학술논문
What Influences Parental Engagement in Early Intervention? Parent, Program and Community Predictors of Enrolment, Retention and Involvement.
Document Type
Academic Journal
Author
Hackworth NJ; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia. nhackworth@parentingrc.org.au.; Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia. nhackworth@parentingrc.org.au.; Murdoch Children's Research Institute, Parkville, VIC, Australia. nhackworth@parentingrc.org.au.; Matthews J; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Westrupp EM; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.; Murdoch Children's Research Institute, Parkville, VIC, Australia.; Nguyen C; Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.; Murdoch Children's Research Institute, Parkville, VIC, Australia.; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.; Phan T; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Scicluna A; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Cann W; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Bethelsen D; School of Early Childhood, Queensland University of Technology, Kelvin Grove, Brisbane, QLD, Australia.; Bennetts SK; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.; Murdoch Children's Research Institute, Parkville, VIC, Australia.; Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia.; Nicholson JM; Parenting Research Centre, Level 5, 232 Victoria Parade, East Melbourne, VIC, 3003, Australia.; Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.; Murdoch Children's Research Institute, Parkville, VIC, Australia.; School of Early Childhood, Queensland University of Technology, Kelvin Grove, Brisbane, QLD, Australia.
Source
Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 100894724 Publication Model: Print Cited Medium: Internet ISSN: 1573-6695 (Electronic) Linking ISSN: 13894986 NLM ISO Abbreviation: Prev Sci Subsets: MEDLINE
Subject
Language
English
Abstract
Poor participant engagement undermines individual and public health benefits of early intervention programs. This study assessed the extent to which three types of engagement (participant enrolment, retention and involvement) were influenced by individual, program and contextual factors. Data were from a cluster randomised controlled trial (N = 1447) of a community-based parenting program, delivered at two levels of intensity (group sessions with and without individualised home coaching) conducted in Victoria, Australia. Individual (parent and family) factors and program factors were assessed by parent report and administrative records, and contextual factors by area-level population statistics. Data were analysed using multilevel logistic or linear regression models. Individual and contextual factors predicted enrolment, while family and program factors were more influential on program retention and parents' active involvement. Provision of individualised support was important to all forms of engagement, particularly for families experiencing the greatest barriers to participation. These findings indicate that different strategies are required to effectively support families in the processes of enrolling, continuing to attend and actively participating in early intervention programs.