Evaluation of the Online First Pathways Program for Equity-denied Families: A Randomized Controlled Trial.

Equity-denied families report barriers to accessing parenting supports, and online programs have the potential to improve accessibility. First Pathways is a digital parenting program designed to promote parent-child interactions and children's development by sharing parent-child interactive activity...

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Publicado en:Journal of Child & Family Studies Vol. 33; no. 11; pp. 3440 - 3455
Autores principales: Komanchuk, Jelena, Letourneau, Nicole, Duffett-Leger, Linda, Healy, Pat, Very, Madison, Huang, Ziyue, Zheng, Zhaoyang, Cameron, Judy L.
Formato: Artículo
Publicado: Springer Nature Nov2024
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2024
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      pub: Springer Nature
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        atl: Evaluation of the Online First Pathways Program for Equity-denied Families: A Randomized Controlled Trial.
      aug:
        au:
          Komanchuk, Jelena
          Letourneau, Nicole
          Duffett-Leger, Linda
          Healy, Pat
          Very, Madison
          Huang, Ziyue
          Zheng, Zhaoyang
          Cameron, Judy L.
        affil:
          https://ror.org/03rmrcq20 School of Nursing, University of British Columbia Okanagan, 1147 Research Road, V1V 1V7, Kelowna, BC, Canada
          https://ror.org/03yjb2x39 Faculty of Nursing, University of Calgary, 2259, 2800 Professional Faculties, T2N 4V8, Calgary, AB, Canada
          https://ror.org/01an3r305 Department of Informatics & Networked Systems, University of Pittsburgh, 135N Bellefield Ave, 15213, Pittsburgh, PA, USA
          https://ror.org/01an3r305 Department of Psychiatry, University of Pittsburgh, 3811 O'Hara St, 15213, Pittsburgh, PA, US
      su:
        Health services accessibility
        Family health
        Family services
        Medical care
        Parent-child relationships
        Evaluation of human services programs
        Internet
        Randomized controlled trials
        Parenting
        Child development
        Health equity
        Sociodemographic factors
        Research funding
        Pilot projects
        Research
      sug:
        subj:
          Health services accessibility
          Family health
          Family services
          Medical care
          Parent-child relationships
          Evaluation of human services programs
          Internet
          Randomized controlled trials
          Parenting
          Child development
          Health equity
          Sociodemographic factors
          Other Individual and Family Services
          Internet Publishing and Broadcasting and Web Search Portals
          Wired Telecommunications Carriers
          Research funding
          Pilot projects
          Research
      keyword:
        Digital program
        Intervention dose.
        Parent-child interaction
        Digital program
        Intervention dose.
        Parent-child interaction
      ab: Equity-denied families report barriers to accessing parenting supports, and online programs have the potential to improve accessibility. First Pathways is a digital parenting program designed to promote parent-child interactions and children's development by sharing parent-child interactive activity ideas and knowledge of how these activities support children's brain development. We recruited equity-denied families from community organizations and via snowball sampling to investigate the effect of playing First Pathways on parent-child interactions and child development for parents and their children aged 3–36 months. We also examined predictors of game play. Parent-child dyads participated in a 2-month randomized controlled trial pilot study. The First Pathways group received daily reminders encouraging game utilization for one month. Parent-child interactions and children's development were reassessed at 1- and 2-months. Although no significant group differences were found between the First Pathways and waitlist control group, the quartile of dyads who played First Pathways the most (n = 13) demonstrated significantly greater improvements in parent-child interactions compared to dyads (n = 12) who played the least. Moreover, total game play over the 2-month study was significantly correlated with improvements in parent-child interactions. Dyads were significantly more likely to play First Pathways while receiving reminders, and early play predicted later play. Dyads who showed the greatest reciprocity in their interactions (i.e., balanced back and forth serve and return exchanges) at baseline were most likely to have greater game play. Online programs have potential to support parent-child interactions and child development for equity-denied families; additional research is needed to understand facilitators/barriers to early engagement. Highlights: Digital parenting programs have potential to increase parenting resource accessibility for equity-denied families. Parents with children aged 3–36 months were recruited from agencies providing social services and via snowball sampling. Families who utilized First Pathways the most had greater improvements in parent-child interactions than those who used it the least. Daily text/email reminders promoted digital program use, and early program engagement was associated with sustained program use. Older married/cohabiting mothers, less adversity, and higher parent-child reciprocity predicted greater First Pathways use.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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