The effectiveness of the Incredible Years pre-school parenting programme in the United Kingdom: a pragmatic randomised controlled trial

Morpeth, Louise; Blower, Sarah; Tobin, Kate; Taylor, Rod S; Bywater, Tracey; Edwards, Rhiannon Tudor; Axford, Nick; Lehtonen, Minna; Jones, Carys; Berry, Vashti

doi:10.1080/13575279.2016.1264366

Cited by 34 publications

(46 citation statements)

References 63 publications

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“…206 studies were screened for eligibility. 15 trials met the inclusion criteria ( figure 1, table 1), done in England (k=7), 23,[28][29][30][31]37,38 Wales (k=2), 39,40 Netherlands (n=2), 33,34 and one each in Ireland, 41 Norway, 42 Portugal 24 and Sweden. 32 13 (87%) trials (n=1696) were included in the analyses, with two (13%) UK trials excluded, one in which data were no longer available 38 and one in which IPD were supplied but did not assess data on our primary outcome, 40 because of the young age of the children.…”

Section: Resultsmentioning

confidence: 99%

“…Overall, most trials (ten of 13 [77%]) included families who were predominantly socially disadvantaged because of low income or lone parenthood. 23,[28][29][30][31]33,34,37,39,41 Six (46%) trials in England and the Netherlands accounted for over 90% of the families from ethnic minorities (range 19-78% per trial). 28,30,31,33,34,37 In nine trials, the control condition was a waiting list and in four trials there was minimal or no intervention.…”

Section: Resultsmentioning

confidence: 99%

“…Larsson et al 42 Axberg et al 32 Seabra-Santos et al 24 McGilloway et al 41 Menting et al 33 Leijten et al 34 Hutchings et al 39 Morpheth et al 37 Scott et al 28 Scott et al 30 Scott et al 31 Gardner et al 29 Scott et al 23 children on average moved from 10 points above to 10 points below the cutoff and children in the control group moved to near the cutoff after testing. Table 2 summarises ECBI-I data from before and after testing by trial arm.…”

Section: Effect Size (95% Ci) Weight (%)mentioning

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Effect Size (95% Ci) Weight (%)mentioning

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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“…Children were showing early signs of conduct problems (3-5 years). 105,119 10. LON-SPO: a community-based trial in England, investigating IY and a literacy intervention in low-income primary schools, with children with conduct problems (1-6 years).…”

Section: Appendix 2 Further Details Of the Trialsmentioning

confidence: 99%

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

et al. 2017

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This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: journals.library@nihr.ac.ukThe full PHR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/phr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Public Health Research journalReports are published in Public Health Research (PHR) if (1) they have resulted from work for the PHR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors.Reviews in Public Health Research are termed 'systematic' when the account of the search, appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. PHR programmeThe Public Health Research (PHR) programme, part of the National Institute for Health Research (NIHR), evaluates public health interventions, providing new knowledge on the benefits, costs, acceptability and wider impacts of non-NHS interventions intended to improve the health of the public and reduce inequalities in health. The scope of the programme is multi-disciplinary and broad, covering a range of interventions that improve public health. The Public Health Research programme also complements the NIHR Health Technology Assessment programme which has a growing portfolio evaluating NHS public health interventions.For more information about the PHR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/phr This reportThe research reported in this issue of the journal was funded by the PHR programme as project number 12/3070/04. The contractual start date was in November 2013. The final report began editorial review in February 2016 and was accepted for publication in September 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The PHR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinions expressed by the interviewees are those of the interviewees and do not necessarily reflect those of the authors, those of the NHS, the NIHR, NETSCC, the PHR programme or the Department of Health. © Queen's Printer and Controller of HMSO 2017. This work was produced by Gardner et al. under the terms of a comm...

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“…Parents who completed the programme reported 'greater parenting competence, lower parenting stress, improved emotional states and reduced behavioural problems in children' . 49 Both 'Incredible Years' [50][51][52] and 'Triple P' 53,54 have a strong empirical evidence base.…”

Section: Discussionmentioning

confidence: 99%

Parenting practices of Singaporean mothers of children with ADHD

Nomanbhoy

Hawkins

2017

Proceedings of Singapore Healthcare

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Objectives: We wanted to determine: (1) whether ADHD symptoms were more common in mothers of children with ADHD; (2) whether mothers of children with ADHD differed in their parenting strategies; and (3) whether there was a difference in care-giving arrangements for children with ADHD and without ADHD. This was done by comparing mothers of children with ADHD with mothers of children without ADHD in Singapore. Methods: Mothers of children with ADHD (n=46) and mothers of children without ADHD (n=45) completed the Conners' Parent Rating Scale-Revised, the Conners' Adult ADHD Rating Scale-Self Report and the Alabama Parenting Questionnaire. Results: Mothers of children with ADHD did not report higher levels of current ADHD symptoms compared with the control group. However, they did use less adaptive parenting strategies. There were also no differences in the reported behaviours of children cared for by a paid worker and those cared for by mothers. Conclusions: Data support the Singapore Clinical Guidelines recommendations for the promotion of parenting skills, and referral to parenting programmes for parents of children with ADHD. The promotion of parenting skills and referral to parenting programmes for mothers of children with ADHD might include the option of electronic forms of programme delivery. The model of using paid help in the home, which is commonplace in Singapore, does not seem to disadvantage children with ADHD.

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The effectiveness of the Incredible Years pre-school parenting programme in the United Kingdom: a pragmatic randomised controlled trial

Abstract: The effectiveness of the Incredible Years preschool parenting programme in the United Kingdom: a pragmatic randomised controlled trial. Child Care in Practice, 23(2), pp. 141-161.

Cited by 34 publications

References 63 publications

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

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

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

Parenting practices of Singaporean mothers of children with ADHD

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