Higher Levels Of Parental Support Research Articles

8768 Initiation of Exogenous Sex Hormones in a Pediatric Gender Clinic

Abstract Disclosure: C.M. Roberts: None. M.M. Knoll: None. G. Robertson: None. A. Egan: None. C. Moser: None. Introduction: The demographics of patients seeking care for gender dysphoria have changed significantly since care was started in 1987. The criteria for prescribing sex hormones have also evolved to allow a greater range of patients to receive gender-affirming hormones. We examined factors associated with prescription of gender-affirming hormones to patients presenting for gender-affirming care our clinic. Methods: Secondary analysis of sex hormone initiation as a minor among 14-17-year-old adolescents diagnosed with gender dysphoria, seen in the pediatric gender clinic between 2/19/2018 and 7/20/2022. We extracted demographic variables, appointment dates, and sex hormone prescription data from our electronic medical record. We collected patient reports of gender identity and suicidal behavior, and parent and adolescent reports of general adolescent well-being, months of gender dysphoria and social transition, and parental support for the adolescent’s gender identity from electronic clinic surveys. Results: We identified 273 adolescent-parent dyads with complete data. Most of our sample were assigned female at birth (74.4%), transgender male (59.3%), and white (83.5%) adolescents who lived in urban (86.4%) and lower-middle-income (64.5%) areas. The average age was 15.9+/-1.1 years. A minority of adolescents reported recent suicidal ideation 60/273 (22%), and prior suicide attempts 20/273 (7%). Parents reported a shorter duration of gender dysphoria (-16.7 months (95%CI: -22.0, -11.5)) and social transition (-4.7: -6.5, -3.0), and higher levels of parental support than adolescents. Approximately half, 146/273 (53.5%), of adolescents started sex hormones. The average age at initiation was 16.5 years +/- 0.9. Age at presentation, length of gender dysphoria or social transition, and the presence of suicidal ideation or attempts were not associated with initiation of sex hormones. Assigned males (OR:1.82:95%CI 1.04, 3.19), adolescents with higher parent-reported parental support for the adolescent’s identity (1.03:1.01, 1.04), and adolescents with private insurance rather than Medicaid (Blue Cross- 5.39:2.73, 10.64) were more likely to start sex hormones as a minor. Conclusion: Published criteria for the initiation of sex hormones among adolescents with gender dysphoria, including age, persistence of dysphoria, and the presence of suicidality, did not predict the prescription of sex hormones to minors in our clinic. Parent-reported support for the adolescent’s gender identity played a small role in predicting the prescription of hormones, but male sex assigned at birth and having private health insurance played larger roles. Further exploration of these findings is needed to ensure equity in the treatment of gender dysphoria. Presentation: 6/3/2024

Identifying precondition configurations of mathematics anxiety among middle school students in China: using NCA and QCA approaches.

Addressing mathematics anxiety is important to ensure that students achieve good academic performance and maintain their mental health during the critical middle school period. However, previous studies have focused on the separate effects of the preconditions for mathematics anxiety, ignoring the interaction of factors. Therefore, this study aims to identify the determinants of mathematics anxiety from the perspective of complex systems via necessary condition analysis (NCA) and qualitative comparative analysis (QCA). To the best of our knowledge, this is the first study to identify configurations of preconditions of mathematics anxiety among middle school students. A total of 183 middle school students aged 16 to 19 years (M age = 17.47, SD = 0.89) in China participated in this cross-sectional study. The outcome variable of the study is mathematics anxiety, and the condition variables include mathematics grade, parental support, learning motivation, learning planning, and learning interest. The necessity condition analysis shows that not all the condition variables constitute the necessity condition of mathematics anxiety alone. Four paths for the influence of multiple condition variables on mathematics anxiety are identified via the configuration analysis. Notably, even students with high mathematics scores and learning interest still experience mathematics anxiety due to a lack of practical parental support and learning motivation. High levels of parental support can exacerbate the mathematics anxiety of students under two conditions: 1) a lack of learning motivation and learning plans, and 2) interest in learning but low mathematics scores and unclear learning plans. This study highlights the need to consider the comprehensive impact of mathematics anxiety, and the findings will help educators and researchers identify the different characteristics of mathematics anxiety in student populations.

PARENTAL ATTITUDES AND SUPPORT TOWARD SCHOOL SPORTS

This cross-sectional study examined parents’ attitudes, their support, and perceptions of school involvement in school sports using a newly developed Parental Attitudes and Support for School Sports and Perceptions of School Involvement Questionnaire (PASSIQ). The study also examined the association between parents' gender and children's sports participation concerning these attitudes and support levels. A total of 380 parents were included in the study, with 341 valid responses analyzed. Our findings indicate that higher levels of parental support are strongly associated with more positive attitudes toward school sports (p < 0.001). While perceptions of school support showed a marginally significant positive relationship (p = 0.083), extended participation in sports was generally associated with lower parental attitudes, potentially reflecting concerns about burnout or shifting perceptions over time. Notably, the interaction between parents' gender and children's sports participation revealed that for male parents, extended sports participation of their children significantly enhanced positive attitudes toward school sports (p = 0.004). These results highlight the importance of considering parental support and gender-specific responses when developing strategies to promote positive attitudes and support for school sports. The PASSIQ proved to be a reliable and valid tool for assessing these constructs, providing a foundation for future research and interventions to foster supportive environments for children's physical activity.

Adolescents’ Perceived Changes in Internalizing Symptoms during the COVID-19 Pandemic: The Role of Father Internalizing Symptoms and Parent Support in Germany and Slovakia

This preregistered study examined the relation between adolescents’ perceived changes in internalizing symptoms during the COVID-19 pandemic and four different family and peer relationships in two countries. Using a bioecological framework, we interviewed mothers, fathers, and adolescents from 212 families in Germany and Slovakia during the COVID-19 pandemic. In both countries, we found that higher levels of father internalizing symptoms exacerbated the relation between pandemic disruption and increases in pandemic-related adolescent internalizing symptoms. Similarly, parental support buffered the relation between adolescent perceptions of COVID-19 disruption and increases in the adolescents’ internalizing symptoms. Peer support and parental warmth were not associated with changes in adolescent-reported internalizing symptoms during the study period. The fathers’ symptoms of anxiety and depression during stressful life events may impact the parent–child relationship by changing the children’s perceptions of parent–child attachment, which may, in turn, be associated with higher levels of adolescent internalizing symptoms. Higher levels of parental support, however, may have helped protect adolescents from some of the more negative aspects of the pandemic.

Child-perceived parental support and knowledge in shared physical custody and other living arrangements for children

Objective: The aim of this paper is to develop an understanding of how child-perceived parental support and knowledge among children in Sweden differ across ten forms of residential arrangement. Background: Shared physical custody has become an increasingly common arrangement for children in separated families in many European countries. In an international comparison, Sweden has a high rate of parental union dissolution but also the highest prevalence of shared physical custody arrangements following divorce or separation. Over a third of all children with divorced or separated parents spend an equal amount of time living in both parental households. Method: We used data from the Swedish HBSC survey from 2013/14, which are focused on children in grades 5, 7 and 9 in the Swedish comprehensive school system (n=7360) and used perceived parental support and perceived parental knowledge scales as dependent variables in multiple ordered logistic regressions conducted separately by the sex of the parent. Results: The results show that children in shared physical custody report higher levels of parental support and knowledge than children in sole physical custody and equally high as those who live in a two-parent family. Children living in non-symmetrical physical custody arrangements report lower levels of paternal support and knowledge than children whose parents share physical custody equally. Maternal support and knowledge does not differ between children living in symmetrical and non-symmetrical shared physical custody arrangements, whereas paternal support and knowledge is lower in families where the child lives in an unequal residential sharing arrangement with the mother as the main co-residential parent. Conclusion: Post-divorce living arrangements are clearly associated with the relationship between parents and children, with children in shared physical custody reporting stronger relationships than children in sole physical custody. The cross-sectional nature of the data prevents us from drawing conclusions on causality, however.

Potential Pathways From Peer Victimization to Alcohol Use Among Biracial Adolescents: The Intervening Role of Parental Support.

This study examined pathways from peer victimization to alcohol use and the role of parental support in mediating potential peer effects among biracial youth. Given a significant dearth of research on biracial youth, this study addresses this significant gap in the extant literature. Secondary data analyses were conducted using the Health Behavior in School-Aged Children (HBSC) study in the United States. This study enrolled 492 self-identified biracial school-aged youth using a nationally representative sampling of public and private schools. Structural equation modeling was computed to test the mediational effects of low number of close friends, affiliation with delinquent friends, and parental support on alcohol use. Major findings indicated that affiliation with delinquent friends was correlated with higher alcohol use, higher levels of parental support were correlated with lower peer victimization, and higher levels of parental support were negatively correlated with affiliation with delinquent peers and alcohol use. Parental and peer effects remain salient for biracial youth who are navigating adolescence and experiencing peer victimization. School-based interventions that include parents and friends of biracial youth are likely to be effective in reducing peer victimization and its negative sequelae.

The relationship between self-harm and bullying behaviour: results from a population based study of adolescents

BackgroundThis study aims to better understand the association between bullying behaviour (the bullied, the bullies and the bully-victims) and self-harm, and which protective factors moderate this association.MethodsA total of 16,182 adolescents, aged 12 to 19 years, were invited to participate in the cross-sectional Ung-data survey. This survey covered various aspects of young people’s lives. The response rate was 87%. To assess the relationship between self-harm and bulling behaviour, and psychological- and environmental covariates, we conducted logistic regression analyses. In addition, we tested for potential interaction effects between protective factors and the three bullying groups on self-harm.ResultsFifteen percent of participating adolescents reported engaging in self-harm during the last year. The risk of self-harm was six times higher for the “bully-victims”, five times higher for the bullied, and three times higher for the bullies, compared to the “neither-bullied nor bullies”. The risk of self-harm in the face of being bullied was significantly greater for girls than boys. Depression, anxiety and parental conflict accounted for some of the association between being bullied and self-harm, and between bully-victims and self-harm. School behavioural problems accounted for some of the association between the bullies and self-harm and the bully-victims and self-harm. The relationship between the bullied and self-harm was significantly moderated by parental support and school well-being, while the relationship between “bully-victims” and self-harm was moderated by school well-being.ConclusionThere is a strong link between bullying and self-harm. Interventions to address bullying may reduce self-harm. Our findings also suggest that high levels of parental support and school well-being may buffer the harmful relationship between bullying behaviour and self-harm. Addressing these factors may be important in reducing the risk of self-harm among those experiencing bullying.

Maternal Support and Physical Dating Violence Perpetration among Disconnected Young Women

Parental support is a well-documented protective factor against dating violence perpetration. However, no studies have investigated this relationship among disconnected, young urban Black women, despite higher reported instances of perpetration among this group. We hypothesized that higher levels of parental support would be associated with lower levels of dating violence perpetration. Participants were 374 disconnected, young urban Black women (ages 16–23) recruited from two employment training programs in Baltimore, Maryland. We used multivariate logistic regression analyses to assess the association between youth reported maternal and paternal support and physical dating violence perpetration. Over 20% of the sample reported past-year physical dating violence perpetration. Experience with recent dating violence victimization was the most robust correlate of physical dating violence perpetration (aOR = 6.44, p = 0.000). Contrary to prediction, maternal support was associated with a 37% increase in the odds of physical dating violence perpetration among participants (aOR = 1.37, p = 0.027). Findings highlight the need for additional research on the complex relationship between maternal support and physical dating violence perpetration among disconnected, young urban Black women.

Explaining Variability in Response Style Traits: A Covariate-Adjusted IRTree.

Contamination of responses due to extreme and midpoint response style can confound the interpretation of scores, threatening the validity of inferences made from survey responses. This study incorporated person-level covariates in the multidimensional item response tree model to explain heterogeneity in response style. We include an empirical example and two simulation studies to support the use and interpretation of the model: parameter recovery using Markov chain Monte Carlo (MCMC) estimation and performance of the model under conditions with and without response styles present. Item intercepts mean bias and root mean square error were small at all sample sizes. Item discrimination mean bias and root mean square error were also small but tended to be smaller when covariates were unrelated to, or had a weak relationship with, the latent traits. Item and regression parameters are estimated with sufficient accuracy when sample sizes are greater than approximately 1,000 and MCMC estimation with the Gibbs sampler is used. The empirical example uses the National Longitudinal Study of Adolescent to Adult Health's sexual knowledge scale. Meaningful predictors associated with high levels of extreme response latent trait included being non-White, being male, and having high levels of parental support and relationships. Meaningful predictors associated with high levels of the midpoint response latent trait included having low levels of parental support and relationships. Item-level covariates indicate the response style pseudo-items were less easy to endorse for self-oriented items, whereas the trait of interest pseudo-items were easier to endorse for self-oriented items.

Parental and peer supports are associated with an active lifestyle of adolescents: evidence from a population-based survey

ObjectivesParental and peer support can foster adolescents' activity behaviours; however, little is known about how such support are linked with adolescents' active lifestyle in non-Western settings. The study aimed to explore associations of parental and peer support with an active lifestyle of adolescents in Malaysia. Study designThis is a cross-sectional study. MethodsWe used data from the 2012 Malaysian Global School-based Student Health Survey, which covered adolescents aged 11–17 years (51% girls). Adolescents were asked about their physical activity, sitting time, and levels of parental and peer support. Participants with ≥60 min of moderate to vigorous physical activity per day and ≤2 h of sitting time per day were categorised as having an ‘active lifestyle’. Binary logistic regression was used to examine the relationships by gender and age group (11–14 and 15–17 years). ResultsOf the participating adolescents (n = 12,081), 15.3% reported to have an active lifestyle (boys: 22.0%; girls: 8.8%). About 31% reported to have higher levels of parental support, whereas 47% reported higher levels of peer support. Higher parental and peer support were significantly associated with an active lifestyle of boys across both age groups. Girls with higher parental support had higher odds of reporting an active lifestyle in both age groups, whereas higher peer support was significantly associated with an active lifestyle among girls aged 11–14 years. ConclusionsThis study uniquely extends the current evidence by examining the associations of parental and peer support with physical activity and sitting time combined. More research is needed to understand how different types of social support can influence adolescents' active lifestyle.

Parents and Adolescents: What’s the Right Mix in Obesity Treatment?

Successful obesity treatment hinges on helping the patient shift to a healthier lifestyle in the context of their environment. For adolescents, this means taking into account their current health status and developmental stage in the context of family, peer, and societal influences. Parents play a pivotal role in helping adolescents negotiate the transition to adulthood, and their involvement is essential in obesity treatment. In this issue of Pediatrics , Bean et al,1 in a systematic review, identify how parents are included in adolescent obesity treatment and “which elements of parental involvement are positively associated with adolescent weight loss.” The studies they examine involve a wide range of intervention strategies that were designed to promote weight loss by addressing diet and exercise behaviors and included a parent component. In this review, the authors raise important questions for future study and highlight the lack of consistent and specific information about parental interventions in adolescent obesity treatment. The authors identify the need for research to further explore the specific role of parents in terms, their adherence to recommendations, and their own lifestyle behaviors and examine the association of parent and adolescent outcomes in longer and more diverse trials. They also note the need for future studies to examine the link between specific parental interventions and adolescent weight loss.1 In addition … Address correspondence to Sandra G. Hassink, MD, 2602 Pennington Dr, Wilmington, DE 19810. E-mail: shassink{at}aap.net

Homelessness and Suicidality: The Role of Bullying and Parental Support

ObjectiveTo examine the relation between homelessness and suicidality and to test bullying as a mediator and parental support as a moderator of these relations.BackgroundYouth from low‐income families are more likely to be bullied and in turn experience negative mental health outcomes. Parental support has been reported to mitigate the effects of stressful events, such as being bullied. However, these relations are still undocumented among youth experiencing homelessness.MethodThis study included a random sample of 2,049 stably housed and 64 homeless youth enrolled in the Delaware Public Schools, grades 9 through 12, who completed the 2015 Delaware Youth Risk Behavior Survey. Hayes's PROCESS macro was used to test for a moderated mediation relation between bullying, suicidality, and parental support for homeless youth. Results: Bullying mediated the relation between homelessness and suicidality, and parental support moderated the relation between bullying and suicidality. Youth experiencing homelessness reported more bullying, which was associated with more severe suicidality. For youth experiencing homelessness with low levels of parental support, bullying was associated with more severe suicidality. Conversely, for youth with high levels of parental support, bullying was not associated with more severe suicidality.ConclusionThis study indicates that bullying is a mechanism through which homelessness and suicidality are related, while also demonstrating the importance of parental support.ImplicationThe increased risk of suicidality among youth experiencing homelessness who are bullied, as well as the effects of parental support, warrant attention from school personnel and youth service providers.

Perceived Parental Support and Adolescents' Positive Self-Beliefs and Levels of Distress Across Four Countries.

Previous research has shown that parental support has beneficial effects on the psychological well-being of adolescents. Going beyond prior research, the present study made distinctions between information, emotional, and financial parental support and examined adolescents from United States (N = 1,002), China (N = 1,172), South Korea (N = 3,993), and Japan (N = 1,112). The frequency and impact of different types of perceived parental support on adolescents’ positive self-belief and distress levels have been investigated. Consistent with the existing literature, the results showed American adolescents perceived greater emotional and informational support than others, while Chinese, Korean, and Japanese adolescents perceived greater tangible support compared to American adolescents. Notably, Chinese adolescents reported higher levels of parental support than other East Asian adolescents. The perceived parental support influenced positive self-beliefs equally across cultural groups, but informational support impacted distress to a greater degree for American adolescents than East Asian adolescents. The implications of the present research are discussed.

Global variation in the prevalence of bullying victimisation amongst adolescents: Role of peer and parental supports

SummaryBackgroundBullying victimisation is a global public health problem that has been predominantly studied in high income countries. This study aimed to estimate the population level prevalence of bullying victimisation and its association with peer and parental supports amongst adolescents across low and middle income to high income countries (LMIC—HICs).MethodsData were drawn from the Global School-based Student Health Survey of school children aged 12–17 years, between 2003 and 2015, in 83 LMIC—HICs in the six World Health Organization (WHO) regions. We estimated the weighted prevalence of bullying victimisation at country, region and global level. We used multiple binary logistic regression models to estimate the adjusted association of age, gender, socioeconomic status, and parental support and peer support, and country level variables (GDP and government expenditure on education) with adolescent bullying victimisation.FindingsOf the 317,869 adolescents studied, 151,036 (48%) were males, and 166,833 (52%) females. The pooled prevalence of bullying victimisation on one or more days in the past 30 days amongst adolescents aged 12–17 years was 30·5% (95% CI: 30·2–31·0%). The highest prevalence was observed in the Eastern Mediterranean Region (45·1%, 44·3–46·0%) and African region (43·5%, 43·0–44·3%), and the lowest in Europe (8·4%, 8·0–9·0%). Bullying victimisation was associated with male gender (OR: 1·21; 1·11–1·32), below average socio-economic status (OR: 1·47, 1·35–1·61), and younger age (OR: 1·11, 1·0–1·24). Higher levels of peer support (0·51, 0·46–0·57), higher levels of parental support (e.g., understanding children's problems (OR: 0·85, 0·77–0·95), and knowing the importance of free time spent with children (OR: 0·77, 0·70–0·85)), were significantly associated with a reduced risk of bullying victimisation.InterpretationsBullying victimisation is prevalent amongst adolescents globally, particularly in the Eastern Mediterranean and African regions. Parental and peer supports are protective factors against bullying victimisation. A reduction in bullying victimisation may be facilitated by family and peer based interventions aimed at increasing social connectedness of adolescents.

Parental Responses to Transgender and Gender Nonconforming Youth: Associations with Parent Support, Parental Abuse, and Youths’ Psychological Adjustment

ABSTRACT The purpose of this study was to examine parental responses to transgender and gender nonconforming [TGNC] youths’ gender identities and explore associations of parent support with parental abuse, depressive symptoms, and LGBT-identity disclosure stress. TGNC youth (N = 129), ages 15–21 (M = 18.00, SD = 1.74), completed surveys (2011–2012); experiences of transfeminine (TF; n = 58) and transmasculine (TM; n = 71) youth were analyzed separately. Among mothers of TF youth, 42.0% of initial and 45.3% of current responses were positive; among fathers, 30.0% of initial and 36.0% of current responses were positive. Among mothers of TM youth, 26.0% of initial and 53.3% of current responses were positive; among fathers, 24.0% of initial and 44.6% of current responses were positive. Among TM youth, higher levels of parental support were associated with more positive responses from mothers and fathers. Among both TF and TM youth, greater parent support was associated with less parental abuse, depressive symptoms, and LGBTQ-identity disclosure stress. Parental responses to youths’ gender identities became more positive with time for TF youth; however, approximately 50% of all TGNC youth continued to experience minority stress related to parent rejection. Limitations and implications for practice and research are discussed.

Is Research on Transgender Children What It Seems? Comments on Recent Research on Transgender Children with High Levels of Parental Support.

Some scholars have believed that if transgender children were supported by their parents before the children reached puberty, the generally higher rates of mental illness experienced by many transgender persons might be prevented or alleviated. Dr. Kristina Olson of the Department of Psychology at the University of Seattle was the first scholar to have studied groups of transgender children who were being supported by their parents and to have compared them to a control group of children and to siblings of the same transgender children. Her conclusion was that there were minimal, if any, differences in anxiety, depression, and self-worth among the groups of children; her research has since been cited extensively as having found just that. We reanalyzed her raw data and found that, to the contrary, the transgender children, even when supported by their parents, had significantly lower average scores on anxiety and self-worth. Often, a significantly higher percentage of transgender children, compared to controls, featured preclinical or clinical levels of anxiety. Parental support of transgender children may temporarily reduce levels of poor mental health for some transgender children, but it does not appear to eliminate those problems for all transgender children. Our findings should serve as a warning against accepting research at a surface level, which can lead to acceptance of invalid information and pursuit of ineffective interventions.

Psychological Functioning, Parenting Stress, and Parental Support among Clinic-Referred Prepubertal Gender Expansive Children.

The purpose of this study is to describe psychological functioning, parenting stress, and parental support of gender expansiveness in prepubertal gender expansive children presenting to a specialized pediatric gender clinic and examine relations between parenting factors and child psychological functioning. Standard-of-care questionnaires were completed by parents of all children presenting for services. Data from prepubertal children (i.e., Tanner stage 1 of pubertal development) seen between August 2013 and April 2018 were extracted from patient charts. Data were analyzed from 71 youth ages three to 11, including 20% (n=14) ages five and younger. Fourteen percent of the sample (n=10) met diagnostic cutoff criteria for Generalized Anxiety Disorder and 20% (n=14) for Oppositional Defiant Disorder. Caregivers reported varying levels of support of their child's gender expansiveness (female caregivers: M=78.85, SD=8.68, range=56-90; male caregivers: M=77.32, SD=10.37, range=53-90), and only 3% (n=2) of caregivers endorsed parenting stress levels in the high range. Parenting stress significantly predicted higher symptom counts across all eight diagnoses. Unexpectedly, higher levels of parental support predicted more symptoms of Major Depressive Disorder and Dysthymia. Parenting stress was a significant moderator of relations between gender-nonconformity and ADHD Hyperactive-Impulsive Type and Conduct Disorder symptoms-higher levels of gender nonconformity was associated with higher symptom counts at moderate and high levels of parenting stress (but not at low levels of parenting stress). Clinical interventions aimed at reducing parenting stress among caregivers of gender expansive children may have a positive effect on children's psychological functioning.

Examining the Complexities of Parental Engagement at an Online Charter High School: A Narrative Analysis Approach

With the rapid growth of K-12 online learning opportunities, calls have come for more and better parental engagement to improve student engagement and reduce student attrition. In this article, we drew from a larger study to share rich narratives from three parents of students who required high levels of parental support for their online learning while enrolled at a charter cyber school. In the first narrative, a mother describes her experiences attempting to work with her son Ivan, who rejected her efforts and disobeyed rules while enrolled in the cyber school. The move from a brick-and-mortar school to the cyber school further strained their relationship and the mother was unprepared to manage Ivan’s learning. The second narrative focuses on how a mother attempted to support Matthew, who lacked self-regulation abilities. The mother who previously homeschooled Matthew, turned to the cyber school because she wanted “less on [her] shoulders” but underestimated the amount of support Matthew required and became frustrated at her lack of control over the pace and content of courses. The final narrative focuses on a mother who had two students enrolled in the cyber school. Each student exhibited different needs that required her to adapt the support strategies she used with Hannah, who procrastinated, and Karl, who lacked confidence. These narratives highlight some of the complexities parents navigate when engaging with their children’s online learning.

Examining the Complexities of Parental Engagement at an Online Charter High School: A Narrative Analysis Approach

With the rapid growth of K-12 online learning opportunities, calls have come for more and better parental engagement to improve student engagement and reduce student attrition. In this article, we drew from a larger study to share rich narratives from three parents of students who required high levels of parental support for their online learning while enrolled at a charter cyber school. In the first narrative, a mother describes her experiences attempting to work with her son Ivan, who rejected her efforts and disobeyed rules while enrolled in the cyber school. The move from a brick-and-mortar school to the cyber school further strained their relationship and the mother was unprepared to manage Ivan’s learning. The second narrative focuses on how a mother attempted to support Matthew, who lacked self-regulation abilities. The mother who previously homeschooled Matthew, turned to the cyber school because she wanted “less on [her] shoulders” but underestimated the amount of support Matthew required and became frustrated at her lack of control over the pace and content of courses. The final narrative focuses on a mother who had two students enrolled in the cyber school. Each student exhibited different needs that required her to adapt the support strategies she used with Hannah, who procrastinated, and Karl, who lacked confidence. These narratives highlight some of the complexities parents navigate when engaging with their children’s online learning.

Does parental support enhance the link between restrictions and adolescents' risky driving?

Parents' driving restrictions appear to reduce adolescent risky driving, which is associated with crash risk, yet the relational context in which parents impose restrictions may alter their effectiveness. Newly licensed adolescents (n = 151, Mage = 17.1 years, 53% female) and their parents (n = 174, 71% mothers) reported parenting style, driving restrictions, and risky driving behaviors. Concurrently, higher levels of parent-imposed driving restrictions were associated with lower levels of inexperience-based and volitional risky driving shortly after licensure. The associations were stronger in the context of high levels of parental support than in the context of low levels of parental support, particularly for boys. The associations also were stronger for inexperience-based risky driving than for volitional risky driving. Longitudinally, restrictions imposed shortly after licensure were not associated with inexperience-based and volitional risky driving one year later after controlling for risky driving shortly after licensure.