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Behavioral parenting intervention for parents of preschool-aged children born moderately and late preterm: An
Géraldine Maigret1, Edouard Gentaz1, Fleur Lejeune1
1Faculté de Psychologie et des Sciences de l'Éducation, Université de Genève, Boulevard du Pont-d'Arve 40, Genève 1205, Suisse.
Insights
A behavioral parenting intervention significantly reduced parental stress in families with moderate-late preterm children. This program is vital for supporting emotional regulation and parental dynamics.
Area of Science:
- Pediatric Psychology
- Developmental Psychology
- Family Studies
Background:
- Prematurity is linked to emotional and behavioral regulation challenges in children, impacting family dynamics.
- Moderate-late preterm children and their parents often lack essential follow-up care.
- Early intervention is crucial for mitigating long-term effects of prematurity on child development and family well-being.
Purpose of the Study:
- To evaluate a Behavioral Parenting Intervention (BPI) for parents of preschool-aged moderate-late preterm children.
- To prevent potential emotional and behavioral regulation difficulties in these children.
- To assess the intervention's impact on parental stress and family dynamics.
Main Methods:
- A randomized controlled trial involving 38 families with moderate-late preterm children.
- A 7-session Behavioral Parenting Intervention (BPI) delivered over therapy sessions.
- Parental stress was measured using the Parental Stress Index (PSI) before (T1) and after (T2) the intervention.
Main Results:
- The experimental group showed a significant reduction in total Parental Stress Index (PSI) scores (p < .001).
- Significant improvements were observed in the Parent Distress and Difficult Child subscales.
- The control group did not exhibit significant changes in PSI scores between T1 and T2.
Conclusions:
- The Behavioral Parenting Intervention (BPI) demonstrates effectiveness in reducing parental stress for families with moderate-late preterm children.
- High satisfaction rates and social validity suggest the program's feasibility and acceptability.
- Further research should focus on improving access and family engagement to enhance intervention effectiveness.
Background:
Prematurity can be associated with difficulties in emotional and behavioral regulation in children, leading to short- and long-term impacts on parental dynamics. However, moderate-late preterm children and their parents rarely receive follow-up care.
Objectives:
The aim of this current study was to evaluate a Behavioral Parenting Intervention (BPI) specifically developed for parents of preschool-aged moderate-late preterm children, to prevent their potential difficulties in emotional and behavioral regulation.
Method:
Thirty-eight families participated in a program consisting of 7 therapy sessions. Each experimental group was matched with a control group; the control group would become the experimental group in the following session. Parents completed questionnaires one week before the start of the program (T1) and at the end of the 7th therapy session to measure immediate effects (T2). Social validity measures were also added to this study to assess the feasibility and acceptability of our program.
Results:
We primarily observed positive effects on the Parental Stress Index total (PSI) in the population 1. For the control group, there was no significant difference between PSI Total scores at T1 (M=101.1, SD = 22.2) and T2 (M=101.5, SD = 19.8). In contrast, the experimental group showed a significant reduction in PSI total scores from T1 (M=105, SD = 23.2) to T2 (M=93.3, SD = 21.3), with p < .001. Similar effects were observed for both the Parent Distress and the Difficult Child subscales.
Conclusion:
While our results are modest, the measures of social validity and our high satisfaction rates indicate the importance and necessity of a parenting intervention aimed at moderately preterm children beyond the initial phase of early development. Future research should aim to facilitate access and increase family engagement to improve the effectiveness of this type of intervention.
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