Parent Education for Migrant Mothers of Left‐Behind Children in China: A Pilot Randomized Controlled Trial

AuthorSiu‐ming To,Ming‐wai Yan,Yuk‐yan So,Ching‐man Kwok
Date01 June 2019
Published date01 June 2019
DOIhttp://doi.org/10.1111/famp.12369
Parent Education for Migrant Mothers of Left-Behind
Children in China: A Pilot Randomized Controlled
Trial
SIU-MING TO*
CHING-MAN KWOK*
YUK-YAN SO*
MING-WAI YAN*
Although numerous studies have indicated the significance of parental support and par-
entchild communication in alleviating the adverse effects of parental departure on left-
behind children, researchers have rarely addressed the impact of parent education on
migrant parents. On the basis of the results of a pilot randomized controlled trial, the study
reported here involved examining the possible outcomes and feasibility of a parent educa-
tion program for rural-to-urban migrant mothers of left-behind children in China.
Informed by an existentialnarrative approach to parent education, the program was com-
posed of six 2.5-hour sessions. The sample included 56 migrant mothers recruited from a
social service center in Shenzhen, China, who were randomly assigned to either the imme-
diate group (n=28, M=34.82 years, SD =4.12, aged 2343) or the waitlist control group
(n=28, M=34.68 years, SD =4.53, aged 2843). The hypotheses of the trial were two-
fold: that the program would positively affect participants’ parental identity and tha t it
would improve motherchild relationships and parenting practices. The results revealed
no significant difference in parental identity between the intervention gr oup and the wait-
list control group at the post-test assessment after ruling out the effects of pretest survey
scores. However, significant differences did emerge in parentchild relationships and par-
enting practices. Overall, the results corroborate the feasibility of examining the current
program for migrant mothers in China in a full trial. The findings also offer insights into
developing empirically supported parent education programs for migrant parents.
Keywords: Pa rent Education; Migrant Mothers; Left-Behind Children; Randomized
Controlled Trial; China
Fam Proc 58:318–333, 2019
INTRODUCTION
The economic ascendency of mainland China has been criticized by some scholars as
being built upon the suffering of a massive number of domestic migrants and their
left-behind children ( e.g.,Pun, 2016). In China, the term migrant workers refers to a group
of urban laborers with rural household registration (hukou) but who have left their
*Department of Social Work, The Chinese University of Hong Kong, Hong Kong, Hong Kong.
Correspondence concerning this article should be addressed to Siu-ming To, Department of Social Work,
The Chinese University of Hong Kong, Shatin, Hong Kong. E-mail: siumingto@cuhk.edu.hk.
This study was funded by the General Research Fund 2015/16 of the Research Grant Council, The Hong
Kong SAR Government (RGC Ref No. 14603015). We would like to give our heartfelt thanks to the partici-
pants of this parent education program and the editor and reviewers of this journal.
318
Family Process, Vol. 58, No. 2, 2019 ©2018 Family Process Institute
doi: 10.1111/famp.12369
hometowns to work in host cities. Constrained by their hukou status as rural residents,
migrant workers are denied access to employment protection, healthcare, and other ser-
vices offered to their urban counterparts (Pun, 2016). At present, there are approximately
163 million migrant workers in China (National Bureau of Statistics of China, 2013).
Meanwhile, left-behind children refers to children with at least one parent who has relo-
cated to work elsewhere for at least 6 months and not taken their children with them
(China Women’s Federation, 2013). In 2012, there were approximately 61 million left-
behind children under 18 years of age in China looked after by their other biological par-
ent, grandparents, other relatives, friends of the family, or even no one but thems elves
(China Women’s Federation, 2013). Many parents who work as migrants choose to leav e
their children behind in their hometowns due to the high cost of living in host cities and
the lack of public education and welfare for their children there due to the hukou system.
The difficulties and challenges encountered by left-behind children have generated sig-
nificant public concern in recent years, as well as research that highlights the children’s
psychological risks, including low self-esteem, intense loneliness, and mental health prob-
lems such as depression and social anxiety (Su, Li, Lin, Xu, & Zhu, 2012; Wen & Lin,
2012; Zhao & Yu, 2016). When left-behind children are young or when they fail to estab-
lish attachment to their parents, they run the risk of psychosocial hazards (Zhao & Yu,
2016). The prospects for children when both of their parents are migrant workers are even
more disheartening (Zhao, Liu, & Wang, 2015). Although most of those children are cared
for by kin, the childrearing capacity of such caregivers is limited in rural settings, and
they cannot replace the unique role of parents in fulfilling the emotional needs of left-
behind children (Zhao & Yu, 2016).
Despite that gloomy outlook, the quality of parentchild contact during separation can
mitigate the negative impacts of parental migration on left-behind children, who suffer
fewer emotional problems when they maintain close ties and enjoy good relationships with
their parents (Su et al., 2012; Zhao et al., 2015). Parental guidance and involvemen t can
also encourage children to exert more effort in their studies (Wen & Lin, 2012) and can
enhance their sense of satisfaction and happiness in life (Su et al., 2012). Given mounting
concern for the needs and welfare of left-behind children, it is vital that more parent edu-
cation programs are implemented to support parents in maintaining a high quality of par-
ental involvement and in fostering close parentchild relationships amid their physical
absence (Zhao & Yu, 2016).
Constructing a Healthy Parental Identity as the Primary Outcome of the Study
Constructing a healthy parental identity was regarded as the primary outcome of the
present study because it was considered to be of greatest importance to migrant mothers
of left-behind children in China. Research on parenthood has demonstrated that when
parents nurture healthy parental self-perceptions, they will have a greater chance to
enhance parentchild relationships, strengthen parental involvement and commitment,
and find less problem behavior in children (Coleman & Karraker, 1997; Dumka, Gonzales,
Wheeler, & Millsap, 2010; Ohan, Leung, & Johnston, 2000). In other words, the ability to
construct a healthy parental identity is a crucial factor influencing parents’ role perfor-
mance and behavior (Tsushima & Burke, 1999). Although few studies have documented
the development and evaluation of parent education programs for migrant parents in
China, a recent study on the parenting needs and experiences of these parents can offer
significant insights into developing parent education programs that support them to con-
struct a healthy parental identity. According to the results of the study by the Center for
Child Rights and Corporate Social Responsibility (CCR CSR, 2013) that surveyed 591
migrant parents working in Guangdong Province, located along China’s southern coast,
Fam. Proc., Vol. 58, June, 2019
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