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Clinical Nursing Research
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Randomized Controlled Trial of a Family Problem-Solving Intervention

Jane Drummond

Darcy Fleming

Linda Mcdonald

Gerard M. Kysela

University of Alberta

Adaptive problem solving contributes to individual and family health and development. In this article, the effect of the cooperative family learning approach (CFLA) on group family problem solving and on cooperative parenting communication is described. A pretest or posttest experimental design was used. Participant families were recruited from Head Start programs and exhibited two or more risk factors. Participant preschool children were screened to have two or more developmental delays. Direct behavioral observation measures were used to determine group family problem solving and cooperative parenting communication outcomes. Few group family problem-solving behaviors were coded, and they displayed little variability. However, intervention parents increased the length of time they played and extended the cooperative parent-child interactions. The evidence shows that CFLA has the potential to enhance parentalmodeling of cooperative behavior while engaged in play activities with preschoolers. Direct measurement of group family problem solving was difficult. Solutions are suggested.

Key Words: family problem solving • cooperative communication

Clinical Nursing Research, Vol. 14, No. 1, 57-80 (2005)
DOI: 10.1177/1054773804270096
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