Peer-reviewed article
Understanding the theoretical underpinnings of preventative early parenting interventions: A theory-based evaluation
Gráinne Hickey, Sinéad McGilloway, Yvonne Leckey, Tracey Jane Bywater, Michael Donnelly ·
Summary
Written by AI, not yet AICS's view · claude-haiku-4-5-20251001This peer-reviewed paper examines the theoretical foundations of early parenting programmes designed for children aged 0–3 years in community health settings. The researchers analysed a specific intervention called the parent and infant programme using documentary analysis and interviews with 19 stakeholders to understand how and why the programme is supposed to work. The study highlights that understanding the causal mechanisms and theoretical assumptions underlying early parenting interventions is important but has received little research attention.
Key points
- Early parenting programmes promoting nurturing care for ages 0–3 are common in community-based primary health care but lack exploration of their theoretical foundations
- The study examined the parent and infant programme targeting parents and infants aged 0–2 years
- Documentary analysis and qualitative interviews with 19 key stakeholders were used to identify programme components, objectives, and assumed success mechanisms
- The Consolidated Framework for Implementation Research was used to interpret findings and describe theoretical perspectives guiding programme delivery
- The paper emphasises the importance of attending to causal mechanisms underlying early parenting interventions
Limitations
This is a theory-based evaluation that does not assess whether the intervention actually achieves its intended outcomes for children or families. The study describes theoretical assumptions rather than providing evidence of effectiveness or impact.
Abstract
Early parenting programmes which promote nurturing care for children aged 0–3 years are popular in community-based primary health care settings. However, little research has explored the causal and theoretical assumptions underpinning these programmes. This paper outlines a programme theory evaluation which was conducted to explore the change principles inherent in a complex early parenting intervention, the parent and infant programme, which aims to support parents and infants aged 0–2 years. A documentary analysis and qualitative interviews ( n = 19) with key stakeholders were undertaken to describe programme components, outline intervention objectives and identify the mechanisms assumed to be important to programme success. The interpretation of the findings was informed by the Consolidated Framework for Implementation Research, within which we explore and describe the theoretical perspectives that underpin the programme and guide its operationalisation and delivery. The importance of attending to the causal mechanisms underlying early parenting interventions is outlined.