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      Evaluación de un programa piloto promotor de habilidades parentales desde una perspectiva de salud pública Translated title: Evaluation a parenting skills pilot programme from a public health perspective

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          Abstract

          Objetivo: Evaluar el proceso y los resultados de la fase piloto del Programa de desarrollo de habilidades parentales para familias (PHP), una estrategia de promoción de la parentalidad positiva basada en la evidencia y aplicable en contextos comunitarios y socioeducativos. Métodos: Diseño cuasiexperimental antes-después sin grupo control para la evaluación de la fase piloto del PHP implementada entre octubre de 2011 y junio de 2013 en Barcelona. Se condujeron 11 grupos en los que participaron 128 padres y madres y 28 profesionales. La intervención consistió en 10 u 11 sesiones. La información se recogió con cuestionarios a padres y madres y entrevistas en profundidad, individuales o grupales, a los/las profesionales. Las habilidades parentales se recogieron mediante un cuestionario con seis dimensiones. Se comparó la situación inmediatamente antes (T0) e inmediatamente después (T1) de la intervención. Resultados: El número de participantes en T1 se redujo a 83 (retención del 64,8%). El grado de satisfacción de los participantes con diversos aspectos del programa fue muy alto. Sobre una puntuación máxima de 10, la satisfacción de las personas moderadoras fue de 8,7. Se identificaron aspectos clave y áreas de mejora para el futuro de la intervención. En el análisis cuantitativo se observaron mejoras en todas las dimensiones de habilidades parentales que fueron consistentes con los resultados del análisis cualitativo. Conclusiones: Los resultados de la fase piloto de este programa apuntan a que una intervención universal de educación parental puede mejorar el bienestar de padres y madres.

          Translated abstract

          Objective: To evaluate the process and the results of the pilot phase of the Parenting skills development programme for families (PSP), an evidence-based strategy to promote positive parenting skills in socio-educational and community settings. Methods: Before-after quasi-experimental design without a control group for the evaluation of the pilot phase of the PSD carried out in Barcelona (Spain) between October 2011 and June 2013. Eleven groups were established with the participation of 128 parents and 28 professionals. The intervention consisted of 10 or 11 sessions. Information was collected through questionnaires for parents and in-depth individual or group interviews for professionals. Parenting skills were identified through a questionnaire with six dimensions. The situation before the intervention (T0) and immediately after (T1) was compared. Results: In T1 the number of participants decreased to 83 (retention = 64.8%). Participants showed a high level of satisfaction with different dimensions of the program. On a maximum score of 10, the satisfaction of professionals was 8.7. Several key aspects and areas for improvement were identified for the future of the intervention. The quantitative analysis revealed improvements in all parenting skills dimensions and these improvements were consistent with the results of the qualitative analysis. Conclusions: The results of the pilot phase of this program suggest that a universal intervention on parenting skills can improve wellbeing among parents.

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          Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: a six-site, cross-national study.

          This study used data from 6 sites and 3 countries to examine the developmental course of physical aggression in childhood and to analyze its linkage to violent and nonviolent offending outcomes in adolescence. The results indicate that among boys there is continuity in problem behavior from childhood to adolescence and that such continuity is especially acute when early problem behavior takes the form of physical aggression. Chronic physical aggression during the elementary school years specifically increases the risk for continued physical violence as well as other nonviolent forms of delinquency during adolescence. However, this conclusion is reserved primarily for boys, because the results indicate no clear linkage between childhood physical aggression and adolescent offending among female samples despite notable similarities across male and female samples in the developmental course of physical aggression in childhood.
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            Teenage pregnancy and social disadvantage: systematic review integrating controlled trials and qualitative studies

            Objectives To determine the impact on teenage pregnancy of interventions that address the social disadvantage associated with early parenthood and to assess the appropriateness of such interventions for young people in the United Kingdom. Design Systematic review, including a statistical meta-analysis of controlled trials on interventions for early parenthood and a thematic synthesis of qualitative studies that investigated the views on early parenthood of young people living in the UK. Data sources 12 electronic bibliographic databases, five key journals, reference lists of relevant studies, study authors, and experts in the field. Review methods Two independent reviewers assessed the methodological quality of studies and abstracted data. Results Ten controlled trials and five qualitative studies were included. Controlled trials evaluated either early childhood interventions or youth development programmes. The overall pooled effect size showed that teenage pregnancy rates were 39% lower among individuals receiving an intervention than in those receiving standard practice or no intervention (relative risk 0.61; 95% confidence interval 0.48 to 0.77). Three main themes associated with early parenthood emerged from the qualitative studies: dislike of school; poor material circumstances and unhappy childhood; and low expectations for the future. Comparison of these factors related to teenage pregnancy with the content of the programmes used in the controlled trials indicated that both early childhood interventions and youth development programmes are appropriate strategies for reducing unintended teenage pregnancies. The programmes aim to promote engagement with school through learning support, ameliorate unhappy childhood through guidance and social support, and raise aspirations through career development and work experience. However, none of these approaches directly tackles all the societal, community, and family level factors that influence young people’s routes to early parenthood. Conclusions A small but reliable evidence base supports the effectiveness and appropriateness of early childhood interventions and youth development programmes for reducing unintended teenage pregnancy. Combining the findings from both controlled trials and qualitative studies provides a strong evidence base for informing effective public policy.
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              Closing the gap in a generation: health equity through action on the social determinants of health. Final report of the commission on the social determinants of health

              M Marmot (2008)
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                gs
                Gaceta Sanitaria
                Gac Sanit
                Ediciones Doyma, S.L. (Barcelona, Barcelona, Spain )
                0213-9111
                February 2016
                : 30
                : 1
                : 37-42
                Affiliations
                [03] Barcelona orgnameUniversitat de Barcelona España
                [01] orgnameAgencia de Salut Pública de Barcelona
                [02] Barcelona orgnameInstitut d´Investigació Biomédica Sant Pau (IIB Sant Pau) España
                [04] orgnameCentro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP) España
                [05] Barcelona orgnameUniversitat Pompeu Fabra España
                Article
                S0213-91112016000100007
                10.1016/j.gaceta.2015.08.008
                4cd0dce9-e7f2-4d68-8343-51ecc4e6ef8f

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 27 May 2015
                : 28 August 2015
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 6
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                SciELO Spain


                Proyectos piloto,Análisis cualitativo,Análisis cuantitativo,Responsabilidad parental,Educación parental,Pilot projects,Qualitative analysis,Quantitative analysis,Parenting,Parenting education

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