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Parental Cognitions and Motivation to Engage in Psychological Interventions: A Systematic Review

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Abstract

This paper reviews the available research on the predictors of parental engagement in preventive and therapeutic psychological interventions that target mental health problems in children. Based on previous literature, seven predictors concerning parental motivation to engage are considered: perceived child problems, perceived parenting, attributions of problems, self-efficacy, expectations about treatment, perceived obstacles and global motivation to engage. PRISMA guidelines for systematic review were used to conduct the literature search. Thirty-seven studies that examined prospective relations between parental cognitions evaluated at the beginning of the intervention and parental engagement during the intervention were included. Most studies focused on the parents’ perception of the child’s problems and of parenting, with fewer studies examining the role of the other parental cognitions. The results suggest that the psychological dimensions proposed in motivational models may play an important role in understanding parental engagement in preventive and therapeutic psychological interventions.

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References

  1. Bögels SM, Brechman-Toussaint ML (2006) Family issues in child anxiety: attachment, family functioning, parental rearing and beliefs. Clin Psychol Rev 26:834–856

    Article  PubMed  Google Scholar 

  2. Dishion TJ, Patterson GR (2006) The development and ecology of antisocial behavior in children and adolescents. In Cicchetti D, Cohen DJ (eds), Developmental psychopathology. Risk, disorder, and adaptation, vol 3 (pp 503–541). Wiley, New York

    Google Scholar 

  3. Forehand R, Jones DJ, Parent J (2013) Behavioral parenting interventions for child disruptive behaviors and anxiety: What’s different and what’s the same. Clin Psychol Rev 33:133–145

    Article  PubMed  Google Scholar 

  4. Tully LA, Hunt C (2016) Brief parenting interventions for children at risk of externalizing behavior problems: A systematic review. J Child Fam Stud 25:705–719

    Article  Google Scholar 

  5. Finan SJ, Swierzbiolek B, Priest N, Warren N, Yap M (2018) Parental engagement in preventive parenting programs for child mental health: a systematic review of predictors and strategies to increase engagement. PeerJ 6:e4676

    Article  PubMed  PubMed Central  Google Scholar 

  6. Sanders MR, Markie-Dadds C, Rinaldis M, Firman D, Baig N (2007) Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions. Child Care Health Dev 33:768–783

    Article  PubMed  Google Scholar 

  7. Nowak C, Heinrichs N (2008) A comprehensive meta-analysis of Triple P-Positive Parenting Program using Hierarchical Linear Modeling: effectiveness and moderating Variables. Clin Child Fam Psychol Rev 11:114

    Article  PubMed  Google Scholar 

  8. Podell JL, Kendall PC (2011) Mothers and fathers in family cognitive-behavioral therapy for anxious youth. J Child Fam Stud 20:182–195

    Article  Google Scholar 

  9. Thomas R, Zimmer-Gembeck MJ (2007) Behavioral outcomes of Parent-Child Interaction Therapy and Triple P-Positive Parenting Program: a review and meta-analysis. J Abnorm Child Psychol 35:475–495

    Article  PubMed  Google Scholar 

  10. Sawyer MG, Arney FM, Baghurst PA, Clark JJ, Graetz BW, Kosky RJ et al (2001) The mental health of young people in Australia: key findings from the child and adolescent component of the National Survey of Mental Health and well-being. Aust N Z J Psychiatry 35:806–814

    Article  PubMed  Google Scholar 

  11. Nock MK, Ferriter C (2005) Parent management of attendance and adherence in child and adolescent therapy: a conceptual and empirical review. Clin Child Fam Psychol Rev 8:149–166

    Article  PubMed  Google Scholar 

  12. Chacko A, Jenden SA, Lowry LS, Cornwell M, Chimklis A, Chan E et al (2016) Engagement in behavioral parent training: review of the literature and implications for practice. Clin Child Fam Psychol Rev 19:204–215

    Article  Google Scholar 

  13. Ingoldsby EM (2010) Review of interventions to improve family engagement and retention in parent and child mental health programs. J Child Fam Stud 19:629–645

    Article  PubMed  PubMed Central  Google Scholar 

  14. Lindsey MA, Brandt NE, Becker KD, Lee BR, Barth RP, Daleiden EL et al (2014) Identifying the common elements of treatment engagement interventions in children’s mental health services. Clin Child Fam Psychol Rev 17:283–298

    Article  PubMed  Google Scholar 

  15. Staudt M (2007) Treatment engagement with caregivers of at-risk children: gaps in research and conceptualization. J Child Fam Stud 16:183–196

    Article  Google Scholar 

  16. Haine-Schlagel R, Walsh NE (2015) A review of parent participation engagement in child and family mental health treatment. Clin Child Fam Psychol Rev 18:133–150

    Article  PubMed  PubMed Central  Google Scholar 

  17. Garvey C, Julion W, Fogg L, Kratovil A, Gross D (2006) Measuring participation in a prevention trial with parents of young children. Res Nurs Health 29:212–222

    Article  PubMed  Google Scholar 

  18. Pereira AI, Muris P, Mendonça D, Barros L, Goes AR, Marques T (2016) Parental involvement in cognitive-behavioral intervention for anxious children: parents’ in-session and out-session activities and their relationship with treatment outcome. Child Psychiatry Hum Dev 47:113–123

    Article  PubMed  Google Scholar 

  19. Dumas JE, Moreland AD, Gitter AH, Pearl AM, Nordstrom AH (2008) Engaging parents in preventive parenting groups: do ethnic, socioeconomic, and belief match between parents and group leaders matter? Health Educ Behav 35:619–633

    Article  PubMed  Google Scholar 

  20. Reyno SM, McGrath PJ (2006) Predictors of parent training efficacy for child externalizing behavior problems—a meta-analytic review. J Child Psychol Psychiatry 47:99–111

    Article  PubMed  Google Scholar 

  21. Morawska A, Sanders M (2006) A review of parental engagement in parenting interventions and strategies to promote it. J Child Serv 1:29–40

    Article  Google Scholar 

  22. Spoth R, Redmond C, Haggerty K, Ward T (1995) A controlled parenting skills outcome study examining individual difference and attendance effects. J Marriage Fam 57:449–464

    Article  Google Scholar 

  23. Spoth R, Redmond C, Shin C (2000) Modeling factors influencing enrollment in family-focused preventive intervention research. Prev Sci 1:213–225

    Article  PubMed  Google Scholar 

  24. Alan EK (1996) Dropping out of child psychotherapy: issues for research and implications for practice. Clin Child Psychol Psychiatry 1:133–156

    Article  Google Scholar 

  25. Kazdin AE, Holland L, Crowley M, Breton S (1997) Barriers to treatment participation scale: evaluation and validation in the context of child outpatient treatment. J Child Psychol Psychiatry 38:1051–1062

    Article  PubMed  Google Scholar 

  26. Kazdin AE, Holland L.,Crowley M (1997) Family experience of barriers to treatment and premature termination from child therapy. J Consult Clin Psychol 65:453–463

    Article  PubMed  Google Scholar 

  27. Janz NK, Becker MH (1984) The health belief model: a decade later. Health Educ Q 11:1–47

    Article  Google Scholar 

  28. Miller WR, Rollnick S (2002) Motivational interviewing: preparing people for change, 2nd edn. Guilford Press, New York

    Google Scholar 

  29. Stewart-Brown SL, Schrader-Mcmillan A (2011) Parenting for mental health: what does the evidence say we need to do? Report of workpackage 2 of the dataprev project. Health Promot Int 26:i10–i28

    Article  PubMed  Google Scholar 

  30. Ruiz-Casares M, Drummond JD, Beeman I, Lach LM (2016) Parenting for the promotion of adolescent mental health: a scoping review of programmes targeting ethnoculturally diverse families. Health Soc Care Community 25:743–757

    Article  PubMed  Google Scholar 

  31. Bloomquist ML, August GJ, Lee SS, Piehler TF, Jensen M (2012) Parent participation within community center or in-home outreach delivery models of the Early Risers Conduct Problems Prevention Program. J Child Fam Stud 21:368–383

    Article  Google Scholar 

  32. Dumas JE, Nissley-Tsiopinis J, Moreland AD (2007) From intent to enrollment, attendance, and participation in preventive parenting groups. J Child Fam Stud 16:1–26

    Article  Google Scholar 

  33. Nix RL, Bierman KL, McMahon RJ, Conduct Problems Prevention Research Group (2009) How attendance and quality of participation affect treatment response to parent management training. J Cons Clin Psychol 77:429–438

    Article  Google Scholar 

  34. Orrell-Valente JK, Pinderhughes EE, Valente E Jr, Laird RD, Bierman KL, Coie JD et al (1999) If it’s offered, will they come? Influences on parents’ participation in a community-based conduct problems prevention program. Am J Community Psychol 27:753–783

    Article  PubMed  PubMed Central  Google Scholar 

  35. Peters S, Calam R, Harrington R (2005) Maternal attributions and expressed emotion as predictors of attendance at parent management training. J Child Psychol Psychiatry 46:436–448

    Article  PubMed  Google Scholar 

  36. Topham GL, Wampler KS (2008) Predicting dropout in a filial therapy program for parents and young children. Am J Fam Ther 36:60–78

    Article  Google Scholar 

  37. Abrahamse ME, Niec LN, Junger M, Boer F, Lindauer RJL (2016) Risk factors for attrition from an evidence-based parenting program: findings from the Netherlands. Child Youth Serv Rev 64:42–50

    Article  Google Scholar 

  38. Baker S, Sanders MR (2017) Predictors of program use and child and parent outcomes of a brief online parenting intervention. Child Psychiatry Hum Dev 48:807–817

    Article  PubMed  Google Scholar 

  39. Chen YC, Fortson BL (2015) Predictors of treatment attrition and treatment length in Parent-Child Interaction Therapy in Taiwanese families. Child Youth Serv Rev 56:28–37

    Article  PubMed  PubMed Central  Google Scholar 

  40. Danko CM, Garbacz LL, Budd KS (2016) Outcomes of Parent–Child Interaction Therapy in an urban community clinic: a comparison of treatment completers and dropouts. Child Youth Serv Rev 60:42–51

    Article  Google Scholar 

  41. Davidson KH, Fristad MA (2006) The Treatment Beliefs Questionnaire (TBQ): an instrument to assess beliefs about children’s mood disorders and concomitant treatment needs. Psychol Serv 3:1–15

    Article  Google Scholar 

  42. Eisner M, Meidert U (2011) Stages of parental engagement in a universal parent training program. J Prim Prev 32:83–93

    Article  PubMed  Google Scholar 

  43. Kazdin AE (1990) Premature termination from treatment among children referred for antisocial behavior. J Child Psychol Psychiatry 31:415–425

    Article  PubMed  Google Scholar 

  44. Lanier P, Kohl PL, Benz J, Swinger D, Moussette P, Drake B (2011) Parent–child interaction therapy in a community setting: examining outcomes, attrition, and treatment setting. Res Soc Work Pract 1:689–698

    Article  PubMed  PubMed Central  Google Scholar 

  45. Lavigne JV, Lebailly SA, Gouze KR, Binns HJ, Keller J, Pate L (2010) Predictors and correlates of completing behavioral parent training for the treatment of oppositional defiant disorder in pediatric primary care. Behav Ther 41:198–211

    Article  PubMed  Google Scholar 

  46. Leung C, Sanders M, Ip F, Lau J (2006) Implementation of triple P-positive parenting program in Hong Kong: predictors of programme completion and clinical outcomes. J Child Serv 1:4–17

    Article  Google Scholar 

  47. Miller GE, Prinz RJ (2003) Engagement of families in treatment for childhood conduct problems. Behav Ther 34:517–534

    Article  Google Scholar 

  48. Plueck J, Freund-Braier I, Hautmann C, Beckers G, Wieczorrek E, Doepfner M (2010) Recruitment in an indicated prevention program for externalizing behavior—parental participation decisions. Child Adolesc Psychiatry Ment Health 4:15–15

    Article  PubMed  PubMed Central  Google Scholar 

  49. Prinz RJ, Miller GE (1994) Family-based treatment for childhood antisocial behavior: experimental influences on dropout and engagement. J Consult Clin Psychol 62:645–650

    Article  PubMed  Google Scholar 

  50. Werba BE, Eyberg SM, Boggs SR, Algina J (2006) Predicting outcome in parent-child interaction therapy: success and attrition. Behav Modif 30:618–646

    Article  PubMed  Google Scholar 

  51. Winslow EB, Bonds D, Wolchik S, Sandler I, Brayer S (2008) Predictors of enrollment and retention in a preventive parenting intervention for divorced families. J Prim Prev 30:151–172

    Article  Google Scholar 

  52. Calam R, Sanders MR, Miller C, Sadhnani V, Carmont SA (2008) Can technology and the media help reduce dysfunctional parenting and increase engagement with preventative parenting interventions? Child Malt 13:347–361

    Article  Google Scholar 

  53. Michael BW, Anna S, Raziye S (2015) Mothers’ and fathers’ attendance in a community-based universally offered parenting program in Sweden. Scand J Public Health 44:274–280

    Google Scholar 

  54. Kazdin AE, Mazurick JL (1994) Dropping out of child psychotherapy: distinguishing early and late dropouts over the course of treatment. J Consult Clin Psychol 62:1069–1074

    Article  PubMed  Google Scholar 

  55. McWey LM, Holtrpo K, Wojciak AS, Claridge AM (2015) Retention in a parenting intervention among parents involved with the child welfare system. J Child Fam Stud 24:1073–1087

    Article  Google Scholar 

  56. Schneider BW, Gerdes AC, Haak LM, Lawton KE (2013) Predicting treatment dropout in parent training interventions for families of school-aged children with ADHD. Child Fam Behav Ther 35:144–169

    Article  Google Scholar 

  57. Stadnick NA, Haine-Schlagel R, Martinez JI (2016) Using observational assessment to help identify factors associated with parent participation engagement in community-based child mental health services. Child Youth Care Forum 45:745–758

    Article  PubMed  PubMed Central  Google Scholar 

  58. Baydar N, Reid MJ, Webster-Stratton C (2003) The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for Head Start mothers. Child Dev 74:1433–1453

    Article  PubMed  Google Scholar 

  59. Ryan SM, Boxmeyer CL, Lochman JE (2009) Influence of risk factors for child disruptive behavior on parent attendance at a preventive intervention. Behav Disord 35:41–52

    Article  Google Scholar 

  60. Knox M, Burkhart K (2014) A multi-site study of the ACT Raising Safe Kids program: predictors of outcomes and attrition. Child Youth Serv Rev 39:20–24

    Article  Google Scholar 

  61. Chacko A, Wymbs BT, Rajwan E, Wymbs F, Feirsen N (2017) Characteristics of parents of children with ADHD who never attend, drop out, and complete behavioral parent training. J Child Fam Stud 26:950–960

    Article  Google Scholar 

  62. Roberts MW, Joe VC, Rowe-Hallbert A (1992) Oppositional child behavior and parental locus of control. J Clin Child Psychol 21:170–177

    Article  Google Scholar 

  63. Nock MK, Ferriter C, Holmberg E (2007) Parent beliefs about treatment credibility and effectiveness: assessment and relation to subsequent treatment participation. J Child Fam Stud 16:27–38

    Article  Google Scholar 

  64. Nock MK, Kazdin AE (2001) Parent expectancies for child therapy: assessment and relation to participation in treatment. J Child Fam Stud 10:155–180

    Article  Google Scholar 

  65. Wade M, Andrade BF (2015) Validation of a measure of parental readiness for treatment in a clinical sample of children with disruptive behavior. J Psychopathol Behav Assess 37:184–195

    Article  Google Scholar 

  66. Morrissey-Kane E, Prinz R (1999) Engagement in child and adolescent treatment: the role of parental cognitions and attributions. Clin Child Fam Psychol Rev 2:183–198

    Article  PubMed  Google Scholar 

  67. Schwarzer R, Renner B (2000) Social-cognitive predictors of health behavior: action self-efficacy and coping self-efficacy. Health Psychol 19:487–495

    Article  PubMed  Google Scholar 

  68. Piotrowska PJ, Tully LA, Lenroot R, Kimonis E, Hawes D, Moul C et al (2017) Mothers, fathers, and parental systems: a conceptual model of parental engagement in programmes for child mental health—connect, attend, participate, enact (CAPE). Clinic Child Fam Psychol Rev 20:146–161

    Article  Google Scholar 

  69. Lundahl BW, Tollefson D, Risser H, Lovejoy MC (2007) A meta-analysis of father involvement in parent training. Res Soc Work Pract 18:97–106

    Article  Google Scholar 

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Authors and Affiliations

  1. CIPSI, Faculdade de Psicologia, Universidade de Lisboa, Alameda da Universidade, 1649-013, Lisboa, Portugal

    Ana Isabel Pereira & Luísa Barros

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  1. Ana Isabel Pereira
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  2. Luísa Barros
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Correspondence to Ana Isabel Pereira.

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Pereira, A.I., Barros, L. Parental Cognitions and Motivation to Engage in Psychological Interventions: A Systematic Review. Child Psychiatry Hum Dev 50, 347–361 (2019). https://doi.org/10.1007/s10578-018-0852-2

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