ABC for Parents: Pilot Study of a Universal 4-Session Program Shows Increased Parenting Skills, Self-efficacy and Child Well-Being
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The aim of the present pilot study was to provide an initial evaluation of a brief, 4-session, universal health promoting parenting group program, the “ABC”. We examined the effects of the program on improving parental strategies, parental self-efficacy, and child well-being. We also hypothesized that in a health promoting intervention implemented in the general population, increased parental self-efficacy and parental strategies would be associated with improvements in child well-being after 4 months. Parents living in 11 municipalities and local community agencies in Sweden enrolled in the project were invited to participate in the study. A repeated measurement within group design was used to assess the effects. In total, parents of 104 children aged 2–12 years participated in the ABC-study. Parental and child outcomes were evaluated before, after the intervention, and at a 4-month follow-up with parental self-report questionnaires. Paired t tests and ANOVA repeated measures showed statistically significant improvements of parental strategies (showing guidance, empathy/understanding, having rules/boundaries), parental self-efficacy (self-competence, knowledge/experience), and child well-being (emotional well-being, independence) from pre- to post measurement, with small to moderate effect sizes. Improvements were maintained at the 4-month follow-up, apart from changes in parental knowledge. University education and increased pre- to post improvements in self-efficacy predicted child emotional well-being at the 4-month follow-up. The findings suggest that the ABC-group intervention was effective in terms of improving child well-being, parental strategies and self-efficacy. This pilot study provides promising evidence for the ABC as a universal parenting program but further more rigorous evaluations are needed.
KeywordsHealth promotion Parenting program Prevention Pilot study Self-efficacy
We would like to thank the Swedish National Institute of Public Health for financial support, the parents who took part in the study, contact persons in the municipalities/city districts for their recruitment of parents, and group leaders for performing the intervention.
- Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Patterns of attachment: A study of the strange situation. Hillsdale, NJ: Erlbaum.Google Scholar
- Anthony, L. G., Anthony, B. J., Glanville, D. N., Naiman, D. Q., Waanders, C., & Shaffer, S. (2005). The relationships between parenting stress, parenting behaviour and preschoolers’ social competence and behaviour problems in the classroom. Infant and Child Development, 14(2), 133–154.CrossRefGoogle Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, New Jersey: Lawrence Earlbaum Associates.Google Scholar
- Currie, C., Zanotti, C., Morgan, A., Currie, D., de Looz, M., Roberts, C., et al (eds). (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 Survey. Copenhagen: WHO Regional Office for Europe, Health Policy for Children and Adolescents, No. 6.Google Scholar
- Goldberg, D. P., & Williams, P. (1988). A user’s guide to the general health questionnaire. Windsor UK: NFER-Nelson.Google Scholar
- Greenberg, M. T., Dimitrovich, C., & Bumbarger, B. (2001). The prevention of mental disorders in school-aged children: Current state of the field. Prevention and Treatment, 4(1), 1a.Google Scholar
- Health and Safety Executive. (2012). Stress and psychological disorders. http://www.hse.gov.uk/statistics/causdis/stress/index.htm.
- Kling, A., Forster, M., Sundell, K., & Melin, L. (2010). A randomized controlled effectiveness trial of parent management training with varying degrees of therapist support. Behavior Therapy, 41, 530–542.Google Scholar
- Lindberg, L., Ulfsdotter, M., Jalling, C., Skärstrand, E., Lalouni, M., Lönn Rhodin, K., et al. (2013). The effects and costs of the universal parent group program—all children in focus: A study protocol for a randomized wait-list controlled trial. BMC Public Health, 13, 688.Google Scholar
- Loeber, R., & Farrington, D. P. (Eds.). (1998). Serious and violent juvenile offenders: Risk factors and successful interventions. Thousand Oaks, CA: Sage.Google Scholar
- Maughan, D. R., Christiansen, E., Jenson, W. R., Olympia, D., & Clark, E. (2005). Behavioral parent training as a treatment for externalizing behaviors and disruptive behavior disorders: A meta-analysis. School Psychology Review, 34(3), 267–286.Google Scholar
- National Institute for Health and Clinical Excellence (NICE). (2013). Antisocial behavior and conduct disorders in children and young people: recognition, intervention, and management. Clinical guideline 158. London: NICE 2013. http://www.nice.org.uk/nicemedia/live/14116/63310/63310.pdf.
- Ravens-Sieberer, U., & The European KIDSCREEN Group. (2006). The KIDSCREEN questionnaires Quality of life questionnaires for children and adolescents—Handbook. Lengerich: Pabst Science Publishers.Google Scholar
- Sanders, M., Calam, R., Durand, M., Liversidge, T., & Carmont, S. A. (2008). Does self-directed and web-based support for parents enhance the effects of viewing a reality television series based on the Triple P-Positive Parenting programme? Journal of Child Psychology and Psychiatry, 49(9), 924–932.PubMedCrossRefGoogle Scholar
- Simkiss, D. E., Snooks, H. A., Stallard, N., Kimani, P. K., Sewell, B., Fitzsimmons, D., et al. (2013). Effectiveness and cost-effectiveness of a universal parenting skills programme in deprived communities: Multicentre randomised controlled trial. BMJ Open, 3(8), e002851.PubMedCentralPubMedCrossRefGoogle Scholar
- Skovgaard, A. M., Houmann, T., Christiansen, E., Landorph, S., Jörgensen, T., CCC 2000 Study Team, et al. (2007). The prevalence of mental health problems in children 1½ years of age—The Copenhagen child cohort 2000. Journal of Child Psychology and Psychiatry, 48(1), 62–70.PubMedCrossRefGoogle Scholar
- SOU. (2008:131). Föräldrastöd –en vinst för alla. Nationell strategi för samhällets stöd och hjälp till föräldrar i deras föräldraskap. Stockholm: Fritzes.Google Scholar
- Stockholms läns landsting. (2012). Årsstatistik 2012 för Stockholms län och landsting. Stockholm: Stockholms läns landsting: Tillväxt, miljö och regionplanering.Google Scholar
- Webster-Stratton, C., & Reid, M. J. (2010). The Incredible Years parents, teachers, and children training series: A multifaceted treatment approach for young children with conduct disorders. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 194–210). New York: Guilford Press.Google Scholar