Parents’ perspectives about their experience in the ACT-Raising Safe Kids program: A qualitative study

Filipa Ramos, Ana Isabel Pereira, Teresa Marques, Luísa Barros


The present study aimed to explore Portuguese parents’ perspective about their experience and participation in the ACT-Raising Safe Kids Program (RSK), a universal parenting program to prevent child maltreatment. The sample consisted of 9 mothers and 1 father of 3 to 8 years old children who completed the ACT-RSK. Parental perspectives were assessed through a semi-structured face-to-face interview. Content analysis and descriptive statistic procedures were used to analyze the data. Findings indicate that parents chose to participate because they needed help to solve specific problems, wanted to improve parenting abilities and knowledge, and share experiences. As results of participating in the ACT-RSK, parents reported an increased awareness of parenting behaviors, an adjustment of expectations and acquisition of information. They also perceived increased emotional self-regulation, self-efficacy and use of positive parenting practices. These changes led to the enhancement of their child’s self-regulation and awareness of rules, and a reduction in behavior problems. Regarding the implementation of the ACT-RSK, parents valued the contents addressed and belonging to a group. However, they identified personal and program barriers, including competing demands on parent’s time and considering some sessions less useful. Implications of these findings are discussed and future research questions are addressed.


Parenting interventions, ACT-RSK program, Parents’ perspectives, Parent’s change.

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Altafim, E. R., & Linhares, M. B. (2016). Universal violence and child maltreatment prevention programs for parents: A systematic review. Psychosocial Intervention, 25, 27-38. doi: 10.1016/j.psi.2015.10.003

Altafim, E. R., Pedro, M. E., & Linhares, M. B. (2016). Effectiveness of ACT Raising Safe Kids Parenting program in a developing country. Children and Youth Services Review, 70, 315-323. doi: 10.1016/j.childyouth.2016.09.038

Andrade, B. F., Browne, D. T., & Naber, A. R. (2015). Parenting skills and parent readiness for treatment are associated with child disruptive behavior and parent participation in treatment. Behavior Therapy, 46, 365-378. doi: 10.1016/j.beth.2015.01.004

Bardin, L. (2013). Análise de conteúdo. Lisboa: Edições 70.

Ben-Porath, D. D. (2010). Dialectical behavior therapy applied to parent skills training: Adjunctive treatment for parents with difficulties in affect regulation. Cognitive and Behavioral Practice, 17, 458-465. doi: 10.1016/j.cbpra.2009.07.005

Choe, D. E., Olson, S. L., & Sameroff, A. J. (2013). The interplay of externalizing problems and physical and inductive discipline during childhood. Developmental Psychology, 49, 2029-2039. doi: 10.1037/a0032054

Errázuriz, P., Cerfogli, C., Moreno, G., & Soto, G. (2016). Perception of Chilean parents on the Triple P Program for improving parenting practices. Journal of Child and Family Studies, 25, 3440-3449. doi: 10.1007/s10826-016-0492-8

Furlong, M., & McGilloway, S. (2015). Barriers and facilitators to implementing evidence-based parenting programs in disadvantaged settings: A qualitative study. Journal of Child and Family Studies, 24, 1809-1818. doi: 10.1007/s10826-014-9984-6

Galletta, A. (2013). Mastering the semi-structured interview and

beyond: From research design to analysis and publication. New York: NYU Press. doi: 10.18574/nyu/9780814732939.001.0001

Gershoff, E. T., & Grogan-Kaylor, A. (2016). Spanking and child outcomes: Old controversies and new meta-analyses. Journal of Family Psychology, 30, 453-469. doi: 10.1037/fam0000191

Guest, G., Bunce, A., & Johnson, L. (2006). How many interviews are enough? An experiment with data saturation and variability. Family Health International, 18, 59-82. doi: 10.1177/1525822X05279903

Holtrop, K., Parra-Cardona, J. R., & Forgatch, M. S. (2014). Examining the process of change in an evidence-based parent training intervention: A qualitative study grounded in the experiences of participants. Prevention Science, 15, 745-756. doi: 10.1007/s11121-013-0401-y

Homem, T., Gaspar, M., Seabra-Santos, M., Azevedo, A., & Canavarro, M. (2013). Perturbações de comportamento externalizantes em idade pré-escolar: O caso específico da perturbação de oposição. Análise Psicológica, XXXI, 31-48. doi: 10.14417/ap.658

Howe, T. R., Knox, M., Altafim, E. R. P., Linhares, M. B. M., Nishizawa, N., Fu, T. J., . . . Pereira, A. I. (2017). International child abuse prevention: Insights from ACT Raising Safe Kids. Child and Adolescent Mental Health, 22, 194-200. doi: 10.1111/camh.12238

Jones, H. A., Putt, G. E., Rabinovitch, A. E., Hubbard, R., & Snipes, D. (2016). Parenting stress, readiness to change, and child externalizing behaviors in families of clinically referred children. Journal of Child and Family Studies, 26, 225-233. doi: 10.1007/s10826-016-0547-x

Kane, G. A., Wood, V. A., & Barlow, J. (2007). Parenting programmes: A systematic review and synthesis of qualitative research. Child: Care, Health and Development, 33, 784-793. doi: 10.1111/j.1365-2214.2007.00750.x

Kazdin, A. E., & Wassell, G. (2000). Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families. Mental Health Services Research, 2, 27-40. doi: 10.1023/A:1010191807861

Knox, M., & Burkhart, K. (2014). A multi-site study of the ACT Raising Safe Kids Program: Predictors of outcomes and attrition. Children and Youth Services Review, 39, 20-24. doi: 10.1016/j.childyouth.2014.01.006

Knox, M., Burkhart, K., & Hunter, K. (2010). ACT Against Violence Parents Raising Safe Kids program: Effects on maltreatment-related parenting behaviors and beliefs. Journal of Family Issues, 32, 55-74. doi: 10.1177/0192513X10370112

Koerting, J., Smith, E., Knowles, M. M., Latter, S., Elsey, H., McCann, D. C., . . . Sonuga-Barke, E. J. (2013). Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: A qualitative synthesis of studies of parents’ and professionals’ perceptions. European Child and Adolescent Psychiatry, 22, 653-670. doi: 10.1007/s00787-013-0401-2

Levac, A. M., McCay, E., Merka, P., & Reddon-D’Arcy, M. L. (2008). Exploring parent participation in a parent training program for children’s aggression: Understanding and illuminating mechanisms of change. Journal of Child and Adolescent Psychiatric Nursing, 21, 78-88. doi: 10.1111/j.1744-6171.2008.00135.x

Mejia, A., Ulph, F., & Calam, R. (2016). Exploration of mechanisms behind changes after participation in a parenting intervention: A qualitative study in a low-resource setting. American Journal of Community Psychology, 57, 181-189. doi: 10.1002/ajcp.12020

Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Thousand Oaks, CA: SAGE Publications.

Mytton, J., Ingram, J., Manns, S., & Thomas, J. (2014). Facilitators and barriers to engagement in parenting programmes: A qualitative systematic review. Health Education and Behavior, 41, 127-137. doi: 10.1177/1090198113485755

National Center for Parent, Family and Community Engagement [NCPFCE]. (2015). Compendium of parenting interventions. Washington, DC: National Center on Parent, Family, and Community Engagement, Office of Head Start, US Department of Health & Human Services.

Patterson, J., Mockford, C., & Stewart-Brown, S. (2005). Parents’ perceptions of the value of the Webster-Stratton Parenting Programme: A qualitative study of a general practice based initiative. Child: Care, Health and Development, 31, 53-64. doi: 10.1111/j.1365-2214.2005.00479.x

Pedro, M. E., Altafim, E. R., & Linhares, M. B. (2017). ACT Raising Safe Kids Program to promote positive maternal parenting practices in different socioeconomic contexts. Psychosocial Intervention, 26, 63-72. doi: 10.1016/j.psi.2016.10.003

Piotrowska, P. J., Tully, L. A., Lenroot, R., Kimonis, E., Hawes, D., Moul, C., . . . Dadds, M. R. (2017). Mothers, fathers, and parental systems: A conceptual model of parental engagement in programmes for child mental health – Connect, Attend, Participate, Enact (CAPE). Clinical Child and Family Psychology Review, 20, 146-161. doi: 10.1007/s10567-016-0219-9

Portwood, S. G., Lambert, R. G., Abrams, L. P., & Nelson, E. B. (2011). An evaluation of the Adults and Children Together (ACT) Against Violence Parents Raising Safe Kids Program. The Journal of Primary Prevention, 32, 147-160. doi: 10.1007/s10935-011-0249-5

Rahmqvist, J., Wells, M. B., & Sarkadi, A. (2014). Conscious parenting: A qualitative study on Swedish parents’ motives to participate in a parenting program. Journal of Child and Family Studies, 23, 934-944. doi: 10.1007/s10826-013-9750-1

Salari, R., & Filus, A. (2017). Using the health belief model to explain mothers’ and fathers’ intention to participate in universal parenting programs. Prevention Science, 18, 83-94. doi: 10.1007/s11121-016-0696-6

Sanders, M. R., Markie-Dadds, C., Rinaldis, M., Firman, D., & Baig, N. (2007). Using household survey data to inform policy decisions regarding the delivery of evidence-based parenting interventions. Child: Care, Health and Development, 33, 768-783. doi: 10.1111/j.1365-2214.2006.00725.x

Sanders, M. R., & Mazzucchelli, T. G. (2013). The promotion of self-regulation through parenting interventions. Clinical Child and Family Psychology Review, 16, 1-17. doi: 10.1007/s10567-013-0129-z

Sandler, I. N., Schoenfelder, E. N., Wolchik, S. A., & MacKinnon, D. P. (2011). Long-term impact of prevention programs to promote effective parenting: Lasting effects but uncertain processes. Annual Review of Psychology, 62, 299-329. doi: 10.1146/annurev.psych.121208.131619

Shapiro, C. J., Prinz, R. J., & Sanders, M. R. (2012). Facilitators and barriers to implementation of an evidence-based parenting intervention to prevent child maltreatment: The Triple P – Positive Parenting Program. Child Maltreatment, 17, 86-95. doi: 10.1177/1077559511424774

Silva, J. (2011). ACT Raising Safe Kids Program. Washington, DC: American Psychological Association.

Silva, J. A., & Williams, L. C. (2016). Um estudo de caso com o programa parental ACT para educar crianças em ambientes seguros. Temas em Psicologia, 24, 743-755. doi: 10.9788/TP2016.2-19Pt

Smith, E., Koerting, J., Latter, S., Knowles, M. M., Mccann, D. C., Thompson, M., & Sonuga-Barke, E. J. (2014). Overcoming barriers to effective early parenting interventions for Attention-Deficit Hyperactivity Disorder (ADHD): Parent and practitioner views. Child: Care, Health and Development, 41, 93-102. doi: 10.1111/cch.12146

Spitzer, A., Webster-Stratton, C., & Hollinsworth, T. (1991). Coping with conduct-problem children: Parents gaining knowledge and control. Journal of Clinical Child Psychology, 20, 413-427. doi: 10.1207/s15374424jccp2004_10

Spoth, R., & Redmond, C. (2000). Research on family engagement in preventive interventions: Toward improved use of scientific findings in primary prevention practice. The Journal of Primary Prevention, 21, 267-284. doi: 10.1023/A:1007039421026

Stoltz, S., van Londen, M., & Dekovic, M. (2015). Effects of parent and child characteristics on participation and outcome of an individualized booster parent intervention for children with externalizing behaviour. European Journal of Developmental Psychology, 12, 395-411. doi: 10.1080/17405629.2015.1018172

Waller, R., Gardner, F., Dishion, T., Sitnick, S. L., Shaw, D. S., Winter, C. E., & Wilson, M. (2014). Early parental positive behavior support and childhood adjustment: Addressing enduring questions with new methods. Social Development, 24, 304-322. doi: 10.1111/sode.12103

Weymouth, L. A., & Howe, T. R. (2011). A multi-site evaluation of

Parents Raising Safe Kids Violence Prevention Program. Children and Youth Services Review, 33, 1960-1967. doi: 10.1016/j.childyouth.2011.05.022



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