Does parenting moderate the association between adverse childhood experiences and adolescents’ future orientation?

Adolescents who think and act towards the future are more likely to thrive. This future orientation may, however, be affected by adversity and the parenting they receive. The influence of cumulative adversity, and of parenting in the context of adversity, is yet to be explored. We investigated whether adolescents’ future orientation is associated with experiences of singular and multiple types of adversity, and if parenting moderates these associations. Data from the Longitudinal Study of Australian Children K Cohort (n = 1177; 51.5% male; aged 16–17 years) were used to measure future orientation at age 16–17, the number of adversities experienced from age 4/5 to age 14/15 (parental separation and divorce, household substance use problem, household mental health condition, domestic violence), and parenting received at age 14/15 (warmth, hostility, communication, monitoring). Relationships and moderations were tested using stepwise moderated logistic regression analyses, controlling for demographic characteristics. Adolescents were at risk for low future orientation if they had experienced singular or multiple types of adversity, higher hostility, lower communication, and lower monitoring. We did not find a moderating effect of parenting. These results indicate that while young people are less likely to have future-related thoughts and actions if they have experienced singular or multiple types of adversity, their future orientation may be supported by effective parenting and non-hostile parent-adolescent relationships. Young people who experience both adversity and poor parenting may be at higher risk than others. Further investigation is warranted, to explore the causal relationships between adverse experiences, parenting, and future orientation

A review of Australian Government funding of parenting intervention research

Objectives: Parenting is central to children's optimal development and accounts for a substantial proportion of the variance in child outcomes, including up to 40% of child mental health. Parenting is also one of the most modifiable, proximal, and direct factors for preventing and treating a range of children's problems and enhancing wellbeing. To determine the effectiveness of new approaches to parenting intervention, and to evaluate how to optimise reach and uptake, sufficient funding must be allocated for high quality research. Method: We reviewed funding awarded by the National Health and Medical Research Council (NHMRC) and Australian Research Council (ARC) for parenting intervention research during 2011–2020. Results: Parenting intervention research received 0.25% of the NHMRC and ARC research budgets. Conclusions: There is a substantial mismatch between the funding of parenting intervention research and the impact of improved parenting on short‐ and long‐term child outcomes. To rectify this, it is critical that Australian Government funding schemes include parenting interventions as priority areas for funding. Implications for public health: Changes in allocation of funding to parenting research will support the establishment of evidence for the effective development, implementation and dissemination of parenting interventions to maximise health outcomes for children and their families

Adverse Childhood Experiences, parenting practices, the parent-offspring relationship and emerging adult wellbeing

Adverse Childhood Experiences, parenting practices, the parent-offspring relationship, emerging adult wellbein

Aboriginal and Torres Strait Islander preferences for healthcare settings: effective use of design images in survey research

Objective The aim of this study was to develop an effective digital survey instrument incorporating images to investigate Aboriginal and Torres Strait Islander preferences for health clinics and hospitals, design of healthcare settings and the differences between inner regional and remote locations. Methods Design-related constructs developed from qualitative interviews informed the construction of healthcare setting images. These images were embedded in an online survey instrument to elicit data on design preferences and an area-based recruitment strategy ensured participation by Indigenous Australians from three Queensland locations. Logistic regression analyses were used to estimate the odds of preference for a healthcare setting design by location. Results Statistical analysis of data from 602 participants showed a preference for health care at an Aboriginal and Torres Strait Islander clinic. The odds of preference for an in-patient room with a two- versus single-bed design was greater for participants with less education, and lower for participants with a long-term health problem. Conclusions The multidisciplinary approach to developing an online survey instrument with images and the willingness of Indigenous people of all ages to engage with the images demonstrated the effectiveness of this method in providing robust evidence for the design of culturally appropriate healthcare spaces for Indigenous users

Aboriginal and Torres Strait Islander preferences for healthcare settings: effective use of design images in survey research

Objective The aim of this study was to develop an effective digital survey instrument incorporating images to investigate Aboriginal and Torres Strait Islander preferences for health clinics and hospitals, design of healthcare settings and the differences between inner regional and remote locations. Methods Design-related constructs developed from qualitative interviews informed the construction of healthcare setting images. These images were embedded in an online survey instrument to elicit data on design preferences and an area-based recruitment strategy ensured participation by Indigenous Australians from three Queensland locations. Logistic regression analyses were used to estimate the odds of preference for a healthcare setting design by location. Results Statistical analysis of data from 602 participants showed a preference for health care at an Aboriginal and Torres Strait Islander clinic. The odds of preference for an in-patient room with a two- versus single-bed design was greater for participants with less education, and lower for participants with a long-term health problem. Conclusions The multidisciplinary approach to developing an online survey instrument with images and the willingness of Indigenous people of all ages to engage with the images demonstrated the effectiveness of this method in providing robust evidence for the design of culturally appropriate healthcare spaces for Indigenous users. What is known about the topic? Evidence-based research influences the design of healthcare buildings, yet the field currently provides negligible evidence on cross-cultural perceptions or experiences of conventional modern hospitals and clinics. Although recent healthcare buildings show signs of acknowledging Indigenous users, general principles in the Australian Health Facility Guidelines give limited specific information about how cultural requirements may translate into architectural design. What does this paper add? The multidisciplinary approach to research design has enabled the development of healthcare design-related constructs from consultation with Indigenous people, the presentation of these constructs as images and the inclusion of these images for comparison and selection in a digital survey instrument. Combined with a culturally appropriate recruitment strategy, this survey provides evidence from a large sample of the Indigenous population. Selected results from analyses of survey responses show the capacity of the methodological approach to address broader questions about Indigenous preferences for healthcare settings by location, age and sex. What are the implications for practitioners? A focus on individual preferences related to healthcare clinics and the combined significance of design and setting can give practitioners a better understanding of Aboriginal and Torres Strait Islander people’s preferences and suggest ways to reduce the incidence of poor engagement with healthcare services.This research was supported by the Australian Research Council’s Discovery Projects funding scheme (Project number DP160100494 ‘Architectural design to improve Indigenous health outcomes’)