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 et/ou numérique Auteurs : Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie D. CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances 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 et/ou numérique] / Catherine L. WARD, Auteur ; Inge M. WESSELS, Auteur ; Jamie M. LACHMAN, Auteur ; Judy HUTCHINGS, Auteur ; Lucie D. CLUVER, Auteur ; Reshma KASSANJEE, Auteur ; Raymond NHAPI, Auteur ; Francesca LITTLE, Auteur ; Frances 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 et/ou numérique Auteurs : Patty LEIJTEN, Auteur ; Frances 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 et/ou numérique] / Patty LEIJTEN, Auteur ; Frances 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 et/ou numérique 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 et/ou numérique] / 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 et/ou numérique 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 et/ou numérique] / 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)  

Public ISBD [article]  inJournal of Clinical Child & Adolescent Psychology > 39-4 (July-August 2010) . - p.568-580 Titre : Who Benefits and How Does It Work? Moderators and Mediators of Outcome in an Effectiveness Trial of a Parenting Intervention Type de document : Texte imprimé et/ou numérique Auteurs : Frances E. M. GARDNER, Auteur ; Judy HUTCHINGS, Auteur ; Tracey BYWATER, Auteur ; Chris WHITAKER, Auteur Année de publication : 2010 Article en page(s) : p.568-580 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : We examined mediators and moderators of change in conduct problems, in a multiagency randomized trial of the Incredible Years parenting program. Preschoolers (n = 153) at risk for conduct problems were randomly assigned to intervention (n = 104) and wait-list (n = 49) groups. Boys and younger children, and those with more depressed mothers, tended to show greater improvement in conduct problems post-intervention. Other risk factors (i.e., teen or single parenthood, very low income, high initial levels of problem behavior) showed no predictive effects, implying intervention was at least as successful at helping the most disadvantaged families, compared to more advantaged. Mediator analyses found change in positive parenting skill predicted change in conduct problems. En ligne : http://dx.doi.org/10.1080/15374416.2010.486315 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=108 [article] Who Benefits and How Does It Work? Moderators and Mediators of Outcome in an Effectiveness Trial of a Parenting Intervention [Texte imprimé et/ou numérique] / Frances E. M. GARDNER, Auteur ; Judy HUTCHINGS, Auteur ; Tracey BYWATER, Auteur ; Chris WHITAKER, Auteur . - 2010 . - p.568-580. Langues : Anglais (eng) in Journal of Clinical Child & Adolescent Psychology > 39-4 (July-August 2010) . - p.568-580 Index. décimale : PER Périodiques Résumé : We examined mediators and moderators of change in conduct problems, in a multiagency randomized trial of the Incredible Years parenting program. Preschoolers (n = 153) at risk for conduct problems were randomly assigned to intervention (n = 104) and wait-list (n = 49) groups. Boys and younger children, and those with more depressed mothers, tended to show greater improvement in conduct problems post-intervention. Other risk factors (i.e., teen or single parenthood, very low income, high initial levels of problem behavior) showed no predictive effects, implying intervention was at least as successful at helping the most disadvantaged families, compared to more advantaged. Mediator analyses found change in positive parenting skill predicted change in conduct problems. En ligne : http://dx.doi.org/10.1080/15374416.2010.486315 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=108

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