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dc.contributor.authorShenderovich, Yuliaen
dc.contributor.authorEisner, Manuelen
dc.contributor.authorCluver, Lucieen
dc.contributor.authorDoubt, Jennyen
dc.contributor.authorBerezin, McKenzieen
dc.contributor.authorMajokweni, Sybilen
dc.contributor.authorMurray, Aja Louiseen
dc.date.accessioned2018-09-21T15:21:21Z
dc.date.available2018-09-21T15:21:21Z
dc.date.issued2018-10en
dc.identifier.issn1389-4986
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/280621
dc.description.abstractParenting programs are a promising approach to improving family wellbeing. 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, 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.
dc.description.sponsorshipResearch was funded by the European Research Council under the European Union’s Seventh Framework Programme (FP7/2007-2013, grant agreement 313421), UNICEF Innocenti Office of Research, Leverhulme Trust (grant number PLP-2014-095), University of Oxford’s ESRC Impact Acceleration Account (K1311-KEA-004; 1602-KEA-189), and the John Fell Fund (103/757). I was supported by Cambridge Commonwealth, European & International Trust and Additional Insights 2016-2017 Fellowship.
dc.format.mediumPrinten
dc.languageengen
dc.publisherSpringer Nature
dc.rightsAttribution 4.0 International
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectHumansen
dc.subjectParentingen
dc.subjectParentsen
dc.subjectSocial Classen
dc.subjectPovertyen
dc.subjectAdolescenten
dc.subjectChilden
dc.subjectChild, Preschoolen
dc.subjectRural Populationen
dc.subjectUrban Populationen
dc.subjectSouth Africaen
dc.subjectFemaleen
dc.subjectMaleen
dc.titleWhat Affects Attendance and Engagement in a Parenting Program in South Africa?en
dc.typeArticle
prism.endingPage986
prism.issueIdentifier7en
prism.publicationDate2018en
prism.publicationNamePrevention science : the official journal of the Society for Prevention Researchen
prism.startingPage977
prism.volume19en
dc.identifier.doi10.17863/CAM.27987
dcterms.dateAccepted2018-08-08en
rioxxterms.versionofrecord10.1007/s11121-018-0941-2en
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden
rioxxterms.licenseref.startdate2018-10en
dc.contributor.orcidShenderovich, Yulia [0000-0002-0254-3397]
dc.contributor.orcidEisner, Manuel [0000-0001-5436-9282]
dc.identifier.eissn1573-6695
rioxxterms.typeJournal Article/Reviewen


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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International