Comparison of Two Treatments for Children With Severely Disruptive Behaviours: A Four-Year Follow-Up

Hutchings, Judy; Lane, Eleanor; Kelly, Jo

doi:10.1017/s1352465804001018

Cited by 39 publications

(44 citation statements)

References 42 publications

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“…While we know of no long-run randomised evaluation of the IY programme, the evidence available does suggest that the initial gains reported for the IY programme may have a significant longer-run component. Hutchings et al [48] report on a 4-year follow-up evaluation of a structured parenting programme, which is similar in many ways to the IY programme. They found that the substantial improvements in child behaviour observed after the 6-month follow-up were still evident four years after the intervention had stopped.…”

Section: Discussionmentioning

confidence: 99%

A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities

et al. 2011

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Early onset of behavioural problems has lasting negative effects on a broad range of lifetime outcomes, placing large costs on individuals, families and society. A number of researchers and policy makers have argued that early interventions aimed at supporting the family is the most effective way of tackling child behaviour problems. This study forms the economic component of a randomised evaluation of the Incredible Years programme, a programme aimed at improving the skills and parenting strategies of parents of children with conduct problems. Our results show that the programme provides a cost-effective way of reducing behavioural problems. Furthermore, our cost analysis, when combined with a consideration of the potential long-run benefits, suggests that investment in such programmes may generate favourable long-run economic returns.

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Section: Discussionmentioning

confidence: 99%

A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities

et al. 2011

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“…Patterson et al, 2005), parents also emphasized increased personal confidence as being important in removing guilt and isolation and instilling selfefficacy beliefs-factors that are likely to be important in maintaining positive outcomes over time (Hutchings, Lane & Kelly, 2004;Hutchings, Bywater, Williams & Whitaker, in submission). Although RCTs typically demonstrate that the IYP improves parental mental health, only one study (Gardner et al, 2006) has investigated the mediating impact of parental mood.…”

Section: Discussionmentioning

confidence: 99%

The Incredible Years Parenting program in Ireland: A qualitative analysis of the experience of disadvantaged parents

Furlong

McGilloway

2011

Clin Child Psychol Psychiatry

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Controlled trials demonstrate that parenting programs work, but less is known about the processes of change, contextual factors or intervention characteristics that influence trial outcomes. This qualitative study assessed the experiences of Irish parents involved in a randomized controlled trial of the Incredible Years BASIC parenting program, with a view to understanding how and why the program works, or does not work, within disadvantaged settings. Data from 33 parents of young children (aged 3-7 years) with conduct problems were collected by semi-structured interviews and analysed using constructivist grounded theory. Emerging themes indicated that parents perceived the program to have produced positive changes through learning key parenting skills (e.g. positive attention, empathy and problem-solving skills) and through enhanced parental mood/ confidence, derived primarily from gaining non-judgmental support from the group. Parents also experienced cultural, personal and environmental challenges in learning the new skills, including discomfort with praise and positive attention, conflict with their partner and parenting within an antisocial environment. Parents dropped out of the course for largely circumstantial reasons. These findings should help to inform the future implementation of this well-known parenting program both in Ireland and elsewhere.

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“…Group-based parenting programs are typically manualized and structured interventions, underpinned by a range of theoretical approaches (including behaviorism and cognitive behavioral therapy). Although the content and delivery of such programs can and do vary (Hutchings, Lane, & Kelly, 2004;Sanders & McFarland, 2000), the programs typically use a range of strategies-including discussions, activities, videotaped demonstrations, and modeling of parenting behaviors-which are delivered in 2-hour sessions over a programs that range from 4 to 12 weeks. Reviews of qualitative evidence point to a range of benefits of participating in a group with other parents (Kane, Wood, & Barlow, 2007).…”

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confidence: 99%

Group-Based Parenting Programs for Improving Parenting and Psychosocial Functioning: A Systematic Review

Bennett

Barlow

Huband

et al. 2013

Journal of the Society for Social Work and Research

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Parental psychosocial health can have a significant effect on the later psychological health of the child. Parenting programs have been shown to have an effect on the emotional and behavioral adjustment of children, and this review examined such programs' effect on parental psychosocial well-being. We searched a range of electronic databases and included randomized controlled trials that compared a group-based parenting program with a control condition and used at least 1 standardized measure of parental psychosocial health. We used a random effects meta-analysis, and we report standardized mean differences (SMD) and 95% confidence intervals (CI) for all outcomes. We included 48 studies with 4,937 participants and evaluated 3 types of programs: behavioral, cognitive-behavioral, and multimodal. Overall, we find parents' participation in group-based parenting programs is associated with statistically significant short-term improvements in depression (SMD -0.17, 95% CI -0.28 to -0.07), anxiety (SMD -0.22, 95% CI -0.43 to -0.01), stress (SMD -0.29, 95% CI -0.42 to -0.15), anger (SMD -0.60, 95% CI -1.00 to -0.20), guilt (SMD -0.79, 95% CI -1.18 to -0.41), confidence (SMD -0.34, 95% CI -0.51 to -0.17) and satisfaction with the partner relationship (SMD -0.28, 95% CI -0.47 to -0.09). However, only stress and confidence continued to be significant at the 6-month follow-up, and none were significant at 1year. The findings of this review support the use of parenting programs to improve the short-term psychosocial wellbeing of parents. Further training might be required to ensure that these benefits are maintained.

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Comparison of Two Treatments for Children With Severely Disruptive Behaviours: A Four-Year Follow-Up

Cited by 39 publications

References 42 publications

A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities

A cost-effectiveness analysis of the Incredible Years parenting programme in reducing childhood health inequalities

The Incredible Years Parenting program in Ireland: A qualitative analysis of the experience of disadvantaged parents

Group-Based Parenting Programs for Improving Parenting and Psychosocial Functioning: A Systematic Review

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