1,721,347 research outputs found
Parent and practitioner perspectives on Circle of Security Parenting (COS‐P): A qualitative study
No full textCircle of Security Parenting (COS-P) is an attachment-theory-informed program for parents of infants and young children. Designed for scalability, COS-P has been widely adopted internationally. Evidence for the program's effectiveness is limited, however, restricting capacity to make informed decisions about program allocation, and threatening ongoing program funding. To help address this evidence gap, this qualitative study explored the experiences and perceptions of 20 COS-P facilitators and 14 parent recipients in Australia, where COS-P uptake has been particularly widespread. Thematic analysis of combined interview and focus group data revealed a perception that COS-P primarily changes the lens through which parents view (a) their child, (b) themselves in the parenting role, and (c) the parent–child relationship, and that this was a pathway to increased empathy, compassion, and parenting confidence. Participants identified four components that underpinned program impact: key content, skills practice, group processes, and facilitator support. Although COS-P was considered suitable for broad application, limitations were noted. Findings can guide clinical application of COS-P and inform empirical research.This study was aided by an Australian GovernmentResearch Training Scholarship and the Macquarie Uni-versity Higher Degree Research Fun
Effects of the ‘Circle of Security’ group parenting program (COS-P) with foster carers: An observational study
Full text linkThe Circle of Security-Parent DVD program (COS-P) is a widely used parenting intervention that is gaining popularity globally as it is currently being delivered across several continents. Despite the uptake of COS-P, there is limited research on its effectiveness for specific groups. Here we present a multi-site evaluation of a group delivery of the eight-week COS-P program to foster carers (n = 54) of 6–12 year-old children in an urban community as facilitated by community-based providers from a specialist child and youth mental health services (n = 2). Three measures, the Parent Stress Index, the Parent Child Relationship Inventory, and the Strengths and Difficulties Questionnaire, were used to assess functioning via a pre-post treatment design. Foster carers who participated in COS-P reported reductions in levels of emotional and behavioural difficulties for the children in their care. They also reported reductions in parent–child dysfunctional interactions and parental distress. Finally, program completion appeared to be associated with a reduction in foster carers’ perceptions of their foster child as being difficult to take care of, and with lower levels of overall stress related to their role as a foster carer. These findings, and their implications for service delivery and future research, are discussed
Terapeuters perspektiver på COS-P veiledning
Full text linkTerapeuter i Norge tilbyr foreldreveiledningskurs gjennom ulike tjenester som arbeider med foreldreveiledning. I denne kvalitative studien var hensikten å få kunnskap om terapeuters erfaringer med foreldreveiledningskurset Circle of Security Parenting [COS-P], COS-P er et av de mest utbredte foreldreveiledningskursene i Norge. Terapeuter ble rekruttert fra fire ulike tjenester, familietjenesten, barnevernstjenesten, helsestasjonen og Familiens hus i Norge. Fem terapeuter deltok i studien og de ble intervjuet en gang, med en semistrukturert intervjuguide. Funnene viste flere styrker, svakheter og muligheter med COS-P veiledning. Studiens funn viser at terapeutene erfarer at COS-P programmet er universelt, fleksibelt og generaliserbart i flere sammenhenger og til et stort omfang av omsorgsgivere. Funnene viste også at terapeutene ivaretok omsorgsgivere under COS-P veiledning
The Circle of Security Parenting Program (COS-P): a randomized controlled trial of a low intensity, individualized attachment-based program with at-risk caregivers
Full text linkThe Circle of Security–Parenting Intervention (COS-P; Cooper et al., 2009) is a psychoeducational program for caregivers of young children that has been widely disseminated. The program is founded in attachment theory and relies on computer-delivered content and parent reflection and discussion to teach concepts of safety and security to promote better caregiver-child relationships and child wellbeing. The present study is a randomized controlled trial of COS-P, individually delivered to 85 Australian caregivers (51 COS-P, 34 waitlist control) who reported parenting distress and child disruptive behaviors. Caregivers completed a baseline assessment and repeated the assessment after completion of COS-P or 8 weeks on the waitlist. Caregivers completed surveys to report child symptoms, and parenting stress, anxious and avoidant attachment, reflective functioning, parenting practices, and depressive symptoms. No differences in COS-P vs. waitlist participants were found at baseline. Analyses of complete data (35 COS-P, 25-26 waitlist) revealed a greater decline in caregivers’ attachment anxiety and negative parenting relative to waitlist, but only attachment anxiety in intent-to-treat analyses. Other improvements were found, but these extended to both the COS-P and waitlist conditions and did not differ between conditions. Overall, effects of COS-P were small and rarely significant, suggesting the need to consider alternative programs that have evidence of effectiveness when providing services to at-risk families
COS-P som barnevernstiltak når foreldre har depresjon
Full text linkAlle barn og unge har rett til en trygg oppvekst. COS-P veiledning er et tiltak som barnevernet kan tilby dersom foreldre-barn relasjonen bør jobbes med. COS-P veiledning kan hjelpe foreldre til å styrke tilknytningen til barnet sitt, og øke deres refleksive fungering. Det er et manualbasert program, og det er derfor ikke sikkert at det vil passe for alle. Når barnevernet setter inn tiltak skal det tilpasses etter familiens behov, jf. bvl. § 3-1. Barn er avhengig av støtte fra sine omsorgspersoner for videre utvikling. Siden depresjon kan føre til at foreldrene kan bli utilgjengelige, kan dette påvirke tilknytningen de har til barnet.
Denne studien tar for seg utfordringer med COS-P tiltak når foreldre har depresjon. Studien søker å besvare problemstillingen ved bruk av eksisterende forskning om effekten av COS-P, foreldres erfaringer med COS-P og hvordan depresjon hos foreldre kan påvirke barnet. Sammen med teori om foreldrerollen, tilknytning og depresjon har forskningen blitt brukt for å analysere utfordringene COS-P kan ha dersom foreldre har depresjon. Depresjonen kan føre til at foreldrene blir mer emosjonelt utilgjengelige og det kan føre til at personen blir mer opptatt av seg selv og sine negative følelser. Dette kan være utfordrende når foreldre skal reflektere over seg selv i veiledningsprosessen, med tanke på hvor krevende prosessen kan være. Studien konkluderer med at problemstillingen er for komplekst til å kunne ha et fasitsvar, men relasjonen mellom foreldrene og veileder kan i mange tilfeller ha en avgjørende effekt på hvordan tiltaket fungerer. Det vil også være sentralt å tilpasse tiltaket etter familiens behov for å forsikre best mulig utfall. Samtidig må veileder vurdere om det er nødvendig at foreldrene har behov for andre tiltak sammen med COS-P, for eksempel avlastningstiltak.Abstract
Every child has the right to be safe while growing up. COS-P is a measure that the child welfare system can offer if the parent-child relationship needs to be worked on. COS-P can help parents to strengthen their attachment to their child and increase their reflective functioning. It`s a manual-based program, and it`s therefore not certain that it will suit everyone. When the child welfare system implements measures, they must adapt the measure to the family`s needs, jf. bvl. § 3-1. Children are dependent on support from their caregivers for further development. As depression can cause the parent to become unavailable, this can affect the attachment they have to the child.
This study addresses challenges with COS-P when parents have a depressive disorder. The study seeks to answer the problem presented in the assignment by using existing research on the effectiveness of COS-P, parents experiences with COS-P and how parents with a depressive disorder can affect their child. And with the theory about the parental role, attachment theory and depression, has the research been used to analyze the challenges COS-P can have if parents have a depressive disorder. A depressive disorder can cause the parents to become more emotionally unavailable and this can cause the person to become more aware of himself and his negatives feelings. This can be challenging when parents must reflect on themselves in the guidance process, considering how demanding the process can be. This study concludes that the problem is too complex to be able to be answered with a concrete answer, but the relationship between the parents and the social worker can in many cases have a decisive effect on how COS-P works. It will also be important to adapt COS-P to the family`s needs to ensure the best possible outcomes. At the same time the social worker must assess whether if it`s necessary for the parent to need other measures, for example parental relief measures
Examining the Effectiveness of Circle of Security Parenting (COS-P): A Multi-Site Non-Randomized Study with Waitlist Control
No full textRecognition of the protective value of secure parent–child relationships has prompted a growing interest in parenting interventions informed by attachment theory. Circle of Security Parenting (COS-P) is one such program, specifically designed for scalability. Although widely disseminated internationally, evidence for the effectiveness of COS-P is very limited. This non-randomized controlled effectiveness study was designed to help address this gap. A sample of 256 parents of children aged 0–6 years was recruited from four community child and family health organizations. Assessments were undertaken pre- and post-intervention for the treatment group (n = 201) and at comparable times for the waitlist control group (n = 55). Analysis of data for mothers (89% of sample) revealed a significant Time x Group interaction for six of the seven outcomes examined. Compared to mothers in the control condition, treatment group mothers reported significantly: (a) improved parental mentalizing and self-efficacy regarding empathy and affection toward the child; (b) reduced caregiving helplessness and hostility toward the child; and (c) reduced depression symptoms, at the end of COS-P treatment. There was no difference between groups for change in perceived child difficultness. Within-treatment-group analyses indicated that mothers with older children reported greatest reductions in caregiving helplessness, and mothers with probable clinical depression pre-intervention reported greatest reductions in hostility and depression symptoms. Improvements in other study outcomes did not differ by depression severity or child age. Exploratory analyses indicated that treatment group fathers showed the same pattern of change as mothers. Clinical implications and directions for future research are discussed.This study was funded by Macquarie University
Higher Degree Research Fund & an Australian Government Research
Training Scholarship (as part of the university’s PhD provision for
AM) and Canberra Hospital Private Practice Fund (a competitive
minor grant awarded to RR
Foreldre-erfaringer etter COS-P (Circle of Security – Parenting)
Full text linkHelsestasjonstjenesten har som oppgave å fremme barns fysisk, psykisk og sosial utvikling, og skal være et lett tilgjengelig gratis lavterskeltilbud. Ny nasjonal faglig retningslinje (Helsedirektoratet, 2017) vektlegger tilknytning mellom foreldre og barn for å gjøre foreldre trygge.
COS-P står for Circle of Security Parenting og er en tilknytningsbasert intervensjon, der målet er å fremme tilknytningen mellom barn og omsorgsgiver. Verktøyet er utviklet i USA ved Cooper, Hoffmann og Powell (2006). COS-P har vært i bruk i Norge siden 2010, og er således en forholdsvis ny intervensjon i Norge. COS-P kurs gjennomføres ved flere helsestasjoner, og det kan nyttes universelt til alle foreldre.
Studien søker innsikt i opplevelser og erfaring foreldrene sitter igjen med etter å ha deltatt på COS-P kurs i regi av helsestasjonen. Det var naturlig å velge kvalitativ metode som bygger på teorier om menneskelig erfaring og fortolkning, hvor målet er og utforske mennesker erfaringer, tanker, meninger og opplevelser. Fremgangsmåten ble å foreta semi-strukturerte intervju av åtte foreldre rekruttert fra to ulike kommuner. De hadde alle fått COS-P kurset gjennom tilbud fra helsestasjonen.
Tilknytningsteorien (Bowlby, 1969) som COS-P er fundamentert etter og Antonovskys teori (Antonovsky A. , 2012) om opplevelsen av sammenheng danner grunnlag for teoretisk tilnærming og forståelse. Dette er teori hvor jeg ønsker å få frem deler av en helhet og tilnærmer meg temaene fenomenologisk-hermeneutisk.
Foreldrenes erfaringer tilsier at de har lært mye og sitter igjen med ny kunnskap. De forteller om en større forståelse for barnas behov og samtlige snakket begeistret om kurset, også 1-3 år etter intervensjonen. Resultatene viser at de alle opplever bedret relasjon til egne barn. De formidler å ha fått en ny forståelse for barnas behov. De beskriver at de har blitt mere klar over sin egen påvirkning i relasjonen og at egen barndomserfaring kan virke inn på egne reaksjoner, og alle opplever bedret relasjon til egne barn.
Resultatene gir oss ny innsikt og kunnskap om erfaringer og opplevelser foreldrene har etter gjennomført intervensjon, og indikerer et positivt utbytte av intervensjonen for deltakerne
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
- …
