A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan

Background Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study a...

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Main Authors: Yasmin Khowaja, Rozina Karmaliani, Shela Hirani, Asif Raza Khowaja, Ghazala Rafique, Judith McFarlane
Format: Article
Language:English
Published: Kerman University of Medical Sciences 2016-02-01
Series:International Journal of Health Policy and Management
Subjects:
Online Access:http://www.ijhpm.com/pdf_3114_97320c7cf3c3abd8cef6c6a368057d6e.html
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author Yasmin Khowaja
Rozina Karmaliani
Shela Hirani
Asif Raza Khowaja
Ghazala Rafique
Judith McFarlane
author_facet Yasmin Khowaja
Rozina Karmaliani
Shela Hirani
Asif Raza Khowaja
Ghazala Rafique
Judith McFarlane
author_sort Yasmin Khowaja
collection DOAJ
description Background Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-school children attending family health centres (FHCs) in Karachi, the largest metropolitan city of Pakistan. Methods A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention; n = 27 control) participated in this study. Mothers in the intervention group received SOS Help for parents module, while mothers in the control group received information about routine childcare. A parenting scale (PS) was administered before the program was implemented and repeated 2 weeks after the program was completed in both groups. Statistical analysis was performed to compare participants’ attributes. Descriptive analysis was conducted to compare pre- and post-test mean scores along with standard deviation for parenting subscales in the intervention and control groups. Results A total of 50 mothers (n = 25 intervention; n = 25 control) completed the 6-week program. Attrition was observed as 5/30 (17%) in the intervention arm and 2/27 (2%) in the control arm. Mothers commonly reported the burden of daily domestic and social responsibilities as the main reason for dropping out. Furthermore, the majority of participants in the control group recommended increasing the duration of weekly sessions from 1 to 1.5 hours, thereby decreasing the program period from 6 to 4 weeks. Mothers in intervention group reported substantial improvement in parenting skills as indicated by mean difference in their pre- and post-test scores for laxness and over-reactivity. Conclusion Parenting programs can be implemented for mothers attending FHCs in Pakistan. Mothers require positive reinforcement and constant encouragement at the participant level. Integrating such programs into primary healthcare at the population level has the potential to maximize child health benefits and to improve parenting skills at the country level.
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spelling doaj.art-bbad62d206c342cd895707c407ca17212022-12-22T00:20:05ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392016-02-0152919710.15171/ijhpm.2015.181A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, PakistanYasmin Khowaja 0Rozina Karmaliani1Shela Hirani2 Asif Raza Khowaja3Ghazala Rafique4Judith McFarlane5School of Nursing and Midwifery, Aga Khan University, Karachi, PakistanSchool of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan; Community Health Sciences Department, Aga Khan University, Karachi, PakistanSchool of Nursing and Midwifery, Aga Khan University, Karachi, PakistanDepartment of Paediatrics and Child Health, Aga Khan University, Karachi, PakistanCommunity Health Sciences Department, Aga Khan University, Karachi, PakistanHealth promotion and disease prevention, Texas Woman’s University, Houston, TX, USABackground Recently, parenting programs to address behavioural and emotional problems associated with child maltreatment in developing countries have received much attention. There is a paucity of literature on effective parent education interventions in the local context of Pakistan. This study aimed to assess the feasibility of offering a 6-week parenting program for mothers of pre-school children attending family health centres (FHCs) in Karachi, the largest metropolitan city of Pakistan. Methods A pilot quasi-experimental trial was conducted. Two FHCs were selected, one as the intervention and the second as the control. A total of 57 mothers of pre-school children (n = 30 intervention; n = 27 control) participated in this study. Mothers in the intervention group received SOS Help for parents module, while mothers in the control group received information about routine childcare. A parenting scale (PS) was administered before the program was implemented and repeated 2 weeks after the program was completed in both groups. Statistical analysis was performed to compare participants’ attributes. Descriptive analysis was conducted to compare pre- and post-test mean scores along with standard deviation for parenting subscales in the intervention and control groups. Results A total of 50 mothers (n = 25 intervention; n = 25 control) completed the 6-week program. Attrition was observed as 5/30 (17%) in the intervention arm and 2/27 (2%) in the control arm. Mothers commonly reported the burden of daily domestic and social responsibilities as the main reason for dropping out. Furthermore, the majority of participants in the control group recommended increasing the duration of weekly sessions from 1 to 1.5 hours, thereby decreasing the program period from 6 to 4 weeks. Mothers in intervention group reported substantial improvement in parenting skills as indicated by mean difference in their pre- and post-test scores for laxness and over-reactivity. Conclusion Parenting programs can be implemented for mothers attending FHCs in Pakistan. Mothers require positive reinforcement and constant encouragement at the participant level. Integrating such programs into primary healthcare at the population level has the potential to maximize child health benefits and to improve parenting skills at the country level.http://www.ijhpm.com/pdf_3114_97320c7cf3c3abd8cef6c6a368057d6e.htmlParenting ProgramChild MaltreatmentChild AbuseEducation for Mothers
spellingShingle Yasmin Khowaja
Rozina Karmaliani
Shela Hirani
Asif Raza Khowaja
Ghazala Rafique
Judith McFarlane
A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
International Journal of Health Policy and Management
Parenting Program
Child Maltreatment
Child Abuse
Education for Mothers
title A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
title_full A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
title_fullStr A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
title_full_unstemmed A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
title_short A Pilot Study of a 6-Week Parenting Program for Mothers of Pre-school Children Attending Family Health Centers in Karachi, Pakistan
title_sort pilot study of a 6 week parenting program for mothers of pre school children attending family health centers in karachi pakistan
topic Parenting Program
Child Maltreatment
Child Abuse
Education for Mothers
url http://www.ijhpm.com/pdf_3114_97320c7cf3c3abd8cef6c6a368057d6e.html
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