Table 1.
Integration of content from evidence-based parenting interventions and locally adapted or additional content for street-connected mothers in Eldoret, Kenya.
Core component of PLH | Evidence-based content | Specific content adapted for street-connected mothers in Eldoret, Kenya | Specific content added for street-connected mothers in Eldoret, Kenya |
---|---|---|---|
Building positive parent-child relationships | - Child-led play - Descriptive commenting - Socio-emotional communication - Praise and rewards - Positive instruction-giving - Establishing household rules |
- Child-directed speech integrated into child-led play - Establishing consistent rules and routines for keeping parents and children safe and healthy - Sleeping routines instead of bedtime routines |
- Child and parental rights and responsibilities - Establishing rules to keep parents safe - Keeping track of time for health routines (e.g. clinic visits, medication adherence) - Access to health services |
Effective limit-setting and discipline | - Redirecting negative behaviors - Ignoring negative attention-seeking behavior - Cool Down (Time-Out) - Consequences - Resolving Conflicts |
- Talking about challenging issues with your partner (e.g. family planning, STIs, education, finances) - Access to social, and legal services |
|
Parental stress management | Parental emotional self-regulation | Re-ordering of stress-management activities | Promoting existing coping strategies (e.g., prayer) |
Delivery and structure | - Group or individual sessions - Collaborative facilitation - Group discussions and problem-solving - Modeling with Illustrated Stories - Practicing skills - Parent support groups - Transportation and refreshments |
- Group sessions with individual consultations | - New group practice on parent and child rights and responsibilities - New Illustrated scenarios depicting complex family scenarios - Childcare during program sessions - Service linkage within and after program sessions, with the presence of health, social work, and legal professionals |