Parenting programs have the potential to improve the health and well-being of parents and children. A challenge for providers is to recruit and retain parents in programs. Studies researching engagement with programs have largely focused on providers’, policy makers’, or researchers’ reflections of their experience of parents’ participation. We conducted a systematic review of qualitative studies where parents had been asked why they did or did not choose to commence, or complete programs, and compared these perceptions with those of researchers and those delivering programs. We used data-mining techniques to identify relevant studies and summarized findings using framework synthesis methods. Six facilitator and five barrier themes were identified as important influences on participation, with a total of 33 subthemes. Participants focused on the opportunity to learn new skills, working with trusted people, in a setting that was convenient in time and place. Researchers and deliverers focused on tailoring the program to individuals and on the training of staff. Participants and researchers/deliverers therefore differ in their opinions of the most important features of programs that act as facilitators and barriers to engagement and retention. Program developers need to seek the views of both participants and deliverers when evaluating programs.
AnaniadouS.McNaughtJ. (2006). Text mining for biology and biomedicine. Boston, MA: Artech House.
2.
BanduraA. (1977). Self efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84, 191-215.
3.
BarlowJ.CorenE.Stewart-BrownS. (2003). Parent-training programmes for improving maternal psychosocial health. Cochrane Database of Systematic Reviews, (4), CD002020.
4.
BarlowJ.ParsonsJ.Stewart-BrownS. (2005). Preventing emotional and behavioural problems: The effectiveness of parenting programmes with children less than 3 years of age. Child: Care, Health and Development, 31, 33-42.
5.
BarlowJ.Stewart-BrownS. (2000). Behaviour problems and group-based parent education programmes. Journal of Developmental and Behavioral Pediatrics, 21, 356-370.
6.
BarlowJ.SwabyL.TurnerA. (2008). Perspectives of parents and tutors on a self-management program for parents/guardians of children with long-term and life-limiting conditions: “A life raft we can sail along with.”Journal of Community Psychology, 36, 871-884.
7.
Barnett-PageE.ThomasJ. (2009). Methods for the synthesis of qualitative research: A critical review. BMC Medical Research Methodology, 9, 59.
8.
BarrettH. (2008). “Hard to reach” families: Engagement in the voluntary and community sector. London, England: Family and Parenting Institute.
9.
BarrettH. (2009). Follow up work to support the implementation of the NICE/SCIE guidance on parenting programmes (Rep. No. 21A). London, England: Social Care Institute for Excellence.
10.
BarrettH. (2010). The delivery of parent skills training programmes: Meta-analytic studies and systematic review of what works best. London, England: Family and Parenting Institute.
11.
BeattyD.KingA. (2008). Supporting fathers who have a child with a disability: The development of a new parenting program. Groupwork, 18, 69-87.
12.
BellM. (2007). Community based parenting programmes: An exploration of the interplay between environmental and organizational factors in a Webster Stratton project. British Journal of Social Work, 37, 55-72.
13.
BirkinC.AndersonA.SeymourF.MooreD. (2008). A parent-focused early intervention program for autism: Who gets access?Journal of Intellectual and Developmental Disability, 33, 108-116.
14.
BoddyJ.StathamJ.SmithM.GhateD.WigfallV.HauariH. (2009). International perspectives on parenting support. Non-English language sources (Rep. No. DCSF-RB114). London, England: Department for Children Schools and Families, University of London.
15.
BruntonG.StansfieldC.ThomasJ. (2012). Finding relevant studies. In GoughD.OliverS.ThomasJ. (Eds.), An introduction to systematic reviews (pp. 107-134). London, England: Sage.
16.
Bryant-WaughR.TurnerH.JonesC.GambleC. (2007). Developing a parenting skills-and-support intervention for mothers with eating disorders and pre-school children: Part 2. Piloting a group intervention. European Journal of Eating Disorders, 15, 439-448.
17.
ButtJ. (2009). Reaching parents: Improving take-up of parenting programmes (Rep. No. 21B). London, England: Social Care Institute of Excellence.
18.
CarrollC.BoothA.CooperK. (2011). A worked example of “best fit” framework synthesis: A systematic review of views concerning the taking of some potential chemopreventive agents. BMC Medical Research Methodology, 11, 29.
19.
Cunningham BurleyS.HayesF.MartinC. (2005). Evaluation of the positive parenting program within the starting well demonstration project. Edinburgh, England: Centre for Research on Families & Relationships, University of Edinburgh.
20.
DaviesH.NutleyS.SmithP. (2000). What works? Evidence-based policy and practice in public services. Bristol, England: Policy Press.
21.
DavisF.McDonaldL.AxfordN. (2012). Technique is not enough: a framework for ensuring that evidence based parenting programmes are socially inclusive. Leicester, England: British Psychological Society.
22.
Dixon-WoodsM. (2011). Using framework-based synthesis for conducting reviews of qualitative studies. BMC Medicine, 9, 39.
23.
DumasJ.MorelandA.GitterA.PearlA. (2008). Engaging parents in preventive parenting groups: Do ethnic, socioeconomic, and belief match between parents and group leaders matter?Health Education & Behavior, 35, 619-633.
24.
FarrellyA.McLennanJ. (2010). Participation in a parent education programme in the Dominican Republic: Utilization and barriers. Journal of Tropical Pediatrics, 56, 149-158.
25.
FriarsP.MellorD. (2009). Drop-out from parenting programmes: A retrospective study. Journal of Child & Adolescent Mental Health, 21, 29-38.
26.
FurlongM.McGillowayS.BywaterT.HutchingsJ.SmithS. M.DonnellyM. (2012). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3-12 years. Cochrane Database of Systematic Reviews, (2), CD008225.
27.
GoughD.OliverS.ThomasJ. (Eds.). (2012). An introduction to systematic reviews. London, England: Sage.
28.
GrossD.JulionW.FoggL. (2001). What motivates participation and dropout among low-income urban families of color in a preventive intervention?Family Relations, 50, 246-254.
29.
HallamS.RogersL.ShawJ. (2004). Improving children’s behaviour and attendance through the use of parenting programmes: An examination of good practice (Rep. No. RR585). London, England: Department for Education and Skills.
30.
HardenA.GoughD. (2012). Quality and relevance appraisal. In GoughD.OliverS.ThomasJ. (Eds.), An introduction to systematic reviews (pp. 153-178). London, England: Sage.
31.
HonigA.PfannenstielA. (1991). Difficulties in reaching low-income new fathers: Issues and cases. Early Child Development and Care, 77, 115-125.
32.
IngramJ.DeaveT.TownerE.ErringtonG.KayB.KendrickD. (2012). Identifying facilitators and barriers for home injury prevention interventions for pre-school children: A systematic review of the quantitative literature. Health Education Research, 27, 258-268.
33.
KaneG.WoodV.BarlowJ. (2007). Parenting programmes: A systematic review and synthesis of qualitative research. Child: Care, Health and Development, 33, 784-793.
34.
LawJ.PlunkettC.TaylorJ.GunningM. (2009). Developing policy in the provision of parenting programmes: Integrating a review of reviews with the perspectives of both parents and professionals. Child: Care, Health and Development, 35, 302-312.
35.
LindsayG.StrandS.DavisH. (2011). A comparison of the effectiveness of three parenting programmes in improving parenting skills, parent mental well being and children’s behaviour when implemented on a large scale in community settings in 18 English local authorities: The parenting early intervention pathfinder (PEIP). BMC Public Health, 11, 962.
36.
MoranP.GhateD.van der MerweA. (2004). What works in parenting support? A review of the international evidence (Rep. No. RB574). London, England: Department for Education and Skills.
37.
National Institute for Health and Clinical Excellence & Social Care Institute for Excellence. (2006). Parent-training/education programmes in the management of children with conduct disorders. Retrieved from http://www.nice.org.uk/nicemedia/live/11584/33426/33426.pdf
38.
OwensJ.RichersonL.MurphyC.JageleweskiA.RossiL. (2007). The parent perspective: Informing the cultural sensitivity of parenting programs in rural communities. Child Youth Care Forum, 36, 179-194.
39.
PetersonL.GableS.DoyleC.EwigmanB. (1997). Beyond parenting skills: Battling barriers and building bonds to prevent child abuse and neglect. Cognitive and Behavioral Practice, 4, 53-74.
40.
PopeC.MaysN.PopayJ. (2007). Synthesizing qualitative and quantitative health evidence. Maidenhead, England: Open University Press.
Public Health Research Unit. (2011). Critical appraisal skills programme: Learning resources. Retrieved from http://www.casp-uk.net/
43.
SandersM.PrinzR. (2009). Ethical and professional issues in the implementation of population-level parenting interventions. Clinical Psychology Science & Practice, 15, 130-136.
44.
ScottD.BradyS.GlynnP. (2001). New mother groups as a social network intervention: Consumer and maternal and child health nurse perspectives. Australian Journal of Advanced Nursing, 18, 23-29.
45.
ScottK.CrooksC. (2007). Preliminary evaluation of an intervention program for maltreating fathers. Brief Treatment and Crisis Intervention, 7, 224-238.
46.
ShepardS.DicksteinS. (2009). Preventive intervention for early childhood behavioral problems: An ecological perspective. Child and Adolescent Psychiatric Clinics North America, 18, 687-706.
47.
Stewart-BrownS.PattersonJ.MockfordC.BarlowJ.KlimesI.PyperC. (2004). Impact of a general practice based group parenting programme: Quantitative and qualitative results from a controlled trial at 12 months. Archives of Disease in Childhood, 89, 519-525.
48.
StrainP.TimmM. (2001). Remediation and prevention of aggression: An evaluation of the Regional Intervention Program over a quarter century. Behavioural Disorders, 26, 297-313.
49.
ThomasJ.BruntonJ.GraziosisS. (2010). EPPI-Centre Software. EPPI-Reviewer 4.0: Software for research synthesis. London, England: Social Science Research Unit.
50.
ThomasJ.HardenA.NewmanM. (2012). Synthesis: Combining results systematically but appropriately. In GoughD.OliverS.ThomasJ. (Eds.), An introduction to systematic reviews (pp. 179-226). London, England: Sage.
51.
ThomasJ.McNaughtJ.AnaniadouS. (2011). Applications of text mining within systematic reviews. Research Synthesis Methods, 2, 1-14.
52.
TurnerK.SandersM. (2006). Dissemination of evidence based parenting and family support strategies: Learning from the Triple P Positive Parenting Program system approach. Aggression and Violent Behavior, 11, 176-193.
53.
TurnerK.SandersM. (2007). Family intervention in Indigenous communities: Emergent issues in conducting outcome research. Australasian Psychiatry, 15, S39-S43.
54.
UdingN.KieckheferG.TrahmsC. (2009). Parent and community participation in program design. Clinical Nursing Research, 18, 68-79.
55.
WheatleyS.BrughaT.ShapiroD. (2003). Exploring and enhancing engagement to the psychosocial intervention “Preparing for Parenthood.”Archives of Women’s Mental Health, 6, 275-285.
56.
WhittinghamK.SofronoffK.SheffieldJ. (2006). Stepping Stones Triple P: A pilot study to evaluate the acceptability of the program by parents of a child diagnosed with an autism spectrum disorder. Research in Developmental Disabilities, 27, 364-380.
