The link between child temperament and low-income mothers' and fathers' parenting

Numerous studies have shown that children's temperamental characteristics impact the quality and quantity of parent-child interactions. However, these studies have largely focused on middle-class samples, have not compared multiple domains of parenting across mothers and fathers, and have not considered the possibility of nonlinear associations between temperament and parenting. The present study addresses these gaps by examining the potentially nonlinear role of two temperamental characteristics-negative emotionality and sociability-in predicting the quality and quantity of low-income mothers' and fathers' parenting. Data were drawn from the Early Head Start Research and Evaluation Project, a study of low-income children and families. Results indicated that whereas parenting quality was somewhat impaired when children were temperamentally vulnerable (low sociability, high negativity), parents increased parenting quantity with the same vulnerable children. There was some evidence that parents were most reactive to children who scored either very high or very low on negative emotionality and sociability in both parenting domains. Patterns also suggest that mothers were more reactive to sociability, and fathers to negative emotionality.

EARLY PARENTING SUPPORT AND INFORMATION: A CONSUMER PERSPECTIVE

The transition to parenthood is a period of both joy and challenge for most parents. There is a recognized need to support parents during this period, yet existing interventions have shown limited evidence of efficacy. This study takes a consumer-focused approach to examine the needs and preferences of parents both prenatally (n = 77) and postnatally (n = 123) for parenting support. The study used a cross-sectional design with a purpose-built online survey. Parents were recruited via online forums, Facebook and parenting blogs, childcare centers, and playgroups. In general, all parents were satisfied with their current levels of both formal and informal support, and about one fourth of parents had accessed a parenting intervention. Parents expressed a moderate level of interest in additional parenting information, and parents expecting their first baby indicated preferences for information about basic baby care needs whereas postnatally, parents expressed more interest in topics around self-care and behavior management. The implications for developing interventions and engaging families are discussed.

IMPLEMENTATION OF AN EVIDENCED-BASED PARENTING PROGRAM IN A COMMUNITY MENTAL HEALTH SETTING

The process of mental health intervention implementation with vulnerable populations is not well-described in the literature. The authors worked as a community-partnered team to adapt and pilot an empirically supported intervention program for mothers of infants and toddlers in an outpatient mental health clinic that primarily serves a low-income community. We used qualitative ethnographic methods to document the adaption of an evidence-based intervention, Mothering from the Inside Out, and the pilot implementation in a community mental health clinic. Seventeen mothers and their identified 0- to 84-month-old children were enrolled in the study. Key lessons from this implementation include (a) the importance of formative work to build community relationships and effectively adapt the intervention to meet the needs of the therapists and their clients, (b) the importance of designing plans for training and reflective supervision that fit within the flow of the clinic and can tolerate disruptions, and (c) that use of an interdisciplinary approach is feasible with the development of a plan for communication and the support of a trained reflective clinical supervisor. These key lessons advance the scientific knowledge available to healthcare managers and researchers who are looking to adapt mental health clinical interventions previously tested in clinical trials to implementation in community settings.