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militaryfamilieslearningnetwork.org/event/21753
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of
Military Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.
Grow! Empowering Parents to THRIVE
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FD Title
militaryfamilieslearningnetwork.org/event/21753
This material is based upon work supported by the National Institute of Food and Agriculture, U.S. Department of Agriculture, and the Office of
Military Family Readiness Policy, U.S. Department of Defense under Award Number 2015-48770-24368.
Grow! Empowering Parents to THRIVE
Jennifer DiNallo, PhD
• Director of Research at the Clearinghouse for Military Family
Readiness at Penn State
• Lead on the development, implementation, and evaluation of
several programs and projects including the THRIVE Parenting
Initiative and the Resource Center for Obesity Prevention
• Research interests include the impact of health promotion
behaviors on obesity outcomes with a focus on parent-focused
health promotion interventions.
Today’s Presenters
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Empowering Parents to THRIVEResourceful parents. Resilient children. Ready families
5
!
https://www.photospin.com/Image/cf3e4fd1-7c70-4b9f-acee-58bc6319e5da
Webinar Objectives
• Provide an overview of the Clearinghouse for
Military Family Readiness
• Discuss the history and development of THRIVE
• Introduce Grow Face-to-Face and Grow Online
parenting programs
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https://pixabay.com/en/target-dart-aim-objective-success-1414788/
The THRIVE Initiative Domains
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https://www.pexels.com/photo/adult-baby-blur-child-532389/ https://www.pexels.com/photo/man-and-woman-hugging-while-man-kissing-woman-s-head-
842161/
https://www.pexels.com/photo/child-baby-newborn-arms-47219/ https://www.pexels.com/photo/grayscale-photo-of-mother-and-three-
children-playing-1028009/
THRIVE Programs
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Why develop a health promotion
parenting program?
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• We need to think about
promoting health as
parents.
• Existing evidence-based
programs do not comprise
a health promotion
component.
• There are lots of conflicting
messages out there when
it comes to promoting
health! https://www.photospin.com/Image/7602a17d-e553-47d4-b2ea-481f4936921f
https://www.photospin.com/Image/56df649d-62bd-46cc-a3df-f83093428ea1
THRIVE programs aim to:
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• Incorporate a strength-based
approach, focusing on what families are
already doing well to increase family
readiness.
• Harness the immense potential
of parents, as agents of change, to foster positive youth development across
the physical, intellectual, emotional, and
social domains of health.
• Assist parents from birth through
adolescence, in developing skills and
competencies across the three domains:
Positive Parenting, Stress Management,
and Health Promotion.
https://www.pexels.com/photo/woman-holding-baby-smiling-1116050/
https://www.pexels.com/photo/little-girl-riding-horse-beside-man-1040767/
THRIVE is Unique!
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Program development utilizes a
common components approach.
Programs includes parenting
strategies around child health
promotion.
Programs incorporate blended and
multimodal learning environments into
the program delivery modes.
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Common Components Approach
(CCA)
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A process in which the individual strategies or parts of a
program are identified with the aim of discovering those
components that are shared across programs
(Chorpita, Daleiden, & Weisz, 2005)
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CCA 4 Factors
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• Knowledge (content components; e.g.,
communication, bedtime routines)
• Process (techniques or modes of delivery; e.g.,
multimodal information sharing, online modules)
• Barrier reduction (ways to over come obstacles;
e.g., parking pass, childcare)
• Sustainability (support for long-term uptake; e.g.,
behavior modification, stakeholder buy-in)
(Kaminski; Rotheram-Borus; Chorpita)
Health Promotion Components:
Why are these different?
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• Identify peer-reviewed journal
articles;
• Review clinical trials/
interventions in these articles
to identify specific parenting
strategies used to promote
healthy behaviors;
• Review references from articles to identify additional publications;
• Search clinicaltrials.gov for ongoing trials related to health promotion,
childhood obesity prevention/intervention; and
• Pull evidence-based strategies from current health recommendations (e.g.,
Institute of Medicine, American Academy of Pediatrics).
https://www.pexels.com/photo/boy-holding-clear-drinking-glass-1060519/
CCA Findings: Grow
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Programs identified and selected for the
development of Grow
• Strengthening Families Program
• Incredible Years parenting program-
Basic
• Guiding Good Choices
• Parent Management Training-
Oregon
Model
• Parent-Child Interaction Therapy
• Triple P Level 4
• Group Lifestyle Triple P
• Parent Corps
• Promoting Alternate Thinking
Strategies
+ extensive literature and current
recommendation search to identify health
promotion components
Knowledge of normative child development
Unconditional love and respect
Realistic, high expectations
Focus on strengths
Parental influence on youth
Praise and encouragement
Applying appropriate rewards/ consequences
Skill encouragement
Pro-social opportunities to contribute
Problem solving
Listening
Healthy parental involvement
Using timeout
Limit setting and monitoring
Targeted feedback to motivate desired behaviors
Emotion regulation/ coaching
Managing (parent’s own) strong emotions
Accessing community resources
Family meals
Healthy feeding and eating practices
Youth competencies that are enhanced by health promotion
Attachment
Behavior descriptions and effective directions/ commands
Effective communication with child
Negative thinking patterns
Yielded 25 components, which were
then distilled, defined, and re-grouped.
THRIVE Programs
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Program Logic Model
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Program Design
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• For parents of 5-to-10 year olds
• One 90-min session/week for 5 weeks
• Face to face video-based group sessions
w/activities
• Video & text message reminders
• ~10-12 parents/group
• Led by trained facilitators
Facilitator Training
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• Online, self-paced training modules
• Program Coordination webinars
• Video call performance feedback
• Certification quiz and certificate
• Technical assistance and weekly coaching sessions
• Facilitator Online Portal to access:
• All training materials
• Parent curriculum videos
• Participant workbook and weekly resources
• Weekly text prompts and weekly video prompts
Text Prompts & Videos
21
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Website
Parent Resources
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Parent Resources
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Evaluations
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Evaluations
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https://www.photospin.com/Image/251c39e9-31e0-449b-b97a-56986fc5ff3d
Evaluations
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Evaluations
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Evaluations
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Program Comparison & Adaptation
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Program Component
Mode of delivery Face-to-face facilitator-led group
sessions
Web-based self-paced sessions
Number of sessions 5 sessions over 5 weeks 8 sessions over 10 weeks
Length of sessions 90 minutes/session ~35 minutes/session
Prompts Text-based prompts to encourage
parents to practice at home
Email prompts to encourage
program retention
Reflection activities following at
home skills practice
Facilitator-led discussions at the
opening of the following session,
focused on how skills practice
went at home.
Written self-reflections built into
online modules, focused on how
skills practice went at home
In-session activities Interactive activities, completed
individually or as small or large
groups, dispersed throughout
sessions
Interactive activities built into
online modules (e.g., multiple
choice and short-answer
questions, ‘drag-and-drops’, and
fill-in-the-blanks’)
Program Logic Model
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Program Design
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• For parents of 5-to-10 year olds
• 8 sessions completed over 10 weeks
• Up to 3 email reminders were sent to participants who
fell behind a pace of 1 session/week
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Program Design
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• Videos and interactive
activities were used to
deliver the program
content
• React, Interact, and Reflect questions were used at
the end of each session
• A trained implementation specialist was available
on request for parents who needed assistance
https://www.photospin.com/Image/e131c236-9576-4a11-8ace-f4c30034175d
BETA Evaluation
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Feasibility Evaluation
• Pretest
• End-of-session feedback on
satisfaction & engagement
• Posttest
• Follow-up Phone Calls
https://www.pexels.com/photo/shallow-focus-photography-of-a-woman-in-green-top-
wearing-white-coat-1056556/
BETA Evaluation Findings
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• 28/41 parents of 5-to-10 years
olds completed the online
program, and post test
• 8 completed the post program
interviews
https://www.pexels.com/photo/computer-electronics-hands-keyboard-261681/
BETA Evaluation Findings
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Satisfaction Engagement
Session 1 4.11 (.67)
n=36
4.25 (.69)
n=36
Session 2 4.40 (.62)
n=30
4.40 (.67)
n=30
Session 3 4.48 (.58)
n=27
4.19 (.88)
n=27
Session 4 4.37 (.69)
n=27
4.37 (.63)
n=27
Session 5 4.46 (.51)
n=24
4.39 (.89)
n=23
Session 6 4.17 (.65)
n=23
4.29 (.69)
n=24
Session 7 4.38 (.49)
n=24
4.38 (.58)
n=24
Session 8 4.54 (.51)
n=24
4.46 (.59)
n=24
Overall Program 4.38 (.43)
n=27
4.36 (.49)
n=27
Overall program means based on
number of participants who
attended or completed at least
half of the program. Scale: 1-5.
BETA Evaluation Findings
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Facilitators to Participation:
• Reminder emails
• Evaluation incentives
• Additional website resources
Barriers to Participation:
• Time burden
• Relevance of program
content
• Lack of interpersonal contact
• Technical issues
Next Steps
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1. Pilot test Grow Online
2. Implement & Evaluate Grow F2F
in a larger trial with a control group
3. Launch public-facing THRIVE
online programs
4. Develop, Implement, and
Evaluation Sprout Online
5. Secondary prevention programs
https://www.pexels.com/photo/steps-dune-dunes-sand-dunes-65562/
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https://pixabay.com/en/question-question-mark-request-63916/
Questions
Thank you!
40
Jennifer DiNallo, Ph.D.
Director of Research;
Clearinghouse for Military
Family Readiness
www.THRIVE.psu.edu
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iTunes: Anchored. Podcast Series
41
Evaluation and
Continuing Education Credits
MFLN Family Development is offering 1.5 CEUs for
today’s webinar.
Please complete the evaluation and post test at: https://vte.co1.qualtrics.com/jfe/form/SV_6M7hJigiXyjZkvr
Must pass post-test with an 80% or higher to receive
certificate.
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Family Development
Upcoming Event
The Power of Family Mealtimes: Strategies
to Promote Health and Wellbeing
• Tuesday, August 21
• 11:00 AM Eastern
• militaryfamilieslearningnetwork.org/event/21759/
For more information on MFLN Family Development, go to:
militaryfamilieslearningnetwork.org/family-development/
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militaryfamilieslearningnetwork.org/2018VirtualConference
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