Long-term changes in parenting and child behavior after the Home-Start family support program

Hermanns, J.M.A.; Asscher, Jessica J.; Zijlstra, Bonne J. H.; Hoffenaar, Peter J.; Deković, Maja

doi:10.1016/j.childyouth.2013.01.017

Cited by 26 publications

(30 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Thus, while the theory underlying parenting interventions is that changes in parenting will positively impact children's development, in non-clinical samples, parenting changes may not have immediate effects; child outcomes may emerge over time – especially the prevention of negative mental health outcomes (Hermanns et al . 2013 ). If child-level effects are to emerge over time, the mechanism of change might be through decreased harsh parenting and increased positive caregiver–child interactions.…”

Section: Discussionmentioning

confidence: 99%

Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia

et al. 2015

View full text Add to dashboard Cite

Background.The objective of this study was to evaluate the impact of a brief parenting intervention, ‘Parents Make the Difference‘(PMD), on parenting behaviors, quality of parent-child interactions, children's cognitive, emotional, and behavioral wellbeing, and malaria prevention behaviors in rural, post-conflict Liberia.Methods.A sample of 270 caregivers of children ages 3–7 were randomized into an immediate treatment group that received a 10-session parent training intervention or a wait-list control condition (1:1 allocation). Interviewers administered baseline and 1-month post-intervention surveys and conducted child-caregiver observations. Intent-to-treat estimates of the average treatment effects were calculated using ordinary least squares regression. This study was pre-registered at ClinicalTrials.gov (NCT01829815).Results.The program led to a 55.5% reduction in caregiver-reported use of harsh punishment practices (p < 0.001). The program also increased the use of positive behavior management strategies and improved caregiver–child interactions. The average caregiver in the treatment group reported a 4.4% increase in positive interactions (p < 0.05), while the average child of a caregiver assigned to the treatment group reported a 17.5% increase (p < 0.01). The program did not have a measurable impact on child wellbeing, cognitive skills, or household adoption of malaria prevention behaviors.Conclusions.PMD is a promising approach for preventing child abuse and promoting positive parent-child relationships in low-resource settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia

et al. 2015

View full text Add to dashboard Cite

show abstract

“…The fact that internalizing symptoms were also reduced following interventions which essentially target externalizing problems, suggests that either non-specific treatment factors were at work or that both interventions were capable of tackling a process underlying both types of problems. However, a reduction of internalizing behavior problems is a common finding in studies evaluating parent training programs for externalizing behavior problems [e.g., 54, 55]. No effects were found for teacher-reported behavior problems.…”

Section: Discussionmentioning

confidence: 99%

The Effectiveness of Parent Management Training—Oregon Model in Clinically Referred Children with Externalizing Behavior Problems in The Netherlands

Thijssen

Vink

Muris

et al. 2016

Child Psychiatry Hum Dev

View full text Add to dashboard Cite

The present study examined the effectiveness of parent management training—Oregon model (PMTO) as a treatment for children with externalizing behavior problems in The Netherlands. Clinically referred children (N = 146) aged 4–11 years and their parents were partly randomized to either PMTO (n = 91) or Care As Usual (CAU; n = 55). Families were assessed at four time points: at pretreatment, and after 6, 12, and 18 months. Results showed that both PMTO and CAU were effective in reducing child externalizing behavior, parenting stress and parental psychopathology, with no significant differences between the two treatment conditions. PMTO and CAU interventions also produced some improvements in self-reported parenting skills, but not in observed parenting skills. According to the Reliable Change Index, 16.9 and 45.8 % of the children within the PMTO group showed full recovery or improvement in externalizing behavior, respectively, versus 9.7 and 42.8 % in the CAU condition. Finally, the effect size of PMTO on parent-reported externalizing behavior problems as found in the present study was comparable to that found in previous studies evaluating PMTO as an intervention for this type of child psychopathology.

show abstract

“…A meta-analysis on early developmental prevention programs (e.g., family support services) delivered to at-risk populations, even demonstrates positive effects on individual and family well-being into adolescence (Manning et al 2010 ). Indeed, a growing number of studies show that senses of parental competence and wellbeing, including reduced parenting stress, mediate the effect of parenting interventions on improved parenting practices and child problem behavior (e.g., Deković et al 2010 ; Hermanns et al 2013 ). This suggests that effects of PMTO on reduced parental stress may in the future lead to positive changes in parenting behavior and possibly child functioning.…”

Section: Discussionmentioning

confidence: 99%

Effects of PMTO in Foster Families with Children with Behavior Problems: A Randomized Controlled Trial

et al. 2016

View full text Add to dashboard Cite

The present randomized controlled trial examined the effectiveness of Parent Management Training Oregon for foster parents with foster children (aged 4–12) with severe externalizing behavior problems in long-term foster care arrangements. Foster children’s behavior problems are challenging for foster parents and increase the risk of placement breakdown. There is little evidence for the effectiveness of established interventions to improve child and parent functioning in foster families. The goal of Parent Management Training Oregon, a relatively long and intensive (6–9 months, with weekly sessions) parent management training, is to reduce children’s problem behavior through improvement of parenting practices. We specifically investigated whether Parent Management Training Oregon is effective to reduce foster parenting stress. A significant effect of Parent Management Training Oregon, compared to Care as Usual was expected on reduced parenting stress improved parenting practices, and on reduced child behavior problems. Multi-informant (foster mothers, foster fathers, and teachers) data were used from 86 foster families (46 Parent Management Training Oregon, 40 Care as Usual) using a pre-posttest design. Multilevel analyses based on the intention to treat principle (retention rate 73 %) showed that Parent Management Training Oregon, compared to Care as Usual, reduced general levels of parenting stress as well as child related stress and parent-related stress (small to medium effect sizes). The clinical significance of this effect was, however, limited. Compared to a decrease in the Care as Usual group, Parent Management Training Oregon helped foster mothers to maintain parental warmth (small effect size). There were no other effects of Parent Management Training Oregon on self-reported parenting behaviors. Child behavior problems were reduced in both conditions, indicating no additive effects of Parent Management Training Oregon to Care as Usual on child functioning. The potential implication of reduced foster parenting stress for placement stability is discussed.

show abstract

Long-term changes in parenting and child behavior after the Home-Start family support program

Abstract: Long-term changes in parenting and child behavior after the Home-Start family support program Hermanns, J.M.A.; Asscher, J.J.; Zijlstra, B.J.H.; Hoffenaar, P.J.; Dekovic, M.

Cited by 26 publications

References 21 publications

Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia

Parents make the difference: a randomized-controlled trial of a parenting intervention in Liberia

The Effectiveness of Parent Management Training—Oregon Model in Clinically Referred Children with Externalizing Behavior Problems in The Netherlands

Effects of PMTO in Foster Families with Children with Behavior Problems: A Randomized Controlled Trial

Contact Info

Product

Resources

About