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      A Pragmatic Internet Intervention to Promote Positive Parenting and School Readiness in Early Childhood: Initial Evidence of Program Use and Satisfaction

      research-article
      , PhD 1 , , , PhD 1 , , BSc 1 , , MSW 1 , , PhD 1
      (Reviewer), (Reviewer), (Reviewer)
      JMIR Pediatrics and Parenting
      JMIR Publications
      child rearing, child development

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          Abstract

          Background

          Internet-based parenting programs have the potential to connect families to research-informed materials to promote positive child development. However, such programs can only succeed to the extent that the intended population engages with them.

          Objective

          This study aimed to evaluate engagement in the 5-a-Day Parenting program, a technology-based program designed with low-income families in mind, to promote daily use of 5 specific parenting activities conducive to children’s school readiness. Following earlier pilot data, the program was enhanced with an initial motivational e-intervention and tailored text messages designed to promote engagement.

          Methods

          Parents were recruited from local childcare centers and through a participant registry. We examined rates of receipt of program text messages and use of video-based content on the program website, 3 factors that may affect website use, and satisfaction with key program elements.

          Results

          A total of 360 parents of young children learned about the study and had the opportunity to use the 5-a-Day Parenting website. Of these, 94 parents participated in the study, and 33% (31/94) accessed the video-based content on the website at least once. No association was found between website use and program recruitment approach, program-affiliation message, sociocontextual risk, and baseline use of the five parenting activities. Satisfaction with text messages and video-based content was high.

          Conclusions

          For some parents, technology-based programs appear useful; however, engagement could still be enhanced. Additional research should seek innovative strategies for promoting engagement in Web-based parenting programs.

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          Most cited references25

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          Stress and child development: a review of the Family Stress Model.

          In the present report, we provide an illustrative review of the Family Stress Model (FSM) framework [1] to understand how family stress influences children across development in physical, social-emotional, and cognitive domains. We note that the FSM as a theory has evolved through inspection of: (a) new explanatory pathways (mediators); (b) factors that moderate FSM pathways; and (c) joint tests of competing models. Also important, most researchers cited in this review used longitudinal designs to test the proposed causal ordering of FSM pathways, which replicated among a diverse set of families varied in structure, ethnic background, and geographic location. We encourage continued FSM scholarship with prevention and intervention efforts in mind.
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            A responsive parenting intervention: the optimal timing across early childhood for impacting maternal behaviors and child outcomes.

            This study examined the optimal timing (infancy, toddler-preschool, or both) for facilitating responsive parenting and the intervention effects on maternal behaviors and child social and communication skills for children who vary in biological risk. The intervention during infancy, Playing and Learning Strategies (PALS I), showed strong changes in maternal affective-emotional and cognitively responsive behaviors and infants' development. However, it was hypothesized that a 2nd intervention dose in the toddler-preschool period was needed for optimal results. Families from the PALS I phase were rerandomized into either the PALS II, the toddler-preschool phase, or a Developmental Assessment Sessions condition, resulting in 4 groups. Facilitation of maternal warmth occurred best with the PALS I intervention, while cognitive responsive behaviors were best supported with the PALS II intervention. Behaviors that required responsiveness to the child's changing signals (contingent responsiveness, redirecting) required the intervention across both the early and later periods.
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              The relations among cumulative risk, parenting, and behavior problems during early childhood

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                Author and article information

                Contributors
                Journal
                JMIR Pediatr Parent
                JMIR Pediatr Parent
                JPP
                JMIR Pediatrics and Parenting
                JMIR Publications (Toronto, Canada )
                2561-6722
                Jul-Dec 2019
                29 November 2019
                : 2
                : 2
                : e14518
                Affiliations
                [1 ] Wayne State University The Merrill Palmer Skillman Institute for Child and Family Development Detroit, MI United States
                Author notes
                Corresponding Author: Lucy McGoron Lucy.K.McGoron@ 123456wayne.edu
                Author information
                https://orcid.org/0000-0001-6724-2248
                https://orcid.org/0000-0003-4262-181X
                https://orcid.org/0000-0002-0362-0606
                https://orcid.org/0000-0002-7273-9993
                https://orcid.org/0000-0003-1134-7723
                Article
                v2i2e14518
                10.2196/14518
                6911228
                31782739
                d0a318e4-9145-4ebc-881d-89d6bc9d3df3
                ©Lucy McGoron, Hilary Horn Ratner, Kathryn AG Knoff, Erica Hvizdos, Steven J Ondersma. Originally published in JMIR Pediatrics and Parenting (http://pediatrics.jmir.org), 29.11.2019.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Pediatrics and Parenting, is properly cited. The complete bibliographic information, a link to the original publication on http://pediatrics.jmir.org, as well as this copyright and license information must be included.

                History
                : 28 April 2019
                : 20 June 2019
                : 12 August 2019
                : 29 August 2019
                Categories
                Original Paper
                Original Paper

                child rearing,child development
                child rearing, child development

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