Murray Julie, Rioux Charlie, Parent Sophie, Séguin Jean R, Pinsonneault Michelle, Fraser William D, Castellanos-Ryan Natalie
Azrieli Research Center of the CHU Ste-Justine, Montréal, Canada.
School of Psychoeducation, Université de Montréal, 90, Av. Vincent-d'Indy, Outremont, QC, H2V 2S9, Canada.
Prev Sci. 2024 Dec;25(8):1250-1261. doi: 10.1007/s11121-024-01739-x. Epub 2024 Oct 25.
Parenting programs have been shown to be effective in preventing and reducing externalising problems in young children. Despite their efficacy, the low rate of initial parental engagement in these programs is a major challenge for clinicians and researchers. Few studies have examined factors associated with rates of initial engagement in parenting prevention programs, most probably due to limited data on families refusing intervention. The purpose of this study was to examine the sociodemographic characteristics as well as child and parent characteristics in the prediction of parents' refusal to engage in a randomised control trial (RCT) evaluating the parenting program ÉQUIPE (French version of COPE) offered as a prevention intervention to families with preschool children (4-5 years) who showed low self-control at the age of 2 years. A total of 268 families were recruited from a longitudinal community sample followed from pregnancy (3D study), with 162 parents accepting to be randomised to a control or intervention group and 106 families refusing to engage in the RCT. Of the 83 families randomised to the intervention condition, 32 accepted, and 51 refused to participate in the intervention before or during the transition to formal schooling. ANOVAs and logistic regressions were used to examine factors associated with parents' refusal to engage in (1) the RCT and (2) the intervention. Results showed that parents who reported lower scores on perceived parental efficacy and higher perceived relationship quality had higher odds of refusing to participate in the study. Also, participating parents who refused to participate in the intervention were more likely parents of girls and reported significantly higher parental efficacy and impact. The findings of the current study could guide clinicians and researchers in improving parental recruitment strategies.
育儿项目已被证明在预防和减少幼儿外化问题方面是有效的。尽管其功效显著，但这些项目中家长初始参与率较低，这对临床医生和研究人员来说是一个重大挑战。很少有研究探讨与育儿预防项目初始参与率相关的因素，这很可能是由于拒绝干预的家庭数据有限。本研究的目的是考察社会人口学特征以及儿童和家长特征，以预测家长拒绝参与一项随机对照试验（RCT）的情况。该试验评估了育儿项目ÉQUIPE（COPE的法语版本），该项目作为一种预防干预措施提供给那些孩子在2岁时自我控制能力较低的学龄前儿童（4 - 5岁）家庭。从一个从孕期开始跟踪的纵向社区样本（3D研究）中总共招募了268个家庭，其中162位家长接受随机分配到对照组或干预组，106个家庭拒绝参与RCT。在随机分配到干预组的83个家庭中，32个接受了干预，51个在过渡到正规学校教育之前或期间拒绝参与干预。方差分析和逻辑回归被用于考察与家长拒绝参与（1）RCT和（2）干预相关的因素。结果显示，在感知到的父母效能方面得分较低且感知到的关系质量较高的家长拒绝参与研究的几率更高。此外，拒绝参与干预的参与研究的家长更有可能是女孩的家长，并且报告的父母效能和影响显著更高。本研究的结果可以指导临床医生和研究人员改进家长招募策略。
