Parent Satisfaction with Family-Based Addiction Prevention and Psychosocial Health Promotion Services: A Cross-Sectional Survey at a Community Prevention Center in Greece.

Background/Objectives: Satisfaction with health and psychosocial services is a key indicator of perceived quality and acceptability, but it does not show whether services improve parenting, family functioning or youth outcomes. It is rarely assessed systematically in community-based addiction prevention and psychosocial health promotion services. This primarily descriptive cross-sectional survey assessed parent-reported satisfaction with family-based addiction prevention and psychosocial health promotion services delivered by a Greek community prevention center. Methods: An anonymous cross-sectional online survey was completed by 110 of 250 invited parents (44%) who had participated in family-based programs delivered by the Prevention Center of the Regional Unit of Achaia ("Kallipolis") during the 3 years immediately preceding data collection. Satisfaction was measured with a licensed Greek-language version of the Client Satisfaction Questionnaire (CSQ-8). The primary analyses were descriptive, and sample-specific internal consistency was assessed. Because only six respondents had scores below the upper descriptive range, a two-predictor Firth penalized logistic regression was fitted solely for exploratory, hypothesis-generating purposes. Results: The mean CSQ-8 score was 29.35 (SD = 2.84), the median was 30 (interquartile range = 28-31.75), and 104 respondents (94.5%) scored 25-32. Internal consistency was good (Cronbach's alpha = 0.82), although the distribution showed a pronounced ceiling effect. The exploratory model suggested an association between complete attendance and an upper-range score; however, the reference attendance group contained only three participants, producing an extremely imprecise estimate and precluding reliable interpretation of the magnitude of the association. Conclusions: Respondents reported very high perceived satisfaction and acceptability. The findings are primarily descriptive, may be affected by nonresponse, selection, and recall bias, and do not demonstrate an improvement in parenting, family functioning or youth outcomes. Satisfaction monitoring should be combined with measures of reach, retention, implementation fidelity, and participant, family and youth outcomes.