Predictive Value of Parent-Professional Alliance for Outcomes of Home-Based Parenting Support
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Home-based parenting support within youth care services is one of the key interventions provided to families encountering difficulties with child rearing and child development. However, knowledge on factors contributing to positive outcomes of home-based parenting support is limited.
The current study investigated the predictive value of (1) early parent-professional alliance and (2) change in alliance during care for outcomes of home-based parenting support.
Multi-informant self-report alliance and outcome data from 146 parents (Mage = 40.00, SD = 7.10; range 19–57 years) and their professionals collected early and late in care were analyzed using latent growth curve modeling.
Findings demonstrated that higher levels of early parent-reported alliance predicted higher levels of parent-reported satisfaction with care, and improved parent functioning. Higher levels of early professional-reported alliance predicted higher levels of parent- and professional-reported satisfaction, and improved parent functioning. Increases in professional-reported alliance during care predicted higher levels of professional-reported satisfaction and parent functioning but were not related to parent-reported outcomes. Change in parent-reported alliance was not related to outcomes.
Together, our findings suggest that a strong parent-professional alliance represents a key process factor in realizing positive outcomes of home-based parenting support. Consequently, efforts in research and practice are needed to investigate precursors of strong alliances and to optimize professionals’ ability to develop and maintain strong parent-professional alliances.
KeywordsAlliance Parent Professional Outcome Home-based parenting support
We thank all participating parents, professionals and youth care organizations for their contribution, as well as those who have assisted in data collection and data entry. This research was supported by a grant from ZonMw, the Dutch organization for health research and development (Grant Number 729101013), participating youth care organizations, province of Noord-Brabant, and by HAN University of Applied Sciences.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual parents included in the study. Directors of participating organizations provided active consent for their organization to participate in the study and organized active participation of professionals providing home-based parenting support.
- Alexander, L. B., & Luborsky, L. (1986). The Penn Helping Alliance Scales. In L. S. Greenberg & W. M. Pinsof (Eds.), The psychotherapeutic process: A research handbook (pp. 325–366). New York: Guilford Press.Google Scholar
- Barth, R. P., Landsverk, J., Chamberlain, P., Reid, J. B., Rolls, J. A., Hurlburt, M. S., et al. (2005). Parent-training programs in child welfare services: Planning for a more evidence-based approach to serving biological parents. Research on Social Work Practice, 15, 353–371. https://doi.org/10.1177/1049731505276321.CrossRefGoogle Scholar
- Bollen, K. A., & Curran, P. J. (2006). Latent curve models: A structural equation perspective. Hoboken, NJ: Wiley.Google Scholar
- Child Welfare Information Gateway. (2014). In-home services in child welfare. Washington, DC: U.S. Department of Health and Human Services, Children’s Bureau. https://www.childwelfare.gov/pubs/issue_briefs/inhome_services.cfm. Accessed on 15 June 2017.
- De Greef, M., Pijnenburg, H. M., Van Hattum, M. J. C., McLeod, B. D., & Scholte, R. H. J. (2017). Parent- professional alliance and outcomes of child, parent, and family treatment: A systematic review. Journal of Child and Family Studies, 26, 961–976. https://doi.org/10.1007/s10826-016-0620-5.CrossRefGoogle Scholar
- Fjermestad, K. W., Lerner, M. D., McLeod, B. D., Wergeland, G. J. H., Heiervang, E. R., Silverman, W. K., et al. (2016). Therapist-youth agreement on alliance change predicts long-term outcome in CBT for anxiety disorders. Journal of Child Psychology and Psychiatry, 57, 625–632. https://doi.org/10.1111/jcpp.12485.CrossRefPubMedGoogle Scholar
- Granic, I., Otten, R., Blokland, K., Solomon, T., Engels, R. C. M. E., & Ferguson, B. (2012). Maternal depression mediates the link between therapeutic alliance and improvements in adolescent externalizing behavior. Journal of Family Psychology, 26, 880–885. https://doi.org/10.1037/a0030716.CrossRefPubMedGoogle Scholar
- Horwitz, S. M., Chamberlain, P., Landsverk, J., & Mullican, C. (2010). Improving the mental health of children in child welfare through the implementation of evidence-based parenting interventions. Administration and Policy In Mental Health, 37, 27–39. https://doi.org/10.1007/s10488-010-0274-3.CrossRefPubMedGoogle Scholar
- Hubble, M. A., Duncan, B. L., Miller, S. D., & Wampold, B. E. (2010). Introduction. In B. L. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change. Delivering what works in therapy (pp. 23–46). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
- Jurrius, K., Havinga, L., & Stams, G. J. (2008). Exit-Vragenlijst Jeugdzorg. Amsterdam: Stichting Alexander.Google Scholar
- Kazdin, A. E. (2007). Mediators and mechanisms of change in psychotherapy research. Annual Review of Clinical Psychology, 3, 1–27. https://doi.org/10.1146/annurev.clinpsy.3.022806.091432.CrossRefPubMedGoogle Scholar
- Keeley, M. L., Geffken, G. R., Ricketts, E., McNamara, J. P. H., & Storch, E. A. (2011). The therapeutic alliance in the cognitive behavioral treatment of pediatric obsessive-compulsive disorder. Journal of Anxiety Disorders, 25, 855–863. https://doi.org/10.1016/j.janxdis.2011.03.017.CrossRefPubMedGoogle Scholar
- Kendall, P. C., Comer, J. S., Marker, C. D., Creed, T. A., Puliafico, A. C., Hughes, A. A., et al. (2009). In-session exposure tasks and therapeutic alliance across the treatment of childhood anxiety disorders. Journal of Consulting and Clinical Psychology, 77, 517–525. https://doi.org/10.1037/a0013686.CrossRefPubMedGoogle Scholar
- Lewis, E. M., Feely, M., Seay, K. D., Fedoravicis, N., & Kohl, P. L. (2016). Child welfare involved parents and pathways Triple P: Perceptions of program acceptability and appropriateness. Journal of Child and Family Studies, 25, 3760–3770. https://doi.org/10.1007/s10826-016-0526-2.CrossRefPubMedPubMedCentralGoogle Scholar
- McLeod, B. D., Jensen-Doss, A., Tully, C. B., Southam-Gerow, M. A., Weisz, J. R., & Kendall, P. C. (2016). The role of setting versus treatment type in alliance within youth therapy. Journal of Consulting and Clinical Psychology, 84, 453–464. https://doi.org/10.1037/ccp0000081.CrossRefPubMedPubMedCentralGoogle Scholar
- McLeod, B. D., & Weisz, J. R. (2005). The Therapy Process Observational Coding System-Alliance Scale: Measure characteristics and prediction of outcome in usual clinical practice. Journal of Consulting and Clinical Psychology, 73, 323–333. https://doi.org/10.1037/0022-006X.73.2.323.CrossRefPubMedGoogle Scholar
- Muthén, L. K., & Muthén, B. O. (1998–2012). Mplus user’s guide (7th ed.). Los Angeles: Author.Google Scholar
- Statistics Netherlands (CBS). (2015). Jongeren in de provinciaal gefinancierde jeugdzorg. http://jeugdstatline.cbs.nl/Jeugdmonitor/publication/?VW=T&DM=SLNL&PA=20157NED&D1=0&D2=a&D3=0&D4=0&D5=a&D6=2-3&HD=170615-2226&HDR=G2,T,G3,G4,G5&STB=G1. Accessed on 15 June 2017.
- Stichting Alexander. (2008). Pilot Exit-vragenlijst jeugdzorg—zorgaanbieders. Procesbeschrijving, evaluatie en aanpassing. Amsterdam: Stichting Alexander.Google Scholar
- Stinckens, N., Ulburghs, A., & Claes, L. (2009). De werkalliantie als sleutelelement in het therapiegebeuren. Tijdschrift Klinische Psychologie, 39, 44–60.Google Scholar
- Voelkle, M. C. (2007). Latent growth curve modeling as an integrative approach to the analysis of change. Psychology Science, 49, 375–414.Google Scholar