Suchergebnisse

Objective: This study examined the efficacy of the Parent and Child Enhancement (PACE) program on child learning, child behavior problems, and parental stress, using randomized controlled trial design, in social services centers. Methods: Eligibility criteria were (1) children aged 2 years at program commencement, (2) low-income, new immigrant, or single-parent families, and (3) parent–child dyads being Hong Kong residents. Intervention group dyads were offered the PACE program (40 two-hour sessions on child learning and parenting). Primary outcomes included child preschool concepts, child behavior problems, and parental stress. Participants were randomly assigned to intervention (76 dyads) and control group (73 dyads) using a random number table, without blinding. Results: Intention-to-treat analysis with 149 dyads indicated improvement in child preschool concepts, decrease in child behavior problems and parental stress in the intervention group, compared with the control group ( d = 0.12–0.73). Conclusions: The results provided evidence for the efficacy of the PACE program.

Purpose: The study reported the effectiveness of a home visit program for disadvantaged Chinese parents with preschool children, using cluster randomized controlled trial design. Method: Participants included 191 parents and their children from 24 preschools, with 84 dyads (12 preschools) in the intervention group and 107 dyads (12 preschools) in the control group. Outcome measures included parent report and direct assessment of children. Results: Linear mixed-method regression results indicated significant increase in child preschool concepts, decrease in parent-reported parenting stress and child behavior problems, and improvement in parent-reported social support, self-efficacy, child oral health practices, and healthy feeding practices. The parent assistants delivering the home visit programs reported decrease in child behavior problems and parenting stress, and increase in self-efficacy and social support from pretraining to posttraining and completion of home visits. Discussion: The results provided encouraging evidence that the home visit program was effective with Chinese families.

Objectives: The study reported the pilot evaluation of the Healthy Start Home Visit Program for disadvantaged Chinese parents with preschool children, delivered by trained parent assistants. Home visiting was used to make services more accessible to disadvantaged families. Method: The participants included 21 parent–child dyads. Outcome measures included parent report, teacher report, and direct assessment of children. Results: Paired samples t-test results indicated significant increase in child cognitive measures, child school readiness, child oral health practices; decreases in child sedentary activities, child home injury, and hospital visits; decreases in parenting stress and child behavior problems and increases in social support. The parent assistants delivering the program reported significant decreases in child behavior problems and parenting stress from pretraining to posttraining and completion of home visits. Conclusion: There was promising evidence that the Healthy Start Home Visit Program was effective in addressing the needs of disadvantaged families with preschool children.

This study evaluated the effectiveness of the HOPE program. Participants included 120 Chinese new immigrant parents with preschool children in Hong Kong from 13 preschools which were randomized into intervention group (HOPE) and comparison group (6-session parent education program). Parent participants completed measures on child behavior, parenting stress, social support and self-efficacy before and after intervention. The children were assessed on the WPPSI-R and receptive vocabulary before and after parent intervention. Results indicated significant decrease in post-intervention child behavior problems and parenting stress and increase in social support in the intervention group, compared with the comparison group. Implications for service delivery for parents of preschool children were discussed.

This study reported a pilot trial of the Hands-On Parent Empowerment (HOPE) program, a 30-session program designed to instruct parents from disadvantaged backgrounds how to teach learning skills to their preschool children. The participants included 13 parents who newly migrated into Hong Kong from mainland China. The parents were required to complete questionnaires on child behavior problems, parental stress, social support, and self-efficacy before, during, and after intervention. The children were assessed on the Wechsler Preschool and Primary Scale of Intelligence-Revised and the Peabody Picture Vocabulary Test before and after intervention. The results indicated a significant decrease in parent-reported child behavior problems and parental stress, an increase in Performance IQ and vocabulary knowledge among the children. These improvements were also observed by preschool principals. The pilot experience provides insights for social work practice in terms of inter-sectoral collaboration, program content, duration, and intensity in early support for challenged families.

The Chinese version of the Kansas Marital Satisfaction Scale (C-KMS) was administered to 381 parents of pre-school mentally handicapped children, along with other instruments assessing their stress, mental health, coping styles and caregiving patterns. The C-KMS was found to have high
internal consistency as a scale (alpha=.92) and tentative support for the validity of the scale was established: CKMS scores correlated significantly with the frequency of seeking help from spouse, and subjects who had to take care of the child alone at different times had significantly lower
C-KMS scores than subjects whose care-giving demands were shared by their spouse. The data also showed that the mean C-KMS scores in the present sample were lower than those reported in the literature and females reported a significantly lower level of perceived marital satisfaction than males.

The Chinese Coping Scale (CCS) was administered to 381 parents of preschool mentally handicapped children, along with other instruments assessing their stress, mental health, marital satisfaction and care-giving patterns. The CCS was found to be reliable and factor analysis with a two-factor
solution showed that two factors were abstracted from the scale, namely, Internal Coping and External Coping. It was found that the factors extracted could reliably be reproduced in two random sub-samples and the present results are highly similar to the previously reported data on the dimensionality
of the CCS. An examination of the distribution of responses to the CCS items revealed that a significant proportion of the parents seldom sought help from others when dealing with the stress arising from taking care of their handicapped children.

Objective: This study examined the efficacy of Hands-On Parent Empowerment-20 (HOPE-20) program. Methods: Eligible participants were parents residing in Hong Kong with target children aged 2 years attending nursery schools. Cluster randomized control trial was adopted, with 10 schools (110 participants) assigned to intervention group and 8 schools (63 participants) to control group using random number table, without blinding of participants. Intervention group attended 20 parent training sessions based on social learning theory. Children were individually assessed on preschool concepts and language skills. Parents completed child behavior and parental stress questionnaires. Results: Intention-to-treat analysis (173 participants and 18 schools) indicated improvement in primary outcomes: child preschool concepts ( d = 0.70, 95% confidence interval [CI]: [0.38, 1.01]) and child behavior problems ( d = 0.67, 95% CI: [0.35, 0.99]), together with language skills ( d = 0.98, 95% CI: [0.65, 1.30]), and parental stress ( d = 0.71, 95% CI: [0.39, 1.02]). Conclusions: The results suggested that HOPE-20 program was beneficial to Chinese families.

Objective: This study evaluated the effectiveness of the Healthy Start Home Visiting Program—School-Based Model (HSS), using a cluster randomized controlled trial design. Methods: Participants included 224 parents from 20 preschools randomized into intervention and wait-list control groups at the preschool level. Furthermore, 105 parents from the participating preschools were trained as parent ambassadors to assist in program delivery. They were randomized into intervention and control groups at the preschool level. Outcome measures included parent and teacher reports on children's learning, parent report on children's behavior and health, their own parenting, and direct assessment of children. Parent ambassadors completed measures on parenting and their children's behavior before training and after program delivery. Results: There was significant improvement at postintervention in parenting, children's behavior, and learning and health in the intervention group, compared with the control group. Conclusions: The results provided evidence on the effectiveness of the HSS program.

Socially disadvantaged parents often concentrate on providing for their children instead of stimulating them to learn because of their own low self‐efficacy as learning agents. This study describes the development and pilot evaluation of a programme designed to empower new immigrant parents in Hong Kong to assume active, systematic and confident roles to teach their pre‐school children learning skills. A needs assessment was conducted to guide the development of the programme, which was also informed by research evidence and community engagement. A pilot trial was conducted and qualitative data were obtained from the participating parents. Parents reported improvements in their children's motivation to learn and the parent‐child relationship. The research provided information on programme design, delivery and implementation strategies. It suggested important entry points to engage and empower parents to provide timely stimulation to their young children.