Rostad Whitney L, Moreland Angela D, Valle Linda Anne, Chaffin Mark J
Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, 4770 Buford Highway NE, Atlanta, GA 30341, USA.
Medical University of South Carolina, National Crime Victims Research and Treatment Center, Charleston, SC, USA.
J Child Fam Stud. 2018 Apr;27(4):1264-1274. doi: 10.1007/s10826-017-0963-6. Epub 2017 Dec 22.
Families experiencing child maltreatment or risk factors for child maltreatment often receive referrals to interventions focused on changing parenting practices. Compliance with specific parenting programs can be challenging as many of the stressors that place families at-risk may also interfere with program participation. Because families may receive limited benefit from programs they do not fully receive, it is critical to understand the relationship between parenting stress and barriers to program completion. We used structural equation modeling to examine the relationship among parenting stress, perceived barriers to program participation, and program completion in two datasets involving low-income parents. Data were collected at two time points from a sample of parents involved with child welfare services and a sample of parents considered at-risk of future involvement (total study = 803). Direct paths from parenting stress at time 1 to barriers to participation and parenting stress at time 2, and from parenting stress at time 2 to program completion were significant. Interestingly, increased barriers to participation were related to increased parenting stress at time 2, and greater parenting stress was related to increased program completion. Results suggest that with increasing levels of parenting stress, parents have an increased likelihood of completing the program. Assessing and addressing the influence of perceived barriers and parenting stress on program participation may decrease the likelihood of treatment attrition.
经历过儿童虐待或存在儿童虐待风险因素的家庭，往往会被转介到侧重于改变养育方式的干预措施中。遵守特定的养育项目可能具有挑战性，因为许多使家庭处于风险中的压力源也可能干扰项目参与。由于家庭可能无法从未完整接受的项目中获得有限的益处，了解养育压力与项目完成障碍之间的关系至关重要。我们使用结构方程模型，在两个涉及低收入父母的数据集里，研究养育压力、感知到的项目参与障碍和项目完成情况之间的关系。数据在两个时间点收集，样本包括参与儿童福利服务的父母以及被认为有未来参与风险的父母样本（总研究对象 = 803）。从时间1的养育压力到参与障碍和时间2的养育压力的直接路径，以及从时间2的养育压力到项目完成的直接路径是显著的。有趣的是，参与障碍增加与时间2的养育压力增加相关，而更大的养育压力与项目完成增加相关。结果表明，随着养育压力水平的增加，父母完成项目的可能性也增加。评估和解决感知到的障碍以及养育压力对项目参与的影响，可能会降低治疗脱落的可能性。
