Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia.

Journal: Global mental health (Cambridge, England)

Volume: 2

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Psychology and Neuroscience, Duke University, Box , Chapel Drive, Durham, NC, USA. Duke Global Health Institute, Box , Durham, NC, USA. Center for Child & Family Health, Duke University Medical Center, W. Chapel Hill Street, Suite , Durham, NC, USA. International Rescue Committee, East nd Street, New York, NY, USA. International Rescue Committee, Monrovia, Liberia.

Abstract summary 

The objective of this study was to evaluate the impact of a brief parenting intervention, 'Parents Make the Difference'(PMD), on parenting behaviors, quality of parent-child interactions, children's cognitive, emotional, and behavioral wellbeing, and malaria prevention behaviors in rural, post-conflict Liberia.A sample of 270 caregivers of children ages 3-7 were randomized into an immediate treatment group that received a 10-session parent training intervention or a wait-list control condition (1:1 allocation). Interviewers administered baseline and 1-month post-intervention surveys and conducted child-caregiver observations. Intent-to-treat estimates of the average treatment effects were calculated using ordinary least squares regression. This study was pre-registered at ClinicalTrials.gov (NCT01829815).The program led to a 55.5% reduction in caregiver-reported use of harsh punishment practices ( < 0.001). The program also increased the use of positive behavior management strategies and improved caregiver-child interactions. The average caregiver in the treatment group reported a 4.4% increase in positive interactions ( < 0.05), while the average child of a caregiver assigned to the treatment group reported a 17.5% increase ( < 0.01). The program did not have a measurable impact on child wellbeing, cognitive skills, or household adoption of malaria prevention behaviors.PMD is a promising approach for preventing child abuse and promoting positive parent-child relationships in low-resource settings.

Authors & Co-authors:  Puffer Green Chase Sim Zayzay Friis Garcia-Rolland Boone

Study Outcome 

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Statistics
Citations :  Aboud FE, Shafique S, Akhter S (2009). A responsive feeding intervention increases children's self-feeding and maternal responsiveness but not weight gain. The Journal of Nutrition 139, 1738–1743.
Authors :  8
Identifiers
Doi : e15
SSN : 2054-4251
Study Population
Male,Female
Mesh Terms
Other Terms
Abuse prevention;Africa;Liberia;family-based intervention;global mental health;parenting
Study Design
Study Approach
Country of Study
Liberia
Publication Country
England