Online programs as tools to improve parenting: A meta-analytic review

Nieuwboer, Christa; Fukkink, Ruben R.G.; Hermanns, J.M.A.

doi:10.1016/j.childyouth.2013.08.008

Cited by 143 publications

(155 citation statements)

References 67 publications

Supporting

Mentioning

129

Contrasting

Unclassified

Order By: Relevance

“…Comparisons of online interventions with conventional face-to-face therapy have not only shown similar outcomes in treatment results, but have also indicated that online programmes do deliver parenting support in a manner that overcomes many of the traditional barriers to treatment access such as cost, childcare restrictions, perceived social stigma and so on (Daneback & Plantin, 2008;Enebrink et al, 2012;Mytton, Ingram, Manns, & Thomas, 2014;Nieuwboer et al, 2013a). While online parenting support remains a relatively novel field of study, one of the most obvious advantages of using the Internet to deliver parenting programmes is the diversity of population groups that can be targeted, with little regard to geographical barriers (Jennett et al,2003).…”

Section: A Systematic Review Of An Online Parent-training Programme Fmentioning

confidence: 99%

“…Despite the growing availability of evidence-based parenting interventions, research suggests that many parents who might benefit from such programmes do not access them (Baker & Sanders, 2016;Douma, Dekker, & Koot, 2006;Gross et al, 2011) with a number of logistical and personal barriers (such as cost, work, access to appropriate carers, perceived social stigma and so on) challenging participation in these traditionally 'face-to-face' interventions (Daneback & Plantin, 2008;Gega, Marks, & Mataix-Cols, 2004;Nieuwboer, Fukkink, & Hermanns., 2013a). For parents of children with a disability, such barriers to participation are likely to be even further exacerbated by the very specific needs of their child.…”

Section: Current Research Directionsmentioning

confidence: 99%

“…Of the handful of empirical trials that have been conducted in this area, the majority target parents of typically developing children Enebrink, Högström, Forster, & Ghaderi, 2012;Nieuwboer et al, 2013a; leaving only a few that specifically target, and/or include, adaptations to meet the particular needs of parents and caregivers of children with a disability Kable, Coles, Strickland, & Taddeo, 2012;Wainer & Ingersoll, 2015). Acknowledging the unique challenges faced by parents and carers of children with a disability, and the significant and continuing impacts that may be experienced by the parent, child, family and broader community when there is a failure to link these families to effective and appropriate supports, it is suggested there is an urgent need for the development of empirically-validated telehealth interventions created specifically for parents and carers of children with a disability…”

Section: Current Research Directionsmentioning

confidence: 99%

“…With its potential to both expand the reach and cut the cost of providing effective, evidence-based interventions, the use of technology is increasingly being explored for the delivery of health and mental health interventions -including parenting interventions (Hall & Bierman, 2015;Jones et al, 2013;Nieuwboer et al, 2013a). Web-based and digital interventions encompass a broad scope of technologies and treatment approaches ranging from static, informational websites that provide basic education or advice requiring minimal user participation, through to comprehensive web-based programs which may be self-directed or include some degree of therapist guidance or support using email, real-time chat, videoconferencing or similar (Barak, Klein, & Proudfoot, 2009).…”

Section: Exploring the Current Use Of Technology In Parenting Intervementioning

confidence: 99%

See 3 more Smart Citations

Using telehealth technologies to engage and support parents of children with disabilities: An evaluation of a novel telehealth parenting programme

Hinton¹

View full text Add to dashboard Cite

In the absence of effective and appropriate supports, the many unique challenges faced by families of children with disability are likely to be exacerbated. Telehealth technologies offer a promising service-delivery model for disseminating parenting interventions in an accessible, timely and convenient manner with research indicating comparable outcomes between telehealth-based and conventional face-to-face programmes.Regardless of these encouraging findings, few empirically-validated parenting programmes are available in a telehealth delivery modality, with even fewer interventions specifically targeting, and/or including, adaptations to meet the specific needs of parents and caregivers of children with a disability.The primary aim of the current study is to develop and investigate the efficacy of a telehealth-based parenting intervention for parents of children with a disability. The acceptability of and parent satisfaction with the developed intervention will also be examined as a secondary outcome of the research. Chapter 1 of this dissertation provides a brief overview of the pertinent issues impacting upon the research field and provides a rationale for the current research.Chapter 2 is a systematic review of the literature in relation to online/telehealth parenting interventions for parents of children with an intellectual or developmental disability. The systematic review was undertaken between October 2013 and April 2014.Eight articles met inclusion criteria; reporting on five trials (three RCTs and two pre-post).All five studies used standardised parent-reported measures of child behaviour. The review provides preliminary evidence as to the efficacy of telehealth-based delivery of programmes in this population, however the small number of studies available and the restricted areas of disability investigated (TBI and FASD), indicates that this is currently a very limited field of research.Chapter 3 details a qualitative inquiry as to the telehealth-related consumer preferences of parents and carers of children (aged 0-17 years) with mixed disabilities. The survey investigated parents' access to and use of the internet, degree of comfort with a range of online and telehealth-based technologies, the acceptability of online parenting training to this population and preferences in relation to potential delivery modalities and supports.Results were used to inform the development of a telehealth-based parenting intervention for this population.iii Chapter 4 provides the protocol of a randomised controlled trial (RCT) of a novel telehealth-based parenting programme for parents and carers of children (aged 2-12 years) with a disability. The theoretical basis, study hypotheses, methods and planned analyses for this protocol are described.Chapter 5 is a manuscript accepted for publication with Research in Developmental Disorders, and reports on the results of the RCT conducted. Ninety-eight parents were randomly assigned to either the telehealth intervention (Triple P Online-Disability) or a control condi...

show abstract

Section: A Systematic Review Of An Online Parent-training Programme Fmentioning

confidence: 99%

Section: Current Research Directionsmentioning

confidence: 99%

Section: Current Research Directionsmentioning

confidence: 99%

Section: Exploring the Current Use Of Technology In Parenting Intervementioning

confidence: 99%

See 2 more Smart Citations

Using telehealth technologies to engage and support parents of children with disabilities: An evaluation of a novel telehealth parenting programme

Hinton¹

View full text Add to dashboard Cite

show abstract

“…A recent meta-analysis of online parenting programs (Nieuwboer, Fukkink, & Hermanns, 2013), and a more recent systematic review of digitally-delivered parent training interventions (Breitenstein, Gross, & Christophersen, 2014) describe a small but informative collection of empirical studies conducted so far which investigate the use of Triple P Online and other web-based parenting interventions. In the meta-analysis by Nieuwboer and colleagues (2013), nineteen studies published between 1998 and 2010 focusing on web-based or Internet-supported parenting programs were identified, of which twelve were empirical studies (ten randomised controlled trials and two uncontrolled trials).…”

Section: Beyond Triple P Online: Other Web-based Parenting Programsmentioning

confidence: 99%

Telephone-supported versus self-directed delivery of an online parenting program: Outcomes, mediators and moderators of change

Day¹

View full text Add to dashboard Cite

Despite the availability of high quality, evidence-based parent training programs, research suggests that many parents that might benefit from support do not access it. The potential for web-based parenting programs to increase the reach and availability of parenting support is enticing, however relatively few online parenting programs are available and only a small number of randomised studies have so far been conducted exploring their efficacy.Chapter 1 of this dissertation summarises the available literature underlying the current state of web-based parenting support, and provides an introduction to the Triple P-Positive Parenting Program and the recently developed Triple P Online program, used in a randomised controlled trial that forms a focus of this thesis. A rationale is provided for the research questions at the centre of this thesis, including exploring whether brief, regular practitioner support improves outcomes when combined with a web-based parenting intervention, whether measured baseline characteristics, such as participant sociodemographic status, interact with treatment condition to moderate intervention efficacy, and an endeavour to both identify and test hypothesised causal mechanisms.Chapter 2 describes a multisite randomised controlled trial aiming to test the additive benefit of regular, brief clinical telephone consultations provided as an adjunct to Triple P Online. Onehundred and eighty-three participants were randomly assigned to access the online program either on their own, with support from an allocated practitioner who provided up to eight telephone consultations on a weekly basis, or to a computer-use-as-usual control group. Across the 16-week period of online program access, participants in the clinically-supported group engaged in about 4 telephone consultations on average, with a mean call duration of approximately 20 minutes.Intervention effects and program completion rates were significantly improved for these parents when compared to those completing the program without therapist involvement.Chapter 3 describes a process of content analysis used to identify a various theoreticallyderived putative mechanisms of parenting change thought to be causally associated with parenting outcomes during participation in Triple P. Drawing on the experience of Triple P practitioners, mechanisms were ranked for perceived importance, and distilled to eleven key domains through factor analysis, with processes such as positive therapeutic relationships, actively implementing positive parenting strategies, and the development of a positive parent-child relationships rated as having high perceived importance for parenting change. These findings align with prior research, with therapeutic support shown to be a key process for improving outcomes and program engagement in other web-based and self-directed treatments, however no direct comparison have yet been conducted comparing the effects of a self-directed online parenting program with a practitioner-supported model. Declaration by auth...

show abstract

Enhancing interactions during daily routines: A randomized controlled trial of a web‐based tutorial for parents of young children with ASD

et al. 2018

View full text Add to dashboard Cite

This web-based tutorial helped parents of children with ASD use proven strategies to improve their child's participation in daily routines at home. Parents who used the tutorial reported less parenting stress, felt better about their parenting skills, and reported better child social interactions compared to parents who did not use the tutorial. This tutorial may be especially helpful for families who have limited access to services, as it can be completed at home.

show abstract

Online programs as tools to improve parenting: A meta-analytic review

Cited by 143 publications

References 67 publications

Using telehealth technologies to engage and support parents of children with disabilities: An evaluation of a novel telehealth parenting programme

Using telehealth technologies to engage and support parents of children with disabilities: An evaluation of a novel telehealth parenting programme

Telephone-supported versus self-directed delivery of an online parenting program: Outcomes, mediators and moderators of change

Enhancing interactions during daily routines: A randomized controlled trial of a web‐based tutorial for parents of young children with ASD

Contact Info

Product

Resources

About