Abstract
Participation rates in parenting programs are typically low, severely limiting the public health significance of these interventions. We examined predictors of parenting program enrollment and retention in a sample of 325 divorced mothers. Predictors included intervention timing and maternal reports of child, parent, family, and sociocultural risk factors. In multivariate analyses, child maladjustment and family income-to-needs positively predicted enrollment, and higher maternal education and recruitment near the time of the divorce predicted retention. Findings have implications for the optimal timing of preventive parenting programs for divorcing families and point to the importance of examining predictors of enrollment and retention simultaneously. Editors’ Strategic Implications: Parent education researchers and practitioners may find the authors’ application of the Health Belief Model to be a useful organizing framework for improving engagement and retention.
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Abraham, C., & Sheeran, P. (2003). Implications of goal theories for the theories of reasoned action and planned behavior. Current Psychology: Developmental, Learning, Personality, Social, 22, 264–280. doi:10.1007/s12144-003-1021-7.
Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 profiles. Burlington, VT: University of Vermont, Department of Psychiatry.
Alegría, M., Canino, G., Ríos, R., Vera, M., Calderón, J., Rusch, D., et al. (2002). Inequalities in use of specialty mental health services among Latinos, African Americans, and Non-Latino Whites. Psychiatric Services, 53, 1547–1555. doi:10.1176/appi.ps.53.12.1547.
Amato, P. (2001). Children of divorce in the 1990s: An update of the Amato and Keith (1991) meta-analysis. Journal of Family Psychology, 15, 355–370. doi:10.1037/0893-3200.15.3.355.
Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In G. A. Marcoulides & R. E. Schumacker (Eds.), Advanced structural equation modeling: Issues and techniques (pp. 243–277). Mahwah, NJ: Lawrence Erlbaum.
Austin, J. T., & Vancouver, J. B. (1996). Goal constructs in psychology: Structure, process, and content. Psychological Bulletin, 120, 338–375. doi:10.1037/0033-2909.120.3.338.
Barnes, H., & Olson, D. (1982). Parent-adolescent communication. In D. Olson, H. McCubbin, H. Barnes, A. Larsen, M. Muxen, & M. Wilson (Eds.), Family inventories (pp. 33–49). St. Paul, MN: Family Social Science.
Baydar, N., Reid, J., & Webster-Stratton, C. (2003). The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for head start mothers. Child Development, 74, 1433–1453. doi:10.1111/1467-8624.00616.
Braver, S., & Smith, M. (1996). Maximizing both external and internal validity in longitudinal true experiments with voluntary treatments: The “combined modified” design. Evaluation and Program Planning, 19, 287–300. doi:10.1016/S0149-7189(96)00029-8.
Brody, G., Murry, V., Chen, Y., Kogan, S., & Brown, A. (2006). Effects of family risk factors on dosage and efficacy of a family-centered preventive intervention for rural African Americans. Prevention Science, 7, 281–291. doi:10.1007/s11121-006-0032-7.
Burbach, D., Farha, J., & Thorpe, J. (1986). Assessing depression in community samples of children using self-report inventories: Ethical considerations. Journal of Abnormal Child Psychology, 14, 579–589. doi:10.1007/BF01260525.
Chase-Lansdale, P., Cherlin, A., & Kiernan, K. (1995). The long-term effects of parental divorce on the mental health of young adults: A developmental perspective. Child Development, 66, 1614–1634. doi:10.2307/1131900.
Coatsworth, J., Duncan, L., Pantin, H., & Szapocznik, J. (2006). Patterns of retention in a preventive intervention with ethnic minority families. The Journal of Primary Prevention, 27, 171–193. doi:10.1007/s10935-005-0028-2.
Cohen, D., & Linton, K. (1995). Parent participation in an adolescent drug abuse prevention program. Journal of Drug Education, 25, 159–169.
Cunningham, C., Boyle, M., Offord, D., Racine, Y., Hundert, J., Secord, M., et al. (2000). Tri-ministry study: Correlates of school-based parenting course utilization. Journal of Consulting and Clinical Psychology, 68, 928–933. doi:10.1037/0022-006X.68.5.928.
Danoff, N., Kemper, K., & Sherry, B. (1994). Risk factors for dropping out of a parenting education program. Child Abuse and Neglect, 18, 599–606. doi:10.1016/0145-2134(94)90086-8.
Dawson-McClure, S., Sandler, I., Wolchik, S., & Millsap, R. (2004). Risk as a moderator of the effects of prevention programs for children from divorced families: A six-year longitudinal study. Journal of Abnormal Child Psychology, 32, 175–190. doi:10.1023/B:JACP.0000019769.75578.79.
Dohrenwend, B., Shrout, P., Egri, G., & Mendelsohn, F. (1980). Nonspecific psychological distress and other dimensions of psychopathology. Archives of General Psychiatry, 37, 1229–1236.
Dumas, J., Nissley-Tsiopinis, J., & Moreland, A. (2007). From intent to enrollment, attendance, and participation in preventive parenting groups. Journal of Child and Family Studies, 16, 1–26. doi:10.1007/s10826-006-9042-0.
Duncan, G., Brooks-Gunn, J., & Klebanov, P. (1994). Economic deprivation and early childhood development. Child Development, 65, 296–318. doi:10.2307/1131385.
Garvey, C., Julion, W., Fogg, L., Kratovil, A., & Gross, D. (2006). Measuring participation in a prevention trial with parents of young children. Research in Nursing and Health, 29, 212–222. doi:10.1002/nur.20127.
Glanz, K., Rimer, B., & Lewis, F. (Eds.). (2002). Health behavior and health education: Theory, research, and practice. San Francisco: Jossey-Bass.
Gorman-Smith, D., Tolan, P., Henry, D., Leventhal, A., Schoeny, M., Lutovsky, K., et al. (2002). Predictors of participation in a family-focused preventive intervention for substance use. Psychology of Addictive Behaviors, 16(4S), S55–S64. doi:10.1037/0893-164X.16.4S.S55.
Haggerty, K., Fleming, C., Lonczak, H., Oxford, M., Harachi, T., & Catalano, R. (2002). Predictors of participation in parenting workshops. The Journal of Primary Prevention, 22, 375–387. doi:10.1023/A:1015227623145.
Haggerty, K., MacKenzie, E., Skinner, M., Harachi, T., & Catalano, R. (2006). Participation in “parents who care”: Predicting program initiation and exposure in two different program formats. The Journal of Primary Prevention, 27, 47–65. doi:10.1007/s10935-005-0019-3.
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, 275–286. doi:10.1007/s11121-005-0006-1.
Janz, N., & Becker, M. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.
Keller, J., & McDade, K. (2000). Attitudes of low-income parents toward seeking help with parenting: Implications for practice. Child Welfare, 79, 285–312.
Kovacs, M. (1985). The Children’s Depression Inventory (CDI). Psychopharmacology Bulletin, 21, 995–999.
Lipsey, M. (1990). Theory as method: Small theories of treatments. In L. Sechrest, E. Perrin, & J. Bunker (Eds.), Research methodology: Strengthening causal interpretations of nonexperimental data (pp. 33–53). Washington, DC: United States Department of Health and Human Services.
Lochman, J., & van den Steenhoven, A. (2002). Family-based approaches to substance abuse prevention. The Journal of Primary Prevention, 23, 49–114. doi:10.1023/A:1016591216363.
McKay, M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health and Social Work, 23, 9–15.
Miller, G., & Prinz, R. (2003). Engagement of families in treatment for childhood conduct problems. Behavioral Therapy, 34, 517–534. doi:10.1016/S0005-7894(03)80033-3.
Mrazek, P., & Haggerty, R. (Eds.). (1994). Reducing risks for mental disorders: Frontiers for preventive intervention research. Washington, DC: National Academy Press.
Muthén, L., & Muthén, B. (2004). Mplus users guide (3rd ed.). Los Angeles: Muthén & Muthén.
Olds, D. L. (2002). Prenatal and infancy home visiting by nurses: From randomized trials to community replication. Prevention Science, 3, 153–172. doi:10.1023/A:1019990432161.
Oregon Social Learning Center. (1991). LIFT parent interview. Unpublished manual. Eugene, OR: Author.
Perrino, T., Coatsworth, J. D., Briones, E., Pantin, H., & Szapocznik, J. (2001). Initial engagement in parent-centered preventive interventions: A family systems perspective. The Journal of Primary Prevention, 22, 21–44. doi:10.1023/A:1011036130341.
Prinz, R., & Miller, G. (1994). Family-based treatment for childhood antisocial behavior: Experimental influences on dropout and engagement. Journal of Consulting and Clinical Psychology, 62, 645–650. doi:10.1037/0022-006X.62.3.645.
Prochaska, J., Velicer, W., Rossi, J., Goldstein, M., Marcus, B., Rakowski, W., et al. (1994). Stages of change and decisional balance for 12 problem behaviors. Health Psychology, 13, 39–46. doi:10.1037/0278-6133.13.1.39.
Reid, M. J., Webster-Stratton, C., & Baydar, N. (2004). Halting the development of conduct problems in Head Start children: The effects of parent training. Journal of Clinical Child and Adolescent Psychology., 33, 279–291. doi:10.1207/s15374424jccp3302_10.
Rogers, R. (1983). Cognitive and physiological processes in fear-based attitude change: A revised theory of protection motivation. In J. Cacioppo & R. Petty (Eds.), Social psychophysiology: A sourcebook (pp. 153–176). New York: Guilford Press.
Rosenstock, I. (1966). Why people use health services. The Milbank Memorial Fund Quarterly, 44, 94–124. doi:10.2307/3348967.
Sameroff, A. (2006). Identifying risk and protective factors for healthy child development. In A. Clarke-Stewart & J. Dunn (Eds.), Families count: Effects on child and adolescent development (pp. 53–76). New York: Cambridge University Press.
Sandler, I., Tein, J., & West, S. (1994). Coping, stress, and the psychological symptoms of children of divorce: A cross-sectional and longitudinal study. Child Development, 65, 1744–1763. doi:10.2307/1131291.
Sandler, I., Wolchik, S. A., & Braver, S. L. (1988). The stressors of children’s post-divorce environments. In S. Wolchik & P. Karoly (Eds.), Children of divorce: Empirical perspectives on adjustment (pp. 111–144). New York: Gardner.
Sandler, I., Wolchik, S., MacKinnon, D., Ayers, T., & Roosa, M. (1997). Developing linkages between theory and intervention in stress and coping processes. In S. Wolchik & I. Sandler (Eds.), Handbook of children’s coping: Linking theory and intervention (pp. 3–40). New York: Plenum Press.
Schaefer, E. S. (1965). Children’s report of parental behavior: An inventory. Child Development, 36, 413–424. doi:10.2307/1126465.
Schultz, J., & Vaughn, L. (1999). Brief report: Learning to parent: A survey of parents in an urban pediatric primary care clinic. Journal of Pediatric Psychology, 24, 441–445. doi:10.1093/jpepsy/24.5.441.
Sheeran, P. (2002). Intention-behaviour relations: A conceptual and empirical review. European Review of Social Psychology, 12, 1–36. doi:10.1002/0470013478.ch1.
Spoth, R., & Redmond, C. (1995). Parent motivation to enroll in parenting skills programs: A model of family context and health belief predictors. Journal of Family Psychology, 9, 294–310. doi:10.1037/0893-3200.9.3.294.
Spoth, R., & Redmond, C. (2000). Research on family engagement in preventive interventions: Toward improved use of scientific findings in primary prevention practice. The Journal of Primary Prevention, 21, 267–284. doi:10.1023/A:1007039421026.
Spoth, R., Redmond, C., & Shin, C. (2000). Modeling factors influencing enrollment in family-focused preventive intervention research. Prevention Science, 1, 213–225. doi:10.1023/A:1026551229118.
Strecher, V., Champion, V., & Rosenstock, I. (1997). The health belief model and health behavior. In D. Gochman (Ed.), Handbook of health behavior research I: Personal and social determinants (pp. 71–91). New York: Plenum Press.
United States Bureau of the Census. (1993). Current population reports, series P-60-185. Poverty in the United States: 1992. Washington, DC: U.S. Government Printing Office.
United States Bureau of the Census. (1995). Current population reports, series P-60-188. Income, poverty, and valuation of noncash benefits: 1993. Washington, DC: U.S. Government Printing Office.
Wolchik, S., Sandler, I., Millsap, R., Plummer, B., Greene, S., Anderson, E., et al. (2002). Six-year follow-up of preventive interventions for children of divorce: A randomized controlled trial. JAMA, 288, 1874–1881. doi:10.1001/jama.288.15.1874.
Wolchik, S., Sandler, I., Weiss, L., & Winslow, E. (2007). New beginnings: An empirically-based program to help divorced mothers promote resilience in their children. In J. M. Briesmeister & C. E. Schaefer (Eds.), Handbook of parent training: Helping parents prevent and solve problem behaviors (3rd ed., pp. 25–62). New York: Wiley.
Wolchik, S., West, S., Sandler, I., Tein, J., Coatsworth, J., Lengua, L., et al. (2000). An experimental evaluation of theory-based mother and mother-child programs for children of divorce. Journal of Consulting and Clinical Psychology, 68, 843–856. doi:10.1037/0022-006X.68.5.843.
Wolchik, S., West, S., Westover, S., Sandler, I., Martin, A., Lustig, J., et al. (1993). The children of divorce parenting intervention: Outcome evaluation of an empirically based program. American Journal of Community Psychology, 21, 293–331. doi:10.1007/BF00941505.
Yu, C. Y. (2002). Evaluating cutoff criteria of model fit indices for latent variable models with binary and continuous outcomes. Unpublished dissertation. Retrieved September 29, 2006, from http://www.statmodel.com/download/Yudissertation.pdf.
Zhang, A., Snowden, L., & Sue, S. (1998). Differences between Asian and White Americans’ help seeking and utilization patterns in the Los Angeles area. Journal of Community Psychology, 26, 317–326. doi:10.1002/(SICI)1520-6629(199807)26:4<317::AID-JCOP2>3.0.CO;2-Q.
Zirkel, S., & Cantor, N. (1990). Personal construal of life tasks: Those who struggle for independence. Journal of Personality and Social Psychology, 58, 172–185. doi:10.1037/0022-3514.58.1.172.
Acknowledgments
This research was supported by grants from the National Institute of Mental Health (NIMH) (5T32MH018387-15 and 1K01MH074045). Portions of this research were presented at the Annual Meeting of the Society for Prevention Research, Washington, D.C., May, 2005.
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Winslow, E.B., Bonds, D., Wolchik, S. et al. Predictors of Enrollment and Retention in a Preventive Parenting Intervention for Divorced Families. J Primary Prevent 30, 151–172 (2009). https://doi.org/10.1007/s10935-009-0170-3
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DOI: https://doi.org/10.1007/s10935-009-0170-3