Dretzke, Janine, Davenport, Clare, Frew, Emma, Barlow, Jane, 1962-, Stewart-Brown, Sarah L., Bayliss, Sue, Taylor, Rod S., Sandercock, Josie and Hyde, Chris. (2009) The clinical effectiveness of different parenting programmes for children with conduct problems : a systematic review of randomised controlled trials. Child and Adolescent Psychiatry and Mental Health, Vol.3 (No.7). ISSN 1753-2000

Preview

PDF WRAP_Stewart_Brown_clinical_effectiveness.pdf - Requires a PDF viewer such as GSview, Xpdf or Adobe Acrobat Reader Download (574Kb)

Abstract

Background Conduct problems are common, disabling and costly. The prognosis for children with conduct problems is poor, with outcomes in adulthood including criminal behaviour, alcoholism, drug abuse, domestic violence, child abuse and a range of psychiatric disorders. There has been a rapid expansion of group based parent-training programmes for the treatment of children with conduct problems in a number of countries over the past 10 years. Existing reviews of parent training have methodological limitations such as inclusion of non-randomised studies, the absence of investigation for heterogeneity prior to meta-analysis or failure to report confidence intervals. The objective of the current study was to systematically review randomised controlled trials of parenting programmes for the treatment of children with conduct problems. Methods Standard systematic review methods were followed including duplicate inclusion decisions, data extraction and quality assessment. Twenty electronic databases from the fields of medicine, psychology, social science and education were comprehensively searched for RCTs and systematic reviews to February 2006. Inclusion criteria were: randomised controlled trial; of structured, repeatable parenting programmes; for parents/carers of children up to the age of 18 with a conduct problem; and at least one measure of child behaviour. Meta-analysis and qualitative synthesis were used to summarise included studies. Results 57 RCTs were included. Studies were small with an average group size of 21. Meta-analyses using both parent (SMD -0.67; 95% CI: -0.91, -0.42) and independent (SMD -0.44; 95% CI: -0.66, -0.23) reports of outcome showed significant differences favouring the intervention group. There was insufficient evidence to determine the relative effectiveness of different approaches to delivering parenting programmes. Conclusion Parenting programmes are an effective treatment for children with conduct problems. The relative effectiveness of different parenting programmes requires further research.

Item Type:	Journal Article
Subjects:	H Social Sciences > HQ The family. Marriage. Woman B Philosophy. Psychology. Religion > BF Psychology R Medicine > RJ Pediatrics
Divisions:	Faculty of Medicine > Warwick Medical School > Mental Health and Wellbeing Faculty of Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Parenting -- Great Britain, Parenting -- Study and teaching -- Great Britain, Conduct disorders in children -- Great Britain
Journal or Publication Title:	Child and Adolescent Psychiatry and Mental Health
Publisher:	BioMed Central Ltd.
ISSN:	1753-2000
Date:	4 March 2009
Volume:	Vol.3
Number:	No.7
Identification Number:	10.1186/1753-2000-3-7
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access
Funder:	NIHR Health Technology Assessment Programme (Great Britain)
References:	Office for National Statistics: The mental health of children and adolescents in Great Britain. Access date: 28 Oct. 2003. Kazdin AE: Conduct disorders in childhood and adolescence. 2nd edition. London: SAGE Publications; 1996. Moffit TE, Caspi A, Dickson N, Silva P, Stanton W: Childhood-onset versus adolescent-onset antisocial conduct problems in males: Natural history from ages 3 to 18 years. Development and Psychopathology 1996, 8(2):399-424. Rutter M: Connections between child and adult psychopathology. European Child & Adolescent Psychiatry 1996, 5(S1):4-7. Champion LA, Goodall G, Rutter M: Behavior problems in childhood and stressors in early adult life: 1. A 20 year follow-up of London school children. Psych Med 1995, 25(2):231-246. Offord DR, Bennett KJ: Conduct disorder: long-term outcomes and intervention effectiveness. [Review]. Journal of the American Academy of Child & Adolescent Psychiatry 1994, 33(8):1069-1078. Robins LN: Epidemiological approaches to natural history research: Antisocial disorders in children. Journal of the American Academy of Child Psychiatry 1981, 20:566-680. Scott S, Knapp M, Henderson J, Maughan B: Financial cost of social exclusion: follow up study of antisocial children into adulthood. British Medical Journal 2001, 323(7306):191. Patterson GR, DeBaryshe BD, Ramsey E: A developmental perspective on antisocial behaviour. American Psychologist 1989, 44(2):329-335. Pugh G, De'Ath E, Smith C: Confident parents, confident children: Policy and practice in parent education and support. National Children's Bureau 1994. Oxman AD, Guyatt GH: Guidelines for reading literature reviews. Canadian Medical Association Journal 1988, 138:697-703. Farrington DP, Welsh BC: Family-based prevention of offending: A meta-analysis. Australian and New Zealand Journal of Criminology 2003, 36(2):127-151. Serketich WJ, Dumas JE: The effectiveness of behavioural parent-training to modify antisocial behaviour in children: a meta-analysis. Behaviour Therapy 1996, 27:171-186. Barlow J, Parsons J: Group-based parent-training programmes for improving emotional and behavioural adjustment in 0–3 year old children. The Cochrane Library 2002., (3) Dimond C, Hyde C: Parent education programmes for children's behaviour problems, medium to long term effectiveness. Birmingham: West Midlands Development and Evaluation Service; 1999. Richardson J, Joughin C: Parent-Training Programmes for the Management of Young children with Conduct Disorders. Findings from research. Gaskell 2002. Lundahl B, Risser HJ, Lovejoy MC: A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review 2006, 26(1):86-104. Reyno S, McGrath P: Predictors of parent training efficacy for child externalizing behavior problems – a meta-analytic review. Journal of Child Psychology and Psychiatry 2006, 47(1):99-111. The Cochrane Collaboration: Cochrane Handbook for Systematic Reviews of Interventions 4.2.5. 2005. Barrett PM, Turner C, Rombouts S, Duffy A: Reciprocal Skills Training in the treatment of externalising behaviour disorders in childhood: A preliminary investigation. Behaviour Change 2000, 17(4):221-234. Pfiffner LJ, Jouriles EN, Brown MM, Etscheidt MA: Effects of problem-solving therapy on outcomes of parent training for single-parent families. Child & Family Behavior Therapy 1990, 12(1):1-11. Sanders MR, McFarland M: The treatment of depressed mothers with disruptive children: A controlled evaluation of cognitive behavioural family intervention. Behavior Therapy 2000, 31(1):89-112. American Psychiatric Association: Diagnostic and statistical manual of mental disorder. Washington 4th edition. 1994. Eyberg SM, Pincus D: Eyeberg Child Behaviour Inventory and Sutter-Eyeberg Student Behaviour Inventory – Revised. Odessa, Fl: Psychological Assessment Resources 1999. Barkley RA, Shelton TL, Crosswait C, Moorehouse M, Fletcher K, Barrett S, Jenkins L, Metevia L: Multi-method psycho-educational intervention for preschool children with disruptive behavior: preliminary results at post-treatment. Journal of Child Psychology & Psychiatry & Allied Disciplines 2000, 41(3):319-332. Connell S, Sanders MR, Markie-Dadds C: Self-directed behavioral family intervention for parents of oppositional children in rural and remote areas. Behavior Modification 1997, 21(4):379-408. Luk ES, Staiger P, Mathai J, Field D, Adler R: Comparison of treatments of persistent conduct problems in primary school children: a preliminary evaluation of a modified cognitive-behavioural approach. Australian & New Zealand Journal of Psychiatry 1998, 32(3):379-386. Webster-Stratton C, Reid MJ, Hammond M: Treating Children with Early-Onset Conduct Problems: Intervention Outcomes for Parent, Child, and Teacher Training. Journal of Clinical Child and Adolescent Psychology 2004, 33(1):105-124. Behan J, Fitzpatrick C, Sharry J, Carr A, Waldron B: Evaluation of the Parenting Plus Programme. The Irish Journal of Psychology 2004, 22(3–4):238-256. Gallart SC, Matthey S: The effectiveness of Group Triple P and the impact of the four telephone contacts. Behaviour Change 2005, 22(2):71-80. Gross D, Fogg L, Tucker S: The efficacy of parent training for promoting positive parent-toddler relationships. Res Nurs Health 1995, 18:489-499. Hamilton SB, MacQuiddy SL: Self-administered behavioral parent training: Enhancement of treatment efficacy using a time-out signal seat. Journal of Clinical Child Psychology 1984, 13(1):61-69. Hoath FE, Sanders MR: A Feasibility Study of Enhanced Group Triple P – Positive Parenting Program for Parents of Children with Attention-deficit/Hyperactivity Disorder. Behaviour Change 2002, 19(4):191-206. Irvine AB, Biglan A, Smolkowski K, Metzler CW, Ary DV: The effectiveness of a parenting skills program for parents of middle school students in small communities. Journal of Consulting & Clinical Psychology 1999, 67(6):811-825. Kacir CD, Gordon DA: Parenting Adolescents Wisely: The Effectiveness of an Interactive Videodisk Parent Training Program in Appalachia. Child & Family Behavior Therapy 1999, 22. Leung C, Sanders MR, Leung S, Mak R, Lau J: An outcome evaluation of the implementation of the Triple P-Positive Parenting Program in Hong Kong. Family process 2003, 42:531-544. Long N, Rickert VI, Ashcraft EW: Bibliotherapy as an adjunct to stimulant medication in the treatment of attention-deficit hyperactivity disorder. Journal of Pediatric Health Care 1993, 7(2):82-88. Nixon RD, Sweeney L, Erickson DB, Touyz SW: Parent-child interaction therapy: a comparison of standard and abbreviated treatments for oppositional defiant preschoolers. Journal of Consulting & Clinical Psychology 2003, 71:251-260. Sanders MR, Markie-Dadds C, Tully LA, Bor W: The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. Journal of Consulting & Clinical Psychology 2000, 68(4):624-640. Sanders MR, Montgomery DT, Brechman-Toussaint ML: The mass media and the prevention of child behavior problems: the evaluation of a television series to promote positive outcomes for parents and their children. Journal of Child Psychology & Psychiatry & Allied Disciplines 2000, 41(7):939-948. Schuhmann EM, Foote RC, Eyberg SM, Boggs SR, Algina J: Efficacy of parent-child interaction therapy: interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology 1998, 27(1):34-45. Sheeber LB, Johnson JH: Evaluation of a temperament-focused, parent-training program. Journal of Clinical Child Psychology 1994, 23(3):249-259. Taylor TK, Schmidt F, Pepler D, Hodgins C: A comparison of eclectic treatment with Webster-Stratton's Parents and Children Series in a children's mental health center: A randomized controlled trial. Behavior Therapy 1998, 29(2):221-240. Turner KMT, Sanders MR: Help when it's needed first: A controlled evaluation of brief, preventive behavioral family intervention in a primary care setting. Behavior Therapy 2006, 37(2):131-142. Webster-Stratton C, Hammond M: Treating children with early-onset conduct problems: a comparison of child and parent training interventions. Journal of Consulting & Clinical Psychology 1997, 65(1):93-109. Webster-Stratton C: Individually administered videotape parent training: "Who benefits?". Cognitive Therapy & Research 1992, 16(1):31-52. Webster-Stratton C: Enhancing the effectiveness of self-administered videotape parent training for families with conduct-problem children. Journal of Abnormal Child Psychology 1990, 18(5):479-492. Webster-Stratton C, Kolpacoff M, Hollinsworth T: Self-administered videotape therapy for families with conduct-problem children: comparison with two cost-effective treatments and a control group. Journal of Consulting & Clinical Psychology 1988, 56(4):558-566. Webster-Stratton C: Randomized trial of two parent-training programs for families with conduct-disordered children. Journal of Consulting & Clinical Psychology 1984, 52(4):666-678. Zangwill WM: An evaluation of a parent training program. Child & Family Behavior Therapy 1983, 5(4):1-16. Achenbach TM, Rescoral LA: Manual for the ASEBA School-Age Forms & Profiles. Burlington VT: University of Vermont, Research Center for Children, Youth and Families; 2001. Eyberg SM, Robinson EA: Dyadic Parent-child interaction coding system (DPICS): A manual. Psychological Documents 1983, 13(2):24. Raue J, Spence SH: Group versus individual applications of reciprocity training for parent-youth conflict. Behaviour Research & Therapy 1985, 23(2):177-186. Sanders MR, Christensen AP: A comparison of the effects of child management and planned activities training in five parenting environments. Journal of Abnormal Child Psychology 1985, 13(1):101-117. Dadds MR, McHugh TA: Social support and treatment outcome in behavioral family therapy for child conduct problems. Journal of Consulting & Clinical Psychology 1992, 60(2):252-259. Dadds MR, Schwartz S, Sanders MR: Marital discord and treatment outcome in behavioral treatment of child conduct disorders. Journal of Consulting & Clinical Psychology 1987, 55(3):396-403. Wahler RG, Cartor PG, Fleischman J, Lambert W: The impact of synthesis teaching and parent training with mothers of conduct-disordered children. Journal of Abnormal Child Psychology 1993, 21(4):425-440. Barlow J, Coren E, Stewart-Brown S: Meta-analysis of the effectiveness of parenting programmes in improving maternal psychosocial health. British Journal of General Practice 2002, 52:223-233. Barlow J, Shaw R, Stewart-Brown S: The effectiveness of parenting programmes for ethnic minority parents. York: Joseph Rowntree Foundation; 2004. Dretzke J, Frew E, Davenport C, Barlow J, Stewart-Brown S, Sandercock J, Bayliss S, Raftery J, Hyde C, Taylor R: The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technol Assess 2005., 9(50): iii, ix–x, 1–233. The National Institute for Health & Clinical Excellence (NICE): Final appraisal determination: conduct disorder in children-parent training/education programmes. [http://www.nice.org.uk/nicemedia/pdf/Parent_training_FAD.pdf] Access date: 15 Jan. 2008. Moher D, Cook D, Eastwood S, Olkin I, Drummond R, Stroup D: Improving the quality of reports of meta-analyses of randomised controlled trials: the QUOROM statement. The Lancet 1999, 354(9193):1896-1900.
URI:	http://wrap.warwick.ac.uk/id/eprint/631

Request changes to a record

Actions (login required)

View Item