Effects of a Group-based Parenting Support Program for Infant and Toddler Parents: A Systematic Review of Randomized Controlled Trials

SunHwa Park; Seong-Hi Park; Kyung Ja June

doi:10.12799/jkachn.2019.30.3.377

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Park, Park, and June: Effects of a Group-based Parenting Support Program for Infant and Toddler Parents: A Systematic Review of Randomized Controlled Trials

Original Article

Journal of Korean Academy of Community Health Nursing 2019; 30(3): 377-389.

Published online: 30 September 2019

DOI: https://doi.org/10.12799/jkachn.2019.30.3.377

Effects of a Group-based Parenting Support Program for Infant and Toddler Parents: A Systematic Review of Randomized Controlled Trials

SunHwa Park¹

, Seong-Hi Park²

, Kyung Ja June²

¹Doctoral Course Student, Graduate School, School of Nursing, Soonchunhyang University, Cheonan, Korea.

²Professor, School of Nursing, Soonchunhyang University, Cheonan, Korea.

Corresponding author: June, Kyung Ja. School of Nursing, Soonchunhyang University, 31 Soonchunhyang 6-gil, Dongnam-gu Cheonan 31151, Korea. Tel: +82-41-570-2495, Fax: +82-41-570-2498, kjajune@sch.ac.kr

Received 22 May 2019 Revised 21 August 2019 Accepted 22 August 2019

Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

Group-based interventions help the members of the parent group work together to share their parenting stress, provide opportunities for them to support each other emotionally and informatively, and allow them to achieve what they want to accomplish. The purpose of this study is to investigate and synthesize the outcome of a parenting support program for infant and toddler parents.

Methods

Published randomized control trials were identified through Ovid-Medline, Embase and CINAHL DB. Eligible studies include articles published between 2008 and 2018 in English in the randomized controlled trial design in which parenting support programs were implemented for infant and toddler parents group.

Results

A total of 11 studies was selected for this review. These programs reported large level of effect size for parenting, and middle level effect size for parent's psycho-social outcomes and child development. There were many programs conducted for parents with infants between 13 and 24 months, and the frequency of programs provided for 2 hours a week was high with 9 to 12 sessions. Most programs were facilitated by trained professionals including nurses and social workers except two programs led by lay persons.

Conclusion

This review demonstrates that group-based parenting support programs have positive effects on parenting, parent's psychosocial health and infant development. To disseminate the effective group-based parenting support programs, further research is needed to confirm the long term effect and develop nurse's role as a group facilitator.

Keywords: Parenting, Infant, Social support, Peer group, Systematic review

Figures and Tables

Figure 1

Study flow diagram.

Figure 2

Risk of bias graph by Cochrane.

Table 1

General Characteristics & Characteristics of Intervent (N=11)

^†Overlapping count.

Table 2

Characteristics of Outcome Variables (N=11)

^†Overlapping count. ^‡Described significant results in study, ^§Described effect size according to significant variables (d or odds ratio).

Table 3

Characteristics of Outcome Variables by Each Articles (N=11)

^†Children age; ^‡Weeks; ^§Described significant results in study; ^∥Described subgroup significant results in study; ^¶Described effect size according to significant variables.

Notes

IRB approval: The study was approved by the Institutional Review Board (IRB) of Soonchunhyang University (IRBNo.: 201711-SB-048-01).

Appendix

List of Studies Included for Final Review

1. Aboud FE, Moore AC, Akhter S. Effectiveness of a community- based responsive feeding programme in rural Bangladesh: A cluster randomized field trial. Maternal and Child Nutrition. 2008;4:275-286.

2. Barnes J, Stuart J, Allen E, Petrou S, Sturgess J, Barlow J, et al. Randomized controlled trial and economic evaluation of nurseled group support for young mothers during pregnancy and the first year postpartum versus usual care. Trials. 2017;18:1-15. https://doi.org/10.1186/s13063-017-2259-y

3. Bert SC, Farris JR, Borkowski JG. Parent training: implementation strategies for adventures in parenting. Journal of Primary Prevention. 2008;29(3):243-261. https://doi.org/10.1007/s10935-008-0135-y

4. Gridley N, Hutchings J, Baker-Henningham H. The incredible years parent-toddler programme and parental language: a randomized controlled trial. Child: Care, Health & Development. 2015;41(1):103-111. https://doi.org/10.1111/cch.12153

5. Hackworth N, Berthelsen D, Matthews J, Westrupp E, Cann W, Ukoumunne O. Impact of a brief group intervention to enhance parenting and the home learning environment for children aged 6-36months: a cluster randomized controlled trial. Prevention Science. 2017;18(3):337-349. https://doi.org/10.1007/s11121-017-0753-9

6. Hutchings J, Griffith N, Bywater T, Williams ME. Evaluating the incredible years toddler parenting programme with parents of toddlers in disadvantaged (Flying Start) areas of Wales. Child: Care, Health & Development. 2017;43(1):104-113. https://doi.org/10.1111/cch.12415

7. McFarlane E, Burrell L, Duggan A, Tandon D. Outcomes of a randomized trial of a cognitive behavioral enhancement to address maternal distress in home visited mothers. Maternal & Child Health Journal. 2017;21(3):475-484. https://doi.org/10.1007/s10995-016-2125-7

8. Niccols A. 'Right from the Start': Randomized trial comparing an attachment group intervention to supportive home visiting. The Journal of Child Psychology Psychiatry. 2008;49(7):754- 764. https://doi.org/10.1111/j.1469-7610.2008.01888.x

9. Shapiro AF, Nahm EY, Gottman JM, Content K. Bringing baby home together: Examining the impact of a couple-focused intervention on the dynamics within family play. American Journal of Orthopsychiatry. 2011;81(3):337-350. https://doi.org/10.1111/j.1939-0025.2011.01102.x

10. Singla DR, Kumbakumba E, Aboud FE. Effects of a parenting intervention to address maternal psychological wellbeing and child development and growth in rural Uganda: A community- based, cluster randomised trial. The Lancet. Global Health. 2015;3(8):e458-e469. https://doi.org/10.1016/S2214-109X(15)00099-6

11. Wake M, Tobin S, Girolametto L, Ukoumunne OC, Gold L, Levickis P. Outcomes of population based language promotion for slow to talk toddlers at ages 2 and 3 years: Let's learn language cluster randomized controlled trial. British Medical Journal(Online). 2011;343:d4741 https://doi.org/10.1136/bmj.d4741

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ORCID iDs

SunHwa Park
https://orcid.org/0000-0002-5762-7993

Seong-Hi Park
https://orcid.org/0000-0002-5495-3291

Kyung Ja June
https://orcid.org/0000-0002-2745-5107

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