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首页> 外文期刊>Prevention science: the official journal of the Society for Prevention Research >What Affects Attendance and Engagement in a Parenting Program in South Africa?
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What Affects Attendance and Engagement in a Parenting Program in South Africa?

机译：什么影响南非育儿计划的出勤和参与？

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Parenting programs are a promising approach to improving family well-being. For families to benefit, programs need to be able to engage families actively in the interventions. Studies in high-income countries show varying results regarding whether more disadvantaged families are equally engaged in parenting interventions. In low- and middle-income countries (LMICs), almost nothing is known about the patterns of participation in parent training. This paper examines group session attendance and engagement data from 270 high-risk families enrolled in the intervention arm of a cluster-randomized controlled trial in South Africa. The trial evaluated a 14-week parenting intervention aiming to improve parenting and reduce maltreatment by caregivers. The intervention was delivered in 20 groups, one per study cluster, with 8 to 16 families each. Overall, caregivers attended 50% of group sessions and children, 64%. Using linear multilevel models with Kenward-Roger correction, we examined child and caregiver baseline characteristics as predictors of their attendance and engagement in the group sessions. Variables examined as predictors included measures of economic, educational, and social and health barriers and resources, as well as family problems and sociodemographic characteristics. Overall, the study yielded no evidence that the level of stressors, such as poverty, was related to attendance and engagement. Notably, children from overcrowded households attended on average 1.2 more sessions than their peers. Our findings suggest it is possible to engage highly disadvantaged families that face multiple challenges in parenting interventions in LMICs. However, some barriers such as scheduling, and alcohol and substance use, remain relevant.
机译：育儿计划是提高家庭福祉的有希望的方法。对于家庭受益，计划需要能够积极地在干预措施中聘请家庭。高收入国家的研究表明，有关更多弱势家庭是否同样参与育儿干预的不同成果。在低收入和中等收入国家（LMICS）中，几乎没有任何众所周知的父母培训的模式。本文审查了来自南非集群随机对照试验的270家高风险家庭的群体会议和参与数据。审判评估了14周的育儿干预，旨在改善护理人员的育儿和减少虐待。干预在20组中交付，每个学习集群，每个学习集群，每个学习群体为8至16个家庭。总体而言，护理人员参加了50％的团体会议和儿童，64％。使用带有肯德 - 罗杰矫正的线性多级模型，我们将儿童和照顾者基线特征视为他们在群体会议上的出席和参与的预测因素。审查为预测因素的变量包括经济，教育和社会和健康障碍和资源的措施，以及家庭问题和社会血统特征。总体而言，该研究没有证据表明，贫困等压力源的水平与出席和参与有关。值得注意的是，来自过度拥挤的家庭的孩子平均参加1.2个比同龄人更多的会议。我们的调查结果表明，可以在LMIC中育儿干预措施面临高度弱势群体的家庭。然而，一些障碍如调度和酒精和物质使用，保持相关。

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