Skip to main content

Advertisement

Log in

Evaluation of a Parent Education Program Emphasizing Responsive Parenting and Mindfulness: An Inclusive Randomized Controlled Trial

  • Original Paper
  • Published:
Child & Youth Care Forum Aims and scope Submit manuscript

Abstract

Background

Recent studies indicate that parent education programs that include content to enhance parents’ mental states may prove efficacious in improving parenting behavior and child outcomes.

Objective

This study presents findings from a national evaluation of the Active Parenting First Five Years (FFY) program. This group-based parent education program utilizes a video-supported curriculum and is designed to promote responsive parenting and healthy development in children under the age of 5, with a unique emphasis on caregivers’ mental states (i.e., mindfulness, executive function) and parent well-being.

Method

A total of 213 (132 to test hypothesis 1) primary caregivers of children ages 0–4 participated. This study introduces a novel Inclusive Randomized Controlled Trial design for establishing treatment and comparison groups. Parent and child behavior were reported one month prior to the program beginning (Time 1/Control Survey), at the beginning of the program (Time 2/Pre-Survey), and at the conclusion of the program (Time 3/Post Survey).

Results

Pre- to post-test analyses showed significant increases in caregiver reported responsive parenting, developmental knowledge, parenting efficacy, mindfulness, overall positive child behavior, child prosocial behavior, and decreased parenting stress. Analysis of the treatment and control study groups detected group differences indicative of program effects for the parenting outcomes of mindfulness, parenting efficacy, and parenting stress.

Conclusions

These findings illustrate the initial effectiveness of the FFY program, the potential usefulness of the Inclusive Randomized Controlled Trial in community samples, and emphasize the need for parental well-being to receive increased consideration in parenting intervention designs and curricula.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

Data Availability

The principal investigator (blinded for review), had full access to all of the data in the study and takes responsibility for the integrity of the data analysis.

References

  • Allison, P. D. (1990). Change scores as dependent variables in regression analysis. Sociological Methodology, 20, 93–114. https://doi.org/10.2307/271083.

    Article  Google Scholar 

  • Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of abnormal child psychology, 21(5), 581–596.

    Article  PubMed  Google Scholar 

  • Armstrong, R. A. (2014). When to use the B bonferroni correction. Ophthalmic and Physiological Optics, 34(5), 502–508.

    Article  PubMed  Google Scholar 

  • Begg, C., Cho, M., Eastwood, S., Horton, R., Moher, D., Olkin, I., & Stroup, D. F. (1996). Improving the quality of reporting of randomized controlled trials: The CONSORT statement. JAMA, 276(8), 637–639.

    Article  PubMed  Google Scholar 

  • Berry, J. D., & Jones, W. H. (1995). The Parental Stress Scale: Initial psychometric evidence. Journal of Social and Personal Relationships, 12, 463–472. https://doi.org/10.1177/0265407595123009.

    Article  Google Scholar 

  • Blair, C., & Razza, R. P. (2007). Relating effortful control, executive function, and false belief understanding to emerging math and literacy ability in kindergarten. Child Development, 78(2), 647–663. https://doi.org/10.1111/j.1467-8624.2007.01019.x.

    Article  PubMed  Google Scholar 

  • Bögels, S., Hoogstad, B., van Dun, L., de Schutter, S., & Restifo, K. (2008). Mindfulness training for adolescents with externalizing disorders and their parents. Behavioural and Cognitive Psychotherapy, 36(2), 193–209. https://doi.org/10.1017/S1352465808004190.

    Article  Google Scholar 

  • Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the triple P-positive parenting program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30(6), 571–587.

    Article  PubMed  Google Scholar 

  • Bradley, S. J., Jadaa, D. A., Brody, J., Landy, S., Tallett, S. E., Watson, W., & Stephens, D. (2003). Brief psychoeducational parenting program: An evaluation and 1-year follow-up. Journal of the American Academy of Child and Adolescent Psychiatry, 42, 1171–1178. https://doi.org/10.1097/00004583-200310000-00007.

    Article  PubMed  Google Scholar 

  • Bull, R., Espy, K. A., & Wiebe, S. A. (2008). Short-term memory, working memory, and executive functioning in preschoolers: Longitudinal predictors of mathematical achievement at age 7 years. Developmental Neuropsychology, 33(3), 205–228. https://doi.org/10.1080/87565640801982312.

    Article  PubMed  PubMed Central  Google Scholar 

  • Coatsworth, J. D., Duncan, L. G., Greenberg, M. T., & Nix, R. L. (2010). Changing parent’s mindfulness, child management skills and relationship quality with their youth: Results from a randomized pilot intervention trial. Journal of Child and Family Studies, 19, 203–217. https://doi.org/10.1007/s10826-009-9304-8.

    Article  PubMed  Google Scholar 

  • Crnic, K., & Ross, E. (2017). Parenting stress and parental efficacy. In K. Deater-Deckard & R. Panneton (Eds.), Parental stress and early child development (pp. 263–284). Cham: Springer. https://doi.org/10.1007/978-3-319-55376-4_11.

    Chapter  Google Scholar 

  • Deater-Deckard, K. (2014). Family matters: Intergenerational and interpersonal processes of executive function and attentive behavior. Current Directions in Psychological Science, 23(3), 230–236. https://doi.org/10.1177/0963721414531597.

    Article  PubMed  PubMed Central  Google Scholar 

  • Deater-Deckard, K., Wang, Z., Chen, N., & Bell, M. A. (2012). Maternal executive function, harsh parenting, and child conduct problems. Journal of Child Psychology and Psychiatry, 53(10), 1084–1091. https://doi.org/10.1111/j.1469-7610.2012.02582.x.

    Article  PubMed  Google Scholar 

  • Desjardin, J. L. (2003). Assessing parental perceptions of self-efficacy and involvement in families of young children with hearing loss. Volta Review, 103(4), 391–409.

    Google Scholar 

  • Diamond, A., & Lee, K. (2011). Interventions shown to aid executive function development in children 4 to 12 years old. Science, 333(6045), 959–964. https://doi.org/10.1126/science.1204529.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dumka, L. E., Stoerzinger, H. D., Jackson, K. M., & Roosa, M. W. (1996). Examination of the cross-cultural and cross-language equivalence of the parenting self-agency measure. Family Relations, 45(2), 216–222. https://doi.org/10.2307/585293.

    Article  Google Scholar 

  • Evans, C. A., Nelson, L. J., Porter, C. L., Nelson, D. A., & Hart, C. H. (2012). Understanding relations among children’s shy and antisocial/aggressive behaviors and mothers’ parenting: The role of maternal beliefs. Merrill-Palmer Quarterly, 58(3), 341–374. https://doi.org/10.1353/mpq.2012.0013.

    Article  Google Scholar 

  • Feingold, A. (2009). Effect sizes for growth-modeling analysis for controlled clinical trials in the same metric as for classical analysis. Psychological methods, 14(1), 43.

    Article  PubMed  PubMed Central  Google Scholar 

  • Feldman, G., Hayes, A., Kumar, S., Greeson, J., & Laurenceau, J. P. (2007). Mindfulness and emotion regulation: The development and initial validation of the cognitive and affective mindfulness scale-revised (CAMS-R). Journal of Psychopathology and Behavioral Assessment, 29(3), 177. https://doi.org/10.1007/s10862-006-9035-8.

    Article  Google Scholar 

  • Gauvain, M., Perez, S. M., & Beebe, H. (2013). Authoritative parenting and parental support for children’s cognitive development. Journal of Cognition and Development, 12(2), 121–133. https://doi.org/10.1080/15248372.2011.563481.

    Article  Google Scholar 

  • Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x.

    Article  PubMed  Google Scholar 

  • Hofmann, W., Schmeichel, B. J., & Baddeley, A. D. (2012). Executive functions and self-regulation. Trends in Cognitive Sciences, 16(3), 174–180. https://doi.org/10.1016/j.tics.2012.01.006.

    Article  PubMed  Google Scholar 

  • Holden, G. W., Brown, A. S., Baldwin, A. S., & Caderao, K. C. (2014). Research findings can change attitudes about corporal punishment. Child Abuse and Neglect, 38(5), 902–908. https://doi.org/10.1016/j.chiabu.2013.10.013.

    Article  PubMed  Google Scholar 

  • Hölzel, B. K., Carmody, J., Vangel, M., Congleton, C., Yerramsetti, S. M., Gard, T., & Lazar, S. W. (2011). Mindfulness practice leads to increases in regional brain gray matter density. Psychiatry Research: Neuroimaging, 191(1), 36–43. https://doi.org/10.1016/j.pscychresns.2010.08.006.

    Article  PubMed  Google Scholar 

  • Huffer, A. L., Williamson, A. C., Morris, A. S., Hays-Grudo, J., and Bosler, C. D. (2016, May). Infant mental health awareness: Initial findings from the Oklahoma Infant Mental Health survey. Poster Presented at the World Congress of the World Association for Infant Mental Health, Prague, Czech Republic.

  • Jackson, A. P., & Huang, C. C. (2000). Parenting stress and behavior among single mothers of preschoolers: The mediating role of self-efficacy. Journal of Social Service Research, 26(4), 29–42. https://doi.org/10.1300/J079v26n04_02.

    Article  Google Scholar 

  • Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical Psychology Review, 25(3), 341–363. https://doi.org/10.1016/j.cpr.2004.12.004.

    Article  PubMed  Google Scholar 

  • Kim, Y. (2014). Parenting needs as perceived by agency personnel working with parents and young children in southern Nevada. Journal of Extension, 54(4), n4.

    Google Scholar 

  • Kumpfer, K. L., Molgaard, V., & Spoth, R. (1996). The strengthening families program for the prevention of delinquency and drug use. In R. D. Peters & R. J. McMahon (Eds.), Banff international behavioral science series (Vol. 3). Preventing childhood disorders, substance abuse, and delinquency (pp. 241–267). Sage Publications, Inc.

  • Leung, C., Chan, S., Lam, T., Yau, S., & Tsang, S. (2016). The effect of parent education program for preschool children with developmental disabilities: A randomized controlled trial. Research in developmental disabilities, 56, 18–28.

    Article  PubMed  Google Scholar 

  • McEachern, A. D., Dishion, T. J., Weaver, C. M., Shaw, D. S., Wilson, M. N., & Gardner, F. (2012). Parenting Young Children (PARYC): Validation of a self-report parenting measure. Journal of Family Studies, 21, 498–511. https://doi.org/10.1007/s10826-011-9503-y.

    Article  Google Scholar 

  • Miller, A. L., Perryman, J., Markovitz, L., Franzen, S., Cochran, S., & Brown, S. (2013). Strengthening incarcerated families: Evaluating a pilot program for children of incarcerated parents and their caregivers. Family Relations, 62, 584–596. https://doi.org/10.1111/fare.12029.

    Article  Google Scholar 

  • Morris, A. S., Robinson, L. R., Hays-Grudo, J., Claussen, A. H., Hartwig, S. A., & Treat, A. E. (2017). Targeting parenting in early childhood: A public health approach to improve outcomes for children living in poverty. Child Development, 88(2), 388–397. https://doi.org/10.1111/cdev.12743.

    Article  PubMed  PubMed Central  Google Scholar 

  • Mouton, B., Loop, L., Stiévenart, M., & Roskam, I. (2018). Confident parents for easier children: A parental self-efficacy program to improve young children’s behavior. Education Sciences, 8, 134. https://doi.org/10.3390/educsci8030134.

    Article  Google Scholar 

  • Mullis, F. (1999). Active parenting: An evaluation of two Adlerian parent education programs. Individual Psychology, 55(2), 225.

    Google Scholar 

  • National Academies of Sciences, Engineering, and Medicine. (2016). Parenting matters supporting parents of children ages. Washington: National Academies Press.

    Google Scholar 

  • National center for parent, family and community engagement. (2015). Compendium of parenting interventions. Washington, D.C.: National center on parent, family, and community engagement, office of head start, U.S. Department of Health and Human Services.

  • Neece, C. L. (2014). Mindfulness-based stress reduction for parents of young children with developmental delays: Implications for parental mental health and child behavior problems. Journal of Applied Research in Intellectual Disabilities, 27(2), 174–186. https://doi.org/10.1111/jar.12064.

    Article  PubMed  Google Scholar 

  • Popkin, M. H., Gard, B., & Montgomery, M. (1996). 1 2 3 4 parents! parenting children ages 1 to 4: leader’s guide. Atlanta, GA: Active Parenting Publishers.

    Google Scholar 

  • Popkin, M., Morris, A. S., Slocum, R., and Hubbs-Tait, L. (2017). Active Parenting: First Five Years. Retrieved from https://www.activeparenting.com/First-Five-Years-of-parenting

  • Sanders, M. R. (2008). Triple P-positive parenting program as a public health approach to strengthening parenting. Journal of family psychology, 22(4), 506.

    Article  PubMed  Google Scholar 

  • Sanders, M. R. (2012). Development, evaluation, and multinational dissemination of the triple P-positive parenting program. Annual Review of Clinical Psychology, 8, 345–379. https://doi.org/10.1146/annurev-clinpsy-032511-143104.

    Article  PubMed  Google Scholar 

  • Segal, Z. V., Williams, M., & Teasdale, J. (2018). Mindfulness-based cognitive therapy for depression. New york: Guilford Publications.

    Google Scholar 

  • Semple, R. J., Lee, J., Rosa, D., & Miller, L. F. (2010). A randomized trial of mindfulness-based cognitive therapy for children: Promoting mindful attention to enhance social-emotional resiliency in children. Journal of Child and Family Studies, 19(2), 218–229. https://doi.org/10.1007/s10826-009-9301-y.

    Article  Google Scholar 

  • Semple, R. J., Reid, E. F., & Miller, L. (2005). Treating anxiety with mindfulness: An open trial of mindfulness training for anxious children. Journal of Cognitive Psychotherapy, 19(4), 379. https://doi.org/10.1891/jcop.2005.19.4.379.

    Article  Google Scholar 

  • Shapiro, S. L., & Carlson, L. E. (2017). The art and science of mindfulness: Integrating mindfulness into psychology and the helping professions. American Psychological Association. https://doi.org/10.1037/0000022-000.

    Article  Google Scholar 

  • Teti, D. M., & Gelfand, D. M. (1991). Behavioral competence among mothers of infants in the first year: The mediational role of maternal self-efficacy. Child Development, 62(5), 918–929. https://doi.org/10.2307/1131143.

    Article  PubMed  Google Scholar 

  • Trafimow, D. (2015). A defense against the alleged unreliability of difference scores. Cogent Mathematics, 2(1), 1064626. https://doi.org/10.1080/23311835.2015.1064626.

    Article  Google Scholar 

  • Treat, A. E., Sheffield Morris, A., Williamson, A. C., Hays-Grudo, J., & Laurin, D. (2019). Adverse childhood experiences, parenting, and child executive function. Early Child Development and Care, 189(6), 926–937. https://doi.org/10.1080/03004430.2017.1353978.

    Article  Google Scholar 

  • Vandell, D. L., Belsky, J., Burchinal, M., Steinberg, L., Vandergrift, N., & NICHD Early Child Care Research Network. (2010). Do effects of early child care extend to age 15 years? Results from the NICHD study of early child care and youth development. Child Development, 81(3), 737–756. https://doi.org/10.1111/j.1467-8624.2010.01431.x.

    Article  PubMed  PubMed Central  Google Scholar 

  • Wagner, M. M., & Clayton, S. L. (1999). The parents as teachers program: Results from two demonstrations. The Future of Children, 9(1), 91–115.

    Article  PubMed  Google Scholar 

  • Yoshikawa, H., Rosman, E. A., & Hsueh, J. (2002). Resolving paradoxical criteria for the expansion and replication of early childhood care and education programs. Early Childhood Research Quarterly, 17(1), 3–27.

    Article  Google Scholar 

  • Zoogman, S., Goldberg, S. B., Hoyt, W. T., & Miller, L. (2015). Mindfulness interventions with youth: A meta-analysis. Mindfulness, 6(2), 290–302. https://doi.org/10.1007/s12671-013-0260-4.

    Article  Google Scholar 

Download references

Acknowledgements

This research was conducted with support from the George Kaiser Family Foundation, and with group leader training and study recruitment sponsored by Active Parenting Publishers. We also recognize the generous support provided by group leaders across the United States, with special thanks to those at First Things First, the Arizona Early Childhood Development and Health Board, and Oklahoma Cooperative Extension Service.

Author information

Authors and Affiliations

Authors

Contributions

All authors contributed to the study conception and design. Material preparation, data collection, and analyses were performed by JJ and IW. The first draft of the manuscript was written by JJ, and all authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Jens E. Jespersen.

Ethics declarations

Conflict of Interest

Amanda S. Morris and Laura Hubbs-Tait declare that they are contributing authors to FFY. Oklahoma State University receives royalties (1% of sales, 10% of sales in Oklahoma) to purchase Active Parenting materials for Oklahoma Extension Educators to educate Oklahoma parents. Drs. Morris and Hubbs-Tait do not personally receive any financial benefit. Jens E. Jespersen and Isaac J. Washburn declare no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and Animal Rights

This article does not contain any studies with animals performed by any of the authors.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Jespersen, J.E., Morris, A.S., Hubbs-Tait, L. et al. Evaluation of a Parent Education Program Emphasizing Responsive Parenting and Mindfulness: An Inclusive Randomized Controlled Trial. Child Youth Care Forum 50, 859–883 (2021). https://doi.org/10.1007/s10566-021-09597-2

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10566-021-09597-2

Keywords

Navigation