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Parenting programs have the ability to enhance parenting quality and healthy child development, but the overwhelming majority of evidence for their effects comes from a small minority of countries and research-intensive contexts. More evidence is needed from effectiveness studies (rather than highly controlled efficacy studies) and from countries less well-represented in the international literature. We examined changes in parental cognitions and parenting behavior in 62 families completing a 10-week online group program (Growing up Together Online) as part of social services in Croatia in 2020 and 2021, during the Covid-19 pandemic and earthquake. Parents reported on their cognitions and behaviors before and after the intervention. Paired-sample t-tests show significant improvements in parent-reported general self-esteem, parenting self-efficacy, and parenting experience and morale. Parents also reported significant reductions in angry, harsh, and violent parenting. Parents did not report increased attempts to understand children’s perspectives and positive interactions (e.g. joint play). Reliable change index analysis showed that reliable improvement was most common in parenting self-efficacy and least common in positive involvement and reinforcement. Findings provide preliminary evidence for the program’s potential to optimize the parenting conditions of children growing up in an environment at risk for child abuse and neglect.
Parenting programs have the ability to enhance parenting quality and healthy child development, but the overwhelming majority of evidence for their effects comes from a small minority of countries and research-intensive contexts. More evidence is needed from effectiveness studies (rather than highly controlled efficacy studies) and from countries less well-represented in the international literature. We examined changes in parental cognitions and parenting behavior in 62 families completing a 10-week online group program (Growing up Together Online) as part of social services in Croatia in 2020 and 2021, during the Covid-19 pandemic and earthquake. Parents reported on their cognitions and behaviors before and after the intervention. Paired-sample t-tests show significant improvements in parent-reported general self-esteem, parenting self-efficacy, and parenting experience and morale. Parents also reported significant reductions in angry, harsh, and violent parenting. Parents did not report increased attempts to understand children’s perspectives and positive interactions (e.g. joint play). Reliable change index analysis showed that reliable improvement was most common in parenting self-efficacy and least common in positive involvement and reinforcement. Findings provide preliminary evidence for the program’s potential to optimize the parenting conditions of children growing up in an environment at risk for child abuse and neglect.
Online parenting programs to support parents of children with behavioral problems and emotional problems have become widely available in recent years. Research has consistently shown their positive effects on child development, parents’ adaptive parenting practices, and parents’ mental health. However, knowledge is lacking on which type of content is more suitable to be delivered online. Our work addresses this knowledge gap by conducting traditional and network meta-analyses to improve our understanding of (1) how effective online parenting programs are to improve children’s behavior and emotional problems, and (2) what clusters of components are most likely to yield the strongest effects. Following the PROSPERO preregistration, we systematically searched PsycINFO, MEDLINE, Web of Science, and Cochrane. Of the 8292 records retrieved, 28 records on 27 randomized controlled trials (N = 5,312) met the inclusion criteria. Results show moderate effect sizes of online parenting programs on reduced child behavioral and emotional problems, parents’ ineffective parenting practices, and parents’ mental health problems. Online programs adopting a learning theory perspective, either with or without additional parental self-care and parents as therapist approaches, are most likely to yield the strongest effects on child behavioral problems. Online programs adopting a learning theory perspective, parental self-care and parents as therapist approaches, with or without additional relationship perspectives, are most likely to yield the strongest effects on child emotional problems. Online parenting programs seem promising tools for improving child behavioral and emotional problems. Future research should identify the circumstances that allow parents and children to benefit more from specific components in these programs.
Telehealth is a promising means for expanding access to mental health treatment. Yet, more research is needed to ensure that telehealth service delivery is no less effective than in‐person treatment in real‐world service delivery contexts. In the current study, we compared telehealth delivery of the GenerationPMTO parenting intervention to in‐person delivery in the context of the public mental health system. Using a noninferiority approach with a sample of n = 1452 caregivers, we found telehealth delivery to be noninferior to in‐person delivery on all caregiver outcomes: parenting practices, parenting confidence, and caregiver depressive symptoms. We were unable to conclude that telehealth delivery was noninferior to in‐person delivery for child behavior problems. Our findings add to the literature suggesting the utility of using telehealth to provide services to families—particularly for delivering evidence‐based parenting interventions to enhance caregiver outcomes. Implications for couple and family therapy are discussed.
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