Feasibility and effectiveness of 'gaining Health & wellbeing from birth to three' positive parenting programme

  1. Enrique Callejas 1
  2. Sonia Byrne 1
  3. María J Rodrigo 1
  1. 1 University of La Laguna, Spain
Psychosocial Intervention

ISSN: 1132-0559

Year of publication: 2021

Volume: 30

Issue: 1

Pages: 35-45

Type: Article

DOI: 10.5093/PI2020A15 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Psychosocial Intervention


ABSTRACT Parental promotion of an adequate environment during early childhood results in healthy child development. This study evaluated the feasibility and effectiveness of the positive parenting programme, 'Gaining health and wellbeing from birth to three' (GH&W), as a universal prevention strategy. Participants were 87 parents with children < 36 months old attending 20 primary care centres. Centres were randomly assigned to three GH&W intervention levels: online course (level 1), online course plus group workshops (level 2), and online course plus group workshops plus individual support at medical check-ups (level 3), delivered by healthcare professionals. As for feasibility, participants in levels 2 and 3 reported higher utility and satisfaction with the online course than participants in level 1. Pretest-posttest comparisons and cluster analysis showed that participants in level 3 achieved the best results and were associated with a consolidated cluster characterised by improvements in health promotion activities, parental self-regulation, and satisfaction with the service, whereas participants in levels 1 and 2 showed fewer improvements and were associated with initial and transitional clusters. The GH&W programme improves the universal reach of web-based courses and efficiently activates the contribution of the primary care system to the support network for healthy child development and wellbeing.

Funding information

Cite this article as: Callejas, E., Byrne, S., & Rodrigo, M. J. (2021). Feasibility and effectiveness of ‘Gaining health & wellbeing from birth to three’ positive parenting programme. Psychosocial Intervention, 30(1), 35-45. https://doi.org/10.5093/pi2020a15 Funding: This study was supported by the Spanish Ministry of Education, Culture, and Sport (grant number FPU16/01039) and by the COST European Cooperation in Science and Technology (COST Action CA18123). Correspondence: ecalleja@ull.edu.es (E. Callejas).


Bibliographic References

  • Acquadro, C,Conway, K,Hareendran, A,Aaronson, N. (2009). Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value in Health. 11. 509
  • Acuña, M,Rodrigo, M. J. (1996). La organización de las actividades cotidianas de los niños. Un análisis del currículum educativo familiar. Cultura y Educación. 8. 19-30
  • Albanese, A. M,Russo, G. R,Geller, P. A. (2019). The role of parental self-efficacy in parent and child well-being: A systematic review of associated outcomes. Child Care Health and Development. 45. 333
  • Asmussen, K,Brims, L. (2018). What works to enhance the effectiveness of the healthy child programme: An evidence update. Early Intervention Fundation.
  • Baumel, A,Faber, K. (2017). Evaluating Triple P online: A digital parent training program for child behavior problems. Cognitive and Behavioral Practice. 25. 538
  • Bensley, R. J,Anderson, J. V,Brusk, J. J,Mercer, N,Rivas, J. (2011). Impact of Internet vs traditional special supplemental nutrition program for women, infants, and children nutrition education on fruit and vegetable intake. Journal of the American Dietetic Association. 111. 749
  • Breitenstein, S. M,Gross, D. (2013). Web-based delivery of a preventive parent training intervention: A feasibility study. Journal of Child and Adolescent Psychiatric Nursing. 26. 149
  • Breitenstein, S. M,Shane, J,Julion, W,Gross, D. (2015). Developing the eCPP: Adapting an evidence-based parent training program for digital delivery in primary care settings. Worldviews on Evidence-Based Nursing. 12. 31-40
  • Briggs, R. D. (2016). Integrated early childhood behavioral health in primary care. Springer.
  • Brown, C. H,Curran, G,Palinkas, L. A,Aarons, G. A,Wells, K. B,Jones, L,Collins, L. M,Duan, N,Mittman, B. S,Wallace, A,Tabak, R. G,Ducharme, L,Chambers, D. A,Neta, G,Wiley, T,Landsverk, J,Cheung, K,Cruden, G. (2017). An overview of research and evaluation designs for dissemination and implementation. Annual Review of Public Health. 38. 1-22
  • Byrne, S,Rodrigo, M. J,Máiquez, M. L. (2014). Patterns of individual change in a parenting program for child maltreatment and their relation to family and professional environments. Child Abuse and Neglect. 38. 457
  • Callejas, E,Byrne, S,Rodrigo, M. J. (2018). 'Gaining health and wellbeing from birth to three': A web-based positive parenting programme for primary care settings. Early Child Development and Care. 188. 1552
  • Callejas, E,Byrne, S,Rodrigo, M. J. (2020). Satisfacción parental con el apoyo recibido durante la primera infancia por el equipo de pediatría: desarrollo y validación de un cuestionario. Revista Española de Salud Pública. 94. 1-14
  • Caycho-Rodriguez, T,Ventura-León, J,Barboza-Palomino, M,Reyes-Bossio, M,Arias-Gallegos, W,García-Cadena, C,Cabrera-Orosco, I,Ayala, J,Morgado-Gallardo, K,Huamani-Cahua, J. (2018). Validez e invarianza factorial de una medida breve de Satisfacción con la Vida Familiar. Universitas Psychologica. 17. 1-17
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Routledge Academic.
  • Cook, F,Seymour, M,Giallo, R,Cann, W,Nicholson, J. M,Green, J,Hiscock, H. (2015). Comparison of methods for recruiting and engaging parents in online interventions: Study protocol for the Cry Baby infant sleep and settling program. BMC Pediatrics. 15. 1-9
  • (2006). Council of Europe. Council of Europe recommendation Rec(2006)19 on policy to support positive parenting.
  • Coyne, I. (2013). Families and health-care professionals' perspectives and expectations of family-centred care: Hidden expectations and unclear roles. Health Expectations. 18. 796-808
  • Dworkin, J,Connell, J,Doty, J. (2013). A literature review of parents' online behavior. Cyberpsychology. 7.
  • Farber, E. W,Ali, M. K,Van Sickle, K. S,Kaslow, N. J. (2017). Psychology in patient-centered medical homes: Reducing health disparities and promoting health equity. American Psychologist. 72. 28-41
  • Fix, G. M,Vandeusen Lucas, C,Bolton, R. E,Hill, J. N,Nora, M. A,Mueller, N,LaVela, S. L,Bokhour, B. G. (2018). Patient-centred care is a way of doing things: How healthcare employees conceptualize patient-centred care. Health Expectations. 21. 300
  • Fordham, L,Gibson, F,Bowes, J. (2012). Information and professional support: Key factors in the provision of family-centred early childhood intervention services. Child: Care, Health and Development. 38. 647
  • Glascoe, F. P,Trimm, F. (2014). Brief approaches to developmental-behavioral promotion in primary care: Updates on methods and technology. Pediatrics. 133. 884
  • Gottfredson, D. C,Cook, T. D,Gardner, F. E. M,Gorman-Smith, D,Howe, G. W,Sandler, I. N,Zafft, K. M. (2015). Standards of evidence for efficacy, effectiveness, and scale-up research in prevention science: Next generation. Prevention Science. 16. 893-926
  • Guralnick, M. J. (2011). Why early intervention works: A systems perspective. Infants and Young Children. 24. 6-28
  • Guralnick, M. J. (2013). Developmental science and preventive interventions for children at environmental risk. Infants & Young Children. 26. 270
  • Hamilton, V. E,Matthews, J. M,Crawford, S. B. (2015). Development and preliminary validation of a parenting self-regulation scale: “Me as a Parent.”. Journal of Child and Family Studies. 24. 2853
  • Heinrichs, N,Bertram, H,Kuschel, A,Hahlweg, K. (2005). Parent recruitment and retention in a universal prevention program for child behavior and emotional problems: Barriers to research and program participation. Prevention Science. 6. 275
  • (2018). Instituto Canario de Estadística Encuesta de ingresos y condiciones de vida de los hogares canarios. Gobierno de Canarias.
  • Lawson, P,Flocke, S. (2010). Teachable moments for health behavior change: A concept analysis. Patient Education and Counseling. 76. 25-30
  • Leijten, P,Gardner, F,Melendez-Torres, G. J,van Aar, J,Hutchings, J,Schulz, S,Knerr, W,Overbeek, G. (2019). Meta-analyses: Key parenting program components for disruptive child behavior. Journal of the American Academy of Child and Adolescent Psychiatry. 58. 180
  • Lindsay, G,Totsika, V. (2017). The effectiveness of universal parenting programmes: The CANparent trial. BMC Psychology. 5. 1-11
  • Luby, J,Belden, A,Botteron, K,Marrus, N,Harms, M,Babb, C,Nishino, T,Barch, D. (2013). The effects of poverty on childhood brain development: The mediating effect of caregiving and stressful life events. JAMA Pediatrics. 167. 1135
  • McGoron, L,Ondersma, S. J. (2015). Reviewing the need for technological and other expansions of evidence-based parent training for young children. Children and Youth Services Review. 59. 71-83
  • McGrath, P. J,Sourander, A,Lingley-Pottie, P,Ristkari, T,Cunningham, C,Huttunen, J,Filbert, K,Aromaa, M,Corkum, P,Hinkka-Yli-Salomäki, S,Kinnunen, M,Lampi, K,Penttinen, A,Sinokki, A,Unruh, A,Vuorio, J,Watters, C. (2013). Remote population-based intervention for disruptive behavior at age four. BMC Public Health. 13. 1-11
  • Mejdoubi, J,Heijkant, S. C. C. M. Van Den,Crijnen, A,Hirasing, R. A. (2015). The effect of VoorZorg, the Dutch nurse-family partnership on child maltreatment and development: A randomized controlled trial. PlosOne. 10. 1-14
  • Meyers, D. C,Durlak, J. A,Wandersman, A. (2012). The quality implementation framework: A synthesis of critical steps in the implementation process. American Journal of Community Psychology. 50. 462
  • Mindell, J. A,Du Mond, C. E,Sadeh, A,Telofski, L. S,Kulkarni, N,Gunn, E. (2011). Efficacy of an Internet-based intervention for infant and toddler sleep disturbances. Sleep. 34. 451-458
  • Myers-Walls, J,Dworkin, J. (2015). Evidence-based parenting education. Routledge.
  • Ramiro-Gonzalez, M,Dobermann, D,Metilka, D,Aldridge, E,Yon, Y,Sethi, D. (2019). Child maltreatment prevention: A content analysis of European national policies. European Journal of Public Health. 29. 32
  • Rodrigo, M. J,Almeida, A,Reichle, B. (2015). Evidence-based parenting education. Routledge.
  • Rodrigo, M. J,Máiquez, M. L,Martín, J. C. (2010). La educación parental como recurso psicoeducativo para promover la parentalidad positiva. Ministerio de Sanidad Servicios Sociales e Igualdad.
  • Rodrigo, M. J,Martín-Quintana, J. C,Máiquez, M. L,Álvarez, M,Byrne, S,Rodríguez-Gutiérrez, E,Padilla-Curra, S,Suárez-Perdomo, A,García-Poole, C. (2017). Parentalidad positiva: ganar salud y bienestar de 0-3 años. Guía para el desarrollo de talleres presenciales grupales. Coordinación técnica institucional. Ministerio de Sanidad, Servicios Sociales e Igualdad.
  • Rushton, F. E,Byrne, W. W,Darden, P. M,Mcleigh, J. (2015). Enhancing child safety and well-being through pediatric group well-child care and home visitation: The Well Baby Plus program. Child Abuse & Neglect. 41. 182
  • Sanders, M. R,Mazzucchelli, T. G. (2013). The promotion of self-regulation through parenting interventions. Clinical Child and Family Psychology Review. 16. 1-17
  • Shah, R,Kennedy, S,Clark, M. D,Bauer, S. C,Schwartz, A. (2016). Primary care-based interventions to promote positive parenting behaviors: A meta-analysis. Pediatrics. 137. 20153393
  • Shields, L. (2015). What is “family-centered care”?. European Journal for Person Centered Healthcare. 3. 139
  • Shonkoff, J. P,Fisher, P. A. (2013). Rethinking evidence-based practice and two-generation programs to create the future of early childhood policy. Development and Psychopathology. 24. 1635
  • Spoth, R,Rohrbach, L. A,Greenberg, M,Leaf, P,Brown, C. H,Fagan, A,Catalano, R. F,Pentz, M. A,Sloboda, Z,Hawkins, J. D. (2013). Addressing core challenges for the next generation of type 2 translation research and systems: The translation science to population impact (TSci Impact) framework. Prevention Science. 14. 319
  • Suárez, A,Byrne, S,Rodrigo, M. J. (2018). Effectiveness of a universal web-based parenting program to promote positive parenting: Patterns and predictors on program satisfaction. Journal of Child and Family Studies. 27. 3345
  • Van IJzendoorn, M. H,Bakermans-Kranenburg, M. J. (2017). Editorial overview: Multidisciplinary and interdisciplinary perspectives on parenting. Current Opinion in Psychology. 15.
  • Wangberg, S. C,Bergmo, T. S,Johnsen, J. K. (2008). Adherence in Internet-based interventions. Patient Preference and Adherence. 2. 57-65
  • Wittkowski, A,Garrett, C,Calam, R,Weisberg, D. (2017). Self-report measures of parental self-efficacy: A systematic review of the current literature. Journal of Child and Family Studies. 26. 2960
  • Zabriskie, R. B,Ward, P. J. (2013). Satisfaction with Family Life Scale. Marriage & Family Review. 49. 446