Using the Socio-Ecological Model to Explore Parents’ Resilience and Perceptions of Adverse Childhood Experiences: A Qualitative Study in the Southeastern United States

Background: The negative impact of adverse childhood experiences (ACEs) on child development is documented. The parent–child relationship protects against ACEs and improves healthy child development, playing a crucial role in preventing and mitigating ACEs by strengthening parental resilience. However, there is a gap in the literature on our understanding of parental resilience’s impact on the parent–child relationship within the social–ecological model (SEM) (i.e., intra- and interpersonal, community, and societal levels). Objective: This study explores parents’ perspectives on parental resilience as a protective factor for preventing and mitigating ACEs at every level of the SEM. Method: This study uses a thematic analysis approach for qualitative research. In-depth individual interviews (n = 21) were conducted with members of a parent support group (PSG) (85% female) based in a community-based organization serving families. Demographic information and ACE scores were collected for each participant to describe the sample. Results: Key findings highlighted parents’ perspectives on improved resilience through self-regulation and social support following participation in PSGs, conceptualized as an inter-level construct within the SEM mechanism due to its influence on parents’ well-being, traversing SEM levels. Under Theme 1: The Many Faces of Parental Resilience, Theme 3: The Power of Close Relationships, Theme 4: Community Resources as a Buffer, and Theme 7: Change Through a Policy Lens: “Anything that protects them,” parents expressed a strong desire for ACE prevention and mitigation strategies and called for systemic policy change to combat ACEs. Conclusions: Parental resilience perceptions are valuable and hold promise to inform the future institutionalization of a multi-level parent resilience-focused framework, which will aid in ACE prevention and mitigation.

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Journal
Healthcare
Published
2026-05-21
DOI
https://doi.org/10.3390/healthcare14101414
Primary Topic
Child Abuse and Trauma
Type
article
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article

Using the Socio-Ecological Model to Explore Parents’ Resilience and Perceptions of Adverse Childhood Experiences: A Qualitative Study in the Southeastern United States

Christine Markham, Andrew E. Springer, Maribel G. Dominguez, Louis D. Brown
Healthcare
Child Abuse and Trauma
article

Using the Socio-Ecological Model to Explore Parents’ Resilience and Perceptions of Adverse Childhood Experiences: A Qualitative Study in the Southeastern United States

Christine Markham, Andrew E. Springer, Maribel G. Dominguez, Louis D. Brown
article en

Abstract

Background: The negative impact of adverse childhood experiences (ACEs) on child development is documented. The parent–child relationship protects against ACEs and improves healthy child development, playing a crucial role in preventing and mitigating ACEs by strengthening parental resilience. However, there is a gap in the literature on our understanding of parental resilience’s impact on the parent–child relationship within the social–ecological model (SEM) (i.e., intra- and interpersonal, community, and societal levels). Objective: This study explores parents’ perspectives on parental resilience as a protective factor for preventing and mitigating ACEs at every level of the SEM. Method: This study uses a thematic analysis approach for qualitative research. In-depth individual interviews (n = 21) were conducted with members of a parent support group (PSG) (85% female) based in a community-based organization serving families. Demographic information and ACE scores were collected for each participant to describe the sample. Results: Key findings highlighted parents’ perspectives on improved resilience through self-regulation and social support following participation in PSGs, conceptualized as an inter-level construct within the SEM mechanism due to its influence on parents’ well-being, traversing SEM levels. Under Theme 1: The Many Faces of Parental Resilience, Theme 3: The Power of Close Relationships, Theme 4: Community Resources as a Buffer, and Theme 7: Change Through a Policy Lens: “Anything that protects them,” parents expressed a strong desire for ACE prevention and mitigation strategies and called for systemic policy change to combat ACEs. Conclusions: Parental resilience perceptions are valuable and hold promise to inform the future institutionalization of a multi-level parent resilience-focused framework, which will aid in ACE prevention and mitigation.

HealthcareVol. 14(10)
The University of Texas Health Science Center at Houston (US)
Openalex Percentile: Top 4%
Child Abuse and Trauma
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