Journal article

Feasibility pilot of an adapted parenting programm embedded with the Thai public health system

Research Areas

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Publication Details

Author list: McCoy A; Lachman JM; Ward CL; Tapanya S; Poomchaichote T; Kelly J; Mukaka M; Cheah PY; Gardner F

Publisher: BMC

Publication year: 2021

Journal: BMC Public Health

Volume number: 21

Issue number: 1009

Start page: 1

End page: 19

Total number of pages: 19

eISSN: 1471-2458


Background: This feasibility pilot of the Parenting for Lifelong Health for Young Children program in Thailand
aimed to: 1) explore the feasibility of study evaluation approaches; 2) assess the feasibility of delivering an adapted
program; 3) report indicative effects on child maltreatment and related outcomes; and 4) examine intervention
content associated with key mechanisms of change perceived by caregivers and facilitators.
Method: Sixty primary caregivers of children aged 2–9 years were recruited for an 8-week parenting program
embedded within the local health system. Mixed-methods approaches included quantitative caregiver-report and
observational data from standardized instruments, and qualitative data from individual and group interviews with
caregivers and program facilitators. Analyses involved Wilcoxon signed-rank tests, paired t-tests, Friedman’s ANOVA,
and thematic analysis.
Results: Participants reported that most (65%) were grandparents or great-grandparents. Study retention and
response rates were high, and enrolled caregivers attended an average of 93% of sessions. Primary outcomes
showed caregiver-reported pre-post reductions in overall child maltreatment (d = − 0.58, p < 0.001), as well as
reductions in physical (d = − 0.58, p < 0.001) and emotional abuse (d = − 0.40, p < 0.001). Combined caregiver report
and observational assessments using the HOME Inventory showed reductions in abusive and harsh parenting
(d = − 0.52, p < 0.001). Secondary outcomes demonstrated decreases in child neglect; dysfunctional parenting; poor
child monitoring and supervision; parental sense of inefficacy; child behavior problems; daily report on child
problem behavior; parent overall depression, anxiety, and stress; and attitudes supporting physical punishment and
harsh discipline. There were increases in overall positive parenting, daily positive parenting behavior, as well as
HOME Inventory assessments on parent-child relationships. Thematic analyses from interviews and focus group data
identified six key program themes associated with strengthened parent-child relationships, reduced child behavior
problems, improved attitudes and strategies toward discipline, and improved management of parental stress.


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Last updated on 2021-09-06 at 11:08