As noted by Garner et al. (2012), there are a number of evidence-based interven- tions that promote positive parenting, including Triple P, Incredible Years, Home visiting, and Nurturing Parenting. Triple P may be of special interest to pediatricians and other healthcare providers, as the program offers training in evidence-based ap- proaches to working with parents to foster positive parenting and prevent behavioral or emotional problems in children, using a brief consultation model adapted for pri- mary care settings (see http://www.triplep.net/glo-en/home/).
98 7 The Role of Parents
Summary and Conclusions
The research we have reviewed so far strongly supports the value and importance of continued parent involvement in chronic illness management. It has also revealed a pitfall of maintaining high levels of involvement in adolescence, in that involve- ment can backfire and result in feelings of inadequacy or in a pattern of coercive parenting and parent-child conflict, especially in adolescence. As discussed in Chap. 6, normal developmental changes in adolescence drive this interaction to some degree. At the same time, parenting style appears to mediate the relationship between parent involvement and either positive or negative outcomes. Specifically, outcomes are optimized when parent involvement is accompanied by other aspects of positive parenting and conflict is minimized. We return to these issues in Part II of this volume, where we argue that it is time to rethink the prevailing focus on pediatric self-management in favor of a more family-centered view.
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