Feasibility and acceptability of a digital parent group chat intervention to prevent child and adolescent maltreatment in the Philippines.

This study examined the feasibility, acceptability, and preliminary outcomes of MaPaChat, a parent support intervention delivered using Viber group chat to caregivers in the Philippines during the COVID-19 pandemic. Forty caregivers of children aged 4-17 from predominantly low-income households participated in a culturally adapted version of the Parenting for Lifelong Health ParentChat programme. Feasibility was assessed by enrolment, attendance, and dropout rates. Semi-structured interviews with caregivers and programme facilitators explored programme acceptability. A single-group pre-post design was used to explore changes in child maltreatment, positive parenting, parenting stress, and other secondary outcomes. The mean attendance rate was 82% and the dropout rate was 10%. Caregivers and facilitators found the programme helpful in enhancing parenting knowledge and skills and were satisfied with the programme delivery using Viber group chat but also reported experiencing technological challenges. Pre-post comparisons suggested that the intervention has potential in reducing physical and emotional abuse and associated risk factors. The findings suggest that a parenting intervention delivered over digital group chat by trained community service providers may be a feasible and acceptable way to support caregivers in low-resource settings.

Pre-post Mixed Methods Study of a Parent and Teen Support Intervention to Prevent Violence Against Adolescents in the Philippines.

PURPOSE: This study examines the feasibility of a culturally adapted parenting intervention (MaPa Teens) within the national cash transfer system to reduce violence against adolescents, the first such program in the Philippines. METHODS: Thirty caregiver-adolescent dyads who were beneficiaries of a government conditional cash transfer program participated in a pilot of a locally adapted version of the Parenting for Lifelong Health for Parents and Teens program. Primary outcomes of reducing child maltreatment and associated risk factors were evaluated using a single-group, pre-post design. Focus group discussions explored the perceptions of participants and facilitators regarding program acceptability and feasibility. RESULTS: Significant and moderate reductions were reported in overall child maltreatment and physical abuse (caregiver and adolescent reports) and in emotional abuse (adolescent report). There were significant reductions in neglect, attitudes supporting punishment, parenting stress, parental and adolescent depressive symptoms, parent-child relationship problems, and significant improvement in parental efficacy in managing child behavior. Adolescents reported reduced behavior problems, risk behavior, and witnessing of family violence. Participants valued learning skills using a collaborative approach, sustained their engagement between sessions through text messages and phone calls, and appreciated the close interaction with caring and skilled facilitators. Program areas of improvement included addressing barriers to attendance, increasing adolescent engagement, and revising the sexual health module. DISCUSSION: The study provides preliminary support for the effectiveness and feasibility of the program in reducing violence against Filipino adolescents. Findings suggest potential adaptations of the program, and that investment in more rigorous testing using a randomized controlled trial would be worthwhile.

"What does that mean?": The content validity of the ISPCAN Child Abuse Screening Tool - Child version (ICAST-C) in Romania, South Africa, and the Philippines.

BACKGROUND: The International Society for Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tool (Children's Version), known as the ICAST-C Version 3, is used widely to assess violence against children, but there is limited psychometric evidence, especially on content validity. OBJECTIVE: This study aimed to assess the content validity of the ICAST-C with adolescents in Romania, South Africa, and the Philippines. METHODS: A purposive sample of adolescents (N = 53, 51 % female) were recruited from urban areas in Romania, the Eastern Cape Province of South Africa, and Metro Manila, Philippines. Semi-structured one-on-one in-depth cognitive interviews sought adolescent perspectives on the relevance, comprehensibility, and comprehensiveness of the ICAST-C. Data were analysed using template analysis. RESULTS: The ICAST-C was broadly perceived to be relevant and comprehensive in measuring violence against children in all study locations. However, there were issues with the comprehensibility of the measure, described at three levels: interpreting items, undertaking coherent elaborations of relevant behaviors and places, and generating a coherent response to the questions. CONCLUSIONS: Suggestions to revise the ICAST-C include, among others, adding a practice or how-to section on answering the survey, clarifying the intent of questions, especially on neglect and sexual abuse, emphasizing that questions cover all locations, and asking more positive questions. Pilot studies testing the content validity and cultural appropriateness are needed as a matter of practice in large self-report surveys.

Effectiveness of a parenting programme to reduce violence in a cash transfer system in the Philippines: RCT with follow-up.

BACKGROUND: Parenting interventions and conditional cash transfer (CCT) programmes are promising strategies to reduce the risk of violence against children, but evidence of the effectiveness of combining such programmes is lacking for families in low- and middle-income countries with children over two years of age. This study examined the effectiveness of a locally adapted parenting programme delivered as part of a government CCT system to low-income families with children aged two to six years in Metro Manila, Philippines. METHODS: Participants were randomly assigned (1:1) to either a 12-session group-based parenting programme or treatment-as-usual services (N = 120). Participation in either service was required among the conditions for receiving cash grants. Baseline assessments were conducted in July 2017 with one-month post-intervention assessments in January-February 2018 and 12-month follow-up in January-February 2019. All assessments were parent-report (ClinicalTrials.gov: NCT03205449). FINDINGS: One-month post-intervention assessments indicated moderate intervention effects for primary outcomes of reduced overall child maltreatment (d = -0.50 [-0.86, -0.13]), emotional abuse (d = -0.59 [-0.95; -0.22]), physical abuse (IRR = 0.51 [0.27; 0.74]), and neglect (IRR = 0.52 [0.18; 0.85]). There were also significant effects for reduced dysfunctional parenting, child behaviour problems, and intimate partner violence, and increased parental efficacy and positive parenting. Reduced overall maltreatment, emotional abuse, and neglect effects were sustained at one-year follow-up. INTERPRETATION: Findings suggest that a culturally adapted parenting intervention delivered as part of a CCT programme may be effective in sustaining reductions in violence against children in low- and middle-income countries. FUNDING: This research was supported by UBS Optimus Foundation and UNICEF Philippines, and by the Complexity and Relationships in Health Improvement Programmes of the Medical Research Council MRC UK and Chief Scientist Office (Grant: MC_UU_00022/1 and CSO SPHSU16, MC_UU_00022/3 and CSO SPHSU18).

What Happens After School? Linking Latino Adolescents' Activities and Exposure to Community Violence.

Although community violence and the deleterious behavioral and psychological consequences that are associated with exposure to community violence persist as serious public health concerns, identifying malleable factors that increase or decrease adolescents' risk of exposure to community violence remains a significant gap in our knowledge base. This longitudinal study addresses this research gap by investigating adolescents' endorsement of familismo values and participation in three types of after-school activities, specifically home-, school-, and community-based activities, as potential precursors to adolescents' risk for experiencing community violence. The sample consists of 416 Latino high school students (53% female) with a mean age of 15.5 years (SD = 1.0) and with 85% qualifying for free and reduced school lunch. Cross-sectional results demonstrated that adolescents' endorsement of the Latino cultural value of familismo was associated with lower rates of personal victimization. The frequency of non-structured community-based activities and part-time work were concurrently associated with higher rates of witnessing community violence and being personally victimized by violence. Only the frequency of non-structured community-based activities was related to witnessing more community violence and greater victimization one year later while controlling for prior exposure to violence. These findings underscore the importance of providing structured, well supervised after-school activities for low-income youth in high-risk neighborhoods.

Religiosity and spirituality among Filipino mothers and fathers: Relations to psychological well-being and parenting.

Religion is recognized as an influential social institution in the Philippines, yet religiosity and spirituality are rarely studied in the context of Filipino family and parent-child relationships. We examine the direct associations of religiosity and spirituality with the psychological well-being and parenting behaviors of 115 mothers and 83 fathers residing in urban neighborhoods in the Philippines. Participants completed orally administered questionnaires on engagement in religious activities, spiritual beliefs, hope, psychological distress, warmth, and harsh parenting. Analyses using structural equation modeling showed that engagement in religious activities was significantly associated with the higher levels of hope and less frequent harsh parenting. In addition, parental warmth had a stronger positive association with spiritual beliefs than with engagement in religious activities. Neither religious activity engagement nor spiritual beliefs were significantly associated with psychological distress. We discuss shared and distinct aspects of religiosity and spirituality that may explain their associations with positive parenting outcomes, and highlight the potential benefits of spiritual beliefs and experiences within the Filipino family context. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A Dyadic Analysis of Depressive Symptoms, Harsh Parenting, and Rejection in Filipino Mothers and Fathers.

This study examines within-person and cross-person relations between depressive symptoms, harsh parenting, and parental rejection in low-income Filipino mothers and fathers of adolescents using an actor-partner interdependence model (APIM). Mother and father dyads (N = 81, Mage  = 43.48, SD = 8.66) recruited from urban neighborhoods in the Philippines completed orally administered questionnaires on depressive symptoms, harsh parenting, and rejection. Results showed that mothers' scores and fathers' scores on depressive symptoms did not significantly differ and that mothers scored significantly higher than fathers on harsh parenting and rejection. Dyadic analyses using the APIM showed that the actor effect of depressive symptoms on harsh parenting was statistically significant for fathers only and that the actor effects of depressive symptoms on rejection were statistically significant for both mothers and fathers. No partner effects on harsh parenting and rejection were statistically significant. These findings contribute to the robust evidence linking parental depressive symptoms to negative parenting behaviors and highlight the need to attend to both fathers' psychological health and mothers' psychological health in efforts to reduce harsh and rejecting parenting behaviors among Filipino parents.

Este estudio analiza las relaciones intrapersonales e interpersonales entre los síntomas depresivos, la crianza hostil y el rechazo de los padres en madres y padres de adolescentes, filipinos y de bajos recursos utilizando un modelo de interdependencia actor-pareja (MIAP). Díadas de madres y padres (N = 81, Edad promedio = 43.48, Desviación típica = 8.66) convocados de barrios urbanos de las Filipinas contestaron cuestionarios administrados oralmente sobre síntomas depresivos, crianza hostil y rechazo. Los resultados no demostraron una diferencia significativa a nivel estadístico entre los puntajes de las madres y los padres en los síntomas depresivos, pero las madres tuvieron un puntaje considerablemente más alto que los padres en la crianza hostil y el rechazo. Los análisis diádicos que utilizaron el MIAP demostraron que el efecto del actor de los síntomas depresivos en la crianza hostil fue significativo a nivel estadístico para los padres solamente, y que los efectos del actor de los síntomas depresivos en el rechazo fueron significativos a nivel estadístico tanto para las madres como para los padres. Ningún efecto de la pareja en la crianza hostil y rechazadora fue significativo estadísticamente. Estos resultados aportan a las pruebas sólidas que vinculan los síntomas depresivos de los padres con los comportamientos de crianza negativos, y destacan la necesidad de atender la salud psicológica de los padres y las madres con el afán de reducir la crianza hostil y rechazadora entre los padres filipinos de bajos recursos.

Filipino fathers' parenting in the context of household and neighborhood risk: Familism as a protective factor.

OBJECTIVE: Familism, a cultural value that emphasizes strong family connectedness, has been associated with warm parenting behaviors among fathers and may moderate the effects of stress on parenting. However, few studies have examined familism as a protective factor against household and neighborhood risks. This study examined (a) the relations of poor living conditions and neighborhood disorder to paternal warmth and rejection and (b) familism as a moderator of relations between poor living conditions, neighborhood disorder, and paternal warmth and rejection. METHOD: Low-income urban Filipino fathers (N = 84, Mage = 44.85, SD = 8.89) completed orally administered questionnaires. Hierarchical regression analyses were used to examine associations between poor living conditions, neighborhood disorder, familism, warmth, and rejection. RESULTS: Poor living conditions, measured as a composite risk index of housing status, water supply, access to electricity, and food insecurity, were significantly associated with lower levels of warmth. Neighborhood disorder was also significantly associated with greater rejection. Familism was significantly associated with greater warmth, indicating its promotive role in fathers' parenting. Moderation analyses indicate that higher familism was associated with less rejection only at lower levels of risk in living conditions. At higher levels of risk, the association of familism with rejection was nonsignificant. CONCLUSIONS: The protective function of familism in parenting may have limits at high levels of risk. Interventions for low-income Filipino fathers may need to address reduction of household and neighborhood stressors along with strengthening family-level protective factors. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Neighborhood and housing disorder, parenting, and youth adjustment in low-income urban families.

Using two waves of data, this study examined relations among neighborhood and housing disorder, parents' psychological distress, parenting behaviors, and subsequent youth adjustment in a low-income, multiethnic sample of families with children aged 6-16. Results supported the hypothesized indirect relation between disorder and youth outcomes via parenting processes. Higher levels of neighborhood and housing disorder were associated with higher levels of parents' psychological distress, which was in turn related to more frequent use of harsh and inconsistent discipline strategies and lower parental warmth. More frequent use of harsh and inconsistent discipline was associated with higher levels of youth internalizing and externalizing behaviors 3 years later. Housing disorder contributed more strongly to parents' psychological distress than neighborhood disorder, whereas neighborhood disorder contributed more strongly to youth externalizing behaviors compared to housing disorder. Multiple-group analyses showed that the patterns of relations were similar for younger and older children, and for girls and boys.

Predicting Filipino Mothers' and Fathers' Reported Use of Corporal Punishment From Education, Authoritarian Attitudes, and Endorsement of Corporal Punishment.

The relations of education, authoritarian childrearing attitudes, and endorsement of corporal punishment to Filipino parents' reported use of corporal punishment were examined using two waves of data. Structured interviews using self-report questionnaires were conducted with 117 mothers and 98 fathers from 120 families when their children were 8 years old, and when their children were 9 years old. Path analyses showed that, among mothers, higher education predicted lower authoritarian attitudes, which in turn predicted lower reports of corporal punishment use. Among fathers, higher education predicted lower endorsement of corporal punishment, which in turn predicted lower reports of its use. Results suggest that education has an indirect relation to use of corporal punishment through parenting cognitions, and highlight distinctions in Filipino mothers' and fathers' parenting roles.

Attributions and Attitudes of Mothers and Fathers in the Philippines.

OBJECTIVE.: This paper investigates the mean level and within-family similarities and differences in Filipino mothers' and fathers' attributions about success and failure in caregiving situations, and their progressive and authoritarian parenting attitudes. DESIGN.: Both mothers and fathers in 95 families in metropolitan Manila completed interviews. RESULTS.: Controlling for parents' age, education, and possible social desirability bias, there was a significant gender difference in modernity of attitudes, with mothers exhibiting higher levels of modernity than fathers. There was a strong correlation in mothers' and fathers' authoritarian attitudes and moderate correlations in modernity of attitudes. There were neither parent gender effects nor concordance in the attributions of mothers and fathers. CONCLUSIONS.: Cultural explanations are presented to account for the findings, specifically the sociocultural values that foster traditional attitudes favoring parental authority and child obedience, and the differences in gender and family roles of Filipino mothers and fathers.