An Open Trial for an E-Health Treatment for Child Behavior Disorders II: Outcomes and Clinical Implications

Kirkman, Jessica Jane Louise; Hawes, David J.; Dadds, Mark R.

doi:10.1080/23794925.2016.1230482

Cited by 19 publications

(16 citation statements)

References 60 publications

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“…The significance of mediating effects was subsequently assessed by bootstrapping with bias corrected confidence intervals for the indirect effect (10,000 resamples; Hayes 2009). A single-group design was first used to maximise analytic power, which was supported by findings that the intervention was equally efficacious across delivery modes and treatment sites [ 48 – 50 ]. Invariance testing using multigroup analyses examined replicability across treatment sites (group 1: site 1; group 2: site 2) and delivery modes (group 1: face–face; group 2: telehealth).…”

Section: Methodsmentioning

confidence: 99%

“…All families received the Integrated Family Intervention for Child Conduct Problems [42], a manualised social-learning based parenting intervention shown to be effective in reducing child externalising problems [43][44][45][46][47][48][49][50]. Families participated as part of a randomised control trial evaluating the efficacy of the parenting program in web-based versions that included videoconferencing with a practitioner compared to standard face-face BPT sessions.…”

Section: Parenting Interventionmentioning

confidence: 99%

“…Families participated as part of a randomised control trial evaluating the efficacy of the parenting program in web-based versions that included videoconferencing with a practitioner compared to standard face-face BPT sessions. Details of the programs are provided in [50], with results indicating that the program is equally efficacious in face-face and web-based versions [see also 48,49]. Clinical psychologists with a minimum of at least 1-year Masters Level training with specialist placements in behavioural parent management training administered the treatment.…”

Section: Parenting Interventionmentioning

confidence: 99%

See 2 more Smart Citations

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

Sawrikar

Hawes

Moul

et al. 2019

Child Psychiatry Hum Dev

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Problematic parental attributions refer to negative causal explanations for child problem behaviour and are known to predict parenting intervention outcomes. This study examines alternative accounts of how mothers' problematic parental attributions, operationalised as negative pre-treatment and change resistant parental attributions during treatment, may affect child behaviour outcomes from a parenting intervention program. Putative mediators included parental feelings about the child and use of harsh discipline. Participants were 163 families with children aged from 3 to 16 referred to specialist clinics for the treatment of conduct problems. Measures were collected as part of pre-treatment, post-treatment, and 3-month follow-up assessments. Mothers' pre-treatment and change resistant parental attributions were associated with smaller improvements in parental feelings at the end of treatment which in turn were associated with greater use of harsh discipline. Greater use of harsh discipline was associated with greater conduct problems overall. Smaller improvements in parental feelings mediated the effects of pre-treatment and change resistant parental attributions on outcomes in mothers' use of harsh discipline and mediated the effects of change resistant parental attributions on outcomes in child conduct problems. Smaller improvements in parental feelings about the child may act as a mechanism that explains the impact of problematic parental attributions on treatment outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Parenting Interventionmentioning

confidence: 99%

Section: Parenting Interventionmentioning

confidence: 99%

See 1 more Smart Citation

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

Sawrikar

Hawes

Moul

et al. 2019

Child Psychiatry Hum Dev

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“…The benchmarking analysis was conducted to evaluate intervention effects against a sample of children who had previously been referred and treated for conduct problems with the core parenting program provided in face-face or telehealth web-based formats [23,24]. Comparisons with the benchmarking samples were limited to children rated as high or very high for conduct problems (face-face: N = 83; web-based: N = 87; ParentWorks: N = 151) and consisted of comparing intervention outcomes on SDQ Conduct Problems using repeated measures ANOVA.…”

Section: Statistical Analysesmentioning

confidence: 99%

ParentWorks: Evaluation of an Online, Father-Inclusive, Universal Parenting Intervention to Reduce Child Conduct Problems

Piotrowska

Tully

Collins

et al. 2019

Child Psychiatry Hum Dev

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Evidence-based parenting interventions are effective in reducing conduct problems, yet these interventions have limited reach, and few involve the participation of fathers. This paper describes the outcomes of an open trial of ParentWorks, a universal, online, father-inclusive parenting intervention aiming to decrease childhood behavioural problems and promote positive parenting in mothers and fathers. A total of 388 families (456 individual parents; 36.6% fathers) were included in the study. Mixed model analyses showed significant decreases in child emotional/behavioural problems, dysfunctional parenting, interparental conflict, and parental mental health problems. The baseline severity of child behavioural problems significantly moderated the effects on child outcomes so that children with higher levels of problems benefitted more from the program. Participation of both caregivers in two-parent families, as well as parent sex, did not significantly affect the program outcomes. Results provide initial empirical support for the universal, self-directed, online parenting intervention, in addressing both child behavioural problems and parenting outcomes. Trial registration: ACTRN12616001223426, registered 05/09/2016.

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“…ParentWorks is an online parenting intervention based on Integrated Family Intervention for Child Conduct Problems (Dadds & Hawes, 2006). This intervention has been shown to be effective in reducing child externalising problems both face-to-face (Dadds & McHugh, 1992;Dadds, Schwartz, & Sanders, 1987;Hawes & Dadds, 2005;Hawes, Dadds, Brennan, Rhodes, & Cauchi, 2013) and in a web-based version that included videoconferencing with a practitioner (Kirkman, Hawes, & Dadds, 2016). The original intervention was developed for parents of children with conduct problems, so the intervention was modified for ParentWorks to be suitable to a broader community sample of parents who had more general concerns about parenting and child behavior.…”

Section: Interventionmentioning

confidence: 99%

Keeping Parents Involved: Predicting Attrition in a Self-Directed, Online Program for Childhood Conduct Problems

Dadds

Sicouri

Piotrowska

et al. 2018

Journal of Clinical Child & Adolescent Psychology

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Positive parenting programs have a strong evidence base for improving parent-child relationships, strengthening families, and reducing childhood behavior disturbances. Their reach is less than optimal however, with only a minority of families in need of help participating. Father involvement is particularly low. Online, self-directed programs have the potential to improve participation rates. This article examines risk factors for dropout/attrition from a free, evidence-based, self-directed, father-inclusive parenting program, Parentworks, which was made available across Australia. Parents (N = 2,967) enrolled in the program and completed preintervention questionnaires. There was a steady and consistent loss of participants through the sequence of core program modules, until a final sample of 218 completed the postintervention questionnaire. A range of demographic and parent and child variables were tested as predictors of 3 subgroups: nonstarters, partial completers, and full completers. Nonstarters (n = 1,625) tended to have older children with fewer behavioral problems and report higher psychopathology and dysfunctional parenting than those who partially (n = 1,124) or fully completed. Contrary to findings from face-to-face research, single parents had the highest completion rates. Coparticipation of partners and interparental conflict had no impact on completion rates. Fathers participated at relatively high levels. Results show that parents with the greatest need tend to engage with online programs, and online programs may be particularly useful for fathers, single parents, and those in conflicted relationships. Directions for future program design and research are discussed.

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An Open Trial for an E-Health Treatment for Child Behavior Disorders II: Outcomes and Clinical Implications

Cited by 19 publications

References 60 publications

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

ParentWorks: Evaluation of an Online, Father-Inclusive, Universal Parenting Intervention to Reduce Child Conduct Problems

Keeping Parents Involved: Predicting Attrition in a Self-Directed, Online Program for Childhood Conduct Problems

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