Dr. Sarah McGuire:

As we mentioned earlier, many parents might come from low socioeconomic backgrounds or have huge psycho-social stressors so they have other issues going on as well. Tackling this can be very overwhelming. A lot of the work we do involves supporting them to set smaller goals that are reachable and the inherent reinforcement that comes from reaching the goal allows the children to make progress in modelling that within the house. Maybe they have to make systemic changes in the house such as not bringing in treats. It becomes about the whole family as opposed to just the one person. Families tend to need support with that even to get started initially. When they come to the initial group, they are able to go away and put in some of those changes but they do need support around it in respect of getting started, keeping that motivation going and setting realistic goals.