Skip to main content
Top
Published in: Journal of Prevention 1/2016

01-02-2016 | Original Paper

Evaluation of a Multimedia Intervention for Children and Families Facing Multiple Military Deployments

Authors: Allison Flittner O’Grady, E. Thomaseo Burton, Neelu Chawla, David Topp, Shelley MacDermid Wadsworth

Published in: Journal of Prevention | Issue 1/2016

Login to get access

Abstract

Repeated military deployments have been a common experience for many military families in the past 15 years. While there has been an increase in research and intervention focused on the effects on families of military deployments, much of this work has not focused specifically on the particular needs of young children. Talk, Listen, Connect: Multiple Deployments (TLC-II MD), a multimedia kit designed for home use, is among the first interventions directed toward young children. Created by Sesame Workshop and using popular Sesame Street characters, TLC-II MD was designed to support and equip families with young children with skills to address challenges associated with multiple deployments. This study utilized a randomized experimental design to evaluate the impact of TLC-II MD relative to a control condition using a Sesame Workshop multimedia kit not tailored to military families. Parents in both groups reported that children enjoyed the video overall and watched it repeatedly. Also in both groups, caregivers’ depressive symptoms and children’s aggressive behaviors declined significantly over time. Caregivers in the test group reported significantly larger increases in comfort discussing the deployment with their child and stronger perceptions that the DVD helped children to cope. Thus, the resilience-oriented materials were helpful to both groups, but those tailored to military families were significantly more likely to be perceived as helpful. Findings offer evidence regarding the ability of multimedia self-administered interventions to assist military families.
Literature
go back to reference Abidin, R. P. (1995). Parenting Stress Index (3rd ed.). Odessa, FL: Psychological Assessment Resources. Abidin, R. P. (1995). Parenting Stress Index (3rd ed.). Odessa, FL: Psychological Assessment Resources.
go back to reference Booth, B., Segal, M. W., & Bell, D. B. (with Martin, J. A., Ender, M. G., Rohall, D. E., & Nelson, J.) (2007). What we know about Army families: 2007 update. Fairfax, VA: ICF International. Booth, B., Segal, M. W., & Bell, D. B. (with Martin, J. A., Ender, M. G., Rohall, D. E., & Nelson, J.) (2007). What we know about Army families: 2007 update. Fairfax, VA: ICF International.
go back to reference Boulter, E., & Rickwood, D. (2013). Parents’ experience of seeking help for children with mental health problems. Advances in Mental Health, 11(2), 131–142.CrossRef Boulter, E., & Rickwood, D. (2013). Parents’ experience of seeking help for children with mental health problems. Advances in Mental Health, 11(2), 131–142.CrossRef
go back to reference Burnett, M. F., Williamson, I. O., & Bartol, K. M. (2005). Personality as a determinant of employee’s reactions to justic and organizational reward perceptions: A cognitive affective perspective. Academy of Management, 1, E1–E6. doi:10.5465/AMBPP.2005.18780409. Burnett, M. F., Williamson, I. O., & Bartol, K. M. (2005). Personality as a determinant of employee’s reactions to justic and organizational reward perceptions: A cognitive affective perspective. Academy of Management, 1, E1–E6. doi:10.​5465/​AMBPP.​2005.​18780409.
go back to reference Centers for Disease Control and Prevention. (2010). Current depression among adults—United States, 2006 and 2008. Morbidity and Mortality Weekly Report. An erratum was later published with corrected tables; data from those tables are used here. Contract No: 38. Centers for Disease Control and Prevention. (2010). Current depression among adults—United States, 2006 and 2008. Morbidity and Mortality Weekly Report. An erratum was later published with corrected tables; data from those tables are used here. Contract No: 38.
go back to reference Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., et al. (2010). Children on the homefront: The experiences of children from military families. Pediatrics, 125(1), 18–25. doi:10.1542/peds.2009-1180.CrossRef Chandra, A., Lara-Cinisomo, S., Jaycox, L. H., Tanielian, T., Burns, R. M., Ruder, T., et al. (2010). Children on the homefront: The experiences of children from military families. Pediatrics, 125(1), 18–25. doi:10.​1542/​peds.​2009-1180.CrossRef
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Lawrence Earlbaum Associates.
go back to reference Defense Manpower Data Center. (2012). Contingency tracking system: Profile of service members ever deployed. Washington, DC: Office of the Secretary of Defense. Defense Manpower Data Center. (2012). Contingency tracking system: Profile of service members ever deployed. Washington, DC: Office of the Secretary of Defense.
go back to reference Deputy Under Secretary of Defense, Military Community and Family Policy. (2012). Profile of the military community: DoD 2010 demographics. Alexandria, VA: ICF International. Deputy Under Secretary of Defense, Military Community and Family Policy. (2012). Profile of the military community: DoD 2010 demographics. Alexandria, VA: ICF International.
go back to reference DeVoe, E. R., & Ross, A. (2012). The parenting cycle of deployment. Military Medicine, 177(2), 184−190.CrossRefPubMed DeVoe, E. R., & Ross, A. (2012). The parenting cycle of deployment. Military Medicine, 177(2), 184−190.CrossRefPubMed
go back to reference Galovski, T., & Lyons, J. A. (2004). Psychological sequelae of combat violence: A review of the impact of PTSD on the veteran’s family and possible interventions. Aggression and Violent Behavior, 9, 477–501. doi:10.1016/S1359-1789(03)00045-4.CrossRef Galovski, T., & Lyons, J. A. (2004). Psychological sequelae of combat violence: A review of the impact of PTSD on the veteran’s family and possible interventions. Aggression and Violent Behavior, 9, 477–501. doi:10.​1016/​S1359-1789(03)00045-4.CrossRef
go back to reference Goldsmith, T. R., & LeBlanc, L. A. (2004). Use of technology in interventions for children with autism. Journal of Early and Intensive Behavior Interventions, 1(2), 166–178. Retrieved from http://www.jeibi.com. Goldsmith, T. R., & LeBlanc, L. A. (2004). Use of technology in interventions for children with autism. Journal of Early and Intensive Behavior Interventions, 1(2), 166–178. Retrieved from http://​www.​jeibi.​com.
go back to reference Institute of Medicine. (2013). Returning home from Iraq and Afghanistan: Assessment of readjustment needs of veterans, service members, and their families. Washington, DC: The National Academies Press. Institute of Medicine. (2013). Returning home from Iraq and Afghanistan: Assessment of readjustment needs of veterans, service members, and their families. Washington, DC: The National Academies Press.
go back to reference Lester, P. (2012). War and military children and families: Translating prevention science into practice. Journal of American Academy of Child and Adolescent Psychiatry, 51(1), 3–5. Retrieved from http://www.jaacap.com. Lester, P. (2012). War and military children and families: Translating prevention science into practice. Journal of American Academy of Child and Adolescent Psychiatry, 51(1), 3–5. Retrieved from http://​www.​jaacap.​com.
go back to reference Lester, P., Mogil, C., Saltzman, W., Woodward, K., Nash, W., Leskin, G., et al. (2011). Families overcoming under stress: Implementing family-centered prevention for military families facing wartime deployments and combat operational stress. Military Medicine, 176(1), 19–25. Retrieved from http://www.amsus.org/index.php/journal. Lester, P., Mogil, C., Saltzman, W., Woodward, K., Nash, W., Leskin, G., et al. (2011). Families overcoming under stress: Implementing family-centered prevention for military families facing wartime deployments and combat operational stress. Military Medicine, 176(1), 19–25. Retrieved from http://​www.​amsus.​org/​index.​php/​journal.
go back to reference Linebarger, D. L., & Vaala, S. (2010). Infants and toddlers, screen media, and language development: An ecological perspective. Developmental Review, 30(2), 176–202.CrossRef Linebarger, D. L., & Vaala, S. (2010). Infants and toddlers, screen media, and language development: An ecological perspective. Developmental Review, 30(2), 176–202.CrossRef
go back to reference Mansfield, A. J., Kaufman, J. S., Marshall, S. W., Gaynes, B. N., Morrissey, J. P., & Engel, C. C. (2010). Deployment and the use of mental health services among U.S. Army wives. New England Journal of Medicine, 362(2), 101–109.CrossRefPubMed Mansfield, A. J., Kaufman, J. S., Marshall, S. W., Gaynes, B. N., Morrissey, J. P., & Engel, C. C. (2010). Deployment and the use of mental health services among U.S. Army wives. New England Journal of Medicine, 362(2), 101–109.CrossRefPubMed
go back to reference Melnyk, B. M., Alpert-Gillis, L., Feinstein, N. F., Crean, H. F., Johnson, J., Fairbanks, E., et al. (2004). Creating opportunities for parent empowerment: Program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics, 113(6), e597–e607.CrossRefPubMed Melnyk, B. M., Alpert-Gillis, L., Feinstein, N. F., Crean, H. F., Johnson, J., Fairbanks, E., et al. (2004). Creating opportunities for parent empowerment: Program effects on the mental health/coping outcomes of critically ill young children and their mothers. Pediatrics, 113(6), e597–e607.CrossRefPubMed
go back to reference Mouton, B., & Roskam, I. (2014). Confident mothers, easier children: A quasi-experimental manipulation of mothers’ self-efficacy. Journal of Child and Family Studies,. doi:10.1007/s10826-014-0051-0. Mouton, B., & Roskam, I. (2014). Confident mothers, easier children: A quasi-experimental manipulation of mothers’ self-efficacy. Journal of Child and Family Studies,. doi:10.​1007/​s10826-014-0051-0.
go back to reference O’Grady, A. E., Wadsworth, S. M., Willerton, E., Cardin, J. F., Topp, D., Mustillo, S., et al. (2015). Help seeking by parents in military families on behalf of their young children. Psychiatric Services, 12, 231–240. doi:10.1037/ser0000027. O’Grady, A. E., Wadsworth, S. M., Willerton, E., Cardin, J. F., Topp, D., Mustillo, S., et al. (2015). Help seeking by parents in military families on behalf of their young children. Psychiatric Services, 12, 231–240. doi:10.​1037/​ser0000027.
go back to reference Paley, B., Lester, P., & Mogil, C. (2013). Family systems and ecological perspectives on the impact of deployment on military families. Clinical Child and Family Psychology Review, 16(3), 246–265. doi:10.1007/s10567-013-0138-y.CrossRef Paley, B., Lester, P., & Mogil, C. (2013). Family systems and ecological perspectives on the impact of deployment on military families. Clinical Child and Family Psychology Review, 16(3), 246–265. doi:10.​1007/​s10567-013-0138-y.CrossRef
go back to reference Posada, G., Kaloustian, G., Richmond, M., & Moreno, A. (2007). Maternal secure base support and preschoolers’ secure base behavior in natural environments. Journal of Attachment and Human Development, 4, 393–411. doi:10.1080/14616730701712316.CrossRef Posada, G., Kaloustian, G., Richmond, M., & Moreno, A. (2007). Maternal secure base support and preschoolers’ secure base behavior in natural environments. Journal of Attachment and Human Development, 4, 393–411. doi:10.​1080/​1461673070171231​6.CrossRef
go back to reference Reid, M. J., Webster-Stratton, C., & Hammond, M. (2003). Follow-up of children who received the incredible years intervention for oppositional-defiant disorder: Maintenance and prediction of 2-year outcome. Behavior Therapy, 34(4), 471–491. doi:10.1016/S0005-7894(03)80031-X CrossRef Reid, M. J., Webster-Stratton, C., & Hammond, M. (2003). Follow-up of children who received the incredible years intervention for oppositional-defiant disorder: Maintenance and prediction of 2-year outcome. Behavior Therapy, 34(4), 471–491. doi:10.​1016/​S0005-7894(03)80031-X CrossRef
go back to reference Rentz, E. D., Marshall, S. W., Loomis, D., Martin, S. L., Casteel, C., & Gibbs, D. (2007). Effect of deployment on the occurrence of child maltreatment in military and nonmilitary families. American Journal of Epidemiology, 16, 1199–1206. doi:10.1093/aje/kwm008.CrossRef Rentz, E. D., Marshall, S. W., Loomis, D., Martin, S. L., Casteel, C., & Gibbs, D. (2007). Effect of deployment on the occurrence of child maltreatment in military and nonmilitary families. American Journal of Epidemiology, 16, 1199–1206. doi:10.​1093/​aje/​kwm008.CrossRef
go back to reference Waters, E. (1995). The Attachment Q-Set (Version 3.0). In E. Waters, E., Vaughn, B., Posada, G., & Kondo-Ikemura, K. (Eds.), Caregiving, cultural, and cognitive perspectives on secure-base behavior and working models: New growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 60(2), 234–246. Waters, E. (1995). The Attachment Q-Set (Version 3.0). In E. Waters, E., Vaughn, B., Posada, G., & Kondo-Ikemura, K. (Eds.), Caregiving, cultural, and cognitive perspectives on secure-base behavior and working models: New growing points of attachment theory and research. Monographs of the Society for Research in Child Development, 60(2), 234–246.
go back to reference Webster-Stratton, C. (2011). The incredible years: Parent teacher, and child training series (IYS). In Preventing violence and related health-risking social behaviors in adolescents: An NIH state-of-the-science conference. Webster-Stratton, C. (2011). The incredible years: Parent teacher, and child training series (IYS). In Preventing violence and related health-risking social behaviors in adolescents: An NIH state-of-the-science conference.
Metadata
Title
Evaluation of a Multimedia Intervention for Children and Families Facing Multiple Military Deployments
Authors
Allison Flittner O’Grady
E. Thomaseo Burton
Neelu Chawla
David Topp
Shelley MacDermid Wadsworth
Publication date
01-02-2016
Publisher
Springer US
Published in
Journal of Prevention / Issue 1/2016
Print ISSN: 2731-5533
Electronic ISSN: 2731-5541
DOI
https://doi.org/10.1007/s10935-015-0410-7

Other articles of this Issue 1/2016

Journal of Prevention 1/2016 Go to the issue