Journal articles on the topic 'Parent and child Australia'
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1
Elliott, Samuel, and Murray Drummond. "The experience of parent-coaches in youth sport: A qualitative case study from Australia." Journal of Amateur Sport 3, no. 3 (November 28, 2017): 64–85. http://dx.doi.org/10.17161/jas.v3i3.6511.
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There has been increasing academic interest in understanding the nature of parental involvement in youth sport. Much scholarly focus has illuminated both positive and negative forms of sport parenting from the perspectives of coaches, parents and youth participants. One less understood aspect however surrounds the potentially conflicting role of parents who coach their own children in youth sport. This is surprising given that many parents, especially fathers, demonstrate support by fulfilling essential roles such as team manager and team coach (Jeffery-Tosoni, Fraser-Thomas, & Baker, 2015). This paper emerges from an Australian study of 16 parent-coaches involved in Australian football. The original purpose of the study was to understand the nature of the sport parenting role in youth sport in Australia. A number of pertinent themes were constructed surrounding the contemporary experiences of parent-coaches who coach their own children, and how coaching is subsequently justified. The findings illustrate how concerns of favouritism impact how parent-coaches interact with their child in contrast to the rest of the team, encouraging nuances of ‘negative’ parenting toward their own children under the guise of being the coach. Examples of this include demonstrating deliberate criticism at training and matches and overlooking their child in awarding encouragement awards after each weekly match. Significantly, parent-coaches justify these behaviours in attempting to fulfil the dual role of parent and team coach. We argue that this can be potentially problematic for some parent and child relationships and have a reinforcing influence on how other parent-coaches negotiate being a parent and coach.
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Mondy, Linda, and Stephen Mondy. "Situating NEWPIN in the context of parent education and support models." Children Australia 29, no. 1 (2004): 19–25. http://dx.doi.org/10.1017/s1035077200005861.
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The nature and extent of parent education and support programs targeting parents with children under five is reviewed. Several evaluated Australian and overseas programs are described, and their role and effectiveness in the prevention of child abuse and neglect are examined. The principles and values that underpin such programs are discussed, and their common components outlined. The New Parent Infant Network (NEWPIN) is then situated in the broader framework of effective parent education and support programs operating in Australia.
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Smith, Julia, Jing Wang, Anneke C. Grobler, Katherine Lange, Susan A. Clifford, and Melissa Wake. "Hearing, speech reception, vocabulary and language: population epidemiology and concordance in Australian children aged 11 to 12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 85–94. http://dx.doi.org/10.1136/bmjopen-2018-023196.
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ObjectivesTo describe the epidemiology and parent-child concordance of hearing, speech reception, vocabulary and language in Australian parent-child dyads at child age 11 to 12 years.DesignPopulation-based cross-sectional study (Child Health CheckPoint) nested within the Longitudinal Study of Australian Children.SettingAssessment centres in seven Australian cities and eight regional towns or home visits around Australia, February 2015 to March 2016.ParticipantsOf all participating CheckPoint families (n=1874), 1516 children (50% female) and 1520 parents (87% mothers, mean age 43.8 years) undertook at least one of four measurements of hearing and language.Outcome measuresHearing threshold (better ear mean of 1, 2 and 4 kHz) from pure-tone audiometry, speech reception threshold, receptive vocabulary, expressive and receptive languages using a sentence repetition task. Parent-child concordance was examined using Pearson’s correlation coefficients and adjusted linear regression models. Survey weights and methods accounted for Longitudinal Study of Australian Children’s complex sampling and stratification.ResultsChildren had a similar speech reception threshold to parents (children mean −14.3, SD 2.4; parents −14.9, SD 3.2 dB) but better hearing acuity (children 8.3, SD 6.3; parents 13.4, SD 7.0 decibels hearing level). Standardised sentence repetition scores were similar (children 9.8, SD 2.9; parents 9.1, SD 3.3) but, as expected, parents had superior receptive vocabularies. Parent-child correlations were higher for the cognitively-based language measures (vocabulary 0.31, 95% CI 0.26 to 0.36; sentence repetition 0.29, 95% CI 0.24 to 0.34) than the auditory measures (hearing 0.18, 95% CI 0.13 to 0.23; speech reception threshold 0.18, 95% CI 0.13 to 0.22). Mother-child and father-child concordances were similar for all measures.ConclusionsWe provide population reference values for multiple measures spanning auditory and verbal communication systems in children and mid-life adults. Concordance values aligned with previous twin studies and offspring studies in adults, in keeping with polygenic heritability that is modest for audition but around 60% for language by late childhood.
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Alonso, Jennah, and Emma Little. "Parent help-seeking behaviour: Examining the impact of parent beliefs on professional help-seeking for child emotional and behavioural difficulties." Educational and Developmental Psychologist 36, no. 2 (July 24, 2019): 60–67. http://dx.doi.org/10.1017/edp.2019.8.
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AbstractFor children experiencing emotional and behavioural difficulties, parents are key gatekeepers to treatment access. However, despite the substantial prevalence of child mental health problems in Australia, there remains a significant disparity between the rate of children requiring treatment and the rate of parents actively seeking professional help for their child. Therefore, an understanding of factors impacting on parents’ help-seeking behaviour is crucial. The current study presents exploratory research examining the impact of parent beliefs on help-seeking behaviour. Specifically, this study aims to explore parent beliefs about (a) barriers to help-seeking (b) parenting ability, and (c) the causes and nature of child difficulties. Participants in this study were a sample of 399 Australian parents of children aged from 4 to 14 years, with each parent completing a series of four structured questionnaires. Results indicated that parents who had not sought help for their child perceived significantly more barriers to help seeking and held significantly stronger beliefs that child emotional and behavioural difficulties are intentional. Results also indicated that as parents’ sense of competence increased, perceived barriers to help seeking decreased. Perceived barriers to help seeking also decreased as parent beliefs that child difficulties are stable decreased. The present study presents several implications for informing effective engagement strategies to improve service utilisation, highlighting directions for future hypothesis-driven research.
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Clifford, Susan A., Sarah Davies, and Melissa Wake. "Child Health CheckPoint: cohort summary and methodology of a physical health and biospecimen module for the Longitudinal Study of Australian Children." BMJ Open 9, Suppl 3 (July 2019): 3–22. http://dx.doi.org/10.1136/bmjopen-2017-020261.
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Objectives‘Growing Up in Australia: The Longitudinal Study of Australian Children’ (LSAC) is Australia's only nationally representative children’s longitudinal study, focusing on social, economic, physical and cultural impacts on health, learning, social and cognitive development. LSAC's first decade collected wide-ranging repeated psychosocial and administrative data; here, we describe the Child Health CheckPoint, LSAC’s dedicated biophysical module.Design, setting and participantsLSAC recruited a cross-sequential sample of 5107 infants aged 0–1 year and a sample of 4983 children aged 4–5 years in 2004, since completing seven biennial visits. CheckPoint was a cross-sectional wave that travelled Australia in 2015–2016 to reach LSAC’s younger cohort at ages 11–12 years between LSAC waves 6 and 7. Parent–child pairs participated in comprehensive assessments at 15 Assessment Centres nationwide or, if unable to attend, a shorter home visit.MeasuresCheckPoint’s intergenerational, multidimensional measures were prioritised to show meaningful variation within normal ranges and capture non-communicable disease (NCD) phenotype precursors. These included anthropometry, physical activity, fitness, time use, vision, hearing, and cardiovascular, respiratory and bone health. Biospecimens included blood, saliva, buccal swabs (also from second parent), urine, hair and toenails. The epidemiology and parent–child concordance of many measures are described in separate papers.Results1874 (54% of eligible) parent–child pairs and 1051 second parents participated. Participants' geographical distribution mirrored the broader Australian population; however, mean socioeconomic position and parental education were higher and fewer reported non-English-speaking or Indigenous backgrounds. Application of survey weights partially mitigates that the achieved sample is less population representative than previous waves of LSAC due to non-random attrition. Completeness was uniformly high for phenotypic data (>92% of eligible), biospecimens (74%–97%) and consent (genetic analyses 98%, accessing neonatal blood spots 97%, sharing 96%).ConclusionsCheckPoint enriches LSAC to study how NCDs develop at the molecular and phenotypic levels before overt disease emerges, and clarify the underlying dimensionality of health in childhood and mid-adulthood.
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Perales, Francisco, and Yangtao Huang. "Parental Financial Transfers: Do They Vary by Children’s Sexual Orientation?" Social Forces 98, no. 4 (July 12, 2019): 1465–97. http://dx.doi.org/10.1093/sf/soz111.
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Abstract Parents often play complex and highly variable roles in the lives of grown-up lesbian, gay and bisexual (LGB) people. Some act as support sources, helping their offspring buffer societal discrimination. Others are unaccepting of—or ambivalent about—their children’s sexual orientation, becoming further stressors. In practice, little research has examined whether parents treat adult LGB children differently than heterosexual children. This study tests this premise in relation to parental financial transfers using two waves of panel data from an Australian national sample (Household, Income and Labour Dynamics in Australia Survey, n = 18,448 observations) and random-effect panel regression models. We find that parents send money more often to LGB than heterosexual children, a pattern that persists over the adult life course. This association could not be explained by adult children’s socio-economic disadvantage, fertility intentions, parent-child contact, or parent-child distance. These findings suggest that, all else being equal, parental financial investments contribute to narrowing the social disadvantage experienced by Australian LGB people.
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Simmons, Melanie L., Troy E. McEwan, and Rosemary Purcell. "“But All Kids Yell at Their Parents, Don’t They?”: Social Norms About Child-to-Parent Abuse in Australia." Journal of Family Issues 40, no. 11 (April 15, 2019): 1486–508. http://dx.doi.org/10.1177/0192513x19842587.
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Child-to-parent abuse has been hampered by a lack of attention to what behaviors are commonly perceived as abusive and a poor understanding of when children’s behavior stops being difficult, but normative, and becomes abusive. This study investigated what Australian parents and young people perceived as abusive behavior by children toward parents. Convenience samples of (a) parents of young people aged 14 to 25 years ( n = 201) and (b) young people aged 14 to 25 years ( n = 586) were asked to define at what frequency they believed that 40 child-to-parent behaviors became abusive. Both parents and young people perceived that children could abuse their parents, but young people were more permissive when defining abuse than were parents for behaviors involving physical aggression without injury, financial abuse, humiliation, or intimidation. The findings have implications for child-to-parent abuse measurement, particularly in relation to how coercive and verbally aggressive behavior is (or is not) defined as abusive.
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Lim, Jacqueline, Patricia McCabe, and Alison Purcell. "Challenges and solutions in speech-language pathology service delivery across Australia and Canada." European Journal for Person Centered Healthcare 5, no. 1 (May 23, 2017): 120. http://dx.doi.org/10.5750/ejpch.v5i1.1244.
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Background, aims and objectives: This study aimed to compare the perception of barriers to service delivery among speech-language pathologists (SLPs) in Canada and Australia and the extent to which they used parent or carer training to overcome these barriers. Methods: Participants were 81 Australian and 63 Canadian SLPs who completed an online survey. Questions comprised open ended and forced choice questions with some ranking of questions also required. Chi-square analyses were conducted comparing Canadian and Australian SLPs. Results: Few differences existed among the respondents. Respondents overwhelmingly selected “not enough speech-language pathology positions to meet demand” as their main barrier. This barrier along with “parents/carer’s lack of knowledge about the need for speech-language pathology”, “lack of parent/carer engagement” and “lack of awareness of role of speech-language pathologist” were the principal barriers. Training parents and carers to conduct therapy at home was the most used strategy among both Canadian and Australian SLPs. Discussion: The finding that the SLPs perceive low engagement from parents both in the training sessions and when working with their child may suggest that there is a need for speech-language pathologists to determine more effective ways to train and engage parents and carers. Conclusion: More research into the efficacy of parent or carer training across a wider range of speech-language pathology practice areas and across a more diverse range of parents or carers needs to be undertaken.
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Sofronoff, Kate, Jenni Silva, and Renae Beaumont. "The Secret Agent Society Social-Emotional Skills Program for Children With a High-Functioning Autism Spectrum Disorder." Focus on Autism and Other Developmental Disabilities 32, no. 1 (July 26, 2016): 55–70. http://dx.doi.org/10.1177/1088357615583467.
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This study evaluated a parent-delivered social and emotional skills intervention—the Secret Agent Society (SAS) for children with high-functioning autism spectrum disorders (HF-ASD). The study was a pre–post follow-up design with an 8-week baseline period and 6-week follow-up period. Participants were 38 parents and 41 children recruited from regional/rural Queensland and metropolitan Brisbane, Australia. Child participants completed measures of social skills and emotion management, and parents completed measures related to child behavioral problems, parent self-efficacy, child anxiety, and parent emotional distress at pre-intervention, post intervention, and 6-week follow-up. Analyses of outcomes were conducted with a series of repeated-measures MANOVAs and one-way ANOVAs at post intervention and 6-week follow-up. There were significant improvements in child social skills reported by parents with gains maintained at 6-week follow-up with large effect sizes. Parent self-efficacy, child behavior, and child anxiety levels also improved significantly. In addition, outcomes from the SAS self-directed program were compared with the original clinic-based program conducted by Beaumont and Sofronoff. Results indicated greater changes in social skills outcomes in the clinic-based program and no difference between groups on emotional management strategies. The limitations of the study and clinical implications are discussed.
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Larkins, Nicholas G., Siah Kim, John B. Carlin, Anneke C. Grobler, David P. Burgner, Katherine Lange, Jonathan C. Craig, and Melissa Wake. "Albuminuria: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 75–84. http://dx.doi.org/10.1136/bmjopen-2017-020262.
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ObjectivesTo describe the distribution of albuminuria among Australian children aged 11–12 years and their parents, and assess its intergenerational concordance within parent–child dyads.DesignPopulation-based cross-sectional study (the Child Health CheckPoint), nested within the Longitudinal Study of Australian Children.SettingAssessment centres (seven Australian cities and eight regional towns) and home visits across Australia, February 2015 to March 2016.ParticipantsOf all participating CheckPoint families (n=1874), 1557 children (46.2% girls) and 1454 parents (85.5% mothers) provided random urine samples at the visit; samples from menstruating females were excluded.Outcome measuresUrine albumin-to-creatinine ratio (ACR) and its components (urine albumin and creatinine concentration); albuminuria was defined as an ACR ≥3.4 mg/mmol. Pearson’s correlation coefficients and multivariable linear regression models assessed parent–child concordance, using log-transformed data due to skewing. Survey weights and methods were applied to account for the complex sample design.ResultsThe median ACR for children was 1.03 mg/mmol (IQR 0.65–1.97) and 1.01 mg/mmol (IQR 0.60–2.09) for adults. The median ACR was higher in girls (1.20, IQR 0.71–2.65) than boys (0.90, IQR 0.61–1.65) and in mothers (1.13, IQR 0.63–2.33) than fathers (0.66, IQR 0.41–1.05). Albuminuria was detected in 15.1% of children (girls 20.8%, boys 10.1%) and 13.5% of adults (15.1% mothers, 4.0% fathers) had albuminuria. There was a small correlation between parent and child ACR (Pearson correlation coefficient 0.06, 95% CI 0.01 to 0.12).ConclusionsAlbuminuria is common among Australian children and adults, which is of concern because it predicts risk for kidney and cardiovascular disease, and mortality. The weak concordance among intergenerational pairs for urine ACR suggests either that genetic heritability is low or that it becomes evident only at later offspring life stages.
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Hooker, Leesa, Emma Toone, Vibhay Raykar, Cathy Humphreys, Anita Morris, Elizabeth Westrupp, and Angela Taft. "Reconnecting mothers and children after violence (RECOVER): a feasibility study protocol of child–parent psychotherapy in Australia." BMJ Open 9, no. 5 (May 2019): e023653. http://dx.doi.org/10.1136/bmjopen-2018-023653.
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IntroductionIntimate partner violence detrimentally affects the social and emotional well-being of children and mothers. These two populations are impacted both individually and within the context of their relationship with one another. Child mental health, maternal mental health and the mother–child relationship may be impaired as a consequence. Early intervention to prevent or arrest impaired mother–child attachment and child development is needed. Dyadic or relational mental health interventions that include mothers with their children, such as child–parent psychotherapy, are effective in improving the mental health of both children and mothers and also strengthening their relationship. While child–parent psychotherapy has been trialled overseas in several populations, Australian research on relational interventions for children and women recovering from violence is limited. This study aims to assess the acceptability and feasibility of implementing child–parent psychotherapy in Australian families.Methods and analysisUsing a mixed methods, prepost design this feasibility study will examine the acceptability of the intervention to women with preschool aged children (3–5 years, n=15 dyads) and providers, and identify process issues including recruitment, retention and barriers to implementation and sustainability. In addition, intervention efficacy will be assessed using maternal and child health outcomes and functioning, and mother–child attachment measures. Young children’s mental health needs are underserviced in Australia. More research is needed to fully understand parenting in the context of intimate partner violence and what works to help women and children recover. If the intervention is found to be feasible, findings will inform future trials and expansion of child–parent psychotherapy in Australia.Ethics and disseminationEthics approval obtained from clinical sites and the La Trobe University Human Research Ethics Committee (ID: HEC17-108). Results will be disseminated through conference proceedings and academic publications.
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Ainsworth, Frank, and Patricia Hansen. "When is Enough Enough? The Burgeoning Cost of Child Protection Services." Children Australia 39, no. 2 (May 21, 2014): 93–98. http://dx.doi.org/10.1017/cha.2014.6.
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The Australian Bureau of Statistics estimates that at 31 December 2011 there were 5,098,694 children and young people in Australia under the age of 18 years, while for the period 1 July 2011 to 30 June 2012, the Australian Institute of Health and Welfare's report on child protection indicates that there were 48,420 substantiated cases of child abuse and neglect in Australia. The likelihood is that almost 95 (94.96) per cent of Australian children and young people were not abused or neglected in that period; and this is a cause for national celebration. These figures are good reason to praise the parents and caregivers of the 5,050,274 children who were not abused or neglected. We argue that there is a need for an emphasis in the political debate about child protection that focuses on children who are not abused, in order for the issue of child abuse and neglect to be placed in proper perspective. The lack of perspective in the current dialogue simply results in an unending demand for more resources for detection-focused services. Instead, there has to be increased emphasis on preventative services for vulnerable families who fail to meet community child-rearing standards. These exacting standards of parenting can only be achieved through parent education and the provision of intensive and extensive family support services, combined with sensitive monitoring of at-risk families. Accordingly, this article is written in a dissenting voice.
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Chai, Li Kheng, Clare E. Collins, Chris May, Carl Holder, and Tracy L. Burrows. "Accuracy of Parent-Reported Child Height and Weight and Calculated Body Mass Index Compared With Objectively Measured Anthropometrics: Secondary Analysis of a Randomized Controlled Trial." Journal of Medical Internet Research 21, no. 9 (September 16, 2019): e12532. http://dx.doi.org/10.2196/12532.
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Background Electronic health (eHealth) interventions for children often rely on parent-reported child anthropometric measures. However, limited studies have assessed parental accuracy in reporting child height and weight via Web-based approaches. Objective The objective of this study was to determine the accuracy of parent-reported child height and weight, as well as body mass index and weight category that we calculated from these data. We also aimed to explore whether parent report was influenced by age, sex, weight status, or exposure to participation in a 12-week brief Web-based family lifestyle intervention. Methods This study was a secondary analysis of data from a 12-week childhood obesity pilot randomized controlled trial in families with children aged 4 to 11 years in Australia. We asked parents to report demographic information, including child height and weight, using an online survey before their child’s height and weight were objectively measured by a trained research assistant at baseline and week 12. We analyzed data using the Lin concordance correlation coefficient (ρc, ranging from 0 [poor] to ±1 [perfect] concordance), Cohen kappa coefficient, and multivariable linear regression models. Results There were 42 families at baseline and 35 families (83%) at week 12. Overall, the accuracy of parent-reported child height was moderate (ρc=.94), accuracy of weight was substantial (ρc=.96), and accuracy of calculated body mass index was poor (ρc=.63). Parents underreported child height and weight, respectively, by 0.9 cm and 0.5 kg at baseline and by 0.2 cm and 1.6 kg after participating in a 12-week brief Web-based family lifestyle intervention. The overall interrater agreement of child body mass index category was moderate at baseline (κ=.59) and week 12 (κ=.54). The weight category calculated from 74% (n=31) and 70% (n=23) of parent-reported child height and weight was accurate at baseline and week 12, respectively. Parental age was significantly (95% CI –0.52 to –0.06; P=.01) associated with accuracy of reporting child height. Child age was significantly (95% CI –2.34 to –0.06; P=.04) associated with reporting of child weight. Conclusions Most Australian parents were reasonably accurate in reporting child height and weight among a group of children aged 4 to 11 years. The weight category of most of the children when calculated from parent-reported data was in agreement with the objectively measured data despite the body mass index calculated from parent-reported data having poor concordance at both time points. Online parent-reported child height and weight may be a valid method of collecting child anthropometric data ahead of participation in a Web-based program. Future studies with larger sample sizes and repeated measures over time in the context of eHealth research are warranted. Future studies should consider modeling the impact of calibration equations applied to parent-reported anthropometric data on study outcomes.
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Macvean, Michelle, Aron Shlonsky, Robyn Mildon, and Ben Devine. "Parenting Interventions for Indigenous Child Psychosocial Functioning: A Scoping Review." Research on Social Work Practice 27, no. 3 (January 23, 2015): 307–34. http://dx.doi.org/10.1177/1049731514565668.
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Objectives: To scope evaluations of Indigenous parenting programs designed to improve child psychosocial outcomes. Methods: Electronic databases, gray literature, Indigenous websites and journals, and reference lists were searched. The search was restricted to high-income countries with a history of colonialism. Results: Sixteen studies describing evaluations of 13 programs were found. Most were controlled studies from United States and Australia, targeting child social, emotional, behavioral and mental health outcomes, and these were delivered to groups of parents. Program content focused most often on child development and learning, child behavior management, and parent–child interactions. Some studies reported improvements in child and parent outcomes, though the majority used self-report measures and some were noncontrolled studies. Conclusions: This scoping review provides the first known map of evaluations of programs targeting parents of Indigenous children. There were few rigorous evaluations of effectiveness. A rigorous systematic review is needed to evaluate the strength and extent of these findings.
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HAKOVIRTA, MIA, CHRISTINE SKINNER, HEIKKI HIILAMO, and MERITA JOKELA. "Child Poverty, Child Maintenance and Interactions with Social Assistance Benefits Among Lone Parent Families: a Comparative Analysis." Journal of Social Policy 49, no. 1 (March 28, 2019): 19–39. http://dx.doi.org/10.1017/s0047279419000151.
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AbstractIn many developed countries lone parent families face high rates of child poverty. Among those lone parents who do get child maintenance there is a hidden problem. States may retain all, or a proportion, of the maintenance that is paid in order to offset other fiscal costs. Thus, the potential of child maintenance to alleviate poverty among lone parent families may not be fully realized, especially if the families are also in receipt of social assistance benefits. This paper provides an original comparative analysis exploring the effectiveness of child maintenance to reduce child poverty among lone parent families in receipt of social assistance. It addresses the question of whether effectiveness is compromised once interaction effects (such as the operation of a child maintenance disregard) are taken into account in four countries Australia, Finland, Germany and the UK using the LIS dataset (2013). It raises important policy considerations and provides evidence to show that if policy makers are serious about reducing child poverty, they must understand how hidden mechanisms within interactions between child maintenance and social security systems can work as effective cost recovery tools for the state, but have no poverty reduction impact.
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Brown, Thea, Danielle Tyson, and Paula Fernandez Arias. "Filicide: the Australian story." Children Australia 45, no. 4 (December 2020): 279–84. http://dx.doi.org/10.1017/cha.2020.47.
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AbstractA filicide death, meaning the killing of a child by their parent or equivalent guardian, is a tragic event. Sadly, a UK study suggests Australia has the fourth highest rate of filicide among similar developed nations. Since Australian research studies on the incidence of filicide, or indeed on any other aspect of the problem, are limited, it is impossible to know if this finding is correct or not. However, in the last several years more research on filicide has emerged in Australia and by reviewing the recent research in detail, this article develops an integrated analysis of Australian filicide research and contributes to the knowledge bank on Australian filicide that can be used by professionals undertaking practice and research in intervention and prevention. Analysis of the studies shows one child dies at the hands of a parent every fortnight and that this number has not changed for many years. The analysis identifies the profiles of victims and perpetrators. The constellation of circumstances and stressors associated with each of the parental perpetrator groups is discussed, including the perpetrators’ contact with, and mostly unsuccessful use of, services. Based on the analysis, a way forward to prevention is proposed.
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Hui, Yat Man Louise, Julie Stevenson, and Gisselle Gallego. "Transnational parent–child separation and reunion during early childhood in Chinese migrant families: An Australian snapshot." Australian Journal of Child and Family Health Nursing 16, no. 1 (July 2019): 16–23. http://dx.doi.org/10.33235/ajcfhn.16.1.16-23.
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Limited international research exists on reasons for transnational child care, or developmental consequences of separations and reunions on young Chinese children. This descriptive study portrays a sample of children from Chinese migrant families residing in western Sydney, New South Wales, Australia, whose parents temporarily relinquished their care to grandparents in China. Data were collected via retrospective health record audits. The majority of parents were first-time parents and the majority of children were first-borns sent back to China during infancy. The average duration of transnational parent–child separation was 20 months. Results showed that male child subjects who experienced multiple transnational separations and reunions were more vulnerable to problems associated with disrupted attachment. This study links parental decision for transnational child care and feelings of disempowerment in their parenting role with patriarchal family values and expectations, and their own adverse early experiences. This study may assist child and family health (CFH) professionals identify, understand and help Chinese parents who may be considering transnational child care to avoid or ameliorate adverse consequences, or alternatively, to support parents following reunion to establish or re-establish attachment relationships with their child, and parent well to optimise their child’s development. Study findings increase the evidence base on reasons for transnational child care, and the complex range of developmental and psychological problems children and parents in this study faced following reunion.
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Hesketh, Kylie, Melissa Graham, and Elizabeth Waters. "Children’s After-School Activity: Associations with Weight Status and Family Circumstance." Pediatric Exercise Science 20, no. 1 (February 2008): 84–94. http://dx.doi.org/10.1123/pes.20.1.84.
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This study investigated children’s after-school activity and associations with body mass index (BMI) and family circumstance. One thousand two hundred thirty-four parents and 854 children (age 8–13 years) completed activity diaries for the 2 hours after school. Parents reported children as more active than children reported themselves. Boys were reported to be more active than girls. Activity levels were generally not associated with BMI or family circumstance with the exception of cultural background. Parent-reported mean child METs were higher for mothers born in Australia (3.3 vs. 3.0; p = .02). Child-reported mean METs were higher for fathers born in Australia (2.9 vs. 2.6; p = .04) and where English was their main language (2.9 vs. 2.3, p = .003).
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Fraysse, François, Anneke C. Grobler, Josh Muller, Melissa Wake, and Timothy Olds. "Physical activity and sedentary activity: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 136–46. http://dx.doi.org/10.1136/bmjopen-2018-023194.
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ObjectivesTo describe the epidemiology and parent–child concordance of objectively measured physical activity in a population-based sample of Australian parent–child dyads.DesignCross-sectional study (Child Health CheckPoint) nested within the Longitudinal Study of Australian Children.SettingAssessment centres in seven Australian cities and eight regional towns or home visits; February 2015–March 2016.ParticipantsOf all CheckPoint families (n=1874), 1261 children (50% girls) and 1358 parent (88% mothers) provided objectively measured activity data, comprising 1077 parent–child dyads.Outcome measuresActivity behaviour was assessed by GENEActiv accelerometer. Duration of moderate-to-vigorous physical activity (MVPA) and vigorous physical activity and sedentary behaviour (SB) were derived using Cobra custom software, along with MVPA/SB fragmentation and mean daily activity. Pearson’s correlation coefficients and linear regression estimated parent–child concordance. Survey weights and methods accounted for the complex sample design and clustering.ResultsAlthough parents had average lower accelerometry counts than children (mean [SD] 209 [46] vs 284 [71] g.min), 93% of parents met MVPA daily duration guidelines on published cutpoints (mean [SD] 125 [63] min/day MVPA), compared with only 15% of children (mean 32 [27] min). Parents showed less daily SB duration (parents: 540 [101], children: 681 [69] minutes) and less fragmented accumulation of MVPA (parents: α=1.85, children: α=2.00). Parent–child correlation coefficients were 0.16 (95% CI 0.11 to 0.22) for MVPA duration, 0.10 (95% CI 0.04 to 0.16) for MVPA fragmentation, 0.16 (95% CI 0.11 to 0.22) for SB duration and 0.18 (95% CI 0.12 to 0.23) for SB fragmentation.ConclusionsStandardised cutpoints are needed for objective activity measures to inform activity guidelines across the lifecourse. This may reflect large amounts of time in non-shared environments (school and work).
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LIN, XIAOPING, CHRISTINA BRYANT, JENNIFER BOLDERO, and BRIONY DOW. "Older people's relationships with their adult children in multicultural Australia: a comparison of Australian-born people and Chinese immigrants." Ageing and Society 37, no. 10 (August 30, 2016): 2103–27. http://dx.doi.org/10.1017/s0144686x16000829.
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ABSTRACTAgainst the background of population ageing and increasing cultural diversity in many Western countries, the study examined differences and similarities between Australian-born people and Chinese immigrants in their relationships with adult children. The specific research questions were: (a) are there differences between these groups in the nature of parent–child relationships; and (b) if there were differences, did these differences reflect the Confucian concept of filial piety among older Chinese immigrants. The solidarity–conflict model and the concept of ambivalence were used to quantify parent–child relationships. Data from 122 community-dwelling people aged 65 and over (60 Australian-born and 62 Chinese-born people) were collected using standardised interviews. There were significant differences between the two groups for all relationship dimensions except associative solidarity. Compared to Australian participants, Chinese participants were more likely to live with their children. However, when they did not live with their children, they lived further away. They were also more likely to receive, but less likely to provide, instrumental help. Finally, they reported higher levels of normative solidarity, conflict and ambivalence, and lower levels of affectual and consensual solidarity. The differences in solidarity dimensions persisted when socio-demographic variables were controlled for. The study revealed complex differences in the nature of older parent–child relationships between Australian-born people and Chinese immigrants. Some of these differences, such as more prevalent multigenerational living among older Chinese immigrants, likely reflect the strong influence of filial piety among this group. However, differences in other dimensions, such as lower levels of consensual solidarity, might be associated with the Chinese participants’ experience as immigrants. This study also highlights the usefulness of the solidarity–conflict model as a theoretical framework to understand the nature of parent–child relationships among older Chinese immigrants.
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Aiffah, Ghaisani Ikramina, and Wandera Ahmad Religia. "Child Sexual Abuse Prevention Program: Reference to the Indonesian Government." Jurnal PROMKES 8, no. 2 (September 24, 2020): 238. http://dx.doi.org/10.20473/jpk.v8.i2.2020.238-252.
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Background: Child Sexual Abuse (CSA) was a global problem widespread in many countries. Komisi Perlindungan Anak Indonesia or Indonesian Children Protection Commission (KPAI) recorded as many as 1.880 children become victims of sexual abuse such as rape, fornication, sodomy and paedophilia. The Government of Indonesia become made become efforts both national and international scale, but there is no effective and applicable program that has been implemented. Objective: The purpose of this article was to analyse the programs had been implemented to prevent sexual violence against children. Method: This article was a literature study by examining 38 articles related to the program against child abuse. The researcher was looking for reference sources from the Science Direct, Sage pub and Google Scholar online become. The keywords used were Child Sex Abuse Prevention Program, Parenting Program, Parent Training, Parent Intervention, Maltreatment, Violence, and Violence Prevention. Result: In children, programs that had been implemented include C-SAPE; IGEL; Train the trainer; BST; A program for minorities in Australia; Cool and Safe. For parents, the programs that had been applied include ACT-RSK; Triple-P; RETHINK; The Incredible Years Parents, Teachers, and Children Training Series; PACE; The Making Choices and Strong Families; The African Migrant Parenting; Strengthening Families; 123 Magic; PDEP and FAST. Conclusion: The sexual violence prevention program for children that can be implemented by the Indonesian government was using teaching methods based on school curricula that can be delivered by teachers. For parent, the program that could be implemented by the Indonesian government was using positive parenting methods that focus on preventing sexual violence against children and delivered by expert facilitators. To reach children and families with different cultural backgrounds, the Indonesian government could adapt sexual violence prevention programs for the Australian minorities and The African Migrant Parenting.
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Moulds, Lauren, Andrew Day, Richelle Mayshak, Helen Mildred, and Peter Miller. "Adolescent violence towards parents—Prevalence and characteristics using Australian Police Data." Australian & New Zealand Journal of Criminology 52, no. 2 (June 5, 2018): 231–49. http://dx.doi.org/10.1177/0004865818781206.
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Adolescent violence toward parents is a unique form of family violence which for many, including police personnel, challenges traditional views of parent–child relationship, and raises questions about victimization. There has been minimal research in Australia to date in this area, and knowledge about both prevalence rates and the characteristics of offenders and victims remains limited. This exploratory study utilized police data from four Australian States to document prevalence rates of reported offenses to police, and the characteristics of adolescent violence toward parents in Australia. Between 1% and 7% of family violence reported to the police is adolescent violence toward parents. The “typical” perpetrator is a 15- to 17-year-old Caucasian young man who is generally violent toward his mother. Findings are limited by the differing police practice and policy variations between States, including the use of police discretion, leaving several questions open for further investigation. In conclusion, there is a need for change in policy and practice with regards how best to assess and respond to adolescent violence toward parents.
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Bennetts, Shannon K., Sharinne B. Crawford, Tiffani J. Howell, Fiona Burgemeister, Catherine Chamberlain, Kylie Burke, and Jan M. Nicholson. "Parent and child mental health during COVID-19 in Australia: The role of pet attachment." PLOS ONE 17, no. 7 (July 25, 2022): e0271687. http://dx.doi.org/10.1371/journal.pone.0271687.
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Restrictions, social isolation, and uncertainty related to the global COVID-19 pandemic have disrupted the ways that parents and children maintain family routines, health, and wellbeing. Companion animals (pets) can be a critical source of comfort during traumatic experiences, although changes to family routines, such as those caused by COVID-19, can also bring about challenges like managing undesirable pet behaviours or pet-human interactions. We aimed to examine the relationship between pet attachment and mental health for both parents and their children during the COVID-19 pandemic in Australia. A total of 1,034 parents living with a child under 18 years and a cat or dog completed an online cross-sectional survey between July and October 2020. Path analysis using multivariate linear regression was conducted to examine associations between objective COVID-19 impacts, subjective worry about COVID-19, human-pet attachment, and mental health. After adjusting for core demographic factors, stronger pet-child attachment was associated with greater child anxiety (parent-reported, p < .001). Parent-pet attachment was not associated with self-reported psychological distress (p = .42), however, parents who reported a strong emotional closeness with their pet reported greater psychological distress (p = .002). Findings highlight the role of pets during times of change and uncertainty. It is possible that families are turning to animals as a source of comfort, during a time when traditional social supports are less accessible. Alternatively, strong pet attachment is likely to reflect high levels of empathy, which might increase vulnerability to psychological distress. Longitudinal evidence is required to delineate the mechanisms underpinning pet attachment and mental health.
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Chutiyami, Muhammad, Shirley Wyver, and Janaki Amin. "Is Parent Engagement with a Child Health Home-Based Record Associated with Parents Perceived Attitude towards Health Professionals and Satisfaction with the Record? A Cross-Sectional Survey of Parents in New South Wales, Australia." International Journal of Environmental Research and Public Health 17, no. 15 (July 30, 2020): 5520. http://dx.doi.org/10.3390/ijerph17155520.
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We examined parent views of health professionals and satisfaction toward use of a child health home-based record and the influence on parent engagement with the record. A cross-sectional survey of 202 parents was conducted across New South Wales (NSW), Australia. Bivariate and multivariate logistic regressions were conducted to identify predictors of parent engagement with the record book using odds ratio (OR) at 95% confidence interval (CI) and 0.05 significance level. Parents reported utilizing the record book regularly for routine health checks (63.4%), reading the record (37.2%), and writing information (40.1%). The majority of parents (91.6%) were satisfied with the record. Parents perceived nurses/midwives as most likely to use/refer to the record (59.4%) compared to pediatricians (34.1%), general practitioners (GP) (33.7%), or other professionals (7.9%). Parents were less likely to read the record book if they perceived the GP to have a lower commitment (Adjusted OR = 0.636, 95% CI 0.429–0.942). Parents who perceived nurses/midwives’ willingness to use/refer to the record were more likely to take the record book for routine checks (Adjusted OR = 0.728, 95% CI 0.536–0.989). Both parent perceived professionals’ attitude and satisfaction significantly influenced information input in the home-based record. The results indicate that improvements in parent engagement with a child health home-based record is strongly associated with health professionals’ commitment to use/refer to the record during consultations/checks.
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Anderson, Rebecca, Anthea Rhodes, Noel Cranswick, Marnie Downes, Jonathan O’Hara, Mary-Anne Measey, and Amanda Gwee. "A nationwide parent survey of antibiotic use in Australian children." Journal of Antimicrobial Chemotherapy 75, no. 5 (February 26, 2020): 1347–51. http://dx.doi.org/10.1093/jac/dkz448.
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Abstract Background Antimicrobial resistance is increasing globally, largely due to high rates of antibiotic use and misuse. Factors that influence frequent antibiotic use in children are poorly understood. Objectives This study describes rates of antibiotic use in Australian children and investigates parental factors including knowledge, attitudes and behaviours that influence antibiotic use. Methods An online questionnaire relating to antibiotic use was administered as part of the Royal Children’s Hospital National Child Health Poll to a randomly recruited nationwide sample of parents or guardians of children aged 0–17 years in Australia. Data on antibiotic use in children and parental knowledge of appropriate indications for antibiotics and behaviours were collected. Standard binary logistic regression was used to assess associations between parent demographics and behaviour with antibiotic administration. Results The survey was completed by 2157 parents (64% completion rate), of which 1131 (52%) reported having given oral antibiotics to one or more of their children in the preceding 12 months. Of the 3971 children represented overall, 1719 (43%) had received at least one course of antibiotics. The average number of courses per child was 0.86 overall and 1.96 courses per child among those with reported antibiotic use. Notably, 194/1131 (17%) parents reported giving antibiotics to their child without a prescription. Poor parental knowledge of antibiotic indications was associated with antibiotic use. Conclusions Reducing excessive use of antibiotics in children is necessary in the global strategy for preventing antimicrobial resistance. This study identified areas for public health interventions to educate parents and increase regulation of access to antibiotics.
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Russell, Alan, Craig H. Hart, Clyde C. Robinson, and Susanne F. Olsen. "Children's sociable and aggressive behaviour with peers: A comparison of the US and Australia, and contributions of temperament and parenting styles." International Journal of Behavioral Development 27, no. 1 (January 2003): 74–86. http://dx.doi.org/10.1080/01650250244000038.
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Links between both temperament and parenting, and children's sociable and aggressive behaviour with peers (physical and relational), were examined. The research was undertaken in two Western cultures (the United States and Australia) assumed to be similar in socialisation practices and emphases. The moderating effects of parent sex and child sex were also examined. Parents completed questionnaires on parenting styles and child temperament. Preschool teachers rated children's aggressive and sociable behaviour. US children were rated higher on both types of aggression by teachers and on sociability, activity, and emotionally by parents. Girls were rated as more relationally aggressive and more prosocial than boys, with boys higher on physical aggression. Mothers were more authoritative, with fathers more authoritarian, although the latter was mainly a result obtained from US parents. In both the United States and Australia, temperament consistently predicted child sociable and aggressive behaviours, with some evidence of fathers' authoritarian parenting also contributing. The results show the relevance for parenting and child development of gender, and the importance of culture differences even between two Western and individualist countries.
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Fan, Cynthia. "Family Relationship, Stress Level, and Academic Achievement of Chinese Immigrant Girls in Australia." Australian Educational and Developmental Psychologist 13, no. 2 (November 1996): 63–73. http://dx.doi.org/10.1017/s0816512200027528.
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AbstractThe adjustment of Chinese adolescent immigrant girls in Australia was the focus of this study. Specifically, stress level, parent-child conflict, and academic achievement of these girls were examined in the light of factors such as length of residence in Australia, country of origin, and ethnic identification. A questionnaire administered to 99 Chinese immigrant girls attending Melbourne high schools showed that adjustment was related to degree of Chinese identification, length of residence in Australia, and countries of origin. Length of residence in Australia was related to academic achievement. Degree of Chinese identification was related to stress level and parent-child conflict. Auspices of immigration were related to both academic achievement and stress level. The study suggests that Chinese immigrant girls are not a homogeneous group and, therefore, that service providers must be responsive to the needs of diflerent groups.
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Rowlingson, Karen, and Jane Millar. "Lone parents, poverty and work: policy approaches and lessons from aboard." Benefits: A Journal of Poverty and Social Justice 10, no. 3 (October 2002): 207–13. http://dx.doi.org/10.51952/ocpm2098.
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The UK government has set two ambitious targets: one to increase lone-parent employment and the other to eradicate child poverty. This article focuses on policy approaches and recent reforms relating to lone-parent employment in five countries (Australia, France, the Netherlands, Norway, and the US) in order to place UK policy development in a wider context. It then focuses on two countries with different approaches to the issue of combining paid work and care work. Both the US and Norway can be described as countries with ‘adult-worker’ orientations but implemented in different ways, and with different outcomes for lone parents. We argue that if the UK government wishes to achieve both aims – increasing lone-parent employment and eliminating child poverty – it should look to the Norwegian rather than the North American model. This means that it will be necessary to consider the broader issues of gender and income inequality, as well as the specific policies related to lone-parent employment.
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Bury, Keira, Jonine Jancey, and Justine E. Leavy. "Parent Mobile Phone Use in Playgrounds: A Paradox of Convenience." Children 7, no. 12 (December 10, 2020): 284. http://dx.doi.org/10.3390/children7120284.
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Creating social and physical environments that promote good health is a key component of a social determinants approach. For the parents of young children, a smartphone offers opportunities for social networking, photography and multi-tasking. Understanding the relationship between supervision, mobile phone use and injury in the playground setting is essential. This research explored parent mobile device use (MDU), parent–child interaction in the playground, parent attitudes and perceptions towards MDU and strategies used to limit MDU in the playground. A mixed-methods approach collected naturalistic observations of parents of children aged 0–5 (n = 85) and intercept interviews (n = 20) at four metropolitan playgrounds in Perth, Western Australia. Most frequently observed MDU was scrolling (75.5%) and telephone calls (13.9%). Increased duration of MDU resulted in a reduction in supervision, parent–child play and increased child injury potential. The camera function offered the most benefits. Strategies to prevent MDU included turning to silent mode, wearing a watch and environmental cues. MDU was found to contribute to reduced supervision of children, which is a risk factor for injury. This is an emerging area of injury prevention indicating a need for broader strategies addressing the complex interplay between the social determinants and the developmental younger years.
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Vlok, Jennifer, Peter J. Simm, Kate Lycett, Susan A. Clifford, Anneke C. Grobler, Katherine Lange, Najmi Ismail, William Osborn, and Melissa Wake. "pQCT bone geometry and strength: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 63–74. http://dx.doi.org/10.1136/bmjopen-2018-022400.
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ObjectivesTo describe the epidemiology and concordance of bone health in a population-based sample of Australian parent-child dyads at child age 11–12 years.DesignPopulation-based cross-sectional study (the Child Health CheckPoint) nested between waves 6 and 7 of the Longitudinal Study of Australian Children (LSAC).SettingAssessment centres in seven cities around Australia, February 2015–March 2016.Participants: of all participating CheckPoint families (n=1874), bone data were available for 1222 dyads (1271 children, 50% girls; 1250 parents, 86% mothers).Outcome measuresPeripheral quantitative CT (pQCT) of the non-dominant leg scanned at the 4% (distal) and 66% (mid-calf) tibial sites. Stratec XCT 2000 software generated estimates of bone density, geometry and polar stress-strain index.Parent-child concordance were assessed using Pearson’s correlation coefficients and multivariable linear regression models. Percentiles were determined using survey weights. Survey weights and methods accounted for LSAC’s complex sampling, stratification and clustering within postcodes.ResultsConcordances were greater for the geometric pQCT parameters (periosteal circumference 0.38, 95% CI 0.33 to 0.43; endosteal circumference 0.42, 95% CI 0.37 to 0.47; total cross-sectional area 0.37, 95% CI 0.32 to 0.42) than density (cortical density 0.25, 95% CI 0.19 to 0.30). Mother-child and father-child values were similar. Relationships attenuated only slightly on adjustment for age, sex and body mass index. Percentiles and concordance are presented for the whole sample and by sex.ConclusionsThere is strong parent-child concordance in bone geometry and, to a lesser extent, density even before the period of peak adolescent bone deposition. This geometrical concordance suggests that future intergenerational bone studies could consider using pQCT rather than the more commonly used dual X-ray absorptiometry (DXA).
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Nguyen, Minh Thien, Kate Lycett, Regan Vryer, David P. Burgner, Sarath Ranganathan, Anneke C. Grobler, Melissa Wake, and Richard Saffery. "Telomere length: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 118–26. http://dx.doi.org/10.1136/bmjopen-2017-020263.
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ObjectivesTo (1) describe the epidemiology of child and adult telomere length, and (2) investigate parent–child telomere length concordance.DesignPopulation-based cross-sectional study within the Longitudinal Study of Australian Children.SettingAssessment centres in seven major Australian cities and eight selected regional towns; February 2015 to March 2016.ParticipantsOf 1874 participating families, telomere data were available for analysis for 1206 children and 1343 parents, of whom 1143 were parent–child pairs. There were 589 boys and 617 girls; 175 fathers and 1168 mothers.Outcome measuresRelative telomere length (T/S ratio), calculated by comparing telomeric DNA (T) level with the single copy (S) beta-globin gene in venous blood-derived genomic DNA by quantitative real-time PCR.ResultsMean T/S ratio for all children, boys and girls was 1.09 (SD 0.56), 1.05 (SD 0.53) and 1.13 (SD 0.59), respectively. Mean T/S ratio for all parents, fathers and mothers was 0.81 (SD 0.37), 0.82 (SD 0.36) and 0.81 (SD 0.38), respectively. Parent–child T/S ratio concordance was moderate (correlation 0.24). In adjusted regression models, one unit higher parent T/S ratio was associated with 0.36 (estimated linear regression coefficient (β); 95% CI 0.28 to 0.45) higher child T/S ratio. Concordance was higher in the youngest parent-age tertile (β 0.49; 95% CI 0.34 to 0.64) compared with the middle (β 0.35; 95% CI 0.21 to 0.48) and oldest tertile (β 0.26; 95% CI 0.11 to 0.41; p-trend 0.04). Father–child concordance was 0.34 (95% CI 0.18 to 0.48), while mother–child was 0.22 (95% CI 0.17 to 0.28).ConclusionsWe provide telomere length population values for children aged 11–12 years and their mid-life parents. Relative telomere length was shorter in adults than children, as expected. There was modest evidence of parent–child concordance, which diminished with increasing parent age.
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Johnson, Dylan, Dillon T. Browne, Robert D. Meade, Heather Prime, and Mark Wade. "Latent Classes of Adverse and Benevolent Childhood Experiences in a Multinational Sample of Parents and Their Relation to Parent, Child, and Family Functioning during the COVID-19 Pandemic." International Journal of Environmental Research and Public Health 19, no. 20 (October 20, 2022): 13581. http://dx.doi.org/10.3390/ijerph192013581.
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Adverse Childhood Experiences (ACEs) are known to contribute to later mental health. Conversely, Benevolent Childhood Experiences (BCEs) may buffer against mental health difficulties. The importance of ACEs and BCEs for mental health of both parents and children may be most obvious during periods of stress, with potential consequences for functioning of the family. Subgroups of ACEs and BCEs in parents during the COVID-19 pandemic were investigated and validated in relation to indices of parent, child, and family well-being. In May 2020, ACEs/BCEs were assessed in 547 parents of 5–18-year-old children from the U.K., U.S., Canada, and Australia. Subgroups of parents with varying levels of ACEs and BCEs were identified via latent class analysis. The subgroups were validated by examining associations between class membership and indices of parent and child mental health and family well-being. Four latent classes were identified: low-ACEs/high-BCEs, moderate-ACEs/high-BCEs, moderate-ACEs/low-BCEs, and high-ACEs/moderate-BCEs. Regardless of the extent of BCEs, there was an increased risk of parent and child mental health difficulties and family dysfunction among those reporting moderate-to-high levels of ACEs. Parents’ history of adversity may influence the mental health of their family. These findings highlight the importance of public health interventions for preventing early-life adversity.
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Hesson, Amiee, Cathrine Fowler, Chris Rossiter, and Virginia Schmied. "‘Lost and confused’: parent representative groups’ perspectives on child and family health services in Australia." Australian Journal of Primary Health 23, no. 6 (2017): 560. http://dx.doi.org/10.1071/py17072.
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Consumer involvement in health care is widely accepted in policy and service delivery. Australia offers universal health services for families with children aged 0 to 5 years, provided by child and family health nurses and general practitioners. Services include, but are not limited to, monitoring and promoting child health and development, and supporting parents. This paper reports consumer representatives’ perspectives on Australian parents’ needs and experiences of child and family health services, identifying facilitators and barriers to service utilisation. Twenty-six representatives from consumer organisations explored families’ experiences through focus groups. Qualitative data were analysed thematically. Consumer representatives identified several key implications for families using primary health services: feeling ‘lost and confused’ on the parenting journey; seeking continuity and partnership; feeling judged; and deciding to discontinue services. Participants highlighted accessible, timely, non-judgmental and appropriate interactions with healthcare professionals as vital to positive consumer experiences and optimal health and developmental outcomes. Representatives indicated that families value the fundamentals of well-designed health services: trust, accessibility, continuity, knowledge and approachability. However, both consumers and service providers face barriers to effective ongoing engagement in universally provided services.
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Wake, Melissa, and Susan A. Clifford. "Population health bio-phenotypes in 11–12 year old children and their midlife parents: Growing Up in Australia’s Child Health CheckPoint." BMJ Open 9, Suppl 3 (July 2019): 1–2. http://dx.doi.org/10.1136/bmjopen-2019-030833.
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In an ambitious undertaking, Growing Up in Australia’s Child Health CheckPoint streamlined and implemented wide-ranging population phenotypes and biosamples relevant to non-communicable diseases in nearly 1900 parent–child dyads throughout Australia at child aged 11–12 years. This BMJ Open Special Issue describes the methodology, epidemiology and parent–child concordance of 14 of these phenotypes, spanning cardiovascular, respiratory, bone, kidney, hearing and language, body composition, metabolic profiles, telomere length, sleep, physical activity, snack choice and health-related quality of life. The Special Issue also includes a cohort summary and study methodology paper.
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Mares, Sarah, Louise Newman, Michael Dudley, and Fran Gale. "Seeking Refuge, Losing Hope: Parents and Children in Immigration Detention." Australasian Psychiatry 10, no. 2 (June 2002): 91–96. http://dx.doi.org/10.1046/j.1440-1665.2002.00414.x.
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Objective: To record observations made by the authors on a series of visits between December 2001 and March 2002 to two of Australia's immigration detention centers and to consider the mental health consequences of Australia's policy of mandatory immigration detention of asylum seekers for families and children. Conclusions: Parents and children in immigration detention are often vulnerable to mental health problems before they reach Australia. Experiences in prolonged detention add to their burden of trauma, which has an impact not only on the individual adults and children, but on the family process itself. Immigration detention profoundly undermines the parental role, renders the parent impotent and leaves the child without protection or comfort in already unpredictable surroundings where basic needs for safe play and education are unmet. This potentially exposes the child to physical and emotional neglect in a degrading and hostile environment and puts children at high risk of the developmental psychopathology that follows exposure to violence and ongoing parental despair. Psychiatrists have a role in advocating for appropriate treatment of these traumatized and vulnerable parents and children.
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Whittingham, Koa, Jeanie Sheffield, Catherine Mak, Corrine Dickinson, and Roslyn N. Boyd. "Early Parenting Acceptance and Commitment Therapy ‘Early PACT’ for parents of infants with cerebral palsy: a study protocol of a randomised controlled trial." BMJ Open 10, no. 10 (October 2020): e037033. http://dx.doi.org/10.1136/bmjopen-2020-037033.
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IntroductionNew international clinical practice guidelines exist for identifying infants at high risk of cerebral palsy (CP) earlier: between 12 to 24 weeks corrected age, significantly earlier than previous diagnosis windows in Australia at 19 months. The earlier detection of infants at high risk of CP creates an opportunity for earlier intervention. The quality of the parent-infant relationship impacts various child outcomes, and is leveraged in other forms of intervention. This paper presents the protocol of a randomised controlled trial of an online parent support programme, Early Parenting Acceptance and Commitment Therapy (Early PACT) for families of infants identified as at high risk of CP. We predict that participating in the Early PACT programme will be associated with improvements in the parent-infant relationship, in parent mental health and well-being as well as infant behaviour and quality of life.Methods and analysisThis study aims to recruit 60 parents of infants (0 to 2 years old corrected age) diagnosed with CP or identified as at high risk of having CP. Participants will be randomly allocated to one of two groups: Early PACT or waitlist control (1:1). Early PACT is an online parent support programme grounded in Acceptance and Commitment Therapy (ACT). It is delivered as a course on an open source course management system called edX. Early PACT is designed to support parental adjustment and parent-infant relationship around the time of early diagnosis. Assessments will be conducted at baseline, following completion of Early PACT and at 6-month follow-up (retention). The primary outcome will be the quality of parent-child interactions as measured by the Emotional Availability Scale. Standard analysis methods for randomised controlled trial will be used to make comparisons between the two groups (Early PACT and waitlist control). Retention of effects will be examined at 6-month follow-up.Ethics and disseminationThis study is approved through appropriate Australian and New Zealand ethics committees (see in text) with parents providing written informed consent. Findings from this trial will be disseminated through peer-reviewed journal publications and conference presentations.Trial registration detailsThis trial has been prospectively registered on 12 June 2018 to present (ongoing) with the Australian New Zealand Clinical Trials Registry (ACTRN12618000986279); https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=3 74 896
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Long, Johanna, Tuki Attuquayefio, and Jennifer L. Hudson. "Factors Associated With Anxiety Symptoms in Australian Deaf or Hard of Hearing Children." Journal of Deaf Studies and Deaf Education 26, no. 1 (December 18, 2020): 13–20. http://dx.doi.org/10.1093/deafed/enaa035.
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Abstract Deaf/deaf or hard of hearing (DHH) children are at an increased risk of developing mental health problems, with growing evidence that they may experience greater anxiety symptoms than hearing peers. The present study investigated whether Australian children with varying degrees of hearing loss experienced increased anxiety symptoms compared to hearing children. Furthermore, we examined whether child anxiety symptoms were associated with known risk factors including psychological symptoms of anxiety and depression in parents, age at detection, early intervention and device fitting, type of hearing device, and peer problems. Participants were 65 parents of children with hearing loss aged between 4 and 11 years old (M = 6.05, SD = 1.60) seeking treatment for hearing loss at a specialized hearing clinic in Australia. Based on parent reports, we found that the children with hearing loss had fewer anxiety symptoms than their hearing peers (using normative data). Psychological distress of parents was the only factor that uniquely associated with child anxiety. Parents of children with hearing loss were found to experience greater emotional distress compared to parents of hearing children. This suggests parents may require additional support to cope with the social and economic strains associated with childhood hearing loss.
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Nicholl, Analise, and Therese O’Sullivan. "Keep Calm and Carry on: Parental Opinions on Improving Clinical Dietary Trials for Young Children." Nutrients 10, no. 9 (August 25, 2018): 1166. http://dx.doi.org/10.3390/nu10091166.
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Recruitment can be an issue for paediatric research. We aimed to investigate parental opinions of paediatric clinical assessments, and to combine findings with recent literature to inform the design of a clinical dietary trial. We used convenience sampling to recruit 17 parents of children aged 2–6 years from two community playgroups in Perth, Western Australia. Three focus groups considered proposed child assessments, study design, and potential study enrolment. Qualitative thematic analysis of focus group transcripts used NVivo 11 (QSR, Melbourne, VIC, Australia). Four main parental concerns emerged, presented here with solutions combining parent responses and relevant literature. (1) Parent and child needle fear: a good experience and a good phlebotomist help keep participants calm, and offering additional analysis (e.g., iron status) makes blood tests more worthwhile. (2) Concerns about children’s age, stage, understanding and ability to cope: create a themed adventure to help explain concepts and make procedures fun. (3) Persistent misunderstandings involving study purpose, design, randomization and equipoise: provide clear information via multiple platforms, and check understanding before enrolment. (4) Parental decisions to enrol children focused on time commitment, respectful treatment of their child, confronting tests and altruism: child-centred methodologies can help address concerns and keep participants engaged throughout procedures. Addressing the concerns identified could improve participation in a range of paediatric health interventions.
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Brown, Jenny. "Parents’ experiences of their adolescent’s mental health treatment: Helplessness or agency-based hope." Clinical Child Psychology and Psychiatry 23, no. 4 (June 12, 2018): 644–62. http://dx.doi.org/10.1177/1359104518778330.
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This article explores some core findings from a qualitative investigation of parents’ experiences of their child’s treatment in an adolescent mental health service in Sydney, Australia. In particular, the research question was, “How does parents’ involvement in the child/adolescent’s treatment influence their perception of how they can be helpful in their child’s recovery?” The theme of parent hope emerged from the broad qualitative exploration of parent’s experience of their involvement in their adolescent’s intensive treatment program. A purposive sample of 14 sets of parents participated, being interviewed at admission, discharge, and 6 months following their adolescent’s discharge. A continuum of high, moderate, and low levels of hope were evident in this parent sample 6 months after their treatment involvement. The strongly emergent theme was the relationship between parents’ hope and agency/self-efficacy. Parents who remained more passive in expecting expert helpers to fix their child experienced reduced hope months after finishing the program. When parents positively changed their interaction with their child, they felt a more sustained hopefulness. These findings generate the hypothesis that if parents are actively involved in changing themselves as part of their child’s treatment, they experience increased hope and effectiveness in contributing to their child’s recovery.
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Kahn, Freya K., Melissa Wake, Kate Lycett, Susan Clifford, David P. Burgner, Greta Goldsmith, Anneke C. Grobler, Katherine Lange, and Michael Cheung. "Vascular function and stiffness: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 34–43. http://dx.doi.org/10.1136/bmjopen-2017-020896.
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ObjectivesTo describe the epidemiology and parent–child concordance of vascular function in a population-based sample of Australian parent–child dyads at child age 11–12 years.DesignCross-sectional study (Child Health CheckPoint), nested within a prospective cohort study, the Longitudinal Study of Australian Children (LSAC).SettingAssessment centres in seven major Australian cities and eight regional towns or home visits, February 2015–March 2016.ParticipantsOf all participating CheckPoint families (n=1874), 1840 children (49% girls) and 1802 parents (88% mothers) provided vascular function data. Survey weights and methods were applied to account for LSAC’s complex sample design and clustering within postcodes and strata.Outcome measuresThe SphygmoCor XCEL assessed vascular function, generating estimates of brachial and central systolic blood pressure and diastolic blood pressure, central pulse pressure, augmentation index and carotid–femoral pulse wave velocity. Pearson’s correlation coefficients and multivariable linear regression models estimated parent–child concordance.ResultsHypertension was present in 3.9% of children and 9.0% of parents. Mean child and parent values for augmentation index were 4.5% (SD 11.6) and 21.3% (SD 12.3), respectively, and those for carotid–femoral pulse wave velocity were 4.48 m/s (SD 0.59) and 6.85 m/s (SD 1.14), respectively. Parent–child correlation for brachial systolic blood pressure was 0.20 (95% CI 0.15 to 0.24), brachial diastolic blood pressure 0.21 (95% CI 0.16 to 0.26), central systolic blood pressure 0.21 (95% CI 0.16 to 0.25), central diastolic blood pressure 0.21 (95% CI0.17 to 0.26), central pulse pressure 0.19 (95% CI 0.14 to 0.24), augmentation index 0.28 (95% CI 0.23 to 0.32) and pulse wave velocity 0.22 (95% CI 0.18 to 0.27).ConclusionsWe report Australian values for traditional and more novel vascular function markers, providing a reference for future population studies. Cross-generational concordance in multiple vascular function markers is already established by age 11–12 years, with mechanisms of heritability remaining to be explored.
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Millar, Jane, and Peter Whiteford. "Child Support in Lone-Parent Families: policies in Australia and the UK." Policy & Politics 21, no. 1 (January 1, 1993): 59–72. http://dx.doi.org/10.1332/030557393782453925.
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Catchpool, Max, Lisa Gold, Anneke C. Grobler, Susan A. Clifford, and Melissa Wake. "Health-related quality of life: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 157–64. http://dx.doi.org/10.1136/bmjopen-2018-022398.
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ObjectivesTo describe the distribution of health-related quality of life (HRQL) in a national sample of Australian children aged 11–12 years and their parents, and examine associations within parent–child dyads.DesignThe Child Health CheckPoint, a population-based cross-sectional study nested between waves 6 and 7 of the Longitudinal Study of Australian Children (LSAC).SettingAssessment centres in seven Australian cities and eight regional towns, or home visit; February 2015 to March 2016.ParticipantsOf all participating CheckPoint families (n=1874), 1853 children (49.0% girls) and 1863 parents (87.7% mothers) with HRQL data were included (1786 pairs).Outcome measuresHRQL was self-reported using preference-based (Child Health Utility 9Dimension, CHU9D) and non-preference-based (Pediatric Quality of Life, PedsQL V.4.0) measures for children and preference-based measures for parents (CHU9D; Assessment of Quality of Life 8 Dimension, AQoL-8D). Utility scores from preference-based measures were calculated using existing Australian algorithms to present a score on a 0–1 scale, where 1 represents full health. Parent–child concordance was assessed using Pearson’s correlation coefficients and adjusted linear regression models. Survey weights and methods were applied to account for LSAC’s complex sample design, stratification and clustering within postcodes.ResultsChildren’s means and SD were 0.81 (SD 0.16) for CHU9D and 78.3 (SD 13.03) for PedsQL. In adults, mean HRQL for AQoL-8D and CHU9D were 0.78 (SD 0.16) and 0.89 (SD 0.10), respectively. Mean HRQL was similar for boys and girls, but slightly higher for fathers than mothers. The Pearson correlation coefficient for parent–child CHU9D values was 0.13 (95% CI 0.09 to 0.18). Percentiles and concordance are presented for both samples for males and females separately and together.ConclusionsWe provide Australian paediatric population values for HRQL measures, and the first national CHU9D values for mid-life adults. At age 11–12 years in this relatively healthy sample, parent–child concordance in HRQL was small.
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Foley, Sarah, Farzaneh Badinlou, Karin C. Brocki, Matilda A. Frick, Luca Ronchi, and Claire Hughes. "Family Function and Child Adjustment Difficulties in the COVID-19 Pandemic: An International Study." International Journal of Environmental Research and Public Health 18, no. 21 (October 23, 2021): 11136. http://dx.doi.org/10.3390/ijerph182111136.
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To estimate specific proximal and distal effects of COVID-19-related restrictions on families on children’s adjustment problems, we conducted a six-site international study. In total, 2516 parents from Australia, China, Italy, Sweden, the United Kingdom, and the United States of America living with a young child (Mage = 5.77, SD = 1.10, range = 3 to 8 years, 47.9% female) completed an online survey between April and July 2020. The survey included the Strengths and Difficulties Questionnaire and family risk factors (parent distress, parent–child conflict, couple conflict, and household chaos) as well as a scale to index COVID-19-related family disruption. Our analyses also included public data on the stringency of national restrictions. Across the six sites, parental responses indicated elevated levels of hyperactivity, conduct, and emotion problems in children from families characterized by heightened levels of parent distress, parent–child conflict, and household chaos. In contrast, increased peer problems were more strongly related to COVID-19-related social disruption and stringency measures. Mediation models demonstrated that associations between COVID-19 social disruption and child difficulties could be explained by parental distress. Taken together, these results suggest that although the experience of the pandemic differed across countries, associations between COVID-19-related family experiences and child adjustment difficulties were similar in their nature and magnitude across six different contexts. Programs to support family resilience could help buffer the impact of the pandemic for two generations.
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Godress, Julia, Salih Ozgul, Cathy Owen, and Leanne Foley-Evans. "Grief Experiences of Parents Whose Children Suffer from Mental Illness." Australian & New Zealand Journal of Psychiatry 39, no. 1-2 (January 2005): 88–94. http://dx.doi.org/10.1080/j.1440-1614.2005.01518.x.
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Objective: To examine the grief experience of parents of adult children with a mental illness and its relationship to parental health and well-being and parent child attachment and affective relationship. Methods: Participants were recruited from a variety of organizations throughout Australia that provide support services for sufferers of mental illness and/or for their families. Seventyone participants (62 mothers and nine fathers) all of whom had a child diagnosed with mental illness volunteered to take part in the study. All completed measures of grief, health status and parent-child relationship. Results: Parents reported experiencing grief in relation to their child's illness as evidenced by intrusive thoughts and feelings and avoidance of behaviour as well as difficulties adapting to and distress associated with reminders of the illness. Parental grief appears to reduce over time, but only in some aspects of grief and after an extended period. Increased parental grief was related to lowered psychological well-being and health status and associated with an anxious/ambivalent and a negative affective parent-child relationship. Conclusion: The study provides important insights into the grief experiences of parents following their child's diagnosis with mental illness. The significant relationship between parental grief and parental psychological well-being and health status as well as to parentchild relationship has important implications for health professionals. Foremost amongst these are the need to validate the distress and grief of parents and to better understand how to provide interventions that promote grief work and family bonds while reducing emotional distress and life disruption.
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Millei, Zsuzsa, and Libby Lee. "‘Smarten up the Parents’: Whose Agendas are We Serving? Governing Parents and Children through the Smart Population Foundation Initiative in Australia." Contemporary Issues in Early Childhood 8, no. 3 (September 2007): 208–21. http://dx.doi.org/10.2304/ciec.2007.8.3.208.
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This article critiques the Smart Population Foundation Initiative (SPFI), which was established to ‘bring parenting information and the science of child development to Australian parents and carers' (Smart Population Foundation, 2006) and to satisfy the need for a credible and easily accessible source of information for parents. The article draws on the notion of modern governance developed by Rose and analyses the Initiative as a deeply political project. It looks at the Initiative from a critical distance created by the context of governmentality. The authors argue that the discourses produced by the Initiative constitute a particular notion of parent as ‘smart’ (lifelong learner, responsible and informed). These discourses govern parents through ‘ethopolitics’ to take up a certain art of parenting as their supposed free choice. Through standardising and sanctioning a particular way of acting as a parent, the SPFI translates governmental objectives into parents' own values and practices. As a result, the discourse the SPFI constitutes about parenting effectively ‘shuts down’ multiple understandings of being a ‘good’ parent. Hence, parents' conscious formation of their parenting practices are inhibited and with that, the ethical debates around this contentious issue are silenced.
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Dascalu, Julian, Mengjiao Liu, Kate Lycett, Anneke C. Grobler, Mingguang He, David P. Burgner, Tien Yin Wong, and Melissa Wake. "Retinal microvasculature: population epidemiology and concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 44–52. http://dx.doi.org/10.1136/bmjopen-2018-022399.
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ObjectivesTo describe distributions and concordance of retinal microvasculature measurements in a population-based sample of Australian parent–child dyads at child age 11–12 years.DesignCross-sectional Child Health CheckPoint study, between waves 6 and 7 of the national population-based Longitudinal Study of Australian Children (LSAC).SettingAssessment centres in seven Australian cities, February 2015–March 2016.ParticipantsOf the 1874 participating families, 1288 children (51% girls) and 1264 parents (87% mothers, mean age 43.7) were analysed. Diabetic participants and non-biological pairs were excluded from concordance analyses.Outcome measuresRetinal photographs were taken by non-mydriatic fundus camera. Trained graders scored vascular calibre using semi-automated software, yielding estimates of central retinal arteriolar equivalent (CRAE) and central retinal venular equivalent (CRVE) and arteriolar–venular ratio (AVR). Pearson’s correlation coefficients and multivariable linear regression models assessed parent–child concordance. Survey weights and methods accounted for LSAC’s complex sampling, stratification and clustering within postcodes.ResultsMean (SD) of CRAE and CRVE were larger in children (159.5 (11.8) and 231.1 (16.5) μm, respectively) than parents (151.5 (14.0) and 220.6 (19.0) μm), yielding similar AVR (children 0.69 (0.05), parents 0.69 (0.06)). Correlation coefficients for parent–child pairs were 0.22 (95% CI 0.16 to 0.27) for CRAE, 0.23 (95% CI 0.17 to 0.28) for CRVE and 0.18 (95% CI 0.13 to 0.24) for AVR. Mother–child and father–child values were similar (0.20 and 0.32 for CRAE, 0.22 and 0.29 for CRVE, respectively). Relationships attenuated slightly on adjustment for age, sex, blood pressure, diabetes and body mass index. Percentiles and concordance are presented for the whole sample and by sex.ConclusionsArteriolar and venular calibre were similar to previously documented measures in midlife adult and late childhood populations. Population parent–child concordance values align with moderate polygenic heritability reported in smaller studies.
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Vivarini, Prudence, Jessica A. Kerr, Susan A. Clifford, Anneke C. Grobler, Pauline W. Jansen, Fiona K. Mensah, Louise A. Baur, Kay Gibbons, and Melissa Wake. "Food choices: concordance in Australian children aged 11–12 years and their parents." BMJ Open 9, Suppl 3 (July 2019): 147–56. http://dx.doi.org/10.1136/bmjopen-2017-020898.
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ObjectivesSnack foods—typically high in salt, sugar, fat and/or energy—are likely important to the obesity epidemic. In the context of a population-based health assessment involving parent–child dyads at child age 11–12 years, we report cross-generational concordance in intake at a controlled snack food observation.DesignCross-sectional study (Child Health CheckPoint), nested within the Longitudinal Study of Australian Children.SettingAssessment centres in seven Australian cities, February 2015–March 2016.ParticipantsOf all participating CheckPoint families (n=1874), 1299 children (50.3% girls) and 1274 parents (85.9% mothers) with snack data were included. Survey weights and methods were applied to account for the clustered multistage sample design.Outcome measuresPartway through the 3.5-hour assessment, parents and children attended Food Stop separately for a timed 15 min ‘snack break’. One of four standardised box size/content combinations was randomly provided to all participants on any given day. Total food mass, energy, nutrients and sodium consumed was measured to the nearest 1 g. Pearson’s correlation coefficients and adjusted multivariable linear regression models assessed parent–child concordance in each variable.ResultsChildren consumed less grams (151 g [SD 80] vs 165 g [SD 79]) but more energy (1393 kJ [SD 537] vs 1290 kJ [SD 658]) than parents. Parent–child concordance coefficients were small, ranging from 0.07 for sodium intake to 0.17 for carbohydrate intake. Compared with children with parents’ energy intake on the 10th centile, children whose parents were on the 90th centile ate on average 227 kJ more. If extrapolated to one similar unsupervised snack on a daily basis, this equates to an additional 83 050 kJ per year, which could have a cumulative impact on additional body fat.ConclusionsAlthough modest at an individual level, this measured parent-child concordance in unsupervised daily snack situations could account for substantial annual population differences in energy, fat and sodium intake for children aged 11–12 years.Trial registration numberISRCTN12538380.
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Hill, Katherine E., Laura M. Hart, and Susan J. Paxton. "Confident Body, Confident Child: Outcomes for Children of Parents Receiving a Universal Parenting Program to Promote Healthful Eating Patterns and Positive Body Image in Their Pre-Schoolers—An Exploratory RCT Extension." International Journal of Environmental Research and Public Health 17, no. 3 (January 31, 2020): 891. http://dx.doi.org/10.3390/ijerph17030891.
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Objective: A four-arm randomized controlled trial (RCT) conducted in Victoria, Australia, previously evaluated parent-report outcomes following Confident Body, Confident Child: a program for parents to promote healthful eating patterns and positive body image in pre-schoolers. This exploratory study evaluated data from children of parents in the trial at 18 months follow-up. Method: Participants were 89 children (58 girls, 31 boys) of parents across all RCT arms (group A: Confident Body, Confident Child (CBCC) resource + workshop, n = 27; group B: CBCC resource only, n = 26; group C: nutrition booklet, n = 18; group D: wait-list control, n = 18). Children’s eating patterns, body image and weight bias were assessed via play-based interview. Results: Children of CBCC parents reported higher body esteem. Children of nutrition booklet parents reported stronger weight bias. Children of CBCC workshop parents reported lower External Eating. Discussion: This exploratory study suggests that CBCC may promote healthy eating patterns and child body image 18 months after parents receive the intervention.
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Loader, Sharna J., Nindy Brouwers, and Lisa M. Burke. "Neurodevelopmental therapy adherence in Australian parent-child dyads: The impact of parental stress." Educational and Developmental Psychologist 36, no. 01 (June 3, 2019): 22–26. http://dx.doi.org/10.1017/edp.2019.2.
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AbstractFamilies with neurodevelopmental disorders engage in varied types of therapies to address behavioural, communication and cognitive challenges. Research suggests that consistent therapy adherence predicts positive therapy outcomes. The present study examined therapy adherence in 55 parent-child dyads where all children had been diagnosed with ASD, ADHD, and/or ID. Parents completed questionnaires assessing demographics, therapy type, adherence to child treatment, parental stress, and challenging child behaviour. The researchers proposed a new scale, the Child Therapy Adherence Scale (CTAS), which initial testing supported as a reliable measure of therapy adherence. Significant relationships were found between parental stress, annual household income and therapy adherence, with parental stress being a notably strong predictor of therapy adherence. No significant relationships were observed between child challenging behaviour, single parent status and therapy adherence. These findings have implications for practitioners, in that parent levels of stress and demographic influences may impact capacity to adhere to recommended home practice and interventions for children with neurodevelopmental disorders.
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David, Jennifer L., Samantha L. Thomas, Melanie Randle, Hannah Pitt, and Mike Daube. "Parent and child perceptions of gambling promotions in Australian sport." Health Promotion International 35, no. 2 (April 14, 2019): 362–72. http://dx.doi.org/10.1093/heapro/daz028.
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Abstract Gambling is recognized as a significant public health problem. However, there is little research exploring community attitudes towards gambling and the development of advocacy initiatives. Engaging adults and young people in advocacy efforts is recognized as being beneficial to the successful implementation of harm prevention and reduction strategies. This study explored the attitudes of young people and their parents towards the alignment of gambling with sport, and the strategies they perceive could be used to prevent and reduce gambling related harm. Using a Constructivist Grounded Theory approach, 30 family groups from Melbourne, Australia participated in semi-structured interviews. Parents and young people were asked about gambling and its promotion, alignment with sporting codes, the potential impact on young people and strategies that may prevent or reduce gambling harm. Thematic analysis was undertaken to interpret the data. The sample comprised 29 parents, one grandparent and 48 young people. Themes emerging from the data related to the use of imagery and appeal strategies in advertisements, the normalization of betting in advertisements and the alignment of betting with sport. Parents and young people also identified a number of potential gambling harm prevention and reduction initiatives. Parents and young people were able to describe a range of strategies used by gambling companies to promote their products, understand the potential impact of these strategies, and recommend strategies to reduce harm. Given this level of understanding there is clearly an opportunity to engage young people and stakeholders in advocacy initiatives aimed at reducing and preventing gambling harm.