Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program / Patty LEIJTEN in Development and Psychopathology, 31-5 (December 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-5 (December 2019) . - p.1851-1862 Titre : Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program Type de document : texte imprimé Auteurs : Patty LEIJTEN, Auteur ; Frances E.M. GARDNER, Auteur ; G.J. MELENDEZ-TORRES, Auteur ; Joyce WEELAND, Auteur ; Judy HUTCHINGS, Auteur ; Sabine LANDAU, Auteur ; Sinéad MCGILLOWAY, Auteur ; Geertjan OVERBEEK, Auteur ; Jolien VAN AAR, Auteur ; Ankie MENTING, Auteur ; Bram OROBIO DE CASTRO, Auteur ; Vashti BERRY, Auteur ; Maria Filomena GASPAR, Auteur ; Ulf AXBERG, Auteur ; W.T. MORCH, Auteur ; Stephen SCOTT, Auteur Année de publication : 2019 Article en page(s) : p.1851-1862 Langues : Anglais (eng) Mots-clés : conduct problems  individual participant data meta-analysis  maternal depression  parenting program Index. décimale : PER Périodiques Résumé : Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2-10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur. En ligne : http://dx.doi.org/10.1017/s0954579419001068 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412 [article] Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program [texte imprimé] / Patty LEIJTEN, Auteur ; Frances E.M. GARDNER, Auteur ; G.J. MELENDEZ-TORRES, Auteur ; Joyce WEELAND, Auteur ; Judy HUTCHINGS, Auteur ; Sabine LANDAU, Auteur ; Sinéad MCGILLOWAY, Auteur ; Geertjan OVERBEEK, Auteur ; Jolien VAN AAR, Auteur ; Ankie MENTING, Auteur ; Bram OROBIO DE CASTRO, Auteur ; Vashti BERRY, Auteur ; Maria Filomena GASPAR, Auteur ; Ulf AXBERG, Auteur ; W.T. MORCH, Auteur ; Stephen SCOTT, Auteur . - 2019 . - p.1851-1862. Langues : Anglais (eng) in Development and Psychopathology > 31-5 (December 2019) . - p.1851-1862 Mots-clés : conduct problems  individual participant data meta-analysis  maternal depression  parenting program Index. décimale : PER Périodiques Résumé : Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2-10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur. En ligne : http://dx.doi.org/10.1017/s0954579419001068 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412

Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems / Catherine L. WARD in Journal of Child Psychology and Psychiatry, 61-4 (April 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.503-512 Titre : Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems Type de document : texte imprimé Auteurs : Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances E.M. GARDNER, Auteur Article en page(s) : p.503-512 Langues : Anglais (eng) Mots-clés : Parenting  Parenting for Lifelong Health  low- and middle-income countries  prevention  violence against children Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting programs suitable for delivery at scale in low-resource contexts are urgently needed. We conducted a randomized trial of Parenting for Lifelong Health (PLH) for Young Children, a low-cost 12-session program designed to increase positive parenting and reduce harsh parenting and conduct problems in children aged 2-9. METHODS: Two hundred and ninety-six caregivers, whose children showed clinical levels of conduct problems (Eyberg Child Behavior Inventory Problem Score, >15), were randomly assigned using a 1:1 ratio to intervention or control groups. At t0 , and at 4-5 months (t1 ) and 17 months (t2 ) after randomization, research assistants blind to group assignment assessed (through caregiver self-report and structured observation) 11 primary outcomes: positive parenting, harsh parenting, and child behavior; four secondary outcomes: parenting stress, caregiver depression, poor monitoring/supervision, and social support. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02165371); Pan African Clinical Trial Registry (PACTR201402000755243); Violence Prevention Trials Register (http://www.preventviolence.info/Trials?ID=24). RESULTS: Caregivers attended on average 8.4 sessions. After adjustment for 30 comparisons, strongest results were as follows: at t1 , frequency of self-reported positive parenting strategies (10% higher in the intervention group, p = .003), observed positive parenting (39% higher in the intervention group, p = .003), and observed positive child behavior (11% higher in the intervention group, p = .003); at t2, both observed positive parenting and observed positive child behavior were higher in the intervention group (24%, p = .003; and 17%, p = .003, respectively). Results with p-values < .05 prior to adjustment were as follows: At t1 , the intervention group self-reported 11% fewer child problem behaviors, 20% fewer problems with implementing positive parenting strategies, and less physical and psychological discipline (28% and 14% less, respectively). There were indications that caregivers reported 20% less depression but 7% more parenting stress at t1 . Group differences were nonsignificant for observed negative child behavior, and caregiver-reported child behavior, poor monitoring or supervision, and caregiver social support. CONCLUSIONS: PLH for Young Children shows promise for increasing positive parenting and reducing harsh parenting. En ligne : http://dx.doi.org/10.1111/jcpp.13129 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421 [article] Parenting for Lifelong Health for Young Children: a randomized controlled trial of a parenting program in South Africa to prevent harsh parenting and child conduct problems [texte imprimé] / Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances E.M. GARDNER, Auteur . - p.503-512. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.503-512 Mots-clés : Parenting  Parenting for Lifelong Health  low- and middle-income countries  prevention  violence against children Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting programs suitable for delivery at scale in low-resource contexts are urgently needed. We conducted a randomized trial of Parenting for Lifelong Health (PLH) for Young Children, a low-cost 12-session program designed to increase positive parenting and reduce harsh parenting and conduct problems in children aged 2-9. METHODS: Two hundred and ninety-six caregivers, whose children showed clinical levels of conduct problems (Eyberg Child Behavior Inventory Problem Score, >15), were randomly assigned using a 1:1 ratio to intervention or control groups. At t0 , and at 4-5 months (t1 ) and 17 months (t2 ) after randomization, research assistants blind to group assignment assessed (through caregiver self-report and structured observation) 11 primary outcomes: positive parenting, harsh parenting, and child behavior; four secondary outcomes: parenting stress, caregiver depression, poor monitoring/supervision, and social support. TRIAL REGISTRATION: ClinicalTrials.gov (NCT02165371); Pan African Clinical Trial Registry (PACTR201402000755243); Violence Prevention Trials Register (http://www.preventviolence.info/Trials?ID=24). RESULTS: Caregivers attended on average 8.4 sessions. After adjustment for 30 comparisons, strongest results were as follows: at t1 , frequency of self-reported positive parenting strategies (10% higher in the intervention group, p = .003), observed positive parenting (39% higher in the intervention group, p = .003), and observed positive child behavior (11% higher in the intervention group, p = .003); at t2, both observed positive parenting and observed positive child behavior were higher in the intervention group (24%, p = .003; and 17%, p = .003, respectively). Results with p-values < .05 prior to adjustment were as follows: At t1 , the intervention group self-reported 11% fewer child problem behaviors, 20% fewer problems with implementing positive parenting strategies, and less physical and psychological discipline (28% and 14% less, respectively). There were indications that caregivers reported 20% less depression but 7% more parenting stress at t1 . Group differences were nonsignificant for observed negative child behavior, and caregiver-reported child behavior, poor monitoring or supervision, and caregiver social support. CONCLUSIONS: PLH for Young Children shows promise for increasing positive parenting and reducing harsh parenting. En ligne : http://dx.doi.org/10.1111/jcpp.13129 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421

Research Review: Harnessing the power of individual participant data in a meta‐analysis of the benefits and harms of the Incredible Years parenting program / Patty LEIJTEN in Journal of Child Psychology and Psychiatry, 59-2 (February 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-2 (February 2018) . - p.99-109 Titre : Research Review: Harnessing the power of individual participant data in a meta‐analysis of the benefits and harms of the Incredible Years parenting program Type de document : texte imprimé Auteurs : Patty LEIJTEN, Auteur ; Frances E.M. GARDNER, Auteur ; Sabine LANDAU, Auteur ; Victoria HARRIS, Auteur ; Joanna MANN, Auteur ; Judy HUTCHINGS, Auteur ; Jennifer BEECHAM, Auteur ; Eva‐Maria BONIN, Auteur ; Stephen SCOTT, Auteur Article en page(s) : p.99-109 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background Parenting programs aim to reduce children's conduct problems through improvement of family dynamics. To date, research on the precise benefits and possible harms of parenting programs on family well‐being has been unsystematic and likely to be subject to selective outcome reporting and publication bias. Better understanding of program benefits and harms requires full disclosure by researchers of all included measures, and large enough numbers of participants to be able to detect small effects and estimate them precisely. Methods We obtained individual participant data for 14 of 15 randomized controlled trials on the Incredible Years parenting program in Europe (total N = 1,799). We used multilevel modeling to estimate program effects on 13 parent‐reported outcomes, including parenting practices, children's mental health, and parental mental health. Results Parental use of praise, corporal punishment, threats, and shouting improved, while parental use of tangible rewards, monitoring, or laxness did not. Children's conduct problems and attention deficit hyperactivity disorder (ADHD) symptoms improved, while emotional problems did not. Parental mental health (depressive symptoms, self‐efficacy, and stress) did not improve. There was no evidence of harmful effects. Conclusions The Incredible Years parenting program improves the aspects of family well‐being that it is primarily designed to improve: parenting and children's conduct problems. It also improves parent‐reported ADHD symptoms in children. Wider benefits are limited: the program does not improve children's emotional problems or parental mental health. There are no signs of harm on any of the target outcomes. En ligne : https://doi.org/10.1111/jcpp.12781 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339 [article] Research Review: Harnessing the power of individual participant data in a meta‐analysis of the benefits and harms of the Incredible Years parenting program [texte imprimé] / Patty LEIJTEN, Auteur ; Frances E.M. GARDNER, Auteur ; Sabine LANDAU, Auteur ; Victoria HARRIS, Auteur ; Joanna MANN, Auteur ; Judy HUTCHINGS, Auteur ; Jennifer BEECHAM, Auteur ; Eva‐Maria BONIN, Auteur ; Stephen SCOTT, Auteur . - p.99-109. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-2 (February 2018) . - p.99-109 Index. décimale : PER Périodiques Résumé : Background Parenting programs aim to reduce children's conduct problems through improvement of family dynamics. To date, research on the precise benefits and possible harms of parenting programs on family well‐being has been unsystematic and likely to be subject to selective outcome reporting and publication bias. Better understanding of program benefits and harms requires full disclosure by researchers of all included measures, and large enough numbers of participants to be able to detect small effects and estimate them precisely. Methods We obtained individual participant data for 14 of 15 randomized controlled trials on the Incredible Years parenting program in Europe (total N = 1,799). We used multilevel modeling to estimate program effects on 13 parent‐reported outcomes, including parenting practices, children's mental health, and parental mental health. Results Parental use of praise, corporal punishment, threats, and shouting improved, while parental use of tangible rewards, monitoring, or laxness did not. Children's conduct problems and attention deficit hyperactivity disorder (ADHD) symptoms improved, while emotional problems did not. Parental mental health (depressive symptoms, self‐efficacy, and stress) did not improve. There was no evidence of harmful effects. Conclusions The Incredible Years parenting program improves the aspects of family well‐being that it is primarily designed to improve: parenting and children's conduct problems. It also improves parent‐reported ADHD symptoms in children. Wider benefits are limited: the program does not improve children's emotional problems or parental mental health. There are no signs of harm on any of the target outcomes. En ligne : https://doi.org/10.1111/jcpp.12781 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=339

The Incredible Years Autism Spectrum and Language Delays Parent Program: A Pragmatic, Feasibility Randomized Controlled Trial / Margiad E WILLIAMS in Autism Research, 13-6 (June 2020)  

Public ISBD [article]  inAutism Research > 13-6 (June 2020) . - p.1011-1022 Titre : The Incredible Years Autism Spectrum and Language Delays Parent Program: A Pragmatic, Feasibility Randomized Controlled Trial Type de document : texte imprimé Auteurs : Margiad E WILLIAMS, Auteur ; Richard P. HASTINGS, Auteur ; Judy HUTCHINGS, Auteur Article en page(s) : p.1011-1022 Langues : Anglais (eng) Mots-clés : feasibility  intervention  parent-mediated  pragmatic  randomized controlled trial Index. décimale : PER Périodiques Résumé : Behavior problems in children with autism spectrum disorders (ASD) are common and particularly stressful for parents. This study aimed to examine the feasibility of delivering a parenting program in existing services, and the feasibility of conducting a future large-scale Randomized Controlled Trial evaluation of the effectiveness of the intervention. Parents of children aged 3-8 years with a diagnosis of ASD, or strongly suspected ASD were eligible to participate. A multicenter, pragmatic, feasibility randomized controlled trial was conducted in four specialist children's services in Wales. Families were randomly assigned to receive the Incredible Years® Autism Spectrum and Language Delays (IY-ASLD) parent program immediately or to a wait-list, treatment as usual control condition. IY-ASLD sessions were delivered once a week for 12 weeks. The primary outcomes related to feasibility (recruitment, retention, fidelity, and acceptability). Preliminary outcome analyses were conducted using covariance models controlling for study site and baseline scores. From October 5 to December 19, 2016, 58 families were randomized, 29 to IY-ASLD and 29 to control. Three parents did not attend any sessions while 19 (73%) completed the program. Fidelity of delivery was high (88%), as was satisfaction with the program. Fifty-three (91%) completed the follow-up measures. All 95% CIs for effect sizes included zero in exploratory outcome analyses. This study supports the feasibility of delivering the IY-ASLD in existing services with good levels of acceptability and fidelity evident. A larger randomized controlled trial is required to examine the effectiveness of the program. Autism Res 2020, 13: 1011-1022. © 2020 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: This study examined the feasibility and acceptability of delivering a parenting program for parents of children aged 3-8 years with Autism Spectrum Disorder in existing child services. Recruitment and retention in the study were good and parents rated all aspects of the program positively. Practitioners were able to deliver the program as intended and the measures used for program outcomes were appropriate. A larger study to examine program effectiveness would be feasible. En ligne : http://dx.doi.org/10.1002/aur.2265 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427 [article] The Incredible Years Autism Spectrum and Language Delays Parent Program: A Pragmatic, Feasibility Randomized Controlled Trial [texte imprimé] / Margiad E WILLIAMS, Auteur ; Richard P. HASTINGS, Auteur ; Judy HUTCHINGS, Auteur . - p.1011-1022. Langues : Anglais (eng) in Autism Research > 13-6 (June 2020) . - p.1011-1022 Mots-clés : feasibility  intervention  parent-mediated  pragmatic  randomized controlled trial Index. décimale : PER Périodiques Résumé : Behavior problems in children with autism spectrum disorders (ASD) are common and particularly stressful for parents. This study aimed to examine the feasibility of delivering a parenting program in existing services, and the feasibility of conducting a future large-scale Randomized Controlled Trial evaluation of the effectiveness of the intervention. Parents of children aged 3-8 years with a diagnosis of ASD, or strongly suspected ASD were eligible to participate. A multicenter, pragmatic, feasibility randomized controlled trial was conducted in four specialist children's services in Wales. Families were randomly assigned to receive the Incredible Years® Autism Spectrum and Language Delays (IY-ASLD) parent program immediately or to a wait-list, treatment as usual control condition. IY-ASLD sessions were delivered once a week for 12 weeks. The primary outcomes related to feasibility (recruitment, retention, fidelity, and acceptability). Preliminary outcome analyses were conducted using covariance models controlling for study site and baseline scores. From October 5 to December 19, 2016, 58 families were randomized, 29 to IY-ASLD and 29 to control. Three parents did not attend any sessions while 19 (73%) completed the program. Fidelity of delivery was high (88%), as was satisfaction with the program. Fifty-three (91%) completed the follow-up measures. All 95% CIs for effect sizes included zero in exploratory outcome analyses. This study supports the feasibility of delivering the IY-ASLD in existing services with good levels of acceptability and fidelity evident. A larger randomized controlled trial is required to examine the effectiveness of the program. Autism Res 2020, 13: 1011-1022. © 2020 International Society for Autism Research, Wiley Periodicals, Inc. LAY SUMMARY: This study examined the feasibility and acceptability of delivering a parenting program for parents of children aged 3-8 years with Autism Spectrum Disorder in existing child services. Recruitment and retention in the study were good and parents rated all aspects of the program positively. Practitioners were able to deliver the program as intended and the measures used for program outcomes were appropriate. A larger study to examine program effectiveness would be feasible. En ligne : http://dx.doi.org/10.1002/aur.2265 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=427

The Incredible Years® parent training intervention for Latino children on the autism spectrum / Judy HUTCHINGS in Good Autism Practice - GAP, 17-1 (May 2016)

Public ISBD [article]  inGood Autism Practice - GAP > 17-1 (May 2016) . - p.15-22 Titre : The Incredible Years® parent training intervention for Latino children on the autism spectrum Type de document : texte imprimé Auteurs : Judy HUTCHINGS, Auteur ; Ruth PEARSON-BLUNT, Auteur ; Mary-Anne PASTEUR, Auteur ; Helen HEALY, Auteur ; Margiad E WILLIAMS, Auteur Année de publication : 2016 Article en page(s) : p.15-22 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The authors of this paper are based at the Centre for Evidence Based Early Intervention at Bangor University, and in the Specialist Children’s Services in Anglesey and Gwynned. Their study is the second in our journal on the Incredible Years programme for parents of children on the autism spectrum. The Incredible Years programme was not originally designed for parents of children with autism, but has recently been adapted. This pilot study explores the acceptability and feasibility of the programme in the UK. When interventions are designed and tested in other countries (in the US in this case), it is important to test how it works in the UK, as we have a different school and healthcare system. The promising results in this small pilot study suggest that larger research studies are now needed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=289 [article] The Incredible Years® parent training intervention for Latino children on the autism spectrum [texte imprimé] / Judy HUTCHINGS, Auteur ; Ruth PEARSON-BLUNT, Auteur ; Mary-Anne PASTEUR, Auteur ; Helen HEALY, Auteur ; Margiad E WILLIAMS, Auteur . - 2016 . - p.15-22. Langues : Anglais (eng) in Good Autism Practice - GAP > 17-1 (May 2016) . - p.15-22 Index. décimale : PER Périodiques Résumé : The authors of this paper are based at the Centre for Evidence Based Early Intervention at Bangor University, and in the Specialist Children’s Services in Anglesey and Gwynned. Their study is the second in our journal on the Incredible Years programme for parents of children on the autism spectrum. The Incredible Years programme was not originally designed for parents of children with autism, but has recently been adapted. This pilot study explores the acceptability and feasibility of the programme in the UK. When interventions are designed and tested in other countries (in the US in this case), it is important to test how it works in the UK, as we have a different school and healthcare system. The promising results in this small pilot study suggest that larger research studies are now needed. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=289

Who Benefits and How Does It Work? Moderators and Mediators of Outcome in an Effectiveness Trial of a Parenting Intervention / Frances E.M. GARDNER in Journal of Clinical Child & Adolescent Psychology, 39-4 (July-August 2010)  

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