Lots of great thoughts here, thank you for sharing them. The line between parent support and parent coaching and behavioral health requires great care in navigation - I agree with you. Before I started Trustle, I worked both as a child psychologist in a traditional capacity, and provided video-based parent coaching. There are a LOT of parent support organizations that don't use credentialed providers because of the nuances here - and many parent coaches don't have any credentials in the space. I think instead that the licensed providers should be in the space of provided remote support, for many reasons, but also because they know when a referral for more intensive support is needed. Having licensed professionals helps to ensure that we refer when we need to. And, we often work with parents who have in-person therapists as an additional support.
I think the service replaces parents who turn to google searches, facebook groups, and blogs for advice. This advice isn't always evidence-based, and it can't be tailored to the family. Zero to three reported from their national survey that 84% turn to articles specifically aimed at helping parents, but only 49% find them helpful.Parents do want guidance from child development professionals. 54% of parents say they would like information from a “special web site or blog from child development experts.” Additionally, 63% of parents overall say “I am skeptical of people who give parenting advice and recommendations if they don’t know my child and my situation specifically.” And this instinct is right. Trustle aims to fill this need.
Also, as a child psychologist, I spent SO much time speaking to friends and family who wanted support (and to know which advice was evidence-based), but the challenge didn't call for a professional (potty training, typical tantrums, etc).
Would your experts 'diagnoze' a child based solely on parent's presentation of issue the child/family is experiencing? In simple cases this may be reasonable, but such common issue as tantrums may be deep and multifaceted.
This brings another aspect of the responsiblity of your experts for giving any corrective advice to the parent. What is the ethical balance between giving a wrong advice vs. right advice that didn't work?
On the first, we're very cautious; we do not do diagnosis. What we do do is support parents in seeking out a diagnosis if that was the appropriate path. Our experts have all either done diagnosis or facilitated them in the past so they're good and knowing when to suggest that. The balance is in making sure we don't give parents a false confidence, but we find that the pairing of an expert with the family is much more effective than a parent wondering on their own.
On the second point, let me know if I misunderstood, but our goal is to give the right advice. We know that it won't always work and often that will be due to the unique nature of the specific family. Sometimes we will just get it wrong; we have a very rigorous selection process for the coaches and strong QA and ongoing support so we hopefully don't get it wrong very often. But we know we won't be perfect.
A wrong advice may be furnished on insufficient detail of the presented issue, or a biased assessment as could be the case with parent only observation. Yet the effect of such advice will be directed at the child.
> ...we have a very rigorous selection process for the coaches and strong QA...
What is your QA approach? How do you tell a right expert advice from an insufficiently right?
We do lots of things, but one of the most important steps is an in-depth role-play where we go through numerous scenarios. We're not just looking for the knowledge (which given their qualifications and experience they should have) but also for their ability to use that knowledge in the context of a parent's own goals and philosophy. If someone brought their own philosophy or values, and not just their experience and expertize, then we wouldn't bring them on.
If a parent is a practitioner of "strong-hand" approach. Your experts would suggest which side of the hand to use or not on which child's body part?
It's absurd, of course, the experts do develop their values and indeed philosophy based on their experience. Even AI based advisor would be acting according to programmed balances and checks.
Thus the importance of how you tell a wrong advice from a right one.
Maybe I can try :). I think there is a distinction between philosophy and evidence-based advice and information. For example, there is evidence from research that spanking has negative consequences on development - so we would lead with that evidence.
As a different example, let's take sleep - lots of different philosophies, and the research isn't clear on impact on development regarding which sleep approach is used. So, our professionals can help parents develop a plan based on the science of sleep, and how children learn to support the parent in forming a plan based on their philosophy.
This isn't different than what any evidence-based behavioral professional or a psychologist that a parent would seek out would do. And, it's an iterative process. We work with families over time to track change, iterate on plans, discuss snags, etc.
The balance and check is that its' evidence-based advice, not opinion. Does this help?
Are you asking if there is a body of research about child development/sleep/behavior management/learning in children? Yes, there is. Yes, it is public (and diffuse). And it is often misinterpreted and over/under-stated in parenting blogs and books (screen time is a great example of this). There are contradictory studies, but you have to look carefully and weigh the merits of the study (is it correlational? is it a valid study? what are the confounding variables? what is the size of the sample? what are the researchers conclusions?).
Have you ever read Emily Oster? She talks a lot about deciphering the data on pregnancy and caring for children (she wrote expecting better and crib sheet). It's messy science, but there is absolutely data. All the more reason a professional can support a parent to understand how (if) it applies to them and could inform decisions they make when working through a challenge.
It would be awesome if we could figure out how to get insurance to cover this type of support. I also don't think it just replaces that. Parents spend a ton of money on books, courses, etc. There is also the time factor (we save parents a lot of time), and filling the need of parents who might go see a therapist to get support, but don't really need that level of support. We are also priced well below the market for parent coaches and sleep consultants (usually $150 a session).
I think the service replaces parents who turn to google searches, facebook groups, and blogs for advice. This advice isn't always evidence-based, and it can't be tailored to the family. Zero to three reported from their national survey that 84% turn to articles specifically aimed at helping parents, but only 49% find them helpful.Parents do want guidance from child development professionals. 54% of parents say they would like information from a “special web site or blog from child development experts.” Additionally, 63% of parents overall say “I am skeptical of people who give parenting advice and recommendations if they don’t know my child and my situation specifically.” And this instinct is right. Trustle aims to fill this need.
Also, as a child psychologist, I spent SO much time speaking to friends and family who wanted support (and to know which advice was evidence-based), but the challenge didn't call for a professional (potty training, typical tantrums, etc).
I would love to hear more about what you think!