Department of Psychology, Arizona State University, 950 S. McAllister Ave, TempeTempe, AZ, 85287-1104, USA.
Paul Baerwald School of Social Work, Hebrew University of Jerusalem, Jerusalem, Israel.
Prev Sci. 2024 Oct;25(7):1040-1052. doi: 10.1007/s11121-024-01721-7. Epub 2024 Sep 16.
Parenting programs aim to improve parenting quality, which may, in turn, support various aspects of child development, including behavior and mental health. However, parenting interventions show considerable heterogeneity in response patterns across different families, demonstrating that they are not one-size-fits-all programs. This variability points to a need for greater understanding of which families benefit most from these interventions and how to improve response among those who do not. Following this literature gap, this study employed a person-centered approach to identify different parenting profiles associated with heterogeneity in treatment responses to a family-based prevention interventions adapted for military families. This study used data from a randomized controlled trial of the ADAPT intervention for 336 US military families in which at least one parent had deployed to war. Latent profile analyses revealed three unobserved parenting profiles among mothers and fathers, reflecting High positive, Moderate positive, and Coercive parenting styles. Latent transition analysis (LTA) suggested that the ADAPT program led to improvements in parenting, particularly among mothers who began the program with moderate or typical levels of parenting skills, and that these positive changes in parenting may help to decrease child externalizing problems. For fathers, the ADAPT program was most effective in preventing declines in positive parenting among those with initially typical levels of positive parenting. Overall, study findings demonstrate considerable heterogeneity in parenting behavior among a sample of military families that is associated with variability in parent responses to the evidence-based parenting program.
育儿计划旨在提高育儿质量,而育儿质量的提高又可能有助于儿童发展的各个方面,包括行为和心理健康。然而,育儿干预措施在不同家庭中的反应模式存在显著的异质性,表明它们不是一刀切的计划。这种可变性表明,我们需要更好地了解哪些家庭最能从这些干预措施中受益,以及如何提高那些没有受益的家庭的反应。鉴于这一文献空白,本研究采用了一种以人为中心的方法,以确定与适应军事家庭的基于家庭的预防干预措施的治疗反应异质性相关的不同育儿模式。本研究使用了一项针对 ADAPT 干预措施的随机对照试验的数据,该试验涉及 336 个美国军人家庭,其中至少有一位父母曾参战。潜在剖面分析显示,母亲和父亲有三种未观察到的育儿模式,反映了高度积极、适度积极和强制的育儿风格。潜在转变分析(LTA)表明,ADAPT 计划有助于改善育儿方式,特别是对那些在开始时具有中等或典型育儿技能的母亲,而这些积极的育儿变化可能有助于减少儿童的外化问题。对于父亲来说,ADAPT 计划在预防那些最初具有典型积极育儿水平的父亲的积极育儿水平下降方面最为有效。总体而言,研究结果表明,在一个军人家庭样本中,育儿行为存在很大的异质性,这与父母对循证育儿计划的反应的可变性有关。