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Effectiveness of a Preventive Parenting Program Combining Attachment and Behavioral Approaches in an Arab Context: a
Leyla Akoury Dirani1, Wael Shamseddeen2, Linda Bou Ali2
1Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon. la55@aub.edu.lb.
Summary
A new parenting program in Lebanon showed no significant improvements in mothers' mental health or parenting skills. Further research is needed to understand the limited effectiveness of this culturally adapted intervention for early childhood wellbeing.
Area of Science:
- Child Development
- Public Health
- Psychology
Background:
- Culturally specific parenting programs are scarce in Arab countries like Lebanon.
- A 7-session Preventive Parenting Program was developed for the local context to support parents and enhance child wellbeing.
- Existing parenting interventions often lack cultural adaptation, limiting their effectiveness in diverse populations.
Purpose of the Study:
- To assess the effectiveness of a newly designed, culturally adapted Preventive Parenting Program in Lebanon.
- To evaluate the program's impact on maternal mental health, parenting styles, and knowledge of child development.
- To determine if the intervention leads to significant improvements compared to a control group.
Main Methods:
- A cluster randomized controlled trial was conducted with 191 mothers of children under three years old in Great Beirut.
- Participants were recruited from 16 sites and allocated to either the intervention or control group.
- Standardized questionnaires measuring mental health, parenting, and child development knowledge were administered pre- and post-intervention and at 3-month follow-up.
Main Results:
- No significant differences were found between the intervention and control groups across all measured scales at baseline, post-intervention, or follow-up.
- Mothers in the intervention group provided positive feedback, but objective measures did not show program effectiveness.
- Despite positive qualitative feedback, the quantitative data indicated a lack of significant impact on maternal wellbeing or parenting practices.
Conclusions:
- The Preventive Parenting Program, despite cultural adaptation, did not demonstrate significant effectiveness in improving maternal mental health or parenting skills.
- Factors such as program design, expected outcomes, and participant characteristics may have influenced the limited results.
- Further research is recommended to refine parenting interventions for better outcomes in this cultural context.
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