A Randomized Trial of Digitally Delivered, Self-Administered Parent Training in Primary Care: Effects on Parenting and Child Behavior

Engaging Parents and Health Care Stakeholders to Inform Development of a Behavioral Intervention Technology to Promote Pediatric Behavioral Health: Mixed Methods Study

“…Overall, the approach we selected shows promise that taking both parent and HCS input into consideration at the outset of BIT development in the discover phase provides unique insights that may help to address the limitations of the extant literature on BITs for parents of children with behavioral health problems. For example, research on the ez Parent Program, a parent-focused BIT adaptation of the Chicago Parenting Program [ 43 ], stands out among the research on BITs for parents for having carefully studied implementation and sustainability factors from the parent perspective [ 45 , 46 ], yet, when tested in a randomized controlled trial, it did not demonstrate superiority to enhanced usual care [ 47 ]. Findings from other research on ez Parent suggest that inconsistent referrals to the program were discovered only after rolling out the program in primary care and were attributed to operational workflow issues for primary care staff, and these issues were unforeseen [ 67 ].…”

“…In 1 study, we recruited a group of parents who completed the survey and endorsed this topic in their top 3 (n=9) and another group of parents who completed the survey but did not endorse this topic in their top 3 (n=9). We chose to recruit from the parents who completed the quantitative survey to aid in triangulating findings from this study and from the behavioral challenges topic because there is substantial extant BIT literature for parents on this topic [ 41 , 47 ]. Another study was conducted with PCCs within the health system (n=16) to determine the usability and acceptability of provider-facing BIT to address behavioral challenges and how this can be incorporated into the electronic health record and clinic workflow.…”

“…An advantage of the development strategy for ez Parent is that many of its aspects, including implementation factors, adherence, and parental perceptions of engaging with the program, have been studied [ 44 - 46 ]. Nevertheless, when tested in a randomized controlled trial, ez Parent was not more effective on child outcomes than enhanced usual care [ 47 ]. These findings suggest that BITs such as ez Parent may work best in primary care settings when offered along with a range of more intensive interventions tailored to salient family characteristics that influence interest and engagement.…”

Kisgyermeket nevelő szülők támogatásának hazai és nemzetközi lehetőségei, személyes és távsegítő formái – szakirodalmi áttekintés

“…Ritka, hogy a publikációk negatív eredményt ismertetnek, de ilyet is találtunk. Az ezParent program a bizonyítékokon alapuló Chicago Parent Program digitális adaptációja a kezdeti bíztató eredményeket felmutató pilot vizsgálat után a nagyobb mintán 2015-ben elvégzett randomizált hatásvizsgálatban nem bizonyult eredményesebbnek, mint a kontrollcsoport (Breitenstein et al, 2021). 2-5 éves gyermekek szüleit egészséges tanácsadáson informálták a vizsgálatban való részvétel lehetőségéről.…”

Effectiveness of a Web-Based Intervention on Parental Psychological Flexibility and Emotion Regulation: A Pilot Open Trial

“…Web-based parenting intervention has shown parent-child outcomes with moderate effect sizes and a high level of satisfaction [35,37], and larger effect sizes for parents with children diagnosed with a medical illness [28]. As larger effect sizes have been found for treatment intervention than for prevention [28], different levels of support may be necessary to target family needs [38]. However, parents who have had access to universal prevention programs in parenting have indicated greater satisfaction and sense of competence than those who did not [39].…”