Incredible Years Parent Training: Does it Improve Positive Relationships in Portuguese Families of Preschoolers with Oppositional/Defiant Symptoms?

Abstract

Externalizing behavior disorders in children are difficult to cope with and might have a negative impact both on parent-child interactions and couples relationships, as well as on parents' psychological adjustment. The present study evaluates the effectiveness of a parent training program (Incredible Years Basic Program) for improving positive relationships in Portuguese families of preschoolers showing symptoms of oppositional/defiant disorder (ODD). Eighty three families randomly assigned to an Incredible Years (IY) intervention (n = 44) or to a waiting list control group (n = 39) were evaluated at baseline and six months after (post-intervention), on the following variables: mothers observed positive parenting practices and coaching skills; mothers' self-reported dysfunctional parenting practices; mothers' depressive symptoms; perceived couples intimacy; and children's behavior. Moreover, families who had received the IY program were also assessed in the same variables 12-months after baseline. Observed and self-reported positive parenting practices, couples openness to exterior and children's oppositional behavior improved more significantly from pre-to post-assessment in the intervention group than in the control group (medium to large effect sizes). Changes observed in the intervention group were sustained at the 12-month follow-up. However, the improvements in coaching skills previously observed at the post-intervention assessment in the intervention group decreased over time. The findings indicate that the IY Parent Program is a promising intervention to promote more positive parent-child relationships, decrease children's oppositional behaviors and develop couple's willingness to open to the exterior, from the mother's point of view.

Could scale-up of parenting programmes improve child disruptive behaviour and reduce social inequalities? Using individual participant data meta-analysis to establish for whom programmes are effective and cost-effective

“…This trial took place with children with conduct problems (3-6 years). 115,116 4. IRE: a community-based trial in Ireland, with disadvantaged communities and children with conduct problems (2-7 years).…”

Treinamento de pais com crianças com transtorno externalizante: revisão sistemática de estudos empíricos

“…habilidades parentais (Gaviţa et al, 2012;Hand et al, 2013;Mautone et al, 2012, Homem et al, 2014Schwenck et al, 2015), desenvolvimento de habilidade de interação para melhorar as relações pais-filhos (Abrahamse et al, 2012;Homem et al, 2014;Mautone et al, 2012;Schwenck et al, 2015), estratégias disciplinares eficazes (Abrahamse et al, 2012;Gaviţa et al, 2012;Hand et al, 2013;Homem et al, 2014), redução de punições inadequadas (Schwenck et al, 2015), estimular limites (Homem et al, 2014;Schwenck et al, 2015), encorajar a cooperação (Homem et al, 2014), dirigir a brincadeira e ignorar comportamentos indesejáveis da criança (Bagner et al, 2013 elogiar a criança, refletir o discurso da criança, imitar o jogo da criança, descrever o comportamento da criança e expressar prazer no jogo (Bagner et al, 2013).…”

“…A utilização desses protocolos pode ajudar aos pais e crianças que se submetem a eles, visto que complementam de forma assertiva as práticas parentais incidindo no desenvolvimento dos filhos como fator de proteção ao desenvolvimento (Martins et al, 2014;Fantinato & Cia, 2014 Quanto ao formato, a maioria das intervenções foi aplicada em grupo (Gaviţa et al, 2012;Hand et al, 2013;Homem et al, 2014;Mautone et al, 2012), sendo que um dos protocolos podia ser aplicado no formato de grupo aberto (Schwenck et al, 2015). Os outros dois estudos foram aplicados com as crianças e os seus cuidadores (Abrahamse et al, 2012) e, no mesmo formato, porém na casa da família (Bagner et al, 2013).…”

“…Intervenções o mais cedo possível podem ter benefícios ao longo da vida das crianças e auxiliar em dificuldades comportamentais, melhorar o relacionamento familiar em geral, o bem-estar e a qualidade de vida (Homem et al, 2014). Esses achados estão de acordo com os encontrados por outra revisão sistemática (Dretzke et al, 2009), em que os resultados sugerem que programas de treinamento de pais podem proporcionar aumento significativo do bem-estar dos pais, incluindo melhora em relação ao estresse e à autoestima, além disso, diferentes contextos e culturas podem se beneficiar desses programas.…”

Preliminary Validity of the Eyberg Child Behavior Inventory with Taiwanese Clinic-Referred Children

“…This presents a conundrum, as behavioral parent training (BPT) programs are often cited as the gold standard and best practice for addressing disruptive behaviors in young children because of the robust treatment effects found across a range of ages and externalizing behaviors (e.g., Chambless and Ollendick 2001; Eyberg et al 2008; Forgatch et al 2004; Sanders 2012; Kaminski et al 2008; Webster-Stratton and Reid 2004). Its effectiveness/efficacy with and without cultural adaptation has been demonstrated for children with externalizing behaviors in various cultural groups (e.g., Baumann et al 2015; Homen et al 2015; Leung et al 2017; Matos et al 2009; Sumargi et al 2015), including Taiwanese families (Chen and Fortson 2015; Huang et al 2003). It is difficult, however, to deliver an evidence-based behavioral parent training program without measures that effectively assess for disruptive behavior disorders and/or that can be used in repeated assessments.…”