The effectiveness of an online parent training program for the prevention and treatment of behavioural problems: a randomized controlled trial
DOI:
https://doi.org/10.31074/gyntf.2024.2.106.126Keywords:
preschool, behavioural problems, parent training, Internet, preventionAbstract
Parents' support plays a pivotal role in the prevention and treatment of behavioural problems. The accessibility of parent training can be enhanced through internet-based delivery formats. A prevention program for parents of preschool children, which employs a behavioural therapy approach, has been developed and implemented in the form of an email course. The effectiveness of the program was evaluated in a randomized controlled trial involving 180 parents. The participants were recruited in kindergartens in two districts of the capital and a city in Pest country. The intervention group (N = 120) received the newsletter by email for five weeks. We randomly selected 60 parents to participate in the wait-list control group. Three months after the first newsletter was sent, the two groups were compared in their perceived parenting competence, self-reported positive and negative parenting behaviours, and the perception of child obedience and rule-breaking behaviour. The data from the mailing program indicated that 67% of recipients opened the initial newsletter, 77% opened the second, 80% opened the third, 66% opened the fourth, and 59% opened the fifth newsletter. A total of 32 parents in the intervention group and 22 parents in the control group completed the follow-up questionnaire, resulting in a total of 54 parents being included in the analysis. The results of the repeated-measures analysis of variance indicated no differences in perceived parenting competence and parenting behaviours between the data measures at the two time points in either group. However, parents in the intervention group reported significantly less disobedience and rule-breaking behaviour in everyday situations at follow-up compared to the baseline. In contrast, no differences were found in the control group. Although the high dropout rate warrants further investigation, the results suggest that parent training with a behavioural therapy approach, implemented as an email course, may be effective in improving parent-child cooperation.Downloads
References
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders: DSM-5. https://doi.org/10.1176/appi.books.9780890425596
Arney, F. M. (2004). A comparison of direct observation and selfreport measures of parenting behaviour. University of Adelaide, Dept. of Psychiatry, Thesis. https://digital.library.adelaide.edu.au/dspace/handle/2440/37713 (2020.10.01.)
Baker, S. & Sanders, M. R. (2017). Predictors of Program Use and Child and Parent Outcomes of A Brief Online Parenting Intervention. Child Psychiatry & Human Development, 48(5), 807–817. https://doi.org/10.1007/s10578-016-0706-8
Barkley, R. A. (2013). Defiant children: A clinician’s manual for assessment and parent training. The Guilford press.
Barkley, R. A., Shelton, T. L., Crosswait, C., Moorehouse, M., Fletcher, K., Barrett, S., Jenkins, L. & Metevia, L. (2000). Multi-method psycho-educational intervention for preschool children with disruptive behavior: Preliminary results at post-treatment. The Journal of Child Psychology and Psychiatry and Allied Disciplines, 41(3), 319–332. https://doi.org/10.1111/1469-7610.00616
Baumel, A., Pawar, A., Kane, J. M. & Correll, C. U. (2016). Digital Parent Training for Children with Disruptive Behaviors: Systematic Review and Meta-Analysis of Randomized Trials. Journal of Child and Adolescent Psychopharmacology, 26(8), 740–749. https://doi.org/10.1089/cap.2016.0048
Bausback, K. B. & Bunge, E. L. (2021). Meta-Analysis of Parent Training Programs Utilizing Behavior Intervention Technologies. Social Sciences, 10(10), 1–27. https://doi.org/10.3390/socsci10100367
Beauchaine, T. P., Hinshaw, S. P. & Pang, K. L. (2010). Comorbidity of attention-deficit/hyperactivity disorder and early-onset conduct disorder: Biological, environmental, and developmental mechanisms. Clinical Psychology: Science and Practice, 17(4), 327–336. https://doi.org/10.1111/j.1468-2850.2010.01224.x
Chacko, A., Wymbs, B. T., Rajwan, E., Wymbs, F. & Feirsen, N. (2017). Characteristics of Parents of Children with ADHD Who Never Attend, Drop Out, and Complete Behavioral Parent Training. Journal of Child and Famliy Studies, 26(3), 950–960. https://doi.org/10.1007/s10826-016-0618-z
Cheung, C. & Delany, D. (2022). Measuring Mothers’ Warmth: Naïve Observers, Trained Coders, and Self-Reports. Parenting, 22(1), 1–10. https://doi.org/10.1080/15295192.2021.2004076
Cs. Ferenczi, Sz. (2019). Bevezetés. In Cs. Ferenczi, Sz. (Ed ), Szülői pszichoedukációs csoportok vezetése. Pszichoedukációs csoportvezetők képzését támogató munkatankönyv (pp. 4–6). Katolikus Szeretetszolgálat. https://www.szeretetszolgalat.hu/ sites/default/files/szuloi_pszichoedukacios_csoportok_vezetese.pdf
Daley, D., Van der Oord, S., Ferrin, M., Danckaerts, M., Doepfner, M., Cortese, S., Sonuga-Barke, E. J., & Group, E. A. G. (2014). Behavioral interventions in attention-deficit/hyperactivity disorder: A meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the American Academy of Child & Adolescent Psychiatry, 53(8), 835–847. https://doi.org/10.1016/j.jaac.2014.05.013
De Los Reyes, A. & Epkins, C. C. (2023). Introduction to the Special Issue. A Dozen Years of Demonstrating That Informant Discrepancies are More Than Measurement Error: Toward Guidelines for Integrating Data from Multi-Informant Assessments of Youth Mental Health. Journal of Clinical Child & Adolescent Psychology, 52(1), 1–18. https://doi.org/10.1080/15374416.2022.2158843
Dekkers, T. J., Hornstra, R., van der Oord, S., Luman, M., Hoekstra, P. J., Groenman, A. P. & van den Hoofdakker, B. J. (2022). Meta-analysis: Which Components of Parent Training Work for Children With Attention-Deficit/Hyperactivity Disorder? Journal of the American Academy of Child & Adolescent Psychiatry, 61(4), 478-494. https://doi.org/10.1016/j.jaac.2021.06.015
Dobener, L.-M., Fahrer, J., Purtscheller, D., Bauer, A., Paul, J. L. & Christiansen, H. (2022). How Do Children of Parents With Mental Illness Experience Stigma? A Systematic Mixed Studies Review. Frontiers in Psychiatry, 13: 813519. https://doi.org/10.3389/fpsyt.2022.813519
Dwyer, S. B., Nicholson, J. M., & Battistutta, D. (2006). Parent and Teacher Identification of Children at Risk of Developing Internalizing or Externalizing Mental Health Problems: A Comparison of Screening Methods. Prevention Science, 7(4), 343–357. https://doi.org/10.1007/s11121-006-0026-5
Egészségügyi Szakmai Kollégium (2019). Az Emberi Erőforrások Minisztériuma szakmai irányelve a gyermekkori viselkedészavarok ellátásáról. Egészségügyi Közlöny, 69(4), 420–453. https://kollegium.aeek.hu/Iranyelvek/Index (2020.10.01.)
Egészségügyi Szakmai Kollégium (2020). Az Emberi Erőforrások Minisztériuma szakmai irányelve a hiperkinetikus zavar (figyelemhiányos/hiperaktivitás zavar) kórismézéséről, kezeléséről és gondozásáról gyermek, serdülő és felnőttkorban. Egészségügyi Közlöny, 70(19), 1794–1835. https://kollegium.aeek.hu/Iranyelvek/Index (2020.10.01.)
Florean, I. S., Dobrean, A., Păsărelu, C. R., Georgescu, R. D., & Milea, I. (2020). The Efficacy of Internet-Based Parenting Programs for Children and Adolescents with Behavior Problems: A Meta-Analysis of Randomized Clinical Trials. Clinical Child and Family Psychology Review, 23(4), 510–528. https://doi.org/10.1007/s10567-020-00326-0
Forgatch, M. S., & Gewirtz, A. H. (2018). The evolution of the Oregon model of parent management training: An intervention for antisocial behavior in children and adolescents. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (3rd ed., pp. 85–102). The Guilford Press.
Gyöngy K. (2021). Kisgyermeket nevelő szülők támogatásának hazai és nemzetközi lehetőségei, személyes és távsegítő formái – szakirodalmi áttekintés. Gyermeknevelés Tudományos Folyóirat, 9(2), 145–168. https://doi.org/10.31074/gyntf.2021.2.145.168
Hansen, A., Broomfield, G., & Yap, M. B. H. (2019). A systematic review of technology-assisted parenting programs for mental health problems in youth aged 0–18 years: Applicability to underserved Australian communities. Australian Journal of Psychology, 71(4), 433–462. https://doi.org/10.1111/ajpy.12250
Johnston, C., & Mash, E. J. (1989). A Measure of Parenting Satisfaction and Efficacy. Journal of Clinical Child Psychology, 18(2), 167–175. https://doi.org/10.1207/s15374424jccp1802_8
Kaminski, J. W., & Claussen, A. H. (2017). Evidence Base Update for Psychosocial Treatments for Disruptive Behaviors in Children. Journal of Clinical Child & Adolescent Psychology, 46(4), 477–499. https://doi.org/10.1080/15374416.2017.1310044
Lannert, J. (2015). Szülősegítés a kora- és kisgyermekkorban Magyarországon és máshol. Esély, (4), 42–61. http://www.esely.org/kiadvanyok/2015_4/2015-4_1-4_Lannert_ Szulosegites.pdf (2020.10.01.)
Lee, P., Niew, W., Yang, H., Chen, V. C., & Lin, K. (2012). A meta-analysis of behavioral parent training for children with attention deficit hyperactivity disorder. Research in developmental disabilities, 33(6), 2040–2049. https://doi.org/10.1016/j.ridd.2012.05.011
Leijten, P., Gardner, F., Landau, S., Harris, V., Mann, J., Hutchings, J., Beecham, J., Bonin, E., & Scott, S. (2018). Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program. Journal of Child Psychology and Psychiatry, 59(2), 99–109. https://doi.org/10.1111/jcpp.12781
MacDonell, K. W., & Prinz, R. J. (2017). A Review of Technology-Based Youth and Family-Focused Interventions. Clinical Child and Family Psychology Review, 20(2), 185–200. https://doi.org/10.1007/s10567-016-0218-x
Márk-Ribiczey, N., Miklósi, M., & Szabó, M. (2016). Maternal Self-Efficacy and Role Satisfaction: The Mediating Effect of Cognitive Emotion Regulation. Journal of Child and Family Studies, 25(1), 189–197. https://doi.org/10.1007/s10826-015-0217-4
Mattiassich-Szokoli, E., & Sófi, Gy. D. (2022). A gyermek-és serdülőkori figyelemzavaros-hiperaktivitás (ADHD) okozta nemzetgazdasági problémák és azok lehetséges kezelése. IME, 21(1), 41–47. https://doi.org/10.53020/IME-2022-101
Miklósi, M. (2020). A fejlődési pszichopatológia hozzájárulása a pszichés zavarok jobb megértéséhez. Neuropsychopharmacologia Hungarica: a Magyar Pszichofarmakológiai Egyesület Lapja, 22(3), 84-90. PMID: 33055289. https://mppt.hu/magazin/pdf/vol22issue3/v22i3p84.pdf (2020.10.01.)
Miklósi, M. (2024). Szülőkre fókuszáló intervenciók a gyermekkori mentális zavarok megelőzésében és kezelésében. In Perczel-Forintos, D., Zinner-Gérecz, Á., Antal-Uram, D (Eds.), Az alacsony intenzitású pszichológiai intervenciók tankönyve (pp. 315-326). Medicina.
Miklósi, M., Gönczi, L. A., Györe, S., Németh, B., Nemeskéry, K., Oszterág-Barak, B., & Teleki, J. (2019.05.24.). A többdimenziós szülői magatartásformák skála (MAPS) magyar változatának bemutatása [poszter]. A Magyar Gyermek- és Ifjúságpszichiátria és Társszakmák Társasága (MAGYIPETT) 43. Kongresszusa: Fejlődés és identitás, https://www.magyipett.hu/files/file/kongresszusok/43/Magyipett2019_programfuzetA5.pdf
Miklósi, M., Sulyok, R.S., & Gallai, M. (2022). Online szülőtréningprogramok a koronavírus-járvány idején. Serdülő- és gyermek-pszichoterápia 15(2), 68–87. https://gyermekpszichoterapia.hu/megjelent_szamok
Mitter, N., Ali, A., & Scior, K. (2019). Stigma experienced by families of individuals with intellectual disabilities and autism: A systematic review. Research in developmental disabilities, 89, 10–21. https://doi.org/10.1016/j.ridd.2019.03.001
Morsbach, S. K., & Prinz, R. J. (2006). Understanding and Improving the Validity of Self-Report of Parenting. Clinical Child and Family Psychology Review, 9(1), 1–21. https://doi.org/10.1007/s10567-006-0001-5
National Institute for Health and Care Excellence (2008). Social and emotional wellbeing in primary education. [NICE Guideline PH12]. https:// www.nice.org.uk/guidance/ph12 (2020.10.01.)
National Institute for Health and Care Excellence (2017). Antisocial behaviour and conduct disorders in children and young people: recognition and management. [NICE Guideline CG158]. https:// www.nice.org.uk/guidance/CG158 (2020.10.01.)
National Institute for Health and Care Excellence (2018). Attention deficit hyperactivity disorder: Diagnosis and management [NICE Guideline NG87]. https:// www.nice.org.uk/guidance/ng87 (2020.10.01.)
Parent, J., & Forehand, R. (2017). The Multidimensional Assessment of Parenting Scale (MAPS): Development and Psychometric Properties. Journal of Child and Family Studies, 26(8), 2136–2151. https://doi.org/10.1007/s10826-017-0741-5
Purebl, Gy., Güleç, H., & Mezei, Á. (2012). E-pszichoterápia. In: Unoka, Zs., Purebl, Gy., Túry, F., Bitter, I. (Eds.): A pszichoterápia tankönyve (pp. 256-265). Semmelweis Kiadó. ISBN: 9789633312315.
Sanders, M. R. (2012). Development, evaluation, and multinational dissemination of the Triple P-Positive Parenting Program. Annual review of clinical psychology, 8, 345–379. https://doi.org/10.1146/annurev-clinpsy-032511-143104
Spencer, C. M., Topham, G. L., & King, E. L. (2020). Do online parenting programs create change?: A meta-analysis. Journal of Family Psychology, 34(3), 364–374. https://doi.org/10.1037/fam0000605
Thongseiratch, T., Leijten, P., & Melendez-Torres, G. J. (2020). Online parent programs for children’s behavioral problems: A meta-analytic review. European Child & Adolescent Psychiatry, 29(11), 1555–1568. https://doi.org/10.1007/s00787-020-01472-0
Weisenmuller, C., & Hilton, D. (2021). Barriers to access, implementation, and utilization of parenting interventions: Considerations for research and clinical applications. American Psychologist, 76(1), 104–115. https://doi.org/10.1037/amp0000613
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Author
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.