Family Thriving Program

Categories

Categories associated with best practice:

  • Health Equity
  • Infancy (ages 0-2) icon
  • Young Adult (ages 19-24) icon
  • Adult (ages 25-64) icon
  • Best Practices
  • Education and literacy
  • Healthy child development
  • Home
  • Maternal and Infant Health
  • Mental Health Icon 2
  • Personal health practices and coping skills
  • Preventing Violence Icon 1

Determinants of Health: Personal health practices and coping skills, Education, literacy and life-long learning, Healthy child development

Overview

The Family Thriving Program (FTP), a child abuse prevention intervention, was designed as an add-on to the Healthy Start home visitation program (rather than as a free-standing program). Home visitation programs involve the provision of education to mothers (or perspective mothers), assistance in establishing connections with relevant community agencies, and establishing potential sources of social support. The Family Thriving Program supplements these programs by assisting parents in the cognitive and motivational re-framing of commonly-occurring caregiving challenges. That is, parents are helped to rethink the causes of caregiving challenges, and to become their own information seekers and problem solvers. Parents receiving the FTP are asked by home visitors to review recent parenting problems or other problems that may affect their parenting. Using a series of questions aimed at identifying the problem’s cause, the home visitor arrives at a strategy for addressing the problems raised by the parent, and the home visitor follows up on the results of the strategy in subsequent home visits.

Randomized controlled trials of FTP found that the program was effective in reducing forms of harsh parenting. Other emotional and physical impacts (which varied across the different studies) included improved child health, less reports of physical abuse of children, less injury and improved home safety maintenance, improved parenting self-efficacy and reduced maternal depression. FTP has only been evaluated as an enhancement to the Healthy Start home visitation program and results may differ when it is applied to other programs.

Primary Source Document

Bugental DB, Ellerson PC, Rainey B, Lin EK, Kokotovic A, O’Hara N, A cognitive approach to child abuse prevention. Journal of Family Psychology;16(3): 242-258

Contact information of developer(s) and/or implementer(s)

Daphne B. Bugental

Department of Psychology

University of California, Santa Barbara

Intervention Focus

Intervention Goal / ObjectiveLevel(s) TargetedEquity Focus
Prevent child abuse
  • Individual level
  • Interpersonal level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.
Increase child health
  • Individual level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.
Enhance parents’ perceptions of power or competence within the parent-child relationship by assisting them in becoming competence and independent problem solvers.
  • Individual level
People living in conditions of disadvantage are explicitly stated to be a target population of the intervention.

Health Issue(s) that is/are addressed by the Intervention

Health Promotion

  • Maternal and Infant Health
  • Mental Health

Risk Reduction

  • Prevent injury
  • Other

Specific Activities of the Intervention

  • Other training session

Priority/Target Population for Intervention Delivery

Life Stage

  • Infancy (birth to 2 years)
  • Young adult (age 19-24 years)
  • Adults (age 25-64 years)

Settings

Educational Settings

    Community Setting

    • Home

    Outcomes

    Outcomes and Impact Chart
    Level of ImpactDescription of OutcomeEquity Focus
    Individual LevelDepression scores for parents in the enhanced conditions decreased significantly more than scores for parents in the unenhanced home visitation and control conditions (p <.05). Outcomes are reported for people living in conditions of disadvantage, and are not compared to people living in more advantaged conditions.
    Individual LevelA significant main effect was obtained for condition on child health, F(2, 70) = 4.01, p =.02. Mean scores were .25 in the enhanced condition, -05 in the unenhanced condition, and -.30 in the control condition.Outcomes are reported for people living in conditions of disadvantage, and are not compared to people living in more advantaged conditions.
    Interpersonal LevelThe main effect of condition on harsh parenting was significant, F(2, 70) = 3.20, p =.05. Children in the enhanced condition were less likely to be physically abused (4%) than were children in the unenhanced (23%) or the control (26%) condition. Infant risk (defined in terms of relatively low Apgar scores and preterm status) served as a moderator of the effects of prevention condition on harsh parenting. Among low-risk infants, mothers in all conditions made little use of harsh parenting practices. Among higher risk infants, on the other hand, only mothers in the enhanced condition made low use of harsh parenting practices. In contrast, almost half of the mothers in the unenhanced or control condition made use of harsh parenting practices with their high-risk infants.Outcomes are reported for people living in conditions of disadvantage, and are not compared to people living in more advantaged conditions.
    Individual LevelThe multivariate effect of condition was significant on beliefs about control or power with relationships, F(6, 60) =3.13, p= .01. Overall, parents in the enhanced conditions had a higher perceived balance of power than in the unenhanced or control conditions. Outcomes are reported for people living in conditions of disadvantage, and are not compared to people living in more advantaged conditions.

    Adaptability

    Implementation History

    • Multiple implementations - Similar settings/populations/providers - The intervention has been implemented more than twice in the same setting with the same population by similar providers, and is theoretically applicable to other settings and/or populations. This can include multiple implementations during the same time period. *Each implementation of the intervention must have been substantially the same and must have demonstrated positive results for the primary objectives of the intervention.

    Expertise Required for Implementation within the Context of the Intervention

    • Specialized skills training provided as part of the Intervention - The intervention does not require individuals or groups with highly specialized training, but requires that individuals or groups be trained as part of the implementation of the intervention.

    Are there supports available for implementation

    No.

    Are there resources and/or products associated with the interventions

    Yes.