Parent Recruitment and Retention in a Universal Prevention Program for Child Behavior and Emotional Problems: Barriers to Research and Program Participation
- 3.5k Downloads
Despite the potential of parent training as a prevention and behavioral family intervention strategy, there are a number of important issues related to implementation (e.g., recruitment and retention of families). This paper presents recruitment and retention data from families enrolling in a randomized controlled universal prevention trial for child behavior problems conducted in Germany. The recruitment rate averaged 31% (general project participation), with families of lower socioeconomic status (SES) participating at a lower rate. Project-declining families most often reported intrusion of privacy as their primary concern. In contrast, once parents were enrolled in the project, participation among those randomized to the parent training group averaged 77% (program/intervention participation); non-participation was mostly due to logistical issues. Parents accepting the offer of parent training were more likely to report child behavior problems than did declining parents. Although parents from more disadvantaged areas had a lower overall level of participation in the project once recruited, parents with children having higher levels of behavior problems indeed were more likely to participate in the intervention. Different recruitment methods may be required to engage high-risk families from socioeconomically disadvantaged areas to further improve community-level impact on child mental health.
KEY WORDS:implementation recruitment triple p child behavior problems
This study was supported by the Deutsche Forschungsgemeinschaft (DFG; German Research Foundation), HA 1400/14-1. We are very grateful to Don Baucom and Lynlee Tanner for their comments on earlier versions of this manuscript.
- Achenbach, T. M., & Resorla, C. A. (2000). Manual for the ASEBA preschool forms and profiles. Burlington: University of Vermont.Google Scholar
- Bäse, B. (1995). Die sozialräumliche Gliederung der Stadt Braunschweig. Methodik und Durchführung sozialgeographischer Analysen im städtischen Wohnumfeld auf Grundlage des Zensus von 1987 [The social-ecological structure of the city of Brunswick. Method and procedure of socio-geographical analyses in urban living areas based upon the census of 1987]. Dissertation, Technische Universität Braunschweig.Google Scholar
- Greenberg, M. T., Domitrovich, C., & Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: Current state of the field. Prevention & Treatment, 4, Article 1. Retrieved from http://journals.apa.org/prevention/volume4/pre0040001.htmlGoogle Scholar
- Guyll, M., Spoth, R., & Redmond, C. (in press). The effects of incentives and research requirements on participation rates for a community-based preventive intervention research study. Journal of Primary Prevention. Google Scholar
- Hart, B., & Risley, T. R. (1995). Meaningful differences in the everyday experience of young American children. Sydney: Paul H. Brooks.Google Scholar
- Kaufman, A. S., & Kaufman, N. L. (2001). Kaufman assessment battery for children (K-ABC). Deutschsprachige Fassung von P. Melchers & U. Preuß. 5., korr. und erg. Auflage. Leiden: Swets & Zeitlinger.Google Scholar
- Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., Moffitt, T. E., Caspi, A., & Lynam, D. (2001). Male mental health problems, psychopathy, and personality traits: Key findings from the first 14 years of the Pittsburgh youth study. Clinical Child and Family Psychology Review, 4, 273–297.CrossRefPubMedGoogle Scholar
- Offord, D. R., Kraemer, H. C., Kazdin, A. E., Jensen, P. S., & Harrington, R. (1998). Lowering the burden of suffering from child psychiatric disorder: Trade-offs among clinical targeted, and universal interventions. Journal of the American Academy of Child and Adolescent Psychiatry, 37, 686–694.CrossRefPubMedGoogle Scholar
- Rutter, M. L., Giller, H., & Hagell, A. (1998). Antisocial behavior by young people. New York, NY: Cambridge University Press.Google Scholar
- Sanders, M. R., Markie-Dadds, C., Tully, L. A., & Bor, W. (2000). The Triple P-Positive Parenting Program: A comparison of enhanced, standard, and self-directed behavioural family intervention for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68, 624–640.CrossRefPubMedGoogle Scholar