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  • 1.
    Giannotta, Fabrizia
    et al.
    Mälardalen University, School of Health, Care and Social Welfare.
    Ozdemir, Metin
    Orebro Univ, Orebro, Sweden..
    Stattin, Hakan
    Uppsala Univ, Dept Psychol, Uppsala, Sweden..
    The Implementation Integrity of Parenting Programs: Which Aspects Are Most Important?2019In: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 48, no 6, p. 917-933Article in journal (Refereed)
    Abstract [en]

    Background The implementation of preventive interventions is considered a crucial aspect of their success. However, few studies have investigated which components of implementation are most important. Objective We aimed to understand whether the components of implementation integrity-adherence, quality of delivery, dose, and participants' involvement-influenced the effectiveness of four parenting programs. We also investigated factors associated with these components. Method Data come from a national evaluation of parenting programs in Sweden. The study was a randomised controlled effectiveness trial, with a sample of 535 parents with 3-12-year-old children. Measures included parenting behaviors (angry outbursts, harsh parenting, attempts to understand, rewarding, and praising), child conduct problems (ECBI and SNAP-V), and measures tapping into the four components (adherence, quality of delivery, dose, and participant involvement). Results We ran multilevel models and found that implementation quality (adherence and quality of delivery) did not influence the effects on parents and children. Conversely, participant involvement was associated with improvements in parenting and child conduct. Finally, parents' perceptions of their leaders as supportive and understanding were associated with parents' responsiveness and attendance. Conclusions Our study highlights the importance of having actively engaged parents to maximise intervention effects.

  • 2.
    Larsson, Margaretha
    et al.
    innaeus Univ Vaxjo, Fac Hlth & Life Sci, Vaxjo, Sweden.
    Sundler Johansson, Annelie
    Mälardalen University, School of Health, Care and Social Welfare, Health and Welfare. Univ Skovde, Sch Hlth & Educ, S-54128 Skovde, Sweden.
    Ekebergh, Margaretha
    Bjork, Maria
    Jonkoping Univ, Res Grp CHILD, Jonkoping, Sweden; Linnaeus Univ Vaxjo, Fac Hlth & Life Sci, Vaxjo, Sweden.
    Altering the Parenting Role: Parents' Experience of Supporting the Health and Well-Being of Their Adolescent Girls2015In: Child and Youth Care Forum, ISSN 1053-1890, E-ISSN 1573-3319, Vol. 44, no 3, p. 419-432Article in journal (Refereed)
    Abstract [en]

    In research the relationships between parents and their adolescent daughters have been viewed from problem oriented perspectives, usually exploring negative effects and health-related problems. Health and well-being are complex phenomena and knowledge is needed on how parents can support the health and well-being of their daughter. The aim of this study was to illuminate parents' experiences of supporting the health and well-being of their adolescent girls. A descriptive design with a phenomenological approach including interviews, individually or in group with ten mothers and five fathers was conducted. Supporting the health and well-being of adolescent girls was experienced as challenging. The parents needed to altering the parenting role: from being the one who had previously set the limits they needed to rethink and be available for support. In this process interplay, communication and trust were important to support the health and well-being of the girls in an efficient way. This meaning was further illuminated by four constituents: Balancing the need for control, maintaining a trusting relationship, interplay to facilitate their daughters' transition to independence, and an ambiguous parenting role. This study highlights the importance of parents being involved in the everyday life of their adolescent daughter to support her health and well-being. The parents' ability to contribute to the health and well-being of their girl seemed in this study dependent on their ability to communicate and alter the parenting role with sensitivity to the lifeworld of the adolescent girl.

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