The California Evidence-Based Clearinghouse for Child Welfare
The California Evidence-Based Clearinghouse for Child Welfare

This document was printed from the website of the California Evidence-Based Clearinghouse for Child Welfare (CEBC), which you can access at http://www.cebc4cw.org/

Nurturing Parenting Programs - Detailed Report

Scientific Rating:
3
Promising Research Evidence
See scale of 1-5
Scientific Rating:
3 - Promising Research Evidence

Relevance to Child Welfare Rating:
1
Relevance to Child Welfare Rating:
1 - High

Child Welfare Outcomes: Safety.

Type of Maltreatment: Emotional abuse, Exposure to domestic violence, Physical abuse, and Physical neglect

Target Population: Parents who are at high-risk for, or have substantiated reports of, child maltreatment

Brief Description:(The information in this program outline is provided by the program representative and edited by the CEBC staff.)

The Nurturing Parenting Programs have been rated by the CEBC in the areas of Parent Training and Prevention (Secondary). The Nurturing Parenting Programs are family-based programs utilized for the treatment and prevention of child abuse and neglect. Program sessions are offered in group-based and home-based formats ranging from 12 to 48 sessions. Programs are designed for parents with young children birth to 5 years old, school-aged children 5 to 11 years old, and teens 12 to 18 years old. In addition, programs for children 5 to 11 years old and teens 12 to 18 years old are also offered. Parents and their children meet in separate groups that meet concurrently. Developed from the known behaviors that contribute to the maltreatment of children, the goals of the curriculum are: 1) to teach age-appropriate expectations and neurological development of children; 2) to develop empathy and self worth in parents and children; 3) to utilize nurturing, non-violent strategies and techniques in establishing family discipline; 4) to empower parents and children to utilize their personal power to make healthy choices; and 5) to increase awareness of self and others in developing positive patterns of communication while establishing healthy, caring relationships.


Essential Components

Show Essential Components

 

Each of the programs comes with a lesson guide, parent handbook, and videos/DVD's.

The foundation of the Nurturing Parenting Programs is that parenting is learned.

There are six assumptions the Nurturing Parenting Programs is based on (as defined on the SAMHSA National Registry of Evidence-based Programs and Practices (NREPP) website, where it is listed as a Legacy Program)

  • The family is a system.
  • Empathy is the single most desirable quality in nurturing parenting.
  • Parenting exists on a continuum.
  • Learning is both cognitive and affective.
  • Children who feel good about themselves are more likely to become nurturing parents.
  • No one truly prefers abusive interactions.

Parents and Their Infants, Toddlers and Preschoolers
Offered as a 48-session home-based or 24-session group-based program. Parents learn about recognizing and understanding feelings; infant and child development; nurturing parenting routines; alternatives to hitting; effective non-violent discipline; and ways to build self-esteem and self-confidence in children.

Parents and Their School-Age Children
Offered as a 15-session group-based program, Parents and children learn about empathy; appropriate behaviors; brain development; rewards and punishments; praise and self-esteem; non-violent discipline; and ways to have fun as a family.

Parents and Their Teens
Offered as a 12-session group-based program. Topics include communication; feelings and needs; the importance of self-concept; personal power; brain development in adolescents; pregnancy delay; sex; chemical/drug abuse; AIDS; suicide; and peer pressure.

 



Group Format

Nurturing Parenting Programs was designed to be conducted in a group.

Nurturing Parenting Programs has been tested for use in a group setting.

Testing references:

Bavolek, S., Keene, R., & Weikert P. (2004). The Florida study: A comparative examination of the effectiveness of the Nurturing Programs. Final Report, DCF of Florida as found at http://www.nurturingparenting.com/research_validation/the_florida_study%27.pdf

Cowen, P. S. (2001). Effectiveness of a parent education intervention for at risk families. Journal of the Society for Pediatric Nursing, 6(2), 73-82.

Devall, E. (2004). Positive parenting for high-risk families. Journal for Family and Consumer Sciences, 96(4), 22-28.

The recommended group size is: Dependent on the functioning levels of the parents, between 8 to 12 adults and their children meeting in a separate group. Adults - 12 to 15. Children - 12 (depending on age and abilities).


Recommended Parameters

Recommended intensity: 4 sessions per month. Group-based sessions range from 2.5 to 3 hours. Home-based sessions generally run 90 minutes.

Recommended duration: 12 to 48 weeks.


Homework

Nurturing Parenting Programs includes a homework component.

Description: Parents and children practice at home the skills they are learning in the sessions.


Delivery Setting

Nurturing Parenting Programs is typically conducted in a(n): Birth Family Home, Community Agency, Department of Mental Health, Departments of Social Service, Parent Education Program, Prison, School, and Workplace.


Parent Component

Nurturing Parenting Programs was designed with a Parent Component.

Nurturing Parenting Programs addresses the following presenting problems and symptoms: Dysfunctional and abusive/neglecting parenting patterns.


Child Component

Nurturing Parenting Programs was designed with a Child Component.

Nurturing Parenting Programs addresses the following presenting problems and symptoms: Abuse and neglect.

Age range(s): 0-18

Nurturing Parenting Programs was not developed for children with developmental delays.

Nurturing Parenting Programs has not been tested for children with developmental delays.


Languages

Nurturing Parenting Programs does not have materials available in a language other than English.


Education and Training Resources

There is a manual that describes how to implement this program.

There is training available for Nurturing Parenting Programs.

Training contact: Joan Marie Dellinger, Email: Fnc@nurturingparent.com

Number of days/hours: 1 to 3 days depending on the skills of the audience.

Training is obtained: Through agency-sponsored statewide, region-wide or nationwide workshops

There currently are additional qualified resources for training.

List of additional qualified resources: Family Development Resources, Inc. has a cadre of nationally recognized trainers and consultants available to conduct statewide and local trainings. See website for contact information: www.nurturingparenting.com.


Identified Resources Necessary to Implement Program

The typical resources for implementing Nurturing Parenting Programs are: A one-time purchase of program manuals, DVDs, assessment tools, supplemental learning materials that runs approximately $900 to $1,800.

Agency personnel typically administer the program absorbing personnel costs. Location usually requires two rooms: one for parents and one for children.


Minimum Provider Qualifications

College education in a related field and experience with group instructional skills for implementing parent/child sessions is required.


Relevant Published, Peer-Reviewed Research

Show Relevant Published, Peer-Reviewed Research

Nurturing Parenting Programs is rated a "3 - Promising Research Evidence" on the Scientific Rating Scale based on the published, peer-reviewed research available. The practice must have at least one study utilizing some form of control (e.g., untreated group, placebo group, matched wait list) establishing the practice's benefit over the placebo, or found it to be comparable to or better than an appropriate comparison practice. For more information on the rating of a “3 – Promising Research Evidence,” please see the Scientific Rating Scale.


Cowen, P. S. (2001). Effectiveness of a parent education intervention for at-risk families. Journal of the Society of Pediatric Nursing, 6(2), 73-82.

Type of Study: Pre-test, Post-test
Number of participants: 154 families
Population:

    Age Range: Not specified in journal article.
    Race/Ethnicity: 92% white
    Status (e.g., foster care, CW): Self-referred families, families in crisis, families court-referred for mandatory attendance

Location/Institution: National Committee for the Prevention of Child Abuse, Iowa Chapter
Summary (To include comparison groups, outcomes, measures, notable limitations): Parents completed a sociodemographic questionnaire concerning family background on entry into the program. They also completed the Adult-Adolescent Parenting Inventory, which is designed to measure attitudes about childrearing practices. The inventory assesses level of agreement or disagreement with abusive and neglectful parenting practices. Parents then attended the Bavolek Nurturing Program, which teaches democratic parenting techniques and focuses on remediating four parenting constructs typically associated with abusive and neglectful parenting: Inappropriate expectations, low empathy, strong belief in value of punishment, and role reversal. Post-test scores showed statistically significant improvements in all four areas. Significant limitations of the study included lack of a control group and the fact that a substantial percentage of available families did not fully participate or provided incomplete data.
Length of post-intervention follow-up: None.


Devall, E. L. (2004). Positive parenting for high-risk families. Journal of Family and Consumer Sciences, 96(4), 22-28.

Type of Study: Pre-test, Post-test
Number of participants: 323 parents
Population:

    Age Range: 14 years to 70 years, median 27
    Race/Ethnicity: 60% Hispanic, 10% Native American, 21% European American, 4% African American, 3% Asian American or other
    Status (e.g., foster care, CW): At-risk families, including teen parents, unmarried parents, single or divorce parents, foster parents, parents referred by social services, families with substance abuse issues, and incarcerated parents.

Location/Institution: New Mexico
Summary (To include comparison groups, outcomes, measures, notable limitations): Parenting classes were offered in schools, community centers, public health offices, family resource centers and in prisons for incarcerated parents. Retention was encouraged by weekly mailings, phone contact and through a graduation ceremony for those who attended at least 75% of class sessions. Analyses of the data were done on the 56% of the sample who provided data that was at least 80% complete at post-test. Three questionnaires were administered at the first and last classes. The Adult-Adolescent Parenting Inventory, which measures degree of endorsement of neglectful or abusive parenting practices. The Nurturing Quiz assesses parents’ knowledge of effective age-appropriate discipline techniques. The Family Social History Questionnaire gathers information on parent demographic variables and the number and age of children. Post-test means showed improvement on Inappropriate Expectations, Empathy, Belief in Corporal Punishment and Role-Reversal. Scores on the Nurturing Quiz also improved significantly. Limitations include lack of a control group and low rates of completion for the entire curriculum.
Length of post-intervention follow-up: None.



References

Show References

Cowen, P. S. (2001) Effectiveness of a parent education intervention for at-risk families. Journal of the Society for Pediatric Nursing, 6(2), 73-82, 2001.

Devall, E., (2004) Positive parenting for high-risk families. Journal of Family and Consumer Sciences, 96(4), 22-28.

Hodnett, R., Faulk, K., Dellinger, A., & Maher, E. Evaluation of the statewide implementation of a parent education program in Louisiana's child welfare agency: The Nurturing Parenting Program for Infants. Seattle, WA: Casey Family Programs.



Contact Information

Contact name: Stephen J. Bavolek, PhD

Affiliation/Agency: Family Development Resources, Inc.

Email: sbavolek@yahoo.com

Phone: 828-698-7609

Fax: 435-649-9599

Website: http://www.nurturingparenting.com


Date reviewed: December 2007 (Originally reviewed in March 2006)
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