Abstract
| Original language | English |
|---|---|
| Article number | e0215461 |
| Journal | PLoS ONE |
| Volume | 14 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 16 Apr 2019 |
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Keywords
- parenting programs, parenting, implementation science, implications for practice, criminal justice system
- process evaluation
- qualitative methods
- realist evaluation
- implementation
- randomised controlled trials
- vulnerable groups
- maternal wellbeing
- mental health
Cite this
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The reflective component of the Mellow Bumps parenting intervention: Implementation, engagement and mechanisms of change. / Buston, Katie ; O'Brien, Rosaleen; Wight , Danny ; Henderson , Marion .
In: PLoS ONE , Vol. 14, No. 4, e0215461, 16.04.2019.Research output: Contribution to journal › Article
TY - JOUR
T1 - The reflective component of the Mellow Bumps parenting intervention: Implementation, engagement and mechanisms of change
AU - Buston, Katie
AU - O'Brien, Rosaleen
AU - Wight , Danny
AU - Henderson , Marion
N1 - Acceptance from webpage
PY - 2019/4/16
Y1 - 2019/4/16
N2 - Understanding why parenting programmes work or do not work, and for whom, is crucial for development of more effective parenting interventions. In this paper we focus on a specific component of Mellow Bumps: reflection on one’s own childhood/past/life. We explore how this component was implemented, how participants engaged with it, the facilitating and constraining factors shaping this, whether and how it appeared to work, or not, and for whom. The paper analyses data from the Process Evaluation of the Trial of Healthy Relationships Initiatives for the Very Early years, which is evaluating two antenatal interventions delivered to vulnerable women, one of which is Mellow Bumps. Data were collected from January 2014 to June 2018 for 28 groups, 108 participants and 24 facilitators in a comprehensive and rigorous Process Evaluation designed to complement the Outcome Evaluation. Data were gathered at various time points using multiple methods, and were synthesised to triangulate findings. The reflective component was implemented with fidelity and participants engaged with it to varying degrees, dependent largely on the coherence of the group. Patchy attendance compromised the coherence of some groups, with the development of rapport, which is key to delivering reflective exercises, more difficult when group composition varied from week to week. Where there was a coherent group, powerful mechanisms of change, leading to stress reduction, included: relief through unburdening, empowerment through support given and received, reduced isolation through sharing anxieties, and control through self-care advice. A minority of highly vulnerable mothers seemed not to benefit from the reflective exercises and were marginalised within their groups. In order to minimise potential harmful effects of such exercises, allocation of participants to groups should strive to maximise group homogeneity. More research is needed to explore how very vulnerable parents can be supported in attending parenting interventions from start to finish.
AB - Understanding why parenting programmes work or do not work, and for whom, is crucial for development of more effective parenting interventions. In this paper we focus on a specific component of Mellow Bumps: reflection on one’s own childhood/past/life. We explore how this component was implemented, how participants engaged with it, the facilitating and constraining factors shaping this, whether and how it appeared to work, or not, and for whom. The paper analyses data from the Process Evaluation of the Trial of Healthy Relationships Initiatives for the Very Early years, which is evaluating two antenatal interventions delivered to vulnerable women, one of which is Mellow Bumps. Data were collected from January 2014 to June 2018 for 28 groups, 108 participants and 24 facilitators in a comprehensive and rigorous Process Evaluation designed to complement the Outcome Evaluation. Data were gathered at various time points using multiple methods, and were synthesised to triangulate findings. The reflective component was implemented with fidelity and participants engaged with it to varying degrees, dependent largely on the coherence of the group. Patchy attendance compromised the coherence of some groups, with the development of rapport, which is key to delivering reflective exercises, more difficult when group composition varied from week to week. Where there was a coherent group, powerful mechanisms of change, leading to stress reduction, included: relief through unburdening, empowerment through support given and received, reduced isolation through sharing anxieties, and control through self-care advice. A minority of highly vulnerable mothers seemed not to benefit from the reflective exercises and were marginalised within their groups. In order to minimise potential harmful effects of such exercises, allocation of participants to groups should strive to maximise group homogeneity. More research is needed to explore how very vulnerable parents can be supported in attending parenting interventions from start to finish.
KW - parenting programs, parenting, implementation science, implications for practice, criminal justice system
KW - process evaluation
KW - qualitative methods
KW - realist evaluation
KW - implementation
KW - randomised controlled trials
KW - vulnerable groups
KW - maternal wellbeing
KW - mental health
U2 - 10.1371/journal.pone.0215461
DO - 10.1371/journal.pone.0215461
M3 - Article
VL - 14
JO - PLoS ONE
JF - PLoS ONE
SN - 1932-6203
IS - 4
M1 - e0215461
ER -