersen, CT, DiGirolamo, AM, Lu, C, McCoy, DC, Fink, G, Shawar, YR, Shiffman, J and Devercelli, AE (2017) Early childhood development coming of age: science through the life course. The Lancet 389, 7790.
Börjesson, B, Paperin, C and Lindell, M (2004) Maternal support during the first year of infancy. Journal of Advanced Nursing 45, 588–94.
Braun, V and Clarke, V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77101.
Bruns, EJ, Suter, JC and Leverentz-Brady, K (2008) Is it wraparound yet? Setting quality standards for implementation of the wraparound process. The Journal of Behavioral Health Services and Research 35, 240–52.
Cabrera, NJ, Volling, BL and Barr, R (2018) Fathers are parents, too! Widening the lens on parenting for children’s development. Child Development Perspectives 12, 152–7.
Deave, T, Johnson, D and Ingram, J (2008) Transition to parenthood: the needs of parents in pregnancy and early parenthood. BMC Pregnancy and Childbirth 8, 30.
Department for Children and Youth Affairs (2014) Better outcomes brighter futures: The national policy framework for children and young people 2014–2020. Dublin: Stationery Office.
Engle, P, Black, M, Behrman, J, Cabral de Mello, M, Gertler, P, Kapiriri, L, Martorell, R and Young, M (2007) Strategies to avoid the loss of developmental potential in more than 200 million children in the developing world. The Lancet 369, 229–42.
Evans, S, Davies, S, Williams, M and Hutchings, J (2015) Short-term benefits from the Incredible Years parents and babies programme in Powys. Community Practitioner 88, 46.
Field, T (2010) Postpartum depression effects on early interactions, parenting, and safety practices: a review. Infant Behavior and Development 33, 16.
Fowler, C, Rossiter, C, Bigsby, M, Hopwood, N, Lee, A and Dunston, R (2012) Working in partnership with parents: the experience and challenge of practice innovation in child and family health nursing. Journal of Clinical Nursing 21, 3306–14.
Gallant, MH, Beaulieu, MC and Carnevale, FA (2002) Partnership: an analysis of the concept within the nurse–client relationship. Journal of Advanced Nursing 40, 149–57.
Haga, SM, Ulleberg, P, Slinning, K, Kraft, P, Steen, TB and Staff, A (2012) A longitudinal study of postpartum depressive symptoms: multilevel growth curve analyses of emotion regulation strategies, breastfeeding self-efficacy, and social support. Archives of Women’s Mental Health 15, 175–84.
Hanna, BA, Edgecombe, G, Jackson, CA and Newman, S (2002) The importance of first‐time parent groups for new parents. Nursing and Health Sciences 4, 209–14.
Hurt, L, Paranjothy, S, Lucas, PJ, Watson, D, Mann, M, Griffiths, LJ, … Lingam, R (2018) Interventions that enhance health services for parents and infants to improve child development and social and emotional well-being in high-income countries: a systematic review. BMJ Open 8, e014899.
Hutchings, J, Griffith, N, Bywater, T and Williams, ME (2017) Evaluating the incredible years toddler parenting programme with parents of toddlers in disadvantaged (Flying Start) areas of Wales. Child: Care, Health and Development 43, 104–13.
Jones, CH, Erjavec, M, Viktor, S and Hutchings, J (2016) Outcomes of a comparison study into a group-based infant parenting programme. Journal of child and family studies 25, 3309–21.
Krieg, DB (2007) Does motherhood get easier the second-time around? Examining parenting stress and marital quality among mothers having their first or second child. Parenting: Science and Practice 7, 149–75.
Kruske, S, Schmied, V, Sutton, I and O’Hare, J (2004) Mothers’ experiences of facilitated peer support groups and individual child health nursing support: a comparative evaluation. The Journal of Perinatal Education 13, 31.
Landers, AL, McLuckie, A, Cann, R, Shapiro, V, Vistini, S, MacLaurin, B, Trocme, N, Saini, M and Carrey, NJ (2018) A scoping review of evidence-based interventions available to parents of maltreated children ages 0–5 involved with child welfare services. Child Abuse & Neglect 76, 546–60.
Malekpour, M (2007) Effects of attachment on early and later development. The British Journal of Development Disabilities 53, 8195.
Marmot, M, Allen, J, Bell, R, Bloomer, E and Goldblatt, P (2012) WHO European review of social determinants of health and the health divide. The Lancet 380, 1011–29.
Moran, P, Ghate, D, Van Der Merwe, A and Policy Research Bureau (2004) What works in parenting support?: a review of the international evidence (pp. 4999). London: Department for Education and Skills.
Moullin, S, Waldfogel, J and Washbrook, E (2014) Baby bonds: parenting, attachment and a secure base for children. Sutton Trust.
Murray, L, Fiori‐Cowley, A, Hooper, R and Cooper, P (1996) The impact of postnatal depression and associated adversity on early mother‐infant interactions and later infant outcome. Child Development 67, 2512–26.
Olds, DL, Sadler, L and Kitzman, H (2007) Programs for parents of infants and toddlers: recent evidence from randomized trials. Journal of Child Psychology and Psychiatry 48, 355–91.
Paris, R and Dubus, N (2005) Staying connected while nurturing an infant: a challenge of new motherhood. Family Relations 54, 7283.
Parsons, CE, Young, KS, Murray, L, Stein, A and Kringelbach, ML (2010) The functional neuroanatomy of the evolving parent–infant relationship. Progress in Neurobiology 91, 220–41.
Pidano, AE and Allen, AR (2015) The incredible years series: a review of the independent research base. Journal of Child and Family Studies 24, 1898–916.
Pontoppidan, M, Klest, SK and Sandoy, TM (2016) The Incredible Years parents and babies program: a pilot randomized controlled trial. PloS One 11, e0167592.
Prinz, RJ, Smith, EP, Dumas, JE, Laughlin, JE, White, DW and Barrón, R (2001) Recruitment and retention of participants in prevention trials involving family-based interventions. American Journal of Preventive Medicine 20, 31–7.
Sanders, R, Lehmann, J and Gardner, F (2014) Parents’ experiences of early parenthood–preliminary findings. Children Australia 39, 185–94.
Shonkoff, JP and Richmond, JB (2009) Investment in early childhood development lays the foundation for a prosperous and sustainable society. Encyclopedia on Early Childhood Development 15.
Sockol, LE and Battle, CL (2015) Maternal attitudes, depression, and anxiety in pregnant and postpartum multiparous women. Archives of Women’s Mental Health 18, 585–93.
Stern, SB, Alaggia, R, Watson, K and Morton, TR (2008) Implementing an evidence-based parenting program with adherence in the real world of community practice. Research on Social Work Practice 18, 543–54.
Tiano, JD and McNeil, CB (2005) The inclusion of fathers in behavioral parent training: a critical evaluation. Child & Family Behavior Therapy 27, 128.
Tong, A, Sainsbury, P and Craig, J (2007) Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. International Journal for Quality in Health Care 19, 349–57
Trillingsgaard, T, Trillingsgaard, A and Webster-Stratton, C (2014) Assessing the effectiveness of the ‘Incredible Years® parent training’ to parents of young children with ADHD symptoms–a preliminary report. Scandinavian Journal of Psychology 55, 538–45.
Turney, K (2011) Labored love: examining the link between maternal depression and parenting behaviors. Social Science Research 40, 399415.
Walker, DD, Neighbors, C, Rodriguez, LM, Stephens, RS and Roffman, RA (2011) Social norms and self-efficacy among heavy using adolescent marijuana smokers. Psychology of Addictive Behaviors 25, 727.
Webster-Stratton, CH and Reid, MJ (2011) The Incredible Years Program for children from infancy to pre-adolescence: Prevention and treatment of behavior problems. In Clinical handbook of assessing and treating conduct problems in youth. New York, NY: Springer, 117–38.
Winston, R and Chicot, R (2016) The importance of early bonding on the long-term mental health and resilience of children. London Journal of Primary Care 8, 1214.
World Health Organization (2014) Social determinants of mental health. Geneva: World Health Organization.

Keywords

Parent and facilitator experiences of an intensive parent and infant programme delivered in routine community settings

  • Yvonne Leckey (a1), Gráinne Hickey (a2), Ann Stokes (a3) and Sinéad McGilloway (a4)

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