Parenting Young Children (PYC)

Scientific Rating:
NR
Not able to be Rated
See scale of 1-5
Child Welfare System Relevance Level:
Medium
See descriptions of 3 levels

About This Program

The information in this program outline is provided by the program representative and edited by the CEBC staff. Parenting Young Children (PYC) has been reviewed by the CEBC in the area of: Working with Parents with Cognitive Disabilities: Programs, but lacks the necessary research evidence to be given a Scientific Rating.

Target Population: Parents with learning difficulties who are the main caregivers of a child aged six months through six years old

For parents/caregivers of children ages: 0 – 6

Brief Description

Parenting Young Children (PYC) is a comprehensive, home‐based parent training and support program for parents with learning difficulties and their young children. PYC was developed in 2003, has been evaluated and widely disseminated across Australia as a part of the Australian national strategy ‘Healthy Start’. Healthy Start is a national capacity building strategy which aims to improve health and well-being outcomes for children whose parents have learning difficulties (www.healthystart.net.au).

Practitioners use a four-section manual to guide their practice:

  • Developing the Intervention
    • Clarifying roles
    • Setting goals with parents
    • Developing the intervention (selecting a module, designing content, developing teaching materials)
  • Teaching Strategies
    • General principles for teaching
    • Knowledge and practice skills
    • Teaching strategies
  • Core Content Areas (Two intervention modules)
    • Module 1 – Child Care Skills assists parents to develop skills around toilet training, food preparation, nutrition, bathing, sleeping, and health care (based on Maurice Feldman’s Parent Education Program)
    • Module 2 – Parent–Child Interactions teaches parents to provide stimulating play activities for their child, and how to use praise, modeling, and other parent-child interaction skills (based on Sheila Eyberg’s Parent-Child Interaction Therapy)
  • Putting It All Together
    • Practitioner skills
    • Program adherence
    • Promoting generalization and maintenance of skills

Program Goals:

The goals of Parenting Young Children (PYC) are to:

  • Facilitate the acquisition and maintenance of good child health and development.
  • Improve and maintain the quality and safety of the home environment.
  • Improve the quality of the parent-child relationship by increasing parental warmth and positive attention towards the child.
  • Increase children’s understanding and use of language.

Essential Components

The essential components of Parenting Young Children (PYC) include:

  • Uses principles of family-centered practice and adult learning theory:
    • Where possible and relevant, both parents or other adult household members are involved in the intervention (using the naturally available supports and resources of the family).
    • The program is designed for families where the children are living in the home, to enable opportunities for parents to practice skills in vivo.
    • Practitioners work with parents to identify one or more parent-directed goals to work towards.
    • Intervention is individually tailored to meet parent-directed goals and the learning style and pace of each individual parent.
    • Practitioners initially spend time clarifying the roles of both the parent(s) and practitioner, to emphasize the active role that parents will play in the intervention (e.g., setting relevant goals, practicing skills in sessions, and completing between-session tasks).
    • Practitioners regularly review their own skills in delivering the program through the use of strategies such as completion of adherence checklists, goal setting, observation of their own skills in sessions, peer supervision, and coaching.
  • Intervention content:
    • Practitioners use materials provided in the program manual, or materials developed based on instructions in that manual and discussed during training, including pictorial prompts, checklists of parenting skills, examples or scenarios, adherence checklists, and teaching guidelines for specific skills.
    • Practitioners identify relevant skills to teach from one or both content modules of the program.
    • Parents are permitted choice and flexibility in the order in which skills are introduced.
    • Intervention is based on family strengths, building on what parents can already do, and using available resources to teach new skills.
    • Teaching sessions occur at least once every two weeks, ideally weekly, and are of a length suitable to the skills being taught and the learning pace and style of the parent. Sessions typically last 1 to 2 hours, although active skills teaching may occur for only a small portion of this session time (review of the week or discussion of other matters may also occur during sessions).
    • The duration of intervention is flexible, depending on the goals, skills, pace, and learning style of the parent, although generally a practitioner would remain involved with a parent for at least 6 months, in order to see meaningful, sustained change take place.
  • Teaching strategies:
    • Intervention is delivered where the skills are required to be used in the everyday life of the parent. For parenting skills, this typically means that teaching occurs in the parent’s own home.
    • Practitioners use behavioral teaching strategies (including modeling, positive reinforcement, prompts, corrective feedback), which have support from research as being effective at teaching parents with learning difficulties new skills.
    • Complex skills are broken down into components for teaching (using task analysis).
    • Only two to three skills (or components of complex skills) are taught to a parent at any one time.
    • Skills are taught to a prespecified mastery criterion (e.g., 8 out of 10 trials correctly demonstrated by the parent without prompts).
    • Practitioners use a variety of materials to assist learning (e.g., pictorial prompts, videotape).
    • Practitioners routinely check for parent understanding and adjust teaching strategies as required.
    • Practitioners monitor parent progress through ongoing assessment using behavioral observation of parent skill development.
  • Fostering independence, maintenance, and generalization:
    • Practitioners gradually fade prompts in order to promote self-management and independence in the parent.
    • Practitioners work with parents to encourage the parent to identify what skills (or aspects of skills) they do well and what they may need to improve.
    • Practitioners actively plan for skill maintenance by regularly reviewing previously learned (mastered) skills and applying appropriate teaching strategies to strengthen these skills as required.
    • Practitioners actively plan for skill generalization by teaching skills in the setting in which they are typically required (most often the parent’s own home) and by extending teaching to other locations as required (e.g., the supermarket, a relative’s home).
    • Practitioners teach skills using multiple relevant examples or scenarios with parents.

Parent/Caregiver Services

Parenting Young Children (PYC) directly provides services to parents/caregivers and addresses the following:

  • Has learning difficulties and parents a child
Services Involve Family/Support Structures:

This program involves the family or other support systems in the individual's treatment: Contextual fit is essential to Parenting Young Children. Practitioners identify skills to teach that reflect family goals and values, build on the families’ strengths, use family resources and social supports, and can be embedded into the daily routines and activities of family life in ways that are acceptable and feasible to the family. Practitioners are encouraged to engage others who are relevant to the family in the program (e.g., other relatives), as agreed by the parent. Others can actively participate in sessions or may be engaged to reinforce parent learning in between sessions.

Delivery Settings

This program is typically conducted in a(n):

  • Adoptive Home
  • Birth Family Home
  • Foster/Kinship Care

Homework

Parenting Young Children (PYC) includes a homework component:

The program teaches skills that are currently relevant to the family. Parents are encouraged to use the skills they learn in between sessions, and a review of between session tasks occurs at the start of each session. Furthermore, the practitioner routinely checks for maintenance and generalization of each skill taught throughout the program.

Languages

Parenting Young Children (PYC) has materials available in a language other than English:

Swedish

For information on which materials are available in this language, please check on the program's website or contact the program representative (contact information is listed at the bottom of this page).

Resources Needed to Run Program

The typical resources for implementing the program are:

Practitioner works with family in the setting in which skills are required to be used, typically the parent’s own home.

Minimum Provider Qualifications

There are no educational or experience restrictions on who can attend training, although the training is best suited to those who have the capacity to work in parent’s own homes.

Education and Training Resources

There is a manual that describes how to implement this program, and there is training available for this program.

Training Contact:
Training is obtained:

The Parenting Research Centre (Australia) offers consultation, training, coaching, and implementation support to agencies interested in incorporating this program into their service delivery.

Number of days/hours:

Practitioners must attend a 2-day training course in delivery of Parenting Young Children. Time required for additional support to implement the program will be decided throughout consultation process.

Relevant Published, Peer-Reviewed Research

This program has been reviewed and it was determined that this program lacks the type of published, peer-reviewed research that meets the CEBC criteria for a scientific rating of 1 – 5. Therefore, the program has been given the classification of "NR - Not able to be Rated." It was reviewed because it was identified by the topic expert as a program being used in the field, or it is being marketed and/or used in California with children receiving services from child welfare or related systems and their parents/caregivers. Some programs that are not rated may have published, peer-reviewed research that does not meet the above stated criteria or may have eligible studies that have not yet been published in the peer-reviewed literature. For more information on the "NR - Not able to be Rated" classification, please see the Scientific Rating Scale.

Child Welfare Outcomes: Not Specified

Show relevant research...

Mildon, R., Wade, C., & Matthews, J. (2008). Considering the contextual fit of an intervention for families headed by parents with an intellectual disability: An exploratory study. Journal of Applied Research in Intellectual Disabilities, 21(4), 377-387.

Type of Study: One group pretest/posttest study
Number of Participants: 24 Parents

Population:

  • Age — 20-49 years
  • Race/Ethnicity — Not specified
  • Gender — 19 Mothers and 5 Fathers
  • Status — Participants were parents with learning difficulties.

Location/Institution: Victoria, Australia

Summary: (To include comparison groups, outcomes, measures, notable limitations)
The purpose of this paper was to report on the results of an exploratory trial of Parenting Young Children, an intensive home-based parenting program for parents with an intellectual disability. Measures utilized include Parenting Daily Hassles Scale (PDHS), Parenting Sense of Competence scale (PSOC), the Eyberg Child Behaviour Inventory (ECBI), and the Home Observation for the Measurement of the Environment Inventory (HOME). Results show that parents experienced a significant reduction in the reported frequency of potentially hassling happenings (e.g., cleaning up messes of toys or food) and a significant reduction in the reported frequency of child disruptive behavior. The results also showed that the quality of the home environment increased. Limitations include nonrandomization of subjects, lack of control group, and small sample size.

Length of postintervention follow-up: 3 months.

Starke, M., Wade, C., Feldman, M. A., & Mildon, R. (2013). Parenting with disabilities: Experiences from implementing a parenting support programme in Sweden. Journal of Intellectual Disabilities, 17(2), 145-156.

Type of Study: Qualitative study - focus groups
Number of Participants: 40

Population:

  • Age — Not specified
  • Race/Ethnicity — Not specified
  • Gender — Not specified
  • Status — Participants were employees of social services or child and adult habilitation services.

Location/Institution: Gothenburg, Sweden

Summary: (To include comparison groups, outcomes, measures, notable limitations)
This article explores the clinical utility of the Parenting Young Children (PYC) program in the new country context through Swedish professionals’ experiences in learning and using it. Study participants found PYC well-suited for use in their working environment. Most of them reported the program to have strengthened their work with parents. The program was seen as benefiting both the study participants in their work with parents with IDs intellectual disabilities and these parents themselves, and its structure and content were found to be helpful in several ways. The checklists forming part of PYC were considered useful, but their purpose was sometimes misunderstood. The reported study helps to identify what is needed to improve the translation of the program into the new country context, to promote appropriate and more effective use of program materials. The article does not describe client level outcomes of PYC. Other weaknesses include the qualitative nature of the study.

Length of postintervention follow-up: None.

References

Mildon, R., Matthews, J., & Wade, C. (2004). Development and implementation of parenting supports for parents with a disability (Report). Melbourne: Victorian Parenting Centre.

Wade, C., Llewellyn, G., & Matthews, J. (2008). Review of parent training interventions for parents with intellectual disability. Journal of Applied Research in Intellectual Disabilities, 21, 351-366.

Contact Information

Name: Catherine Wade, PhD
Website: www.healthystart.net.au
Email:
Phone: +61 3 8660 3500

Date Research Evidence Last Reviewed by CEBC: March 2014

Date Program Content Last Reviewed by Program Staff: March 2014

Date Program Originally Loaded onto CEBC: March 2014