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Diabetes may impact physical and psychosocial well-being; the diabetes incidence has seen a drastic increase globally. There is also a rise in poor mental health and well-being in children with and without chronic illness; problems are being seen at a younger age. The objective of this review was to understand the determinants of these problems in a family context. We conducted a systematic review to investigate what lifestyle and psychological factors influence children with Type 1 diabetes and their parents. A focused literature search was performed using a combination of keywords that covered the relevant terminology for diabetes, target population, and associated emotional distress, using electronic bibliographic databases containing publications until May 2022. Methodological quality was assessed using the Quality Assessment Tools for Quantitative Studies. Twenty articles met the inclusion criteria. Quality scores were weak because of a lack of comparison groups, information about the type of therapy, or adequate sample sizes. Many of the studies included a wide age range in their sample. The majority of the studies reported that parents and their children showed depression symptoms, fear of hypoglycaemia, and higher parenting stress. We conclude that sufficiently powered studies employing appropriate control groups and measures are needed to elucidate the psychological variables associated with Type1 diabetes in children and the effects on parents, especially considering primary-age children who are increasingly reported to suffer from poor mental health, and its implications. This should help to introduce better targeted interventions and improve behavioural outcomes. [ABSTRACT FROM AUTHOR]

This paper reports on a quantitative evaluation of a group-based programme designed to promote parent-infant attachment and child development. Whilst group-based parenting programmes are recommended for treating and preventing conduct disorder in older children, there is, as yet, little evidence as to whether they have a positive effect on very young children and their carers'. Recent UK Government initiatives to support families and improve parenting skills in the first 2 years of children's lives have increased the demand for the delivery and evaluation of community-based programmes. Eighty mother-child dyads were recruited from nine areas to intervention (n = 54) and control condition (n = 26). Baseline measures were collected in the children's home when the infants were on average 3-months-old, and follow-up measures were collected 6 months post-baseline (N = 63). Mothers' positive play behaviours were independently coded from video recordings taken in the home. Other measures included self-reported maternal confidence and mental well-being, assessed infant development and home environment. Socio-demographic data was collected once at baseline. After controlling for baseline scores, control mothers were observed to be significantly less sensitive during play with their baby at the 6 months follow-up with a significant increase in confidence. No differences were found between the groups on the other measures. This paper provides limited evidence for the effectiveness of the Incredible Years Parents and Babies group-based programme delivered in the first year of life. Further evaluation, particularly with parents at increased risk of poorer outcomes is needed to confirm and extend these results. [ABSTRACT FROM AUTHOR]

Objective:To develop a new observational code of parents playing with their infant in the first 18 months.Background:There is a lack of observational codes to analyse early interactions between parents and infants. We developed and tested this measure – the Parent Infant Play Observation code (PIPOc) – to be developmentally appropriate for infants, brief and easy to code after training, reliable and potentially suitable for clinical and research use.Method:The PIPOc was developed for use in a repeated measures trial of a new parenting programme. Mothers were filmed at home playing with their infant for 10 minutes with a six-month follow-up visit. The author also collected IT-HOME inventory data at the homes. A coding manual was developed to train an independent coder.Results:Six positive parenting behaviours were coded (Talk, Play, Touch, Move, Mind and Respond) with excellent to very good inter-rater reliability between the author and independent coder. Principal component analysis of the coded behaviours resulted in a three-component model termed -positive physical encouragement, sensitive parenting and verbal engegement components. A further analysis for the scores at follow-up resulted in the same component solution. Concurrent validity of the three components with subscale scores from the IT-HOME inventory subscales is reported.Conclusions:The PIPOc shows promising psychometric properties which are robust and reliable over six months. More extensive use of the PIPOc observation scores comparing intervention and control parents’ scores on the observation components will further test the code’s sensitivity to change over time. [ABSTRACT FROM PUBLISHER]

There is growing interest in supporting families during children's early years to encourage optimal infant development. The data were collected from an evaluation of the Incredible Years (IY) eight-week parenting group for parents and their babies. Feedback obtained from parents (n= 34) and leaders (n= 13) was positive. Retention and attendance rates were high. A detailed costing for the groups indicated that this programme can be delivered for a reasonable cost to meet health visitor objectives with families in the first postpartum months and provides an opportunity to inform parents about resources and other support available for them and their infants. [ABSTRACT FROM AUTHOR]