scholarly journals Identifying Positive Adaptive Pathways in Low-Income Families in Singapore: Protocol for Sequential, Longitudinal Mixed-Methods Design (Preprint)

2018 ◽  
Author(s):  
Esther Chor Leng Goh ◽  
Wan Har Chong ◽  
Jayashree Mohanty ◽  
Evelyn Chung Ning Law ◽  
Chin-Ying Stephen Hsu ◽  
...  

BACKGROUND This study aims to examine the adaptive process of children and mothers from multistressed low-income families in Singapore. It aims to bridge the knowledge gap left by existing poverty studies, which are predominately risk focused. Through a sequential longitudinal mixed-methods design, we will differentiate children and mothers who demonstrate varied social, developmental, and mental health trajectories of outcomes. Through utilizing the Latent Growth Curve Model (LGCM), we aim to detect the development and changes of the positive Family Agency and adaptive capacities of these families over time. The construct of Family Agency is underpinned by the theoretical guidance from the Social Relational Theory, which examines child agency, parent agency, relational agency, and the interactions among these members. It is hypothesized that positive Family Agency within low-income families may lead to better outcomes. The key research questions include whether the extent of positive Family Agency mediates the relationship among financial stress, resource utilization, home environment, and parental stress. OBJECTIVE The study elucidates the Family Agency construct through interviews with mother-child dyads. It also aims to understand how financial stress and resources are differentially related to home environment, parent stress, and parent and child outcomes. METHODS In phase 1, 60 mother-child dyads from families receiving government financial assistance and with children aged between 7 and 12 years will be recruited. In-depth interviews will be conducted separately with mothers and children. On the basis of 120 interviews, a measurement for the construct of Family Agency will be developed and will be pilot tested. In phase 2a, a longitudinal survey will be conducted over 3 time points from 800 mother-child dyads. The 3 waves of survey results will be analyzed by LGCM to identify the trajectories of adaptation pathways of these low-income families. In addition, 10 focus groups with up to 15 participants in each will be conducted to validate the LGCM results. RESULTS This project is funded by the Social Science Research Thematic Grant (Singapore). The recruitment of 60 mother-child dyads has been achieved. Data collection will commence once the amendment to the protocol has been approved by the Institutional Review Board. Analysis of phase 1 data will be completed by the end of the first quarter of 2019, and the first set of results is expected to be submitted for publication by the second quarter of 2019. Phase 2 implementation will commence in the second quarter of 2019, and the project end date is in May 2021. CONCLUSIONS Findings from this study can potentially inform social policy and programs as it refines the understanding of low-income families by distinguishing trajectories of adaptive capacities so that policies and interventions can be targeted in enhancing the adaptive pathways of low-income families with children. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/11629

10.2196/11629 ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. e11629
Author(s):  
Esther Chor Leng Goh ◽  
Wan Har Chong ◽  
Jayashree Mohanty ◽  
Evelyn Chung Ning Law ◽  
Chin-Ying Stephen Hsu ◽  
...  

2021 ◽  
pp. 000283122199383
Author(s):  
Susan B. Neuman ◽  
Donna Celano ◽  
Maya Portillo

Recognizing the academic benefits of access to print for young children, book distribution programs abound in the United States. Designed to promote book ownership for low-income families, programs have unique delivery systems, leading to a largely fragmented policy. This article describes an urban city’s effort to build a coordinated book distribution program. Phase 1 examines the extent of book distributions, integrating data from 74 organizations and their branches (297). Using geographic information systems, we determined the spatialized patterns of scarcity and/or opportunity and the alignment between the intended and actual audience. In Phase 2, we conducted nine focus groups from neighborhoods receiving these book distributions. Results highlight the complexities of a well-intentioned policy and how multiple methods might inform policymaking in the future.


PEDIATRICS ◽  
1966 ◽  
Vol 37 (6) ◽  
pp. 986-986
Author(s):  
Robert B. Kucel

With the increasing interest in mental retardation more articles, monographs, and books appear on the subject. The Biosocial Basis of Mental Retardation is a collection of seven essays originally delivered at the John Hopkins Hospital. Although pediatricians have turned their attention in mental retardation mostly to the biological components of mental retardation, there is a growing awareness that social and psychological factors also play a significant role. The interrelationship of biological and social factors is virtually an unchartered sea. The several authors who originally presented these essays are attempting to highlight some of the social factors and, where appropriate, to point out how some of the social features relate to biological ones. For example, the well known relationship of the high incidence of prematurity in low socioeconomic group families is a fact most pediatricians know but the implication of this fact as far as prevention is concerned is a large and important concern and as yet poorly understood. With the increasing amount of federal interest in programs for low income families, many pediatricians will want to become better informed about the implications. Some of these points are considered in the chapter by Janet Hardy. For the person concerned with medical remedies for mental retardation, there will be little of interest in this book. On the other hand, for those who are anxious to know more about social and psychological factors as they relate to mental retardation, this is a very useful and fascinating compendium of articles. Particularly intriguing are the articles by Eli Ginzberg who discusses the mentally handicapped in an increasingly technological society.


2009 ◽  
Vol 163 (9) ◽  
pp. 832 ◽  
Author(s):  
Cori M. Green ◽  
Samantha B. Berkule ◽  
Benard P. Dreyer ◽  
Arthur H. Fierman ◽  
Harris S. Huberman ◽  
...  

2017 ◽  
Vol 19 (2) ◽  
pp. 292-303 ◽  
Author(s):  
B. Savitha

Micro health insurance (MHI) is an important mechanism to fight iatrogenic poverty in India. Its sustainability and viability depends, to a greater extent on the renewal of membership. This article evaluates the factors that influence renewal decisions in Sampoorna Suraksha Programme (SSP) in Karnataka. This study shows income class and chronic illness in the family to determine the renewability. The findings indicate adverse selection since low-income low-risk and high-income low-risk families dropout. From the social welfare point of view, renewal from high-risk low-income families is welcome; yet this should not jeopardize resource mobilization of SSP. Sustainable and viable operations of SSP depends on continued membership of insured population that can be achieved through external financial assistance for the poorest, wider network of hospitals and increased awareness on health insurance. Dropout rate in any MHI scheme should be kept very low to achieve deeper penetration and wider coverage especially in India where large percentage of population falls outside the insurance ambit.


2016 ◽  
Vol 61 (2) ◽  
pp. 247-259 ◽  
Author(s):  
Azam Baheiraei ◽  
Fatemeh Bakouei ◽  
Eesa Mohammadi ◽  
Reza Majdzadeh ◽  
Seyed Mostafa Hosseni

In this population-based cross-sectional study of women of reproductive age in Tehran, Iran, the social capital integrated questionnaire and socio-demographic questionnaire were used. The highest mean scores were related to social cohesion and inclusion dimension (55.72 ± 11.94) and the lowest mean scores to groups and networks dimension (31.78 ± 19.43). Stepwise multiple linear regressions showed the significant association between dimensions of social capital and certain socio-demographic variables, particularly family income. Policy makers should help low-income families by designing effective interventions for improving the status of social capital in this group, because it is considered one of the social determinants of health.


2019 ◽  
Vol 40 (12) ◽  
pp. 1604-1626
Author(s):  
Hayley D. Seely ◽  
Kristin D. Mickelson

The physical, mental, and behavioral impact of living in poverty is significant; research shows that individuals who experience financial stress in childhood are more likely to suffer from impaired mental health and continue experiencing similar stressors in adulthood. Less clear is the role of maternal resilience on child outcomes in the face of financial stress. The current study focused on maternal resilience as a moderator between objective financial stress and child outcomes. Additionally, we proposed that subjective financial stress would mediate the interaction between maternal resilience and objective financial stress on child outcomes. To test these hypotheses, we utilized data from the Mothers’ Outcomes Matter Study in which 116 low-income mothers were interviewed about their stress, resilience, and their child’s mental, behavioral, and physical outcomes. Results suggest that maternal self-esteem and mastery buffer the relationship between objective financial stress and child outcomes, but subjective financial stress did not mediate the association.


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