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Enhancing adoptive parenting: a randomized controlled trial
Alan Rushton1, Elizabeth Monck, Morven Leese
1King's College, London, UK. alan.rushton4@btinternet.com
Insights
Parenting programs for adoptive parents of children with behavioral issues improved parent satisfaction and reduced negative approaches. While child problems did not significantly change, the support proved cost-effective for enhancing parental well-being.
Area of Science:
- Child and Adolescent Psychology
- Family Social Work
- Adoption Studies
Background:
- Children placed late into adoption often present serious behavioral problems.
- Parenting programs are crucial for supporting adoptive families facing placement challenges.
Purpose of the Study:
- To evaluate the effectiveness of two manualized, home-based parenting programs for adopters of children with serious behavioral problems.
- To assess the impact of these interventions on parental satisfaction, parenting approaches, and child behavior.
Main Methods:
- A pragmatic randomized controlled trial (RCT) was conducted with adoptive parents and their children (3-8 years).
- Participants were randomized into two parenting intervention groups or a 'services as usual' control group.
- Data were collected via questionnaires and interviews at baseline, post-intervention, and six-month follow-up.
Main Results:
- High satisfaction was reported for both parenting interventions, with no loss to follow-up.
- A significant increase in "satisfaction with parenting" was observed in the intervention group (p < 0.007, d = 0.7).
- Negative parenting approaches decreased in the intervention group, but child problems did not significantly differ from the control group.
Conclusions:
- Home-based parenting programs significantly enhance adoptive parents' satisfaction and reduce negative parenting strategies.
- These interventions represent a cost-effective investment in post-adoption support, improving the adoptive parenting experience.
- Further research may explore long-term effects on child behavior and specific program components.
Abstract:
The aim was to conduct a pragmatic randomized controlled trial (RCT) to evaluate two parenting programmes designed for adopters of children late placed from care. Adoptive parents, with children between 3 and 8 years who were screened to have serious behavioural problems early in the placement, participated in home-based, manualized, parenting programmes delivered by trained and supervised family social workers. The adopters who agreed to join the study were randomly allocated to one of two parenting interventions or to a "services as usual" group. Baseline, immediate post-intervention and six-month follow-ups were assessed using questionnaires and adopter interviews. No cases were lost to follow-up at any point and satisfaction was high with both parenting interventions. At the six-month follow-up, a significant difference (p < 0.007) was found for "satisfaction with parenting" in favour of the intervention group (Effect Size d = 0.7). Negative parenting approaches were reduced in the intervention group. However, no significant differences in child problems were found between the intervention groups and control group, adjusting for baseline scores. Costs analysis showed that a relatively modest investment in post-adoption support would be well spent in improving adopters' satisfaction with parenting in the intervention group compared to the routine service group.
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