(334) 844-3299
MilitaryREACH@auburn.edu
Detailed Record
Share this Article

PTSD as a moderator of a parenting intervention for military families

APA Citation:

Chesmore, A. A., Piehler, T. F., & Gewirtz, A. H. (2018). PTSD as a moderator of a parenting intervention for military families. Journal of Family Psychology, 32(1), 123–133. https://doi.org/10.1037/fam0000366

Abstract Created by REACH:

After Deployment Adaptive Parenting Tools (ADAPT) is a program designed to improve effective parenting skills, such as problem solving, encouragement, and using less harsh discipline among parents in military families. The current study examined how post-traumatic stress (PTSD) symptoms among parents impacts the outcome of parental effectiveness through the ADAPT intervention. Military family participants (N = 336) consisted of at least one parent who had been deployed, and at least one child between the ages of four and 12. Families were randomly assigned and participated in the intervention (n = 175) or control group (n = 129) i.e., provided web, and print resources. Overall, there were significant intervention effects for both mothers and fathers. However, there were differing results in program effectiveness for mothers and fathers who met clinical levels of PTSD.

Focus:

Mental health
Parents
Programming

Branch of Service:

Air Force
Army
Coast Guard
Marine Corps
Multiple branches
Navy

Military Affiliation:

Active Duty
Veteran

Subject Affiliation:

Active duty service member
Child of a service member or veteran
Guard/Reserve member
Military families
Spouse of service member or veteran
Veteran

Population:

Childhood (birth - 12 yrs)
Preschool age (2 -5 yrs)
School age (6 - 12 yrs)
Adulthood (18 yrs & older)
Young adulthood (18 - 29 yrs)
Thirties (30 - 39 yrs)
Middle age (40 - 64 yrs)

Methodology:

Longitudinal Study
Quantitative Study

Authors:

Chesmore, Ashley A., Piehler, Timothy F., Gewirtz, Abigail H.

Abstract:

The stress of multiple deployments and exposure to combat places service members at risk for posttraumatic stress disorder (PTSD), which may detrimentally affect parenting. Evidence-based parenting programs have been successful in promoting adaptive parenting practices among families exposed to stress. However, the effects of preventive interventions on parenting may vary by military parent's PTSD. The current study includes families who participated in a randomized controlled trial of a parenting intervention for military families known as After Deployment, Adaptive Parenting Tools (ADAPT). Families were randomized to either a 14-week, group-based parenting program or a comparison group. Participants included families with 4- to 12-year-old children in which at least 1 parent deployed to Iraq or Afghanistan (N = 336; 945 individuals). Structural equation modeling was used to examine parent self-reported PTSD as a potential moderator of the relationship between intent-to-treat status and effective parenting practices 12 months postbaseline while accounting for baseline effective parenting, length and number of deployments, and family demographics. Father PTSD was a significant moderator, such that the intervention was less effective for fathers who met clinical levels of PTSD. No significant moderation effects were found among mothers. These findings may have important implications for the development of future evidence-based parenting programs. (PsycINFO Database Record

Publisher/Sponsoring Organization:

American Psychological Association

Publication Type:

Article
REACH Publication

Author Affiliation:

University of Minnesota Twin Cities, AAC
University of Minnesota Twin Cities, TFP
University of Minnesota Twin Cities, AHG

Keywords:

military, ptsd, deployment, military strategy, post traumatic stress disorder, deployment, families of military personnel, parenting, family-based intervention, randomized controlled trials

View Research Summary:

REACH Publication Type:

Research Summary

Sponsors:

This study was supported by Grant DA030114 to Abigail H. Gewirtz from the National Institute of Drug Abuse’s Prevention Research Branch.

REACH Newsletter:

  November 2018

Share this Article

ADAPTING PARENTING SKILLS

Authors:

Tidwell, Allison

Abstract:

After Deployment: Adaptive Parenting Tools (ADAPT) is an intervention-based program designed to add parenting tools to your tool belt by enhancing parenting skills. ADAPT was specifically created for military families with the main goal of promoting healthy parent-child relationships. ADAPT is a 14-week program that includes 2-hour sessions each week. Research has shown that there are several benefits to participating in the ADAPT program. For example, there was an increase in effective parenting (e.g., child skill encouragement) for mothers and improved child adjustment (e.g., having friends at school). Because access to the program is currently limited to specific locations (see information at the end for current locations), this article will highlight some of the skills that are taught in ADAPT to pinpoint specific strategies for promoting connections with your child and healthy development. Family Problem Solving What is it: Involving children in the discussion of problems that arise in your family, and collectively finding a resolution together, can teach your child to think critically and find creative solutions. Be sure to include your child in these discussions only if the topic is developmentally appropriate. Try this: If your family struggles to keep up with daily household tasks, ask your child what they can do to be a part of accomplishing them. Consider creating a chore list with your child that includes age appropriate responsibilities that allow them to be a part of the solution to the family problem. Encouragement What is it: Teaching through encouragement requires reassurance and support from the parent, particularly when assisting a child with problem solving or tasks outside of his or her abilities. Try this: Read a book with your child that is at his or her reading level but that also has unfamiliar words. This strategy can help them read independently, but also become comfortable with asking for help when needed. Don’t forget to cheer them on when they are getting the words they already know! Monitoring What is it: Monitoring involves the parents’ supervision and knowledge about their child’s activities. Try this: During deployment, consider creating a calendar of your child’s daily activities using an online resource like Google calendar. This way both the at-home parent and the deployed parent are aware of their child’s routines. This can also prompt important conversations with your partner including discussion about your child’s peer group and their level of involvement in extracurricular activities (e.g., are they overscheduled?) Positive Involvement What is it: Research has shown that an overly strict approach to discipline has limited effectiveness on teaching children desired behaviors. Instead, be consistent in the behaviors you do and do not want your child to engage in; if discipline is necessary, calmly tell your child what they did was wrong and what the consequences will be for their actions. Try this: Be responsive to the needs (physical and emotional) of your child and simultaneously set and enforce boundaries consistently. Emotional Socialization What is it: Emotional socialization is the process of teaching children how to understand and express their emotions. Try this: When your child is upset and cries, begin by comforting them and calm your child down by instructing them to take deep breaths. Once your child is calm, ask them to identify their feelings and what caused them to become upset. If they do not know the name of their emotion, help them learn the appropriate term (e.g., by using emojis coupled with a conversation) and encourage them to explain why they are feeling that particular emotion. It is important to remember that these practices are most effective when implemented long-term. Consistency is key, so keep trying even when you feel discouraged! Although it is unrealistic to begin implementing every parenting practice at once, consider choosing one area for improvement, and work to integrate new techniques into your parenting tool belt over time. Note: ADAPT for Active Duty is available at Fort Bragg (North Carolina) and Fort Campbell (Kentucky-Tennessee). If you are interested in the ADAPT program, but are unable to access the intervention in your area, consider implementing a few of the practices we mentioned above.

Publication Type:

Family Story

This website uses cookies to improve the browsing experience of our users. Please review Auburn University’s Privacy Statement for more information. Accept & Close