Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial / Manfred DOPFNER in Journal of Child Psychology and Psychiatry, 66-9 (September 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Titre : Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÜHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÜRMANN, Auteur ; Christina DOSE, Auteur Article en page(s) : p.1320-1332 Langues : Anglais (eng) Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6?12?years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12?months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6?months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p?=?.017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p?=?.029, d?=??0.28, 95% CI [?0.54, ?0.03]; WASH+S+TAU vs. TAU: p?=?.009, d?=?0.34 [?0.59, ?0.09]). At 12?months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p?=?.035). Secondary analyses revealed an overall effect on child functional impairment at 12?months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6?months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 [article] Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial [Texte imprimé et/ou numérique] / Manfred DOPFNER, Auteur ; Julia PLUCK, Auteur ; Kerstin Daniela ROSENBERGER, Auteur ; Marie-Theres KLEMP, Auteur ; Judith MÜHLENMEISTER, Auteur ; Laura WÄHNKE, Auteur ; Martin HELLMICH, Auteur ; Stephanie SCHÜRMANN, Auteur ; Christina DOSE, Auteur . - p.1320-1332. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-9 (September 2025) . - p.1320-1332 Mots-clés : ADHD  oppositional defiant disorder  school children  parent training  e-health Index. décimale : PER Périodiques Résumé : Background Empirical evidence supports the efficacy of behavioral online parent training. However, further large trials in school-age children with externalizing behavior problems and analyses on the impact of additional therapist support are needed. This three-arm randomized controlled trial examined the efficacy of guided and unguided web-assisted self-help (WASH) for parents of children with externalizing behavior problems. Methods Parents of 431 children (6?12?years) with elevated externalizing symptoms were randomly assigned to either treatment as usual (TAU), a 6-month behavioral WASH intervention (WASH+TAU), or WASH plus telephone-based support (WASH+S+TAU). Assessments took place at baseline and at 3, 6, and 12?months. The primary outcome was child externalizing symptoms as rated by a clinician blinded to condition; secondary outcomes were parent-rated child externalizing symptoms, internalizing symptoms, functional impairment, quality of life, parenting practices, and parental internalizing symptoms. (German Clinical Trials Register (DRKS): DRKS00013456; URL: https://drks.de/search/de/trial/DRKS00013456; registered on January 3rd 2018). Results Linear mixed models for repeated measures revealed a significant overall intervention effect on blinded clinician-rated externalizing symptoms at 6?months in both the intention-to-treat sample and per-protocol samples, with at least 25% (PP25) or 40% treatment utilization (PP40), respectively (intention-to-treat: p?=?.017). Subsequent pairwise comparisons revealed a greater symptom reduction in WASH+S+TAU than in the other conditions (intention-to-treat: WASH+S+TAU vs. WASH+TAU: p?=?.029, d?=??0.28, 95% CI [?0.54, ?0.03]; WASH+S+TAU vs. TAU: p?=?.009, d?=?0.34 [?0.59, ?0.09]). At 12?months, a significant overall effect on blinded clinician-rated externalizing symptoms only emerged in the PP40 sample (p?=?.035). Secondary analyses revealed an overall effect on child functional impairment at 12?months (intention-to-treat and per-protocol analyses) and on negative parenting behaviors at 6?months in the PP40 sample. For both variables, pairwise comparisons demonstrated significant differences between WASH+S+TAU and TAU. Conclusions Parent-directed WASH is effective in reducing blinded clinician-rated externalizing symptoms, but only when combined with additional support. En ligne : https://doi.org/10.1111/jcpp.14153 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566

International Comparisons of Behavioral and Emotional Problems in Preschool Children: Parents' Reports From 24 Societies / Leslie A. RESCORLA in Journal of Clinical Child & Adolescent Psychology, 40-3 (May-June 2011)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 40-3 (May-June 2011) . - p.456-467 Titre : International Comparisons of Behavioral and Emotional Problems in Preschool Children: Parents' Reports From 24 Societies Type de document : Texte imprimé et/ou numérique Auteurs : Leslie A. RESCORLA, Auteur ; Thomas M. ACHENBACH, Auteur ; Masha Y. IVANOVA, Auteur ; Valerie S. HARDER, Auteur ; Laura OTTEN, Auteur ; Niels BILENBERG, Auteur ; Gudrun BJARNADOTTIR, Auteur ; Christiane CAPRON, Auteur ; Sarah S.W. DE PAUW, Auteur ; Pedro DIAS, Auteur ; Anca DOBREAN, Auteur ; Manfred DOPFNER, Auteur ; Michel DUYME, Auteur ; Valsamma EAPEN, Auteur ; Nese EROL, Auteur ; Elaheh Mohammad ESMAEILI, Auteur ; Lourdes EZPELETA, Auteur ; Alessandra FRIGERIO, Auteur ; Daniel S. S. FUNG, Auteur ; Miguel GONCALVES, Auteur ; Halldor GUDMUNDSSON, Auteur ; Suh-Fang JENG, Auteur ; Roma JUSIENE, Auteur ; Young Ah KIM, Auteur ; Solvejg KRISTENSEN, Auteur ; Jianghong LIU, Auteur ; Felipe LECANNELIER, Auteur ; Patrick W.L. LEUNG, Auteur ; Barbara CESAR MACHADO, Auteur ; Rosario MONTIROSSO, Auteur ; Kyung JA OH, Auteur ; Yoon Phaik OOI, Auteur ; Julia PLUCK, Auteur ; Rolando POMALIMA, Auteur ; Jetishi PRANVERA, Auteur ; Klaus SCHMECK, Auteur ; Mimoza SHAHINI, Auteur ; Jaime R. SILVA, Auteur ; Zeynep SIMSEK, Auteur ; Andre SOURANDER, Auteur ; José VALVERDE, Auteur ; Jan VAN DER ENDE, Auteur ; Karla G. VAN LEEUWEN, Auteur ; Yen-Tzu WU, Auteur ; Sema YURDUSEN, Auteur ; Stephen R. ZUBRICK, Auteur ; Frank C. VERHULST, Auteur Année de publication : 2010 Article en page(s) : p.456-467 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : International comparisons were conducted of preschool children's behavioral and emotional problems as reported on the Child Behavior Checklist for Ages 1-5 by parents in 24 societies (N = 19,850). Item ratings were aggregated into scores on syndromes; Diagnostic and Statistical Manual of Mental Disorders-oriented scales; a Stress Problems scale; and Internalizing, Externalizing, and Total Problems scales. Effect sizes for scale score differences among the 24 societies ranged from small to medium (3-12%). Although societies differed greatly in language, culture, and other characteristics, Total Problems scores for 18 of the 24 societies were within 7.1 points of the omnicultural mean of 33.3 (on a scale of 0-198). Gender and age differences, as well as gender and age interactions with society, were all very small (effect sizes < 1%). Across all pairs of societies, correlations between mean item ratings averaged .78, and correlations between internal consistency alphas for the scales averaged .92, indicating that the rank orders of mean item ratings and internal consistencies of scales were very similar across diverse societies. En ligne : http://dx.doi.org/10.1080/15374416.2011.563472 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126 [article] International Comparisons of Behavioral and Emotional Problems in Preschool Children: Parents' Reports From 24 Societies [Texte imprimé et/ou numérique] / Leslie A. RESCORLA, Auteur ; Thomas M. ACHENBACH, Auteur ; Masha Y. IVANOVA, Auteur ; Valerie S. HARDER, Auteur ; Laura OTTEN, Auteur ; Niels BILENBERG, Auteur ; Gudrun BJARNADOTTIR, Auteur ; Christiane CAPRON, Auteur ; Sarah S.W. DE PAUW, Auteur ; Pedro DIAS, Auteur ; Anca DOBREAN, Auteur ; Manfred DOPFNER, Auteur ; Michel DUYME, Auteur ; Valsamma EAPEN, Auteur ; Nese EROL, Auteur ; Elaheh Mohammad ESMAEILI, Auteur ; Lourdes EZPELETA, Auteur ; Alessandra FRIGERIO, Auteur ; Daniel S. S. FUNG, Auteur ; Miguel GONCALVES, Auteur ; Halldor GUDMUNDSSON, Auteur ; Suh-Fang JENG, Auteur ; Roma JUSIENE, Auteur ; Young Ah KIM, Auteur ; Solvejg KRISTENSEN, Auteur ; Jianghong LIU, Auteur ; Felipe LECANNELIER, Auteur ; Patrick W.L. LEUNG, Auteur ; Barbara CESAR MACHADO, Auteur ; Rosario MONTIROSSO, Auteur ; Kyung JA OH, Auteur ; Yoon Phaik OOI, Auteur ; Julia PLUCK, Auteur ; Rolando POMALIMA, Auteur ; Jetishi PRANVERA, Auteur ; Klaus SCHMECK, Auteur ; Mimoza SHAHINI, Auteur ; Jaime R. SILVA, Auteur ; Zeynep SIMSEK, Auteur ; Andre SOURANDER, Auteur ; José VALVERDE, Auteur ; Jan VAN DER ENDE, Auteur ; Karla G. VAN LEEUWEN, Auteur ; Yen-Tzu WU, Auteur ; Sema YURDUSEN, Auteur ; Stephen R. ZUBRICK, Auteur ; Frank C. VERHULST, Auteur . - 2010 . - p.456-467. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 40-3 (May-June 2011) . - p.456-467 Index. décimale : PER Périodiques Résumé : International comparisons were conducted of preschool children's behavioral and emotional problems as reported on the Child Behavior Checklist for Ages 1-5 by parents in 24 societies (N = 19,850). Item ratings were aggregated into scores on syndromes; Diagnostic and Statistical Manual of Mental Disorders-oriented scales; a Stress Problems scale; and Internalizing, Externalizing, and Total Problems scales. Effect sizes for scale score differences among the 24 societies ranged from small to medium (3-12%). Although societies differed greatly in language, culture, and other characteristics, Total Problems scores for 18 of the 24 societies were within 7.1 points of the omnicultural mean of 33.3 (on a scale of 0-198). Gender and age differences, as well as gender and age interactions with society, were all very small (effect sizes < 1%). Across all pairs of societies, correlations between mean item ratings averaged .78, and correlations between internal consistency alphas for the scales averaged .92, indicating that the rank orders of mean item ratings and internal consistencies of scales were very similar across diverse societies. En ligne : http://dx.doi.org/10.1080/15374416.2011.563472 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=126

The prevention program for externalizing problem behavior (PEP) improves child behavior by reducing negative parenting: analysis of mediating processes in a randomized controlled trial / Charlotte HANISCH in Journal of Child Psychology and Psychiatry, 55-5 (May 2014)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 55-5 (May 2014) . - p.473-484 Titre : The prevention program for externalizing problem behavior (PEP) improves child behavior by reducing negative parenting: analysis of mediating processes in a randomized controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Charlotte HANISCH, Auteur ; Christopher HAUTMANN, Auteur ; Julia PLUCK, Auteur ; Ilka EICHELBERGER, Auteur ; Manfred DOPFNER, Auteur Article en page(s) : p.473-484 Mots-clés : Parenting  conduct problems  randomized trial  mediator Index. décimale : PER Périodiques Résumé : Background Our indicated Prevention program for preschool children with Externalizing Problem behavior (PEP) demonstrated improved parenting and child problem behavior in a randomized controlled efficacy trial and in a study with an effectiveness design. The aim of the present analysis of data from the randomized controlled trial was to identify the mediating processes that account for these positive treatment effects. We hypothesized that a decrease in negative parenting and increases in positive parenting and parental warmth would mediate the relationship between treatment and child improvement. Method Parents of 155 children were randomly assigned to the PEP intervention group (n = 91) or a nontreated control group (n = 64). Parents rated their child's problem behavior and their own parenting practices before and after PEP training. Parental warmth was assessed during standardized play situations. Four mediation models were tested using structural equation modeling. Trial registration number ISRCTN12686222; http://www.controlled-trials.com/isrctn/pf/12686222. Results Changes in child externalizing problem behavior were most strongly mediated by reductions of negative parenting in difficult parenting situations. Increases in positive parenting also served as a mediator. Changes in parental warmth, parents' feeling of self-efficacy, and parental mental health did not play a mediating role in the association between PEP treatment and child behavior. Conclusions In our program, the most important component was to teach parents how to reduce dysfunctional parenting strategies in conflict situations. En ligne : http://dx.doi.org/10.1111/jcpp.12177 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=232 [article] The prevention program for externalizing problem behavior (PEP) improves child behavior by reducing negative parenting: analysis of mediating processes in a randomized controlled trial [Texte imprimé et/ou numérique] / Charlotte HANISCH, Auteur ; Christopher HAUTMANN, Auteur ; Julia PLUCK, Auteur ; Ilka EICHELBERGER, Auteur ; Manfred DOPFNER, Auteur . - p.473-484. in Journal of Child Psychology and Psychiatry > 55-5 (May 2014) . - p.473-484 Mots-clés : Parenting  conduct problems  randomized trial  mediator Index. décimale : PER Périodiques Résumé : Background Our indicated Prevention program for preschool children with Externalizing Problem behavior (PEP) demonstrated improved parenting and child problem behavior in a randomized controlled efficacy trial and in a study with an effectiveness design. The aim of the present analysis of data from the randomized controlled trial was to identify the mediating processes that account for these positive treatment effects. We hypothesized that a decrease in negative parenting and increases in positive parenting and parental warmth would mediate the relationship between treatment and child improvement. Method Parents of 155 children were randomly assigned to the PEP intervention group (n = 91) or a nontreated control group (n = 64). Parents rated their child's problem behavior and their own parenting practices before and after PEP training. Parental warmth was assessed during standardized play situations. Four mediation models were tested using structural equation modeling. Trial registration number ISRCTN12686222; http://www.controlled-trials.com/isrctn/pf/12686222. Results Changes in child externalizing problem behavior were most strongly mediated by reductions of negative parenting in difficult parenting situations. Increases in positive parenting also served as a mediator. Changes in parental warmth, parents' feeling of self-efficacy, and parental mental health did not play a mediating role in the association between PEP treatment and child behavior. Conclusions In our program, the most important component was to teach parents how to reduce dysfunctional parenting strategies in conflict situations. En ligne : http://dx.doi.org/10.1111/jcpp.12177 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=232

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