Impact of a parenting program in a high-risk, multi-ethnic community: the PALS trial / Stephen SCOTT in Journal of Child Psychology and Psychiatry, 51-12 (December 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1331-1341 Titre : Impact of a parenting program in a high-risk, multi-ethnic community: the PALS trial Type de document : Texte imprimé et/ou numérique Auteurs : Stephen SCOTT, Auteur ; Thomas G. O'CONNOR, Auteur ; Annabel FUTH, Auteur ; Carla MATIAS, Auteur ; Jenny PRICE, Auteur ; Moira DOOLAN, Auteur Année de publication : 2010 Article en page(s) : p.1331-1341 Langues : Anglais (eng) Mots-clés : Behavior problems  ethnicity  parent training  parent–child interaction  treatment Index. décimale : PER Périodiques Résumé : Background:  Parenting programs have been shown to work when delivered to motivated ethnic majority parents in demonstration projects, but comparatively little is known about their impact when delivered to high-risk, multi-ethnic populations by routine local services. Methods:  The Primary Age Learning Skills (PALS) trial was a randomized controlled trial of an evidence-based parenting-group program that targeted the parent–child relationship and child literacy. Parents of 174 children were selected from a population of 672 5- and 6-year-olds attending four primary schools in a high-risk, ethnically diverse, inner-city area. Eighty-eight children were allocated to the Incredible Years preventive program plus a shortened six-week version of the SPOKES literacy program, delivered by local services; 86 to usual community services; 152/174 (87%) of families were successfully followed up. Parent–child relationship quality and child behavior were measured using direct observation and parent interview; child reading was assessed psychometrically. Results:  Two-thirds (58/89) of those offered the parenting program attended at least one session, with similar enrolment rates across the Black African, African-Caribbean, White-British and Other ethnic groups. Mean attendance was four relationship-building sessions and one literacy-development session. Satisfaction questionnaires were completed by 43/58 starters; 93% said they were well or extremely satisfied, with equally high rates across ethnic groups. At follow-up after one year, those allocated to the intervention showed significant improvements in the parent–child relationship on observation and at interview compared to controls; effects were similar across all ethnic groups. However, child behavior problems and reading did not improve. The cost was £1,343 ($2,100) per child. Conclusions:  Programs can be organized to be engaging and effective in improving parenting among high-risk, multi-ethnic communities, which is of considerable value. To also be cost-effective in achieving child changes may require a set-up that enables parents to attend more sessions and/or an exclusive focus on children with clinically significant behavior problems. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02302.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113 [article] Impact of a parenting program in a high-risk, multi-ethnic community: the PALS trial [Texte imprimé et/ou numérique] / Stephen SCOTT, Auteur ; Thomas G. O'CONNOR, Auteur ; Annabel FUTH, Auteur ; Carla MATIAS, Auteur ; Jenny PRICE, Auteur ; Moira DOOLAN, Auteur . - 2010 . - p.1331-1341. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-12 (December 2010) . - p.1331-1341 Mots-clés : Behavior problems  ethnicity  parent training  parent–child interaction  treatment Index. décimale : PER Périodiques Résumé : Background:  Parenting programs have been shown to work when delivered to motivated ethnic majority parents in demonstration projects, but comparatively little is known about their impact when delivered to high-risk, multi-ethnic populations by routine local services. Methods:  The Primary Age Learning Skills (PALS) trial was a randomized controlled trial of an evidence-based parenting-group program that targeted the parent–child relationship and child literacy. Parents of 174 children were selected from a population of 672 5- and 6-year-olds attending four primary schools in a high-risk, ethnically diverse, inner-city area. Eighty-eight children were allocated to the Incredible Years preventive program plus a shortened six-week version of the SPOKES literacy program, delivered by local services; 86 to usual community services; 152/174 (87%) of families were successfully followed up. Parent–child relationship quality and child behavior were measured using direct observation and parent interview; child reading was assessed psychometrically. Results:  Two-thirds (58/89) of those offered the parenting program attended at least one session, with similar enrolment rates across the Black African, African-Caribbean, White-British and Other ethnic groups. Mean attendance was four relationship-building sessions and one literacy-development session. Satisfaction questionnaires were completed by 43/58 starters; 93% said they were well or extremely satisfied, with equally high rates across ethnic groups. At follow-up after one year, those allocated to the intervention showed significant improvements in the parent–child relationship on observation and at interview compared to controls; effects were similar across all ethnic groups. However, child behavior problems and reading did not improve. The cost was £1,343 ($2,100) per child. Conclusions:  Programs can be organized to be engaging and effective in improving parenting among high-risk, multi-ethnic communities, which is of considerable value. To also be cost-effective in achieving child changes may require a set-up that enables parents to attend more sessions and/or an exclusive focus on children with clinically significant behavior problems. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2010.02302.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=113

Randomised controlled trial of parent groups for child antisocial behaviour targeting multiple risk factors: the SPOKES project / Stephen SCOTT in Journal of Child Psychology and Psychiatry, 51-1 (January 2010)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 51-1 (January 2010) . - p.48-57 Titre : Randomised controlled trial of parent groups for child antisocial behaviour targeting multiple risk factors: the SPOKES project Type de document : Texte imprimé et/ou numérique Auteurs : Stephen SCOTT, Auteur ; Sabine LANDAU, Auteur ; Brian JACOBS, Auteur ; Kathy SYLVA, Auteur ; Moira DOOLAN, Auteur ; Jenny PRICE, Auteur ; Carolyn CROOK, Auteur Année de publication : 2010 Article en page(s) : p.48-57 Langues : Anglais (eng) Mots-clés : Aggression antisocial-behaviour parent-training prevention randomised-trial Index. décimale : PER Périodiques Résumé : Background: There is a pressing need for cost-effective population-based interventions to tackle early-onset antisocial behaviour. As this is determined by many factors, it would seem logical to devise interventions that address several influences while using an efficient means of delivery. The aim of this trial was to change four risk factors that predict poor outcome: ineffective parenting, conduct problems, attention deficit/hyperactivity disorder (ADHD) symptoms, and low reading ability. Methods: A randomised controlled trial was carried out in eight schools in London, England. Nine hundred and thirty-six (936) 6-year-old children were screened for antisocial behaviour, then parents of 112 high scorers were randomised to parenting groups held in schools or control; 109 were followed up a year later. The intervention lasted 28 weeks and was novel as it had components to address both child behaviour (through the Incredible Years programme) and child literacy (through a new 'SPOKES' programme to help parents read with their children). Fidelity of implementation was emphasised by careful training of therapists and weekly supervision. Controls received an information helpline. Assessment of conduct problems was by parent interview, parenting by direct observation and child reading by psychometric testing. Results: At follow-up parents allocated to the intervention used play, praise and rewards, and time out more often than controls, and harsh discipline less; effect sizes ranged from .31 to .59 sd (p-values .046 to .005). Compared to control children, whose behaviour didn't change, intervention children's conduct problems reduced by .52sd, (p < .001), dropping from the 80th to the 61st percentile; oppositional-defiant disorder (ODD) halved from 60% to 31% (p = .003). ADHD symptoms reduced by .44sd (p = .002), and reading age improved by six months (.36sd, p = .027). Teacher-rated behaviour didn't change. The programme cost £2,380 ($3,800) per child. Conclusions: Effective population-based early intervention to improve the functioning of with antisocial behaviour is practically feasible by targeting multiple risk factors and emphasising implementation fidelity. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02127.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=939 [article] Randomised controlled trial of parent groups for child antisocial behaviour targeting multiple risk factors: the SPOKES project [Texte imprimé et/ou numérique] / Stephen SCOTT, Auteur ; Sabine LANDAU, Auteur ; Brian JACOBS, Auteur ; Kathy SYLVA, Auteur ; Moira DOOLAN, Auteur ; Jenny PRICE, Auteur ; Carolyn CROOK, Auteur . - 2010 . - p.48-57. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 51-1 (January 2010) . - p.48-57 Mots-clés : Aggression antisocial-behaviour parent-training prevention randomised-trial Index. décimale : PER Périodiques Résumé : Background: There is a pressing need for cost-effective population-based interventions to tackle early-onset antisocial behaviour. As this is determined by many factors, it would seem logical to devise interventions that address several influences while using an efficient means of delivery. The aim of this trial was to change four risk factors that predict poor outcome: ineffective parenting, conduct problems, attention deficit/hyperactivity disorder (ADHD) symptoms, and low reading ability. Methods: A randomised controlled trial was carried out in eight schools in London, England. Nine hundred and thirty-six (936) 6-year-old children were screened for antisocial behaviour, then parents of 112 high scorers were randomised to parenting groups held in schools or control; 109 were followed up a year later. The intervention lasted 28 weeks and was novel as it had components to address both child behaviour (through the Incredible Years programme) and child literacy (through a new 'SPOKES' programme to help parents read with their children). Fidelity of implementation was emphasised by careful training of therapists and weekly supervision. Controls received an information helpline. Assessment of conduct problems was by parent interview, parenting by direct observation and child reading by psychometric testing. Results: At follow-up parents allocated to the intervention used play, praise and rewards, and time out more often than controls, and harsh discipline less; effect sizes ranged from .31 to .59 sd (p-values .046 to .005). Compared to control children, whose behaviour didn't change, intervention children's conduct problems reduced by .52sd, (p < .001), dropping from the 80th to the 61st percentile; oppositional-defiant disorder (ODD) halved from 60% to 31% (p = .003). ADHD symptoms reduced by .44sd (p = .002), and reading age improved by six months (.36sd, p = .027). Teacher-rated behaviour didn't change. The programme cost £2,380 ($3,800) per child. Conclusions: Effective population-based early intervention to improve the functioning of with antisocial behaviour is practically feasible by targeting multiple risk factors and emphasising implementation fidelity. En ligne : http://dx.doi.org/10.1111/j.1469-7610.2009.02127.x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=939

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