FD Title Grow! Empowering Parents to THRIVE Thanks for joining us! We will get started soon. While you’re waiting you can get handouts etc. by following the link below. militaryfamilieslearningnetwork.org/event/21753 This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.
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FD Title Grow! Empowering Parents to THRIVE militaryfamilieslearningnetwork.org/event/21753 This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of Military Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.
Today’s Presenters Jennifer DiNallo, PhD • Director of Research at the Clearinghouse for Military Family Readiness at Penn State • Lead on the development, implementation, and evaluation of several programs and projects including the THRIVE Parenting Initiative and the Resource Center for Obesity Prevention • Research interests include the impact of health promotion behaviors on obesity outcomes with a focus on parent-focused health promotion interventions. 4
! Empowering Parents to THRIVE Resourceful parents. Resilient children. Ready families https://www.photospin.com/Image/cf3e4fd1-7c70-4b9f-acee-58bc6319e5da 5
Webinar Objectives • Provide an overview of the Clearinghouse for Military Family Readiness • Discuss the history and development of THRIVE • Introduce Grow Face-to-Face and Grow Online parenting programs https://pixabay.com/en/target-dart-aim-objective-success-1414788/ 6
What is the Clearinghouse? www.militaryfamilies.psu.edu 7
The THRIVE Initiative Domains https://www.pexels.com/photo/child-baby-newborn-arms-47219/ https://www.pexels.com/photo/adult-baby-blur-child-532389/ https://www.pexels.com/photo/grayscale-photo-of-mother-and-three- https://www.pexels.com/photo/man-and-woman-hugging-while-man-kissing-woman-s-head- children-playing-1028009/ 842161/ 8
THRIVE Programs 9
Why develop a health promotion parenting program? • We need to think about promoting health as parents. • Existing evidence-based programs do not comprise https://www.photospin.com/Image/56df649d-62bd-46cc-a3df-f83093428ea1 a health promotion component. • There are lots of conflicting messages out there when it comes to promoting health! https://www.photospin.com/Image/7602a17d-e553-47d4-b2ea-481f4936921f 10
THRIVE programs aim to: • Incorporate a strength-based approach, focusing on what families are already doing well to increase family readiness. • Harness the immense potential of parents, as agents of change, https://www.pexels.com/photo/woman-holding-baby-smiling-1116050/ to foster positive youth development across the physical, intellectual, emotional, and social domains of health. • Assist parents from birth through adolescence, in developing skills and competencies across the three domains: Positive Parenting, Stress Management, and Health Promotion. https://www.pexels.com/photo/little-girl-riding-horse-beside-man-1040767/ 11
THRIVE is Unique! wearing-white-tank-top-infront-of-white-curtain-inside-the-room- https://www.pexels.com/photo/woman-carrying-baby-boy- Program development utilizes a common components approach. 755028/ https://www.pexels.com/photo/man-standing-beside-his-wife- Programs includes parenting teaching-their-child-how-to-ride-bicycle-1128318/ strategies around child health promotion. https://www.pexels.com/photo/apple-blur-cellphone- cellular-270666/ Programs incorporate blended and multimodal learning environments into the program delivery modes. 12
Common Components Approach (CCA) A process in which the individual strategies or parts of a program are identified with the aim of discovering those components that are shared across programs (Chorpita, Daleiden, & Weisz, 2005) https://www.photospin.com/Image/f4f630a2-6011-4a98-949d-41ed56c75155 13
CCA 4 Factors • Knowledge (content components; e.g., communication, bedtime routines) • Process (techniques or modes of delivery; e.g., multimodal information sharing, online modules) • Barrier reduction (ways to over come obstacles; e.g., parking pass, childcare) • Sustainability (support for long-term uptake; e.g., behavior modification, stakeholder buy-in) (Kaminski; Rotheram-Borus; Chorpita) 14
Health Promotion Components: Why are these different? • Identify peer-reviewed journal articles; • Review clinical trials/ interventions in these articles to identify specific parenting strategies used to promote healthy behaviors; https://www.pexels.com/photo/boy-holding-clear-drinking-glass-1060519/ • Review references from articles to identify additional publications; • Search clinicaltrials.gov for ongoing trials related to health promotion, childhood obesity prevention/intervention; and • Pull evidence-based strategies from current health recommendations (e.g., Institute of Medicine, American Academy of Pediatrics). 15
CCA Findings: Grow Yielded 25 components, which were Programs identified and selected for the then distilled, defined, and re-grouped. development of Grow Knowledge of normative child development • Unconditional love and respect Strengthening Families Program Realistic, high expectations • Incredible Years parenting program- Focus on strengths Basic Parental influence on youth • Guiding Good Choices Praise and encouragement • Parent Management Training- Applying appropriate rewards/ consequences Oregon Skill encouragement Pro-social opportunities to contribute Model Problem solving • Parent-Child Interaction Therapy Listening • Triple P Level 4 Healthy parental involvement • Group Lifestyle Triple P Using timeout • Parent Corps Limit setting and monitoring • Targeted feedback to motivate desired behaviors Promoting Alternate Thinking Emotion regulation/ coaching Strategies Managing (parent ’ s own) strong emotions Accessing community resources Family meals Healthy feeding and eating practices + extensive literature and current Youth competencies that are enhanced by health promotion recommendation search to identify health Attachment promotion components Behavior descriptions and effective directions/ commands Effective communication with child Negative thinking patterns 16
THRIVE Programs 17
Program Logic Model 18
Program Design • For parents of 5-to-10 year olds • One 90-min session/week for 5 weeks • Face to face video-based group sessions w/activities • Video & text message reminders • ~10-12 parents/group • Led by trained facilitators 19
Facilitator Training • Online, self-paced training modules • Program Coordination webinars • Video call performance feedback • Certification quiz and certificate • Technical assistance and weekly coaching sessions • Facilitator Online Portal to access: • All training materials • Parent curriculum videos • Participant workbook and weekly resources • Weekly text prompts and weekly video prompts 20
Text Prompts & Videos 21
Website 22
Parent Resources 23
Parent Resources 24
Evaluations https://www.photospin.com/Image/dc83e809-af90-4902-8343-62ca356eed7c https://www.photospin.com/Image/5d17bc0c-7f91-40d5-a9d9-7f4d3afbf69b 25
Evaluations https://www.pexels.com/photo/woman-in-clear-goggle-1124846/ https://www.photospin.com/Image/251c39e9-31e0-449b-b97a-56986fc5ff3d 26
Evaluations https://www.photospin.com/Image/0b3413f0-98b6-40a6-a43a-2126466c8da6 https://www.photospin.com/Image/f88f51f8-6712-48db-95b7-8ccc3052143e 27
Evaluations 28
Evaluations 29
Program Comparison & Adaptation Program Component Mode of delivery Face-to-face facilitator-led group Web-based self-paced sessions sessions Number of sessions 5 sessions over 5 weeks 8 sessions over 10 weeks Length of sessions 90 minutes/session ~35 minutes/session Prompts Text-based prompts to encourage Email prompts to encourage parents to practice at home program retention Reflection activities following at Facilitator-led discussions at the Written self-reflections built into home skills practice opening of the following session, online modules, focused on how focused on how skills practice skills practice went at home went at home. In-session activities Interactive activities, completed Interactive activities built into individually or as small or large online modules (e.g., multiple groups, dispersed throughout choice and short-answer questions, ‘ drag-and-drops ’ , and sessions fill-in-the-blanks ’ ) 30
Program Logic Model 31
Program Design • For parents of 5-to-10 year olds • 8 sessions completed over 10 weeks • Up to 3 email reminders were sent to participants who fell behind a pace of 1 session/week https://www.pexels.com/photo/hand-on-cup-of-coffee-984536/ 32
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