A web-delivered group intervention supporting parental sensitivity and self-efficacy: an Italian pilot study
DOI:
https://doi.org/10.13129/2282-1619/mjcp-3794Keywords:
Positive parenting, Group intervention, Web-delivered intervention.Abstract
Background: Stable parent-infant relationships and adequate ordinary care significantly support children’s development since the very early stages of life. Principal models of intervention sustain parental skills and foster quality of parent-infant interactions since the early infancy. Standardized programs, with a well-defined focus, of short duration, based on specific methods and techniques, represent an effective tool in supporting parental effort. The present pilot study provides a description and an initial evaluation of the brief online “Con i Genitori” (CiG) Intervention, aimed to enhance parental sensitivity, self-efficacy and reduce stress in parents of typically-developed children aging 0-6 years.
Methods: The intervention involved parents of typically-developed children aging 0-6 years. Four interactive group sessions, based on well-known empirically-based programs’ assumptions were delivered. Participants were asked to complete questionnaires at baseline (T0) and after CiG (T1). The assessment included the Tool to measure Parenting Self-Efficacy (TOPSE; Kendall & Bloomfield, 2005), Parenting Stress Index-SF for parental distress (PSI; Abidin, 1996), Emotional Regulation Checklist for children’s emotional regulation (ERC; Shields & Cicchetti et al., 1997) and Social Provision Scale for social support (SPS; Cutrona and Russell, 1987). A weekly “ad-hoc” questionnaire evaluated parental sensitivity. Moreover, a semi-structured interview measured participants’ satisfaction and acceptability with the intervention one month after its end.
Results: Twelve parents completed all the sessions of the CiG (10 mothers, 2 fathers with mean age = 42.7; SD= 6.3). Children mean age was 3.9 (SD=1.9), 58.3% male. Our results showed statistically significant decrease in parental distress and increased social support after attending CiG. No statistically significant variations were detected considering parental self-efficacy.
Conclusions: Our findings confirm the potential value of online-delivered interventions targeting parenthood in infancy, supporting parent-infant relationship and positive parenting from early infancy in a public health community approach. Online delivered programs constitute an important resource for addressing unmet parent mental health needs, which may be particularly widespread following the COVID-19 pandemic, representing a valuable alternative to traditional face-to-face interventions targeting parental wellbeing in infancy.
References
Abidin, R. R. (1995). The Parenting Stress Index Professional Manual. Odessa, FL: Psychological Assessment Resources.
Ainsworth, M. D. S., & Bell, S. M. (1972). Mother-infant interaction and the development of competence.
Ainsworth, M. D. S., Blehar, M. C., Waters, E., & Wall, S. (1978). Strange situation procedure. Clinical Child Psychology and Psychiatry.
Albanese, A. M., Russo, G. R., & Geller, P. A. (2019). The role of parental self‐efficacy in parent and child well‐being: A systematic review of associated outcomes. Child: care, health and development, 45(3), 333-363. https://doi.org/10.1111/cch.12661
Bakermans-Kranenburg, M. J., van IJzendoorn, M. H., & Juffer, F. (2003). Less is more: meta-analyses of sensitivity and attachment interventions in early childhood. Psychological bulletin, 129(2), 195–215. https://doi.org/10.1037/0033-2909.129.2.195
Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological review, 84(2), 191. https://doi.org/10.1037/0033-295X.84.2.191
Borelli, J. L., Lai, J., Smiley, P. A., Kerr, M. L., Buttitta, K., Hecht, H. K., & Rasmussen, H. F. (2021). Higher maternal reflective functioning is associated with toddlers’ adaptive emotion regulation. Infant mental health journal, 42(4), 473-487. https://doi.org/10.1002/imhj.21904
Bowlby J. (1969). Attachment and Loss, Vol. 1. London: Basic Books.
Bowlby, J. (1988): Dalla teoria dell’attaccamento alla psicopatologia dello sviluppo. Rivista di Psichiatria, 2.
Broomfield, G., Wade, C., & Yap, M. B. (2021). Engaging parents of lower-socioeconomic positions in internet-and mobile-based interventions for youth mental health: a qualitative investigation. International journal of environmental research and public health, 18(17), 9087. https://doi.org/10.3390/ijerph18179087
Brophy-Herb, H. E., Moyses, K., Shrier, C., Rymanowicz, K., Pilkenton, A., ... & Mitchell, K. (2021). A pilot evaluation of the Building Early Emotional Skills (BEES) curriculum in face-to-face and online formats. Journal of community psychology, 49(5), 1505-21. https://doi.org/10.1002/jcop.22478
Brown, S. M., Doom, J. R., Lechuga-Peña, S., Watamura, S. E., & Koppels, T. (2020). Stress and parenting during the global COVID-19 pandemic. Child abuse & neglect, 110(Pt 2), 104699. https://doi.org/10.1016/j.chiabu.2020.104699
Chae, J., & Kim, H. K. (2021). Internet-based prenatal interventions for maternal health among pregnant women: a systematic review and meta-analysis. Children and Youth Services Review, 127, 106079. https://doi.org/10.1016/j.childyouth.2021.106079
Connor, C., Yap, M. B., Warwick, J., Birchwood, M., De Valliere, N., Madan, J., ... & Thompson, A. (2022). An online parenting intervention to prevent affective disorders in high-risk adolescents: the PIPA trial protocol. Trials, 23(1), 1-18. https://doi.org/10.1186/s13063-022-06870-0
Cook, A., Bragg, J., & Reay, R. E. (2021). Pivot to Telehealth: Narrative Reflections on Circle of Security Parenting Groups during COVID-19. The Australian and New Zealand journal of family therapy, 42(1), 106–114. https://doi.org/10.1186/s13063-022-06870-0
Cooke, J. E., Deneault, A. A., Devereux, C., Eirich, R., Fearon, R. P., & Madigan, S. (2022). Parental sensitivity and child behavioral problems: A meta‐analytic review. Child Development, 93(5), 1231-1248. https://doi.org/10.1111/cdev.13764
Cusinato, M., Iannattone, S., Spoto, A., Poli, M., Moretti, C., Gatta, M., & Miscioscia, M. (2020). Stress, resilience, and well-being in Italian children and their parents during the COVID-19 pandemic. International journal of environmental research and public health, 17(22), 8297. https://doi.org/10.3390/ijerph17228297
Cutrona, C. E., & Russell, D. W. (1987). The provisions of social relationships and adaptation to stress. Advances in personal relationships, 1(1), 37-67.
David, O. A., Capris, D., & Jarda, A. (2017). Online Coaching of Emotion-Regulation Strategies for Parents: Efficacy of the Online Rational Positive Parenting Program and Attention Bias Modification Procedures. Frontiers in psychology, 8, 500. https://doi.org/10.3389/fpsyg.2017.00500
Day, J. J., Baker, S., Dittman, C. K., Franke, N., Hinton, S., Love, S., ... & Turner, K. M. (2021). Predicting positive outcomes and successful completion in an online parenting program for parents of children with disruptive behavior: An integrated data analysis. Behaviour Research and Therapy, 146, 103951. https://doi.org/10.1016/j.brat.2021.103951
De Stasio, S., Boldrini, F., Ragni, B., & Gentile, S. (2020). Predictive factors of toddlers’ sleep and parental stress. International journal of environmental research and public health, 17(7), 2494. https://doi.org/10.3390/ijerph17072494
De Wolff, M. S., & Van Ijzendoorn, M. H. (1997). Sensitivity and attachment: A meta‐analysis on parental antecedents of infant attachment. Child development, 68(4), 571-591. https://doi.org/10.1111/j.1467-8624.1997.tb04218.x
Deneault, A. A., Cabrera, N. J., & Bureau, J. F. (2022). A meta-analysis on observed paternal and maternal sensitivity. Child development, 93(6), 1631–1648. https://doi.org/10.1111/cdev.13832
Dillmann, J., Sensoy, Ö., & Schwarzer, G. (2022). Parental Perceived Stress and Its Consequences on Early Social-Emotional Child Development during COVID-19 Pandemic. Journal of Early Childhood Research, 20(4), 524–538. https://doi.org/10.1177/1476718X221083423
Fang, Y., Boelens, M., Windhorst, D. A., Raat, H., & van Grieken, A. (2021). Factors associated with parenting self-efficacy: A systematic review. Journal of advanced nursing, 77(6), 2641–2661. https://doi.org/10.1111/jan.14767
Fang, Y., Van Grieken, A., Fierloos, I. N., Windhorst, D. A., Jonkman, H., Hosman, C. M., ... & Raat, H. (2022). Parental, child and socio-contextual factors associated with parenting self-efficacy among parents of children aged 0–7 years old: the CIKEO study. Social Psychiatry and Psychiatric Epidemiology, 57(3), 623-632. https://doi.org/10.1007/s00127-021-02161-2
Florean, I. S., Dobrean, A., Păsărelu, C. R., Georgescu, R. D., & Milea, I. (2020). The efficacy of internet-based parenting programs for children and adolescents with behavior problems: A meta-analysis of randomized clinical trials. Clinical child and family psychology review, 23, 510-528. https://doi.org/10.1007/s10567-020-00326-0
Fontanesi, L., Marchetti, D., Mazza, C., Di Giandomenico, S., Roma, P., & Verrocchio, M. C. (2020). The effect of the COVID-19 lockdown on parents: A call to adopt urgent measures. Psychological trauma: theory, research, practice and policy, 12(S1), S79–S81. https://doi.org/10.1037/tra0000672
Frigerio, A., Nettuno, F., & Nazzari, S. (2023). Maternal mood moderates the trajectory of emotional and behavioural problems from pre- to during the COVID-19 lockdown in preschool children. European Child & Adolescent Psychiatry, 32(7), 1189–1199. https://doi.org/10.1007/s00787-021-01925-0
Gillespie-Smith, K., McConachie, D., Ballantyne, C., Auyeung, B., & Goodall, K. (2023). The Impact of COVID-19 Restrictions on Psychological Distress in Family Caregivers of Children with Neurodevelopmental Disability in the UK. Journal of Autism and Developmental Disorders, 53(4), 1573–1587. https://doi.org/10.1007/s10803-021-05132-3
Giordano, F., Daniilidou, A., Cipolla, A., Landoni, M., & Platsidou, M. (2023). Parents’ perceived stress and children’s adjustment during the COVID‐19 lockdown in Italy: The mediating role of family resilience. Family Relations: An Interdisciplinary Journal of Applied Family Studies, 72(1), 7–22. https://doi.org/10.1111/fare.12716
Guarino, A., Serantoni, F., Blasio, D., & Camisasca, E. (2016). Parenting Stress Index–4.
Hansen, A., Broomfield, G., & Yap, M. B. (2019). A systematic review of technology‐assisted parenting programs for mental health problems in youth aged 0–18 years: Applicability to underserved Australian communities. Australian Journal of Psychology, 71(4), 433-462. https://doi.org/10.1111/ajpy.12250
Harris, M., Andrews, K., Gonzalez, A., Prime, H., & Atkinson, L. (2020). Technology-Assisted Parenting Interventions for Families Experiencing Social Disadvantage: a Meta-Analysis. Prevention science: the official journal of the Society for Prevention Research, 21(5), 714–727. https://doi.org/10.1007/s11121-020-01128-0
Havighurst, S. S., Kehoe, C. E., Harley, A. E., Radovini, A., & Thomas, R. (2022). A randomized controlled trial of an emotion socialization parenting program and its impact on parenting, children’s behavior and parent and child stress cortisol: Tuning in to toddlers. Behaviour Research and Therapy, 149.https://doi.org/10.1016/j.brat.2021.104016
Holtrop, K., Casaburo, G., Hickman, T., Yzaguirre, M. M., & Young, D. (2023). The acceptability and preliminary effectiveness of a brief, online parenting program: Expanding access to Evidence-Based parenting intervention content. Family process. https://doi.org/10.1111/famp.12883
Jeon, S., Kwon, K.-A., Guss, S., & Horm, D. (2020). Profiles of family engagement in home- and center-based Early Head Start programs: Associations with child outcomes and parenting skills. Early Childhood Research Quarterly, 53, 108–123. https://doi.org/10.1016/j.ecresq.2020.02.004
Jones, T. L., & Prinz, R. J. (2005). Potential roles of parental self-efficacy in parent and child adjustment: A review. Clinical psychology review, 25(3), 341-363. https://doi.org/10.1016/j.cpr.2004.12.004
Juffer, F., & Bakermans-Kranenburg, M. J. (2018). Working with Video-feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP-SD): A case study. Journal of clinical psychology, 74(8), 1346–1357. https://doi.org/10.1002/jclp.22645
Juffer, F., Bakermans-Kranenburg, M. J., & van IJzendoorn, M. H. (2023). Methods of the video-feedback programs to promote positive parenting alone, with sensitive discipline, and with representational attachment discussions. In Promoting Positive Parenting (pp. 11-22). Routledge.
Kendall, S., & Bloomfield, L. (2005). Developing and validating a tool to measure parenting self‐efficacy. Journal of advanced nursing, 51(2), 174-181. https://doi.org/10.1111/j.1365-2648.2005.03479.x
Kenworthy, L., Childress, D., Armour, A. C., Verbalis, A., Zhang, A., Troxel, M., ... & Anthony, L. G. (2023). Leveraging technology to make parent training more accessible: Randomized trial of in-person versus online executive function training for parents of autistic children. Autism, 27(3), 616-628. https://doi.org/10.1177/13623613221111212
Khor, S., Fulgoni, C. M., Lewis, D., Melvin, G. A., Jorm, A. F., Lawrence, K., Bei, B., & Yap, M. (2022). Short-term outcomes of the Therapist-assisted Online Parenting Strategies intervention for parents of adolescents treated for anxiety and/or depression: A single-arm double-baseline trial. The Australian and New Zealand journal of psychiatry, 56(6), 695–708. https://doi.org/10.1177/00048674211025695
Kohlhoff, J., & Cibralic, S. (2022, October). The impact of attachment-based parenting interventions on externalizing behaviors in toddlers and preschoolers: A systematic narrative review. In Child & Youth Care Forum (pp. 1-25). Springer US.
Linhares, M. B. M., Altafim, E. R. P., Gaspardo, C. M., & de Oliveira, R. C. (2022). A personalized remote video-feedback universal parenting program: A randomized controlled trial. Psychosocial Intervention, 31(1), 21–32. https://doi.org/10.5093/pi2021a9
Liverpool, S., Mota, C. P., Sales, C., Čuš, A., Carletto, S., Hancheva, C., Sousa, S., Cerón, S. C., Moreno-Peral, P., Pietrabissa, G., …, & Edbrooke-Childs, J. (2020). Engaging Children and Young People in Digital Mental Health Interventions: Systematic Review of Modes of Delivery, Facilitators, and Barriers. Journal of medical Internet research, 22(6), e16317. https://doi.org/10.2196/16317
López-Morales, H., del-Valle, M. V., López, M. C., Andrés, M. L., García, M. J., Canet-Juric, L., & Urquijo, S. (2023). Maternal anxiety, exposure to the COVID-19 pandemic and socioemotional development of offspring. Journal of Applied Developmental Psychology, 86, 1–12. https://doi.org/10.1016/j.appdev.2023.101517
Lotto, C., Altafim, E., & Linhares, M. (2022). Feasibility and acceptability study of the online ACT-Raising Safe Kids program. Children And Youth Services Review, 141, 106591. https://doi.org/10.1016/j.childyouth.2022.106591
MacKinnon, A. L., Silang, K., Penner, K., Zalewski, M., Tomfohr-Madsen, L., & Roos, L. E. (2022). Promoting mental health in parents of young children using ehealth interventions: A systematic review and meta-analysis. Clinical Child and Family Psychology Review, 25(3), 413-434. https://doi.org/10.1007/s10567-022-00385-5
Madigan, S., Prime, H., Graham, S. A., Rodrigues, M., Anderson, N., Khoury, J., & Jenkins, J. M. (2019). Parenting behavior and child language: A meta-analysis. Pediatrics, 144(4). https://doi.org/10.1542/peds.2018-3556
McAloon, J., & de la Poer Beresford, K. (2023). Online Behavioral Parenting Interventions for Disruptive Behavioral Disorders: A PRISMA Based Systematic Review of Clinical Trials. Child Psychiatry & Human Development, 54(2), 379–396. https://doi.org/10.1007/s10578-021-01253-z
McDonough, S. (2005). Interaction guidance. Treating Parent-infant Relationship Problems: Strategies for Intervention, 79.
Molina, P., Sala, M., Zappulla, C., Bonfigliuoli, C., Cavioni, V., & Zanetti, M. et al. (2014). The Emotion Regulation Checklist – Italian translation. Validation of parent and teacher versions. European Journal Of Developmental Psychology, 11(5), 624-634. https://doi.org/10.1080/17405629.2014.898581
Montirosso, R., Mascheroni, E., Guida, E., Piazza, C., Sali, M. E., Molteni, M., & Reni, G. (2021). Stress symptoms and resilience factors in children with neurodevelopmental disabilities and their parents during the COVID-19 pandemic. Health psychology: official journal of the Division of Health Psychology, 40(7), 428–38. https://doi.org/10.1037/hea0000966
Morelli, M., Cattelino, E., Baiocco, R., Trumello, C., Babore, A., Candelori, C., & Chirumbolo, A. (2020). Parents and children during the COVID-19 lockdown: The influence of parenting distress and parenting self-efficacy on children’s emotional well-being. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.584645
Nguyen, D. T., Pham, T. T., Wright, E. P., & Bunders, J. (2021). Assessment of a website aimed at providing information on mental health to secondary school students in Can Tho city, Vietnam. Child and Adolescent Psychiatry and Mental Health, 15(1), 1-8. https://doi.org/10.1186/s13034-021-00416-z
Nicolì, I., Spinelli, M., Lionetti, F., Logrieco, M. G., & Fasolo, M. (2022). Protective and risk activities for emotional and behavioural well‐being of children and adolescents during the COVID‐19 lockdown. Child: Care, Health and Development, 48(6), 895–900. https://doi.org/10.1111/cch.13003
Nieuwboer, C., Fukkink, R., & Hermanns, J. (2013). Online programs as tools to improve parenting: A meta-analytic review. Children And Youth Services Review, 35(11), 1823-1829. https://doi.org/10.1016/j.childyouth.2013.08.008
Novianti, R., Rusandi, M. A., & Situmorang, D. D. B. (2023). Internet-based parenting intervention: A systematic review. Heliyon. https://doi.org/10.1016/j.heliyon.2023.e14671
O'Dea, B., Han, J., Batterham, P. J., Achilles, M. R., Calear, A. L., Werner-Seidler, A., … Christensen, H. (2020). A randomised controlled trial of a relationship-focussed mobile phone application for improving adolescents' mental health. Journal of Child Psychology and Psychiatry, 61(8), 899– 913. https://doi.org/10.1111/jcpp.13294
Panza, C., Volta, A., Broccoli, S., Bonvicini, L., Kendall, S., Marchesi, M. and Rossi, P.G., 2020. Evaluation of an intervention aimed at supporting new parents: the Baby Newsletter project. Italian Journal of Pediatrics, 46(1), pp.1-14. https://doi.org/10.1186/s13052-020-00886-5
Payne, L., Flannery, H., Kambakara Gedara, C., Daniilidi, X., Hitchcock, M., Lambert, D., Taylor, C., & Christie, D. (2020). Business as usual? Psychological support at a distance. Clinical child psychology and psychiatry, 25(3), 672–686. https://doi.org/10.1177/1359104520937378
Pedrosa, A. L., Bitencourt, L., Fróes, A. C. F., Cazumbá, M. L. B., Campos, R. G. B., de Brito, S. B. C. S., & Simões e Silva, A. C. (2020). Emotional, behavioral, and psychological impact of the COVID-19 pandemic. Frontiers in Psychology, 11. https://doi.org/10.3389/fpsyg.2020.566212
Perdomo, A. S., Byrne, S., & Rodrigo, M. J. (2022). Evaluation of the “Positive Parent”, a Spanish web-based program to promote positive parenting in a Personal Learning Environment. Electronic Journal of Research in Education Psychology, 20(56), 177-200. https://doi.org/10.25115/ejrep.v20i56.5208
Powell, B., Cooper, G., Hoffman, K., & Marvin, B. (2013). The circle of security intervention: Enhancing attachment in early parent-child relationships. Guilford publications.
Prime, H., Andrews, K., Markwell, A., Gonzalez, A., Janus, M., Tricco, A. C., ... & Atkinson, L. (2023). Positive Parenting and Early Childhood Cognition: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Clinical Child and Family Psychology Review, 1-39. https://doi.org/10.1007/s10567-022-00423-2
Rathore, V., Mitchell, A. E., Morawska, A., & Tadakamadla, S. K. (2022). Online Parenting Intervention for Children's Eating and Mealtime Behaviors: Protocol of a Randomized Controlled Trial. Healthcare (Basel, Switzerland), 10(5), 924. https://doi.org/10.3390/healthcare10050924
Sampaio, F., Barendregt, J. J., Feldman, I., Lee, Y. Y., Sawyer, M. G., Dadds, M. R., Scott, J. G., & Mihalopoulos, C. (2018). Population cost-effectiveness of the Triple P Parenting Programme for the treatment of conduct disorder: An economic modelling study. European Child & Adolescent Psychiatry, 27(7), 933–944 https://doi.org/10.1007/s00787-017-1100-1
Sanders, M. R., & Kirby, J. N. (2012). Consumer engagement and the development, evaluation, and dissemination of evidence-based parenting programs. Behavior therapy, 43(2), 236-250. https://doi.org/10.1016/j.beth.2011.01.005
Schein, S. S., Roben, C. K., Costello, A. H., & Dozier, M. (2023). Assessing changes in parent sensitivity in telehealth and hybrid implementation of Attachment and Biobehavioral Catch-Up during the COVID-19 pandemic. Child maltreatment, 28(1), 24-33. https://doi.org/10.1177/10775595211072516
Shields, A., & Cicchetti, D. (1997). Emotion regulation among school-age children: The development and validation of a new criterion Q-sort scale. Developmental Psychology, 33(6), 906–916. https://doi.org/10.1037/0012-1649.33.6.906
Shen, Q., Guo, W., Guo, T., Li, J., He, W., Ni, S., ... & Peng, H. (2020). Novel coronavirus infection in children outside of Wuhan, China. Pediatric pulmonology, 55(6), 1424-1429. https://doi.org/10.1016/j.chiabu.2020.104699
Shorey, S., Lau, Y. Y., Dennis, C. L., Chan, Y. S., Tam, W. W., & Chan, Y. H. (2017). A randomized-controlled trial to examine the effectiveness of the ‘home-but not alone’ mobile-health application educational programme on parental outcomes. Journal of Advanced Nursing, 73(9), 2103– 2117. https://doi.org/10.1111/jan.13293
Spencer, C. M., Topham, G. L., & King, E. L. (2020). Do online parenting programs create change?: A meta-analysis. Journal of Family Psychology, 34(3), 364–374. https://doi.org/10.1037/fam0000605
Thongseiratch, T., Leijten, P., & Melendez-Torres, G. J. (2020). Online parent programs for children’s behavioral problems: a meta-analytic review. European Child & Adolescent Psychiatry, 29(11), 1555–68. https://doi.org/10.1007/s00787-020-01472-0
Trumello, C., Bramanti, S. M., Lombardi, L., Ricciardi, P., Morelli, M., Candelori, C., Crudele, M., Cattelino, E., Baiocco, R., Chirumbolo, A., & Babore, A. (2022). COVID‐19 and home confinement: A study on fathers, father–child relationships and child adjustment. Child: Care, Health & Development, 48(6), 917–923. https://doi.org/10.1111/cch.12912
Tuntipuchitanon, S., Kangwanthiti, I. O., Jirakran, K., Trairatvorakul, P., & Chonchaiya, W. (2022). Online positive parenting programme for promoting parenting competencies and skills: randomised controlled trial. Scientific reports, 12(1), 6420. https://doi.org/10.1038/s41598-022-10193-0
Verhage, M. L., Schuengel, C., Madigan, S., Fearon, R. M. P., Oosterman, M., Cassibba, R., … & van IJzendoorn, M. H. (2016). Narrowing the transmission gap: A synthesis of three decades of research on intergenerational transmission of attachment. Psychological Bulletin, 142, 337– 366. https://doi.org/10.1037/bul0000038
Wong, M. S., & Chien, W. T. (2023). A Pilot Randomized Controlled Trial of an Online Educational Program for Primiparous Women to Improve Breastfeeding. Journal of human lactation: official journal of International Lactation Consultant Association, 39(1), 107–118. https://doi.org/10.1177/08903344221125129
Woodhouse, S. S., Powell, B., Cooper, G., Hoffman, K., & Cassidy, J. (2018). The circle of security intervention: Design, research, and implementation. Handbook of attachment-based interventions (pp. 50–78). The Guilford Press.
Xie, E. B., Freeman, M., Penner-Goeke, L., Reynolds, K., Lebel, C., Giesbrecht, G. F., Rioux, C., MacKinnon, A., Sauer-Zavala, S., Roos, L. E., & Tomfohr-Madsen, L. (2023). Building Emotional Awareness and Mental Health (BEAM): an open-pilot and feasibility study of a digital mental health and parenting intervention for mothers of infants. Pilot and feasibility studies, 9(1), 27. https://doi.org/10.1186/s40814-023-01245-x
Yap, D. F. F., Nasir, N., Tan, K. S., & Lau, L. H. (2019). Variables which predict maternal self‐efficacy: A hierarchical linear regression analysis. Journal of Applied Research in Intellectual Disabilities, 32(4), 841-848. https://doi.org/10.1111/jar.12575
Downloads
Published
Issue
Section
License
Articles and conference papers published in Mediterranean Journal of Clinical Psychology are distributed under the terms and conditions of a Creative Commons Attribution 4.0 Unported License. Correspondingly, authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).