Marjorie Smith

Good parenting: Making a difference

The relevance of the quality of parenting to outcomes for children is reviewed, as well as research findings on the important dimensions of parenting in the early years. Some of the limitations of current parenting research are outlined. The contributory parent and child factors that mediate outcomes are identified, and the ways in which they interact in a bi-directional and dynamic process to determine the quality of parenting and the parent-child relationship. This information is applied to the task of parenting neonates and infants, and interventions are identified that indicate the scope and type of improvements or enhancements to parenting capacity that can be achieved. Particular issues and problems relating to the parenting of neonates or infants with special needs are briefly discussed, as well as promising initiatives to enable the care of ill babies to be more relationship-based and family centred.

Understandings of efficacy: cross-national perspectives on 'what works' in supporting parents and families

The research literature on parenting support typically focuses on English-speaking countries, such as England, the United States and Australia. This article draws on a review, commissioned by the English government, which examined policies and services to support parenting in five European countries: Denmark, France, Germany, Italy and the Netherlands, and considered the evidence for effectiveness. In exploring differences between the five countries, and with England, this article raises questions about the way in which understandings of ‘what works’ can inform the ways in which support for parents and families is designed and delivered. An emphasis on formal outcome evaluations, as in England, favours the use of standardised parenting programmes, which are more amenable to evaluation of effectiveness using quasi-experimental research designs. In some other European countries, support for parents and families is embedded in universal service provision, rather than a discrete, time-limited ‘intervention’, and hence evaluation is more likely to involve assessment of individual progress (is this working for this family?) rather than assessment of the overall efficiency of a standardised programme.

Issues of Equity in Special Needs Education from a Gender Perspective

This article is concerned with gender issues in resource allocation for special needs in mainstream schools. The ways in which categories operate in academic life and professional practice in schools raise dilemmas for the development of the concept and practice of equality of opportunity. Data are drawn from a recent ESRC study (R000237346) and used to illustrate some of the ways in which significant problems for the management of special needs services are revealed from the perspective of gender.

Early Mental Health Promotion in Children Through Primary Health Care Services: A Multi‐Centre Implementation

The paper presents results from the implementation and evaluation of a EU/WHO multi‐centre programme on the promotion of childrens psychosocial development through primary health care services. The aims of the study were to develop methods for use by primary health care workers in their contact with families on issues pertaining to healthy psychosocial development in the first two years of life, to develop a training programme for primary health care workers to implement in their contact with the families, to evaluate the effectiveness of the programme and to promote the implementation of the developed intervention techniques through the network of primary health care services.

Assessment of the Quality of Life of Children

Quality-of-life measures in adults have received increasing attention in recent years and have been used for a number of different purposes and in varied circumstances. In health care particularly, they have been used as a useful addition to other outcome measures, and there are now several measures that are widely used. There are fewer available measures for clinicians working with children, and none that is widely used. Most of the existing measures for children utilize an adult model of quality of life. The rationale and need for quality of life measures for children are reviewed, and special issues relevant to the measurement of quality of life in children are discussed. The article also contains descriptive reviews of some of the available measures for children. We conclude that problems in existing measures must raise concerns about the practical implications of their use in making health-policy decisions or in allocating resources, though they show promise for use in the evaluation of treatments.

Asking the experts : developing and validating parental diaries to assess children's minor injuries

Abstract The methodological issues involved in parental reporting of events in children’s everyday lives are discussed with reference to the development and validation of an incident diary, collecting concurrent data on minor injuries in a community study of children under eight years old. Eighty-two mothers participated in a comparison over nine days of daily tele-phone interviews and structured incident diaries. Telephone methods resulted in more missing data, and participants in both groups expressed a preference for the diary method. This diary was then validated on a sample of 56 preschool and school-aged children by comparing injury recording by a research health visitor with that of their mothers. Each failed to report some injuries, but there was good agreement overall, and in descriptive data on injuries reported by both. Parental diaries have the potential to provide rich data, of acceptable validity, on minor events in everyday life.

Children’s levels of contingent self-esteem and social and emotional outcomes

Abstract Contingent self-esteem (CSE) describes the degree to which self-esteem is dependent on meeting day-to-day appraisals from oneself and others. This will vary between individuals, ranging from lower to higher CSE. A lower CSE is related to a range of adaptive social and emotional outcomes in adolescents and young adults. This study explores children’s CSE and how this associates with behavioural outcomes. A total of 280 children between the ages of 9 and 11 years completed a composite questionnaire on aspects of their self-esteem and behaviour. Children’s class teachers completed behavioural outcome questionnaires for a random sample of 100 of these children. Based on teachers’ and children’s scores, high levels of global self-esteem were associated with lower CSE and fewer behavioural difficulties. CSE domains of social feedback and physical appearance retained significant associations with behavioural outcomes after controlling for global self-esteem. This may relate to the degree that children depend on the perceived evaluations of others. Implications for educational psychologists are highlighted.

Intake of lead (Pb) from tap water of homes with leaded and low lead plumbing systems

Methods of quantifying consumer exposure to lead in drinking water are increasingly of interest worldwide, especially those that account for consumer drinking habits and the semi-random nature of water lead release from plumbing systems. A duplicate intake protocol was developed in which individuals took a sub-sample from each measured drink they consumed in the home over three days in both winter and summer. The protocol was applied in two different water company regional areas (WC1 and WC2), selected to represent high risk situations in England, with the presence or absence of lead service pipes or phosphate corrosion control. Consumer exposure to lead was highest in properties with lead service pipes, served by water without P dosing. The protocol indicated that a small number of individuals in the study, all from homes with lead service pipes, consumed lead at levels that exceeded current guidance from the European Food Standards Agency. Childrens potential blood lead levels (BLLs) were estimated using the Internal Exposure Uptake Biokinetic model (IEUBK). The IEUBK model predicted that up to 46% of children aged 0-7 years old may have elevated BLLs (>5 μg/dL) when consuming the worst case drinking water quality (>99%ile). Estimating blood lead levels using the IEUBK model for more typical lead concentrations in drinking water identified in this study (between 0.1 and 7.1 μg/L), predicts that elevated BLLs may affect a small proportion of children between 0 and 7 years old.

Dimensions of coping and anxiety symptoms in a community sample of young children

ABSTRACT Coping style plays an important role in children’s wellbeing. This paper describes the patterns of associations between children’s self-reported coping styles and symptoms of anxiety in order to determine whether particular dimensions are associated with better adjustment. Participants were 2566 children (1268 girls, 1298 boys) aged 7–11 years attending 15 schools in the South East of England. Results showed that aspects of coping were differentially associated with children’s self-reported anxiety. Patterns of association also varied by age and gender. Dimensions of coping were shown to form distinct adaptive and maladaptive coping styles which were also differentially associated with anxiety. Analysis of these styles indicated that it is the absence of maladaptive coping strategies, rather than the presence of adaptive strategies, that is significant in emotional wellbeing. These findings suggest that interventions designed to reduce or extinguish maladaptive coping styles may be of particular benefit in facilitating emotional wellbeing.