{"title":"Room to Improve: Predictors of Attendance and Outcomes Within Mindfulness-Enhanced Behavioral Parent Training","authors":"","doi":"10.1007/s12671-024-02328-3","DOIUrl":null,"url":null,"abstract":"<h3>Abstract</h3> <span> <h3>Objectives</h3> <p>Parents across a broad sociodemographic spectrum struggle with their children’s difficult behaviors and need effective and engaging interventions. We developed a mindfulness-enhanced behavioral parent training group program (MeBPT) aiming to be more inclusive and enable positive outcomes. This study investigated whether MeBPT can meet diverse needs across child, parent, family, and program-delivery factors, and explored whether improvements in parent-rated child behavior are predicted by changes in mindful parenting, parenting approach, or both.</p> </span> <span> <h3>Method</h3> <p>Participants were 338 parents of 3- to 12-year-old children presenting with externalizing problems to a university clinic in regional Australia. Factors that significantly correlated with improvements in parent and child outcomes or attendance were included in regression analyses.</p> </span> <span> <h3>Results</h3> <p>Improved parent-rated child behavior was predicted by change in mindful parenting (<em>p</em> = 0.019) but not parenting approach (<em>p</em> = 0.305). Attendance was high across all factors, and particularly for older parents. Improvements in parent well-being, approach, mindfulness, and child behavior were similarly large for families across child and family characteristics. Low-income families exhibited less improvement in parental well-being (<em>p</em> = 0.012), although demonstrated similar improvements in child behavior, parenting approach, and mindful parenting. Families with more severe problems at baseline showed largest gains (<em>p</em> < 0.002). Parental self-awareness and acceptance were important change agents.</p> </span> <span> <h3>Conclusions</h3> <p>MeBPT appears effective across various sociodemographic backgrounds and is particularly beneficial for families presenting with more severe behavioral problems. Controlled research with ethnically diverse families is needed to confirm the benefits of MeBPT and to allow examination of mediators and moderators.</p> </span>","PeriodicalId":18523,"journal":{"name":"Mindfulness","volume":"42 1","pages":""},"PeriodicalIF":3.1000,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Mindfulness","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s12671-024-02328-3","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives
Parents across a broad sociodemographic spectrum struggle with their children’s difficult behaviors and need effective and engaging interventions. We developed a mindfulness-enhanced behavioral parent training group program (MeBPT) aiming to be more inclusive and enable positive outcomes. This study investigated whether MeBPT can meet diverse needs across child, parent, family, and program-delivery factors, and explored whether improvements in parent-rated child behavior are predicted by changes in mindful parenting, parenting approach, or both.
Method
Participants were 338 parents of 3- to 12-year-old children presenting with externalizing problems to a university clinic in regional Australia. Factors that significantly correlated with improvements in parent and child outcomes or attendance were included in regression analyses.
Results
Improved parent-rated child behavior was predicted by change in mindful parenting (p = 0.019) but not parenting approach (p = 0.305). Attendance was high across all factors, and particularly for older parents. Improvements in parent well-being, approach, mindfulness, and child behavior were similarly large for families across child and family characteristics. Low-income families exhibited less improvement in parental well-being (p = 0.012), although demonstrated similar improvements in child behavior, parenting approach, and mindful parenting. Families with more severe problems at baseline showed largest gains (p < 0.002). Parental self-awareness and acceptance were important change agents.
Conclusions
MeBPT appears effective across various sociodemographic backgrounds and is particularly beneficial for families presenting with more severe behavioral problems. Controlled research with ethnically diverse families is needed to confirm the benefits of MeBPT and to allow examination of mediators and moderators.
期刊介绍:
Mindfulness seeks to advance research, clinical practice, and theory on mindfulness. It is interested in manuscripts from diverse viewpoints, including psychology, psychiatry, medicine, neurobiology, psychoneuroendocrinology, cognitive, behavioral, cultural, philosophy, spirituality, and wisdom traditions. Mindfulness encourages research submissions on the reliability and validity of assessment of mindfulness; clinical uses of mindfulness in psychological distress, psychiatric disorders, and medical conditions; alleviation of personal and societal suffering; the nature and foundations of mindfulness; mechanisms of action; and the use of mindfulness across cultures. The Journal also seeks to promote the use of mindfulness by publishing scholarly papers on the training of clinicians, institutional staff, teachers, parents, and industry personnel in mindful provision of services. Examples of topics include: Mindfulness-based psycho-educational interventions for children with learning, emotional, and behavioral disorders Treating depression and clinical symptoms in patients with chronic heart failure Yoga and mindfulness Cognitive-behavioral mindfulness group therapy interventions Mindfulnessness and emotional regulation difficulties in children Loving-kindness meditation to increase social connectedness Training for parents and children with ADHD Recovery from substance abuse Changing parents’ mindfulness Child management skills Treating childhood anxiety and depression