Psychosocial interventions for disruptive behaviour problems in children in low- and middle-income countries: a systematic review and meta-analysis / Matthew D. BURKEY in Journal of Child Psychology and Psychiatry, 59-9 (September 2018)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 59-9 (September 2018) . - p.982-993 Titre : Psychosocial interventions for disruptive behaviour problems in children in low- and middle-income countries: a systematic review and meta-analysis Type de document : texte imprimé Auteurs : Matthew D. BURKEY, Auteur ; Megan HOSEIN, Auteur ; Isabella MORTON, Auteur ; Marianna PURGATO, Auteur ; Ahmad ADI, Auteur ; Mark KURZROK, Auteur ; Brandon A. KOHRT, Auteur ; Wietse A. TOL, Auteur Article en page(s) : p.982-993 Langues : Anglais (eng) Mots-clés : Child behaviour  disruptive behaviour disorders  psychosocial interventions  low-income countries  meta-analysis Index. décimale : PER Périodiques Résumé : Background Most of the evidence for psychosocial interventions for disruptive behaviour problems comes from Western, high-income countries. The transferability of this evidence to culturally diverse, low-resource settings with few mental health specialists is unknown. Methods We conducted a systematic review with random-effects meta-analysis of randomized controlled trials examining the effects of psychosocial interventions on reducing behaviour problems among children (under 18) living in low- and middle-income countries (LMIC). Results Twenty-six randomized controlled trials (representing 28 psychosocial interventions), evaluating 4,441 subjects, met selection criteria. Fifteen (54%) prevention interventions targeted general or at-risk populations, whereas 13 (46%) treatment interventions targeted children selected for elevated behaviour problems. Most interventions were delivered in group settings (96%) and half (50%) were administered by non-specialist providers. The overall effect (standardized mean difference, SMD) of prevention studies was 0.25 (95% confidence interval (CI): 0.41 to 0.09; I2: 78%) and of treatment studies was 0.56 (95% CI: 0.51 to 0.24; I2: 74%). Subgroup analyses demonstrated effectiveness for child-focused (SMD: 0.35; 95% CI: 0.57 to 0.14) and behavioural parenting interventions (SMD: 0.43; 95% CI: 0.66 to 0.20), and that interventions were effective across age ranges. Conclusions Our meta-analysis supports the use of psychosocial interventions as a feasible and effective way to reduce disruptive behaviour problems among children in LMIC. Our study provides strong evidence for child-focused and behavioural parenting interventions, interventions across age ranges and interventions delivered in groups. Additional research is needed on training and supervision of non-specialists and on implementation of effective interventions in LMIC settings. En ligne : https://doi.org/10.1111/jcpp.12894 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368 [article] Psychosocial interventions for disruptive behaviour problems in children in low- and middle-income countries: a systematic review and meta-analysis [texte imprimé] / Matthew D. BURKEY, Auteur ; Megan HOSEIN, Auteur ; Isabella MORTON, Auteur ; Marianna PURGATO, Auteur ; Ahmad ADI, Auteur ; Mark KURZROK, Auteur ; Brandon A. KOHRT, Auteur ; Wietse A. TOL, Auteur . - p.982-993. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 59-9 (September 2018) . - p.982-993 Mots-clés : Child behaviour  disruptive behaviour disorders  psychosocial interventions  low-income countries  meta-analysis Index. décimale : PER Périodiques Résumé : Background Most of the evidence for psychosocial interventions for disruptive behaviour problems comes from Western, high-income countries. The transferability of this evidence to culturally diverse, low-resource settings with few mental health specialists is unknown. Methods We conducted a systematic review with random-effects meta-analysis of randomized controlled trials examining the effects of psychosocial interventions on reducing behaviour problems among children (under 18) living in low- and middle-income countries (LMIC). Results Twenty-six randomized controlled trials (representing 28 psychosocial interventions), evaluating 4,441 subjects, met selection criteria. Fifteen (54%) prevention interventions targeted general or at-risk populations, whereas 13 (46%) treatment interventions targeted children selected for elevated behaviour problems. Most interventions were delivered in group settings (96%) and half (50%) were administered by non-specialist providers. The overall effect (standardized mean difference, SMD) of prevention studies was 0.25 (95% confidence interval (CI): 0.41 to 0.09; I2: 78%) and of treatment studies was 0.56 (95% CI: 0.51 to 0.24; I2: 74%). Subgroup analyses demonstrated effectiveness for child-focused (SMD: 0.35; 95% CI: 0.57 to 0.14) and behavioural parenting interventions (SMD: 0.43; 95% CI: 0.66 to 0.20), and that interventions were effective across age ranges. Conclusions Our meta-analysis supports the use of psychosocial interventions as a feasible and effective way to reduce disruptive behaviour problems among children in LMIC. Our study provides strong evidence for child-focused and behavioural parenting interventions, interventions across age ranges and interventions delivered in groups. Additional research is needed on training and supervision of non-specialists and on implementation of effective interventions in LMIC settings. En ligne : https://doi.org/10.1111/jcpp.12894 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=368

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