Relevance of the intervention module "Coping with stress and unhelpful emotions" for parents living in multi-ethnic deprived neighborhoods

To achieve optimal satisfaction and impact of interventions in diverse populations, it is important to be sensitive to the needs and stressors of ethnic minority and low-income groups. This study examines the relevance of the intervention module ‘Coping with stress and unhelpful emotions’. The module, addressing parenting stress, was integrated in Group Triple P and delivered to parents living in multi-ethnic deprived neighborhoods in the Netherlands.

To enable in-depth understanding of parents' and providers' experiences, a multi-informant qualitative methodology was used. Semi-structured interviews were conducted with four providers and fourteen participants, observations were made during the performance of the module, and process evaluation forms were filled in by providers. A thematic analysis was conducted to interpret the results.

Three overarching themes were identified: appreciation of sharing experiences, acceptability of the module's content, and the appropriateness of program materials. The module was considered relevant by both participants and providers. Feelings related to homesickness and stress were discussed in detail. Although sharing anecdotes was valued, they took up some of the limited time available for individual behavior practice. Participants were positive about the use of video fragments, whereas providers questioned the appropriateness and the ethnic/religious diversity of the material.

These findings support the relevance of the intervention module on ‘Coping with stress and unhelpful emotions’ for parents living in multi-ethnic deprived neighborhoods. The module might be improved by allowing more time for and variety in behavior practice, including attention for positive emotions, and adjusting program materials for use among parents with, for example, limited language proficiency.