Evaluation of an Intervention Program for Families with Children at Risk for Maltreatment and Developmental Impairment: A Preliminary Study
- 135 Downloads
This study evaluated the preliminary effects of an early intervention program for parents and children at-risk. In this study, a sample of 40 children were randomly assigned to a 9-months intervention program (intervention group, n = 20) or remained in usual practice conditions (control group, n = 20). The intervention involved group dynamics with children in pre-school and individual work sessions with the parents and the children at home. A repeated measures design 2 × 2 was used to test the program effects on parenting practices (Maltreatment Questionnaire) and on children’s mental and social development (Griffiths Mental Development Scales). Results revealed that the program had a positive impact mostly on parenting practices, decreasing physical and psychological abuse (d = −1.01), physical neglect (d = −0.71) and lack of supervision (d = −0.48), and also on measures of cognitive development (i.e., hearing and language; d = 0.31). The program reinforces the importance and effectiveness of attunement intervention programs for parents and for children.
KeywordsEarly intervention program Parents and children Program evaluation Parenting practices Child development
This study was funded by Casa Pia de Lisboa.
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
Research Involving Human Participants and/or Animals
All procedures performed in the current study 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.
- Anderson, L., Shinn, C., Fullilove, M. T., Scrimshaw, S. C., Fielding, J. E., Normand, J., Carande-Kulis, V. G., & Task Force on Community Preventive Services. (2003). The effectiveness of early childhood development programs: A systematic review. American Journal of Preventive Medicine, 24, 32–46.CrossRefPubMedGoogle Scholar
- Bronfenbrenner, U. (2000). Ecological systems theory. In A. Kazdin (Ed.), Encyclopedia of Psychology (pp. 129–133). New York: Oxford University Press.Google Scholar
- Browne, K. (2009). The Risk of Harm to Young Children in Institutional Care. London: Save the Children.Google Scholar
- Calheiros, M. (2006). A construção social do mau trato e negligência parental: Do senso-comum ao conhecimento científico. Fundação Calouste Gulbenkian – Fundação para a Ciência e a Tecnologia. Coimbra: Imprensa de Coimbra, Lda.Google Scholar
- Charles, J., Bywater, T., & Edwards, R. T. (2011). Parenting interventions: A systematic review of the economic evidence. Child: Care, Health and Development, 37, 462–474.Google Scholar
- Comissão Nacional de Proteção das Crianças e Jovens em Risco [CNPCJR] (2015). Relatório anual de avaliação da atividade das CPCJ. Lisboa: CNPCJR.Google Scholar
- CPCJR. (2015). Relatório anual de avaliação da actividade das CPCJ. Lisboa: Instituto da Segurança Social, IP.Google Scholar
- Department of Health. (2000). Framework for the assessment of children in need and their families. London: The Stationery Office Ltd.Google Scholar
- Dretzke, J., Davenport, C., Frew, E., Barlow, J., Stewart-Brown, S., Bayliss, S., et al. (2009). The clinical effectiveness of different parenting programmes for children with conduct problems: A systematic review of randomised controlled trials. Child and Adolescent Psychiatry and Mental Health, 3, 7.CrossRefPubMedPubMedCentralGoogle Scholar
- Euser, S., Alink, L. R. A., Stoltenborgh, M., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2015). A gloomy picture: A meta-analysis of randomized controlled trials reveals disappointing effectiveness of programs aiming at preventing child maltreatment. BMC Public Health, 15, 1–14.CrossRefGoogle Scholar
- Heather, L., Storer, A., Barkan, S. E., Sherman, E. L., Haggerty, K. P., & Mattos, L. M. (2012). Promoting relationship building and connection: Adapting an evidence-based parenting program for families involved in the child welfare system. Children and Youth Services Review, 34, 1853–1861.CrossRefGoogle Scholar
- Instituto da Segurança Social [ISS] (2009). Plano de intervenção imediata. Relatório de caracterização das crianças e jovens em situação de acolhimento em 2008. Lisboa: Instituto da Segurança Social, I.P.Google Scholar
- Instituto da Segurança Social [ISS] (2017). CASA 2016—Relatório de caracterização anual da situação de acolhimento das crianças e jovens. Lisboa: Instituto da Segurança Social, I.P.Google Scholar
- Jennifer, Y., Duffy, M., Hughes, A. G., Asnesa, J., & Leventhala, M. (2015). Child maltreatment and risk patterns among participants in a child abuse prevention program. Child Abuse & Neglect, 44(2015), 184–193.Google Scholar
- Lei No. 5/97 (1997). Lei Quadro da Educação Pré-Escolar, Diário da República, n.º 34/1997, Série I-A de 1997-02-10, pp. 670–673.Google Scholar
- Little, M., Axford, N., & Morpeth, L. (2002). Aggregating data: Better management information and planning in children’s services. Totnes: Warren House Press.Google Scholar
- Luiz, D., Barnard, A., Knoesen, N., Kotras, N., Horrocks, S., McAlinden, P., Challis, D., & O’Connell, R. (2006). Griffiths Mental Development Scales – Extended Revised. Two to eight years. Administration manual. Oxford: Hogrefe.Google Scholar
- Moran, P., Ghate, D., Van Der Merwe, A., & Policy research bureau. (2004). What works in parenting support?: A review of the international evidence. London: Department for Education and Skills.Google Scholar
- National Institute for Health and Clinical Excellence. (2010). NICE Public Health Guidance 28: Promoting the Quality of Life of Looked-after Children and Young people. London, UK: National Institute of Health and Clinical Excellence.Google Scholar
- Nelson, G., Lord, J., & Ochocka, J. (2001). Shifting the paradigm in community mental health: Towards empowerment and community. Toronto: University of Toronto Press.Google Scholar
- Oliveira-Formosinho, J. (Org.) (2008). A escola vista pelas crianças. Porto Editora: Colecção Infância. Porto.Google Scholar
- Phillips, D. A., & Shonkoff, J. P. (2000). From Neurons to Neighborhoods: The science of early childhood development. Washington, DC: National Academies Press. 2000.Google Scholar
- Pierre, R. G., Layzer, J. I., Goodson, B. D., & Bernstein, L. S. (1997). National impact evaluation of the comprehensive child development program: Final report.Google Scholar
- Ponzetti, J., Charles, G., Marshall, S., & Hane, J. (2008). Family-centered early intervention in North America: Have home-based programmes lived up to their promise for high-risk families? Irish Journal of Applied Social Studies, 8, 13–20.Google Scholar
- Rodrigues, S., Barbosa-Ducharne, M., & del Valle, J. F. (2013). The quality of residential child care in Portugal and the example of its development in Spain. Papeles del Psicólogo, 34, 11–22.Google Scholar
- Storer, H. L., Barkan, S. E., Sherman, E. L., Haggerty, K. P., & Mattos, L. M. (2012). Promoting relationship building and connection: Adapting an evidence-based parenting program for families involved in the child welfare system. Children and Youth Services Review, 34(9), 1853–1861.CrossRefGoogle Scholar