Social gradients and participant characteristics in child behavior problem interventions

Tommeraas, Truls

doi:10.1016/j.childyouth.2016.09.010

Cited by 6 publications

(9 citation statements)

References 139 publications

(171 reference statements)

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“…For example, a small Norwegian study combined two trials of another US programme, PMTO, and found no adverse equity effects. 46 Our findings are important for policymakers and commissioners needing to identify, fund, and target interventions for those who are most at risk, as well as practitioners recommending or delivering parenting programmes. The Incredible Years inter vention is clearly an effective strategy to reduce conduct problems in families facing social disadvantage.…”

Section: Discussionmentioning

confidence: 89%

“…45 Incredible Years has features that might enhance its effectiveness across social groups. Although the programme's content and principles are similar to those of other evidence-based parenting programmes derived from social learning theory (eg, Triple P and Parent Management Training-Oregon [PMTO]), 46,47 it has a particular focus on a collaborative delivery model. Thus, parenting goals and strategies are tailored to families' needs, whether these needs arise from child characteristics, culture, social disadvantage, or family values.…”

Section: Discussionmentioning

confidence: 99%

“…48 However, further assessment is needed to test whether other parenting programmes show comparable equity effects by socioeconomic status or ethnicity. 10,46 Additionally, the effects of key delivery components that are relevant to equity (including Incredible Years collaborative approach, which can be costly to train) require further investigation using factorial designs to optimise effectiveness.…”

Section: Discussionmentioning

confidence: 99%

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Equity effects of parenting interventions for child conduct problems: a pan-European individual participant data meta-analysis

Gardner

Leijten

Harris

et al. 2019

The Lancet Psychiatry

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Background Childhood conduct problems are a costly public health problem and are five times more common in socially disadvantaged groups than they are in advantaged groups. Untreated, conduct problems have a poor prognosis, with increasing gaps between socioeconomic groups, and high rates of subsequent criminality. Incredible Years is a high quality parenting programme for reducing conduct problems and is widely disseminated in Europe. Many trials have shown Incredible Years to be effective but the potential effects of parenting interventions on social inequality are unknown. Some behavioural interventions (eg, smoking cessation programmes), although beneficial overall, can widen inequality gaps. Because single trials and aggregate-level meta-analyses are ill equipped for examining differential intervention (moderator) effects, we pooled individual-level trial data to assess the effects of Incredible Years on social equity. Methods We did a systematic review and individual participant data meta-analysis by searching CINAHL, Embase, Global Health, Medline, and PsycINFO, for studies published from inception to March 15, 2019. We also searched the Incredible Years website library and consulted with experts, including the European Incredible Years mentors' network. We included data from all completed randomised trials of the Incredible Years parenting intervention in Europe that included children aged 1-12 years, including unpublished trials, without restriction on publication year or outcome measures. We included prevention (selective or universal) and treatment or indicated prevention trials (for children diagnosed or above the clinical cutoff for conduct problems). We excluded trials or conditions within trials that were not randomised, included additional non-parenting material (eg, child-focused interventions), or were abbreviated, non-standard versions of the usual Incredible Years intervention of 12-14 weekly sessions. We requested individual participant data from the study authors. The primary outcome was child conduct problems, assessed using the Eyberg Child Behavior Inventory Intensity (ECBI-I) scale. Moderators were analysed using multilevel modelling with multiple imputation. Findings Of 15 European trials of Incredible Years parenting programmes (n=1696 children), individual participant data were unavailable for one trial and one trial did not assess the primary outcome. Children were aged 2-10 years (median 5•1), 492 (30%) of 1651 children were from an ethnic minority and 931 (58%) of 1614 were from low-income families. Families who received the Incredible Years intervention reported an overall reduction in child conduct problems (13•5 points on the ECBI-I scale, 95% CI 10•9-16•1). There were no differential effects by family disadvantage (indicated by poverty, lone parenthood, teenage parenthood, household joblessness, or low education), or ethnic minority status. Interpretation We found no evidence for differential effects by social disadvantage, suggesting that Incredible Years is unlikely to widen ...

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Equity effects of parenting interventions for child conduct problems: a pan-European individual participant data meta-analysis

Gardner

Leijten

Harris

et al. 2019

The Lancet Psychiatry

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“…The GenerationPMTO participants statistically differed from the BPT participants as follows: GenerationPMTO parents had lower education levels, their children were a mean of 1.3 years older; and their children tended to have higher levels of behavior problems. In a comparison between participant characteristics in the BPT and GenerationPMTO interventions with the general population of Norwegian families with children, Tømmerås () found that families in both studies had markedly lower levels of social and economic resources; furthermore, 76.2% children in the samples scored above the population normed 25th percentile on the Eyberg Child Behavior Inventory, intensity scale. Thus, both samples contained participants with heightened levels of family social and child risk.…”

Section: Methodsmentioning

confidence: 99%

Benefits of Child Behavior Interventions for Parent Well‐Being

Kjøbli

Forgatch

2018

Family Relations

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Objective To explore the direct and indirect associations among GenerationPMTO (i.e., the “Oregon model” of a parent management training program), child behavior problems, and parent outcomes. Background The behavioral parent training program GenerationPMTO is designed to improve child behavior outcomes. Although parent well‐being is not targeted, previous studies have found collateral benefits on parental well‐being for GenerationPMTO in preventive low‐risk samples and high‐risk samples. Method Bootstrapped structured equation models were used to analyze 2 randomized trials that evaluate parent well‐being (mental health, somatic health, and vitality) in 2 versions of GenerationPMTO: Brief Parent Training (BPT) for a preventive sample (N = 216) and GenerationPMTO, which was higher‐risk and a mix of a clinical and a preventive sample (N = 137). We examined direct and indirect effects of treatment condition for parent well‐being via change in children's behavior problems, change in parenting practices, and level of parenting self‐efficacy. Results Six months after treatment, results revealed positive effects on targeted child and parent outcomes in both samples, whereas only the BPT intervention had direct effects on parent well‐being. Conclusion Collateral benefits in the low‐risk BPT sample suggest that helping children and their families at earlier stages of negative development may increase the potential for immediate collateral benefits. Implications The results highlight the preventive potential of a brief behavioral parent training intervention based on the social interaction learning model.

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“…Kjøbli og medarbeidere (14) fant at depresjon, angst og psykisk stress kan gjøre det vanskeligere for mødrene å følge konkrete råd på kort sikt. Sosiale forskjeller som for eksempel boforhold og dårlig økonomi kan også vaere en sperre (15). Dette kan underbygge viktigheten av å komme tidlig inn og gi universelle tilbud før problemene har etablert seg.…”

Section: Trygghet I Foreldrerollenunclassified