Parenting Profiles in Military Families: Intervention-Related Transitions and Relationships to Child Adjustment

IF 3 2区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Prevention Science Pub Date : 2024-09-16 DOI:10.1007/s11121-024-01721-7
Sun-Kyung Lee, Abigail H. Gewirtz, Timothy F. Piehler
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Abstract

Parenting programs aim to improve parenting quality, which may, in turn, support various aspects of child development, including behavior and mental health. However, parenting interventions show considerable heterogeneity in response patterns across different families, demonstrating that they are not one-size-fits-all programs. This variability points to a need for greater understanding of which families benefit most from these interventions and how to improve response among those who do not. Following this literature gap, this study employed a person-centered approach to identify different parenting profiles associated with heterogeneity in treatment responses to a family-based prevention interventions adapted for military families. This study used data from a randomized controlled trial of the ADAPT intervention for 336 US military families in which at least one parent had deployed to war. Latent profile analyses revealed three unobserved parenting profiles among mothers and fathers, reflecting High positive, Moderate positive, and Coercive parenting styles. Latent transition analysis (LTA) suggested that the ADAPT program led to improvements in parenting, particularly among mothers who began the program with moderate or typical levels of parenting skills, and that these positive changes in parenting may help to decrease child externalizing problems. For fathers, the ADAPT program was most effective in preventing declines in positive parenting among those with initially typical levels of positive parenting. Overall, study findings demonstrate considerable heterogeneity in parenting behavior among a sample of military families that is associated with variability in parent responses to the evidence-based parenting program.

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军人家庭的养育概况:与干预有关的转变以及与儿童适应的关系
亲职教育项目旨在提高亲职教育的质量,进而促进儿童各方面的发展,包括行为和心理健康。然而,亲职教育干预措施在不同家庭中的反应模式存在很大差异,这表明它们并不是 "一刀切 "的计划。这种差异性表明,需要进一步了解哪些家庭从这些干预措施中受益最多,以及如何改善那些没有受益的家庭的反应。根据这一文献空白,本研究采用了一种以人为本的方法,来识别不同的养育特征,这些特征与针对军人家庭调整的基于家庭的预防干预措施的治疗反应的异质性有关。本研究使用了针对 336 个美国军人家庭的 ADAPT 干预随机对照试验的数据,在这些家庭中,父母至少有一方被派往战场。潜特征分析表明,在母亲和父亲中存在三种未观察到的养育特征,分别反映了高度积极、中度积极和强迫性养育风格。潜移默化分析(LTA)表明,ADAPT 计划改善了养育子女的方式,尤其是那些在计划开始时养育子女的技能处于中等或典型水平的母亲,这些积极的养育子女方式的改变可能有助于减少儿童的外部化问题。对于父亲来说,ADAPT 计划在防止那些最初具有典型积极养育水平的父亲的积极养育水平下降方面最为有效。总之,研究结果表明,在军人家庭样本中,养育行为存在相当大的异质性,这与家长对循证养育计划的反应存在差异有关。
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来源期刊
Prevention Science
Prevention Science PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
6.50
自引率
11.40%
发文量
128
期刊介绍: Prevention Science is the official publication of the Society for Prevention Research. The Journal serves as an interdisciplinary forum designed to disseminate new developments in the theory, research and practice of prevention. Prevention sciences encompassing etiology, epidemiology and intervention are represented through peer-reviewed original research articles on a variety of health and social problems, including but not limited to substance abuse, mental health, HIV/AIDS, violence, accidents, teenage pregnancy, suicide, delinquency, STD''s, obesity, diet/nutrition, exercise, and chronic illness. The journal also publishes literature reviews, theoretical articles, meta-analyses, systematic reviews, brief reports, replication studies, and papers concerning new developments in methodology.
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