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The aim of this study was to develop and validate a scale for assessing parents’ satisfaction with the early childhood education and care (ECEC) services provided to their one-year-old child, across both mothers and fathers. Additionally, we examine whether the child’s enjoyment in ECEC is related to parental service satisfaction (concurrent and discriminant validity). The data were collected in a survey conducted by the CHILDCARE project in 2016. Participants were Finnish parents ( N  = 798) whose one-year-old attended ECEC at the time of the survey. Exploratory factor analysis and exploratory structural equation modeling were used to analyze the data. Two dimensions of service satisfaction were identified: ECEC access and location and educational preconditions and principles . It was found that the service satisfaction structure did not differ among mothers and fathers. Both service satisfaction dimensions were positively related to the child’s enjoyment in ECEC. In addition, it was determined that parental satisfaction with ECEC and child enjoyment in ECEC are separate concepts. The findings provided evidence that the service satisfaction structure appears to be relatively stable when the child is one year old and that parental assessment of the child’s enjoyment in ECEC is one of the factors associated with parental service satisfaction with ECEC.

PurposeThe overarching purpose of this exploratory study was to understand how foster parents’ parenting-related stress levels have changed over the course of the COVID-19 pandemic, including the role of sociodemographic characteristics in exacerbating risk for increased stress.MethodParticipants were electronically surveyed about their pre- and post-pandemic parenting-related stress, using an adapted version of the parenting stress scale.ResultsNine-hundred and ninety foster parents (N = 990) participated in the study. Overall, foster parents reported significant increases along three specific domains of stress—namely, parenting stress, lack of control, and parental satisfaction (reverse-scored). Analyses for group differences on the post-only scores indicated that foster parents who are not married, or who report poorer mental health (i.e., “good”, versus “very good” or “excellent”) or financial circumstances (i.e., as indicated by not reliably having more income than expenses) may face increased risk for exacerbated stress during this pandemic.DiscussionFindings from this study indicate that parental stress-levels among foster parents have increased since the start of COVID-19. These findings are not only troubling for foster caregivers, but may also have implications for the youth in their care. Ultimately, results from this study indicate the need to better support foster parents, in general, and during public health crises, specifically.

Background Women’s childbirth experience can have immediate as well as long-term positive or negative effects on their life, well-being and health. When evaluating and drawing conclusions from research results, women’s experiences of childbirth should be one aspect to consider. Researchers and clinicians need help in finding and selecting the most suitable instrument for their purpose. The aim of this study was therefore to systematically identify and present validated instruments measuring women’s childbirth experience. Methods A systematic review was conducted in January 2016 with a comprehensive search in the bibliographic databases PubMed, CINAHL, Scopus, The Cochrane Library and PsycINFO. Included instruments measured women’s childbirth experiences. Papers were assessed independently by two reviewers for inclusion, and quality assessment of included instruments was made by two reviewers independently and in pairs using Terwee et al’s criteria for evaluation of psychometric properties. Results In total 5189 citations were screened, of which 5106 were excluded by title and abstract. Eighty-three full-text papers were reviewed, and 37 papers were excluded, resulting in 46 included papers representing 36 instruments. These instruments demonstrated a wide range in purpose and content as well as in the quality of psychometric properties. Conclusions This systematic review provides an overview of existing instruments measuring women’s childbirth experiences and can support researchers to identify appropriate instruments to be used, and maybe adapted, in their specific contexts and research purpose.

ObjectiveDrawing on the stress process from a life course perspective, this study examines the association between children's overage singlehood and parental psychological distress. BackgroundChildren's unfulfilled roles may have a consequence on parental well‐being. Parents may suffer from stress due to children's overage singlehood indicated by unmarried status beyond socially expected ages in some areas of the world. Parents may see it as their own failure to fulfill their parental role and children's failure to establish a family life. MethodDrawing on data from the China Health and Retirement Longitudinal Study, this study firstly uses Inverse Probability of Treatment Weighting to handle the pretreatment bias, and it is then further advanced by testing the potential mechanisms underlying the relationship between children's marriage formation and parental well‐being. ResultsThe results reveal that sons' overage singlehood is associated with a higher level of parental depression. Moreover, parental satisfaction with intergenerational relationships serves as a mediation factor between a son's overage singlehood and parents' depression. Although economic support for parents shows no significant effect on parental depression, it shows a similar pattern in reducing the effect of son's overage singlehood on parental depression. ConclusionThese findings not only demonstrate the reluctance for cultural change in marriage formation timing and gender‐specific role expectations on children by parents, but also reveal the interplay effects of cultural continuity and the modernization process from an intergenerational perspective.

Background Experiencing parental stress is common among parents of children of all ages and is elevated in families characterized by stressors such as poverty, mental health problems, and developmental problems. The Parental Stress Scale (PSS) is a short measure for the assessment of perceived stress resulting from being a parent. Methods This study examines the construct validity and psychometric properties of the Danish PSS using Rasch and graphical loglinear Rasch models in a sample of parents of 2–18-year-old children with and without known behavior problems. We emphasized analyses of differential item functioning, to ascertain whether the scale yields unbiased scores for subgroups of parents. Results The 18-item PSS did not fit the Rasch model or a graphical loglinear Rasch model. After dichotomizing item responses and eliminating items 2 and 11, we found the PSS to consist of two distinct subscales measuring parental stress and lack of parental satisfaction. For the total sample, the Parental Stress subscale fit a very complex graphical loglinear Rasch model with differential item functioning relative to parental education and whether children had behavior problems or not. The Lack of Parental Satisfaction subscale fit a simple graphical loglinear Rasch model with differential item functioning only relative to subsample. When dividing into subsamples of parents of children with and without behavior problems, the Parental Stress subscale fit a simple graphical loglinear Rasch model, though still with differential item functioning, while the Lack of Parental Satisfaction subscale fit the Rasch model in each subsample of parents. Both subscales performed best for parents of children with behavior problems. Conclusions The PSS should be used in a 16-item version and scored as two subscales. The PSS appears better suited for use among parents of children with behavior problems than within a sample without any known difficulties.

Parental burnout (PB), a relatively new and under-studied construct, is defined as a condition resulting from chronic parenting stress. While recent research confirmed its negative associations with familial variables, such as relationship satisfaction and positive parenting practices, little is known about the role of intimate partner violence (IPV) and how it relates to parental burnout. The present study, therefore, aimed to extend existing knowledge on chronic parenting stress by 1) testing for the mediational role of couple dissatisfaction in explaining the link from IPV victimization to PB as well as the link from IPV victimization to dysfunctional parenting, and 2) investigating how specialist gender roles and parental responsibilities for child care relate to IPV victimization and PB. Data collection was part of an international collaboration on factors related to parental satisfaction and exhaustion across different countries. Self-report data from Austrian mothers ( N  = 121) were collected online and analyzed using structural equation modeling. Results indicated that couple dissatisfaction mediates the link from IPV victimization to PB, as well as IPV victimization to dysfunctional parenting. Furthermore, only specialist gender roles were significantly related to IPV, while parental responsibilities for child care did not significantly relate to experiences of violence. Additionally, neither specialist gender roles nor parental responsibilities were significantly associated with PB in the final model. Overall, our findings connect to family models, such as the Family System Theory and Spillover Theory, underscoring the importance of couples’ relationship quality for understanding parental burnout and parenting behaviors in mothers. Highlights Couple dissatisfaction mediates the link from couple violence to parental burnout Couple dissatisfaction helps explain the link from couple violence to parenting Specialist gender roles relate to experiences of physical violence in mothers

Obtaining an autism spectrum disorder (ASD) diagnosis is often challenging for parents. The purpose of this study was to better understand this process and examine how elements of the process may influence parent satisfaction. A total of 406 parents of autistic children participated. Participants were administered a survey covering the ASD diagnostic process. Parents had developmental concerns early but experienced long wait times and usually attended many appointments. Mean diagnostic age was 3.26 years and overall delay was 1.20 years. Stress and being told there was “no problem” were significantly associated with parental satisfaction with the process. Findings provide insight into challenges experienced by families of autistic children and can help pinpoint areas where the diagnostic process may be improved.

The study aimed to investigate parental satisfaction and acceptance of silver diamine fluoride (SDF) treatment for permanent molars affected by molar incisor hypomineralisation (MIH). This study was conducted in the pediatric dental department at Damascus University, Syria. This study was performed at the period from Jan 2023 to April 2023. In this cross-sectional study, a validated questionnaire employing a 5-point Likert scale was used to evaluate esthetics, ease of application, pain perception, and taste acceptability. Participants included 100 parents or guardians of children aged 6–9 years who had received SDF treatment in the past year. The findings of this study revealed high satisfaction levels (77.5%) with the treatment. Parents expressed contentment with the appearance of their child's molars after SDF application (58% agreed or strongly agreed) and found the application process easy and pain-free (100% agreed or strongly agreed). However, taste acceptability posed a challenge, with over half of the parents (53%) finding it unacceptable. Regression analysis underscored the significant impact of esthetics, ease of application, pain perception, and taste on parental satisfaction. Moreover, parents with higher education levels (graduate or postgraduate) exhibited higher acceptance rates compared to those with lower education levels (63.1% vs. 33.6%). Notably, parental gender and age did not significantly influence SDF treatment acceptance. This study provides critical insights into parental satisfaction and acceptance of SDF treatment for MIH-affected permanent molars. Despite concerns about tooth discoloration, the high satisfaction levels suggest that SDF holds promise as an effective treatment option. Parental education significantly influenced acceptance rates. This research highlights the importance of considering parental perspectives and tailoring communication strategies in pediatric dentistry, ultimately contributing to improved care for young patients with MIH.

Community-based mental health services for children and young people (CYP) can offer alternatives to inpatient settings and treat CYP in less restrictive environments. However, there has been limited implementation of such alternative models, and their efficacy is still inconclusive. Notably, little is known of the experiences of CYP and their parents with these alternative models and their level of satisfaction with the care provided. Therefore, the main aim of this review was to understand those experiences of the accessibility of alternative models to inpatient care, as well as overall CYP/parental satisfaction. A searching strategy of peer-reviewed articles was conducted from January 1990 to December 2018, with updated searches conducted in June 2019. The initial search resulted in 495 articles, of which 19 were included in this review. A narrative synthesis grouped the studies according to emerging themes: alternative models, tele-psychiatry and interventions applied to crisis, and experiences and satisfaction with crisis provision. The identified articles highlighted increased satisfaction in CYP with alternative models in comparison with care as usual. However, the parental experiential data identified high levels of parental burden and a range of complex emotional reactions associated with engagement with crisis services. Furthermore, we identified a number of interventions, telepsychiatric and mobile solutions that may be effective when applied to urgent and emergency care for CYP experiencing a mental health crisis. Lastly, both parental and CYP experiences highlighted a number of perceived barriers associated with help-seeking from crisis services.

Abstract Objectives: The objective is to examine the experiences of parents regarding receiving a diagnosis of autism spectrum disorder (ASD) for their child and the factors influencing parental satisfaction with the process of diagnosis. Methodology: Eighty-five children (2-12 years) with ASD (DSM 5 criteria) were consecutively recruited from the department of pediatrics of a tertiary care hospital in north India over 2 years. A semi-structured questionnaire was used to elicit information regarding early developmental concerns, age at the first visit to a professional, kinds of professionals consulted, diagnoses considered, and time taken to receive a definitive diagnosis of autism. Parents were asked to self-report their level of satisfaction with the diagnostic process on a three-point scale. Results: Overall, the mean age at first parental concern was 2.16 years (standard deviation [SD] = 1.04). Parents on average waited for 7 months before consulting a specialist. The mean age of diagnosis was 4.67 years (SD = 2.42). Analysis of diagnoses received before the diagnosis of ASD revealed that despite early parental concerns, one-fourth did not receive any specific diagnosis, one-fourth of the parents were told that their child was developing normally, and the majority were misdiagnosed (42.4%). A definitive diagnosis of autism took nearly 2½ years from the time when parents first started to have concerns about their child's development. The majority (51.8%) of the parents reported being dissatisfied with their diagnostic experiences, and the level of satisfaction was primarily explained by the number of professionals consulted for a diagnosis of autism (F = 6.54, P = 0.012). Conclusions: The findings underscore the need to educate primary care clinicians regarding the early signs of autism and to be respectful of parental concerns to make a timely diagnosis of autism and initiate evidence-based early interventions.