Identifying effective interventions for promoting parent engagement and family reunification for children in out-of-home care: A series of meta-analyses.
Child protection services
Intervention
Maltreatment
Meta-analysis
Out-of-home care
Parental engagement
Placement
Residential care
Reunification
Journal
Child abuse & neglect
ISSN: 1873-7757
Titre abrégé: Child Abuse Negl
Pays: England
ID NLM: 7801702
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
13
04
2018
revised:
06
12
2018
accepted:
10
12
2018
pubmed:
24
12
2018
medline:
25
2
2020
entrez:
23
12
2018
Statut:
ppublish
Résumé
An important obstacle for family reunification following child placement in residential care and other temporary out-of-home care services is the lack of engagement among parents. The aim of this meta-analysis is to identify the most effective interventions to promote parental engagement and family reunification. Eight studies, for a total of 2996 families, were used to conduct two series of meta-analyses. Each study examined the effectiveness of a goal-oriented parental engagement intervention, relative to a control group made up of parents who received standard services. Six moderators were analyzed: type of clinical modality, number of clinical strategies, sources of motivation for intervention, focus on the child care staff-parent relationship, child care staff training, and strategies to promote access to intervention. Results indicate that parents exposed to goal-oriented engagement interventions showed greater engagement (effect size d = 0.71, CI: 0.35-1.07, p < 0.001) and likelihood of reunification (effect size OR = 2.49, CI: 1.22-5.10, p < 0.05) than parents who received standard services. In particular, moderator analysis showed that parents who specifically participated in a family-focused intervention showed the highest engagement in comparison to parents involved in other types of interventions or who received standard services (effect size d = 1.08, CI: 0.58-1.59, p < 0.001). No moderators significantly explained heterogeneity of studies on family reunification. Overall, the results underline the effectiveness of family-focused interventions to promote parental engagement. Nevertheless, greater knowledge on the mechanisms by which interventions can increase parents' engagement and family reunification is still needed.
Sections du résumé
BACKGROUND
An important obstacle for family reunification following child placement in residential care and other temporary out-of-home care services is the lack of engagement among parents.
OBJECTIVE
The aim of this meta-analysis is to identify the most effective interventions to promote parental engagement and family reunification.
METHOD AND PARTICIPANTS
Eight studies, for a total of 2996 families, were used to conduct two series of meta-analyses. Each study examined the effectiveness of a goal-oriented parental engagement intervention, relative to a control group made up of parents who received standard services. Six moderators were analyzed: type of clinical modality, number of clinical strategies, sources of motivation for intervention, focus on the child care staff-parent relationship, child care staff training, and strategies to promote access to intervention.
RESULTS
Results indicate that parents exposed to goal-oriented engagement interventions showed greater engagement (effect size d = 0.71, CI: 0.35-1.07, p < 0.001) and likelihood of reunification (effect size OR = 2.49, CI: 1.22-5.10, p < 0.05) than parents who received standard services. In particular, moderator analysis showed that parents who specifically participated in a family-focused intervention showed the highest engagement in comparison to parents involved in other types of interventions or who received standard services (effect size d = 1.08, CI: 0.58-1.59, p < 0.001). No moderators significantly explained heterogeneity of studies on family reunification.
CONCLUSION
Overall, the results underline the effectiveness of family-focused interventions to promote parental engagement. Nevertheless, greater knowledge on the mechanisms by which interventions can increase parents' engagement and family reunification is still needed.
Identifiants
pubmed: 30579168
pii: S0145-2134(18)30453-8
doi: 10.1016/j.chiabu.2018.12.009
pii:
doi:
Types de publication
Journal Article
Meta-Analysis
Research Support, Non-U.S. Gov't
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
362-375Informations de copyright
Copyright © 2018 Elsevier Ltd. All rights reserved.