"It Has Changed": Understanding Change in a Parenting Program in South Africa
"It Has Changed": Understanding Change in a Parenting Program in South Africa
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DOI：
10.1016/j.aogh.2017.10.021
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发表时间：
2017-09-01
影响因子：
2.9
通讯作者：
Medley, Sally
中科院分区：
文献类型：
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作者：
Doubt, Jenny;Bray, Rachel;Medley, Sally
背景不良的父母教养方式导致青春期虐待儿童，是一个主要的公共卫生负担。来自高收入国家的研究表明，循证育儿计划干预可以减少虐待儿童的情况。然而，关于这些项目的受益者如何经历这一变化过程，我们知道的要少得多。理解改变虐待儿童做法的过程对于理解改变的干预机制至关重要。鉴于目前低收入和中等收入国家育儿计划的规模扩大，这一点尤其重要。目的本研究旨在深入了解参加南非育儿计划的照顾者和青少年如何感知与减少虐待相关的变化。方法干预后对照顾者和青少年(n=42)进行半结构化访谈，并观察会议(n=9)和焦点小组讨论(n=240人)。参与者是年龄在10-18岁之间的青少年，他们的主要照顾者居住在南非东开普省的城乡项目群中。数据用Atlas编码。FINDINGS根据参与者的看法，Sinovuyo青少年育儿计划研讨会通过创造有利于学习替代方案的环境，将变化催化为实践。它通过优先考虑相互尊重、开放和被他人重视的过程来做到这一点，赋予相互尊重的互惠和共度时光的新方式以合法性，使照顾者和青少年能够改变和正常化更积极的行为。这反过来又减少了身体和言语虐待。结论这项研究的发现可能对政策制定者和实践者有用，他们需要了解育儿计划如何支持父母和青少年增加积极的育儿方法，改变潜在的有害做法。它还强调了评估参加此类项目的父母和青少年经历的重要性。
BACKGROUND Poor parenting that leads to child maltreatment during adolescence presents a major public health burden. Research from high-income countries indicates that evidence-based parenting program interventions can reduce child maltreatment. Much less is known, however, about how beneficiaries of these programs experience this process of change. Understanding the process that brings about change in child maltreatment practices is essential to understanding intervention mechanisms of change. This is particularly important given the current scale-up of parenting programs across low-and middle-income countries.OBJECTIVES This study aimed to provide insight into how caregivers and adolescents attending a parenting program in South Africa perceived changes associated with abuse reduction.METHODS Semi-structured interviews were conducted with caregivers and adolescents (n = 42) after the intervention, as well as observations of sessions (n = 9) and focus group discussions (n = 240 people). Participants were adolescents between the ages of 10-18 and their primary caregiver residing in peri-urban and rural program clusters in the Eastern Cape Province of South Africa. Data were coded in Atlas. ti, and thematic content analysis was conducted.FINDINGS Based on participant perceptions, the Sinovuyo Teen parenting program workshops catalyzed change into practice by creating an environment that was conducive to learning alternatives. It did so through prioritizing a process of mutual respect, openness, and being valued by others, giving legitimacy to a respectful reciprocity and new ways of spending time together that enabled caregivers and teenagers to shift and normalize more positive behaviors. This in turn led to reductions in physical and verbal abuse.CONCLUSIONS This study's findings may be of use to policymakers and practitioners who need to understand how parenting programs support parents and teenagers in increasing positive parenting approaches and changing potentially harmful practices. It additionally highlights the importance of assessing the experiences of both parents and teenagers attending such programs.