The Development and Testing of a Multi-Ethnic, Low Literacy, Family Support Programme for the Primary Prevention of Child Abuse and Neglect in the Child Under Five Years

2.50
Hdl Handle:
http://hdl.handle.net/10755/162131
Category:
Abstract
Type:
Presentation
Title:
The Development and Testing of a Multi-Ethnic, Low Literacy, Family Support Programme for the Primary Prevention of Child Abuse and Neglect in the Child Under Five Years
Author(s):
Lewis, Wendy
Abstract:
The main aim of this research was to identify a family support programme which could be used as a primary prevention strategy against child abuse as a first positive step within the family, the basic unit of society, towards reducing community violence. The central focus of this intervention was that it should be appropriate for use in a multi-ethnic South African context and implementable by community health nurses or related lay health personnel with minimal training. No such programme was identified. The researcher attempted to integrate the most appropriate and scientifically substantiated features of existing programmes and develop a unique South African programme. This programme was developed and tested in a participatory manner with multiethnic communities. Community health nurse facilitators were trained and evaluated and the developed programme was then implemented by these facilitators in several sites. The influences of the developed programme were extensively evaluated. Changes in attitudes, feelings and behaviour of the child, the mother, the maternal-child interaction and the family system were explored. A quasi-experimental design with pre and post testing of the experimental group and two control groups (control 1 received social support and control 2 receiving routine clinic nursing only) was utilized. Completed analysis has yielded some exciting and provocative results. These are clear differences in each of the groups attitudes to their children. On the Mother-Child Relationship Evaluation (MCRE) positive gains in maternal-child relationship were established for the experimental group and this was greater than that of both controls (t-test = 4.151 @ alpha = 0.0013; H = 4.0734 @ alpha = 0.04 and F = 7.031 @ alpha = 0.0004). On the Family assessment Device (FAD) some limited changes were observed in the experimental group over the controls (F = 3.33 @ alpha = 0.05). This is a positive outcome indicating that the family support programme evidenced significant changes in participants relationships with their children and in their families and wider social life. Mothers and facilitators qualitative feedback reported positive interaction with young and older children and changed maternal and child attitude and behaviour. Despite the critical shortage of staff in community health settings facilitators continue to implement the programme voluntarily in their service settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
Fourth Conference of the Africa Honour Society
Conference Host:
Africa Honour Society of Nursing
Description:
The Africa Honour Society of Nursing was chartered in Gaborone, Botswana on 4 August 2004 and became the Tau Lambda-at-Large Chapter of the Honor Society of Nursing, Sigma Theta Tau International.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleThe Development and Testing of a Multi-Ethnic, Low Literacy, Family Support Programme for the Primary Prevention of Child Abuse and Neglect in the Child Under Five Yearsen_GB
dc.contributor.authorLewis, Wendyen_US
dc.identifier.urihttp://hdl.handle.net/10755/162131-
dc.description.abstractThe main aim of this research was to identify a family support programme which could be used as a primary prevention strategy against child abuse as a first positive step within the family, the basic unit of society, towards reducing community violence. The central focus of this intervention was that it should be appropriate for use in a multi-ethnic South African context and implementable by community health nurses or related lay health personnel with minimal training. No such programme was identified. The researcher attempted to integrate the most appropriate and scientifically substantiated features of existing programmes and develop a unique South African programme. This programme was developed and tested in a participatory manner with multiethnic communities. Community health nurse facilitators were trained and evaluated and the developed programme was then implemented by these facilitators in several sites. The influences of the developed programme were extensively evaluated. Changes in attitudes, feelings and behaviour of the child, the mother, the maternal-child interaction and the family system were explored. A quasi-experimental design with pre and post testing of the experimental group and two control groups (control 1 received social support and control 2 receiving routine clinic nursing only) was utilized. Completed analysis has yielded some exciting and provocative results. These are clear differences in each of the groups attitudes to their children. On the Mother-Child Relationship Evaluation (MCRE) positive gains in maternal-child relationship were established for the experimental group and this was greater than that of both controls (t-test = 4.151 @ alpha = 0.0013; H = 4.0734 @ alpha = 0.04 and F = 7.031 @ alpha = 0.0004). On the Family assessment Device (FAD) some limited changes were observed in the experimental group over the controls (F = 3.33 @ alpha = 0.05). This is a positive outcome indicating that the family support programme evidenced significant changes in participants relationships with their children and in their families and wider social life. Mothers and facilitators qualitative feedback reported positive interaction with young and older children and changed maternal and child attitude and behaviour. Despite the critical shortage of staff in community health settings facilitators continue to implement the programme voluntarily in their service settings.en_GB
dc.date.available2011-10-27T09:53:46Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T09:53:46Z-
dc.conference.date2004en_US
dc.conference.nameFourth Conference of the Africa Honour Societyen_US
dc.conference.hostAfrica Honour Society of Nursingen_US
dc.descriptionThe Africa Honour Society of Nursing was chartered in Gaborone, Botswana on 4 August 2004 and became the Tau Lambda-at-Large Chapter of the Honor Society of Nursing, Sigma Theta Tau International.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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