Ehtical challenges of parenting interventions in low-middle income countries

15 important questions on Ehtical challenges of parenting interventions in low-middle income countries

What were the reasons for the ethical challenges of parenting intervention article

We often do not know enough about these communities to understand which basic skills children need to survive and thrive, how to effectively intervene to enhance developmental outcomes, and how to evaluate short-term and long-term ramifications of any intervention. Much of what we know about positive parenting is based on research by scholars in U.S. academic institutions and in English-speaking countries on a small, select, percentage of the world’s people

What are the ethical probems occurring in parenting interventions?

- parenting intervention programs rarely pay significant attention to community practices when they teach some western lifestyle of care to people in communities with different lifestyles.

What were three ethical principles for conduct of research?

1. Respect for the person
2. Beneficence
3. Fairness and justice
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How can we describe ethical principle; 'respect for the person'

People must be aware of choices available to them

How can we describe ethical principle; beneficence

Our actions promote wellbeing of people, communities, or societies as a whole. Our actions should do no harm or minimize harm if there is greater benefit

How can we describe ethical principle 'fairness and justice'

We select people for study or intervention in ways that are equitable and avoid exploiting vulnerable populations

How can you describe the care of child development intervention (CCD intervention)

- trains caregiver in positive parenting skills, based on attachment theory, that should maximize children's ability to achieve their full potential

- caregivers are thought to treat child as a seperate person, see world from child's point of view, and to respond contingently and appropriately to child explicit signals

What is meant with exclusive and intensive dyadic changes with the child that rely on distal senses

Example; caregivers are instructed to look closely at child, into its eyes when communicating talke with child whenever possible

How can parents do the child-centered ways of engaging with the child

Instructed to focus on child's interests and not to change its focus, respond to child's words, actions, sounds, interests.
Don't correct child, give child choices rather than saying don't, notice and praise what the child does, wait for child to make a response before responding

What can a parent do to affectionate and affectively engaging ways to interact with child

Caregiver encourage the child to smile and smile and laugh with the child

What can we see in fairness and justice in parenting interventions

Mostly poor people and impoverished communities are target of parenting intervention programs, maybe unfairly

2 assumptions about poor people are made;
- poor communities have poor parenting and these interventions will benefit despite the fact that they don't address the underlying cause of poverty in the community

Change agents' interventions are initiated in the absence of sufficient scientific evidence

- Change agents don’t know enough about the child rearing practices of the local communities they hope to change and about the psychological risks these practices might entail– to intervene effectively

- Models for child rearing are key cultural values as models are there for the important task of turning children into the kind of adults that are valued in that group of society (“culture’s model of virtue”)

- Change agents may perceive the practice they are criticizing as seemingly outlandish or counter-intuitive

Ways to investigate cultural knowlegde of local child rearing

- doing and making use of ethnography

- consulting locals

- attending to local codes of ethics where these exist

How can consulting locals be done

o Involve local experts when recommending interventions in child rearing

o Pre-adolescent children can take on responsibility of infant care and nurturance (can be undermined by western-style schools)

o More attention should be paid to traditional parties responsible for children and their care in the design of parenting interventions

What were the main ethical concerns from the article

1. The attachment theory is based on research carried out primarily among people living in western lifestyles and have been wrongly assumed to have universal validity

2. Many interventions focus on poor communities, so that poor people will be stigmatized as poor parents.

3. In many cases, we don’t know enough about communities to understand the basis skills children need to survive and thrive, and how to effectively intervene to enhance wellbeing & how to evaluate short- and long-term ramifications of any intervention

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