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The effectiveness o...
The effectiveness of a therapeutic parenting program for children aged 6–11 years with behavioral or emotional difficulties: Results from a randomized controlled trial
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- Axford, Nick (author)
- University of Plymouth
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- Bjornstad, Gretchen (author)
- University of Exeter Medical School
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- Matthews, Justin (author)
- University of Exeter
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- Heilmann, Sarah (author)
- Erasmus University Rotterdam
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- Raja, Anam (author)
- University of Oxford
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- Ukoumunne, Obioha (author)
- University of Exeter
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- Berry, Vashti (author)
- University of Exeter
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- Wilkinson, Tom (author)
- Devon Partnership NHS Trust
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- Timmons, Luke (author)
- Stand Together
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- Hobbs, Tim (author)
- Dartington Service Design Lab
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- Eames, Tim (author)
- University of Exeter
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- Kallitsoglou, Angeliki (author)
- University of Roehampton
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- Blower, Sarah (author)
- University of York
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- Warner, Georgina (author)
- Uppsala universitet,Socialmedicin/CHAP
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: Children and youth services review. - : Elsevier BV. - 0190-7409 .- 1873-7765. ; 117
- Related links:
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https://pearl.plymou...
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
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- ObjectiveThe aim of the study was to evaluate the implementation and effectiveness of a therapeutic parenting program that targets parents of children aged 6 to 11 years identified as having behavioral and emotional difficulties. The intervention comprises two parts, delivered sequentially: a 10–12-week group-based program for all parents, and one-to-one sessions for up to 12 weeks with selected parents from the group-based element.Methods/DesignIn a randomized controlled trial, 264 participants were allocated to the Inspiring Futures program (intervention) or services as usual (control) arms with follow-up assessments at 16 (post-group program) and 32 (post-one-to-one sessions) weeks. The primary outcome was the parent-rated Strengths and Difficulties Questionnaire (SDQ) Total Difficulties score at 32 weeks. Secondary outcomes included parent-rated SDQ subscales, parent coping strategies, empathy in parenting and parenting skills.ResultsAll 264 participants were included in outcome analyses. There was no statistically significant effect on SDQ Total Difficulties (standardized mean difference: −0.07; 95% CI: −0.30 to 0.16; p = 0.54). There were no sub-group effects. Only 1 of 40 comparisons between the trial arms for secondary outcomes across both follow-ups was statistically significant at the 5% level. The mean number of group sessions attended by intervention arm participants was 6.1 (out of 10 to 12) and only 1 in 20 intervention arm participants received one-to-one support. Independent observation indicated scope to improve fidelity in terms of adherence, quality and participant responsiveness.ConclusionsThe intervention is not more effective than services as usual at improving targeted outcomes. This may be related, in part, to implementation issues but arguably more to the inability of a non-behavioral intervention to improve caregiving adequately, particularly when it is not targeted at new parents who have experienced trauma or deprivation early in life or subsequently.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences (hsv//eng)
- SAMHÄLLSVETENSKAP -- Psykologi -- Tillämpad psykologi (hsv//swe)
- SOCIAL SCIENCES -- Psychology -- Applied Psychology (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Axford, Nick
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Bjornstad, Gretc ...
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Matthews, Justin
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Heilmann, Sarah
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Raja, Anam
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Ukoumunne, Obioh ...
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show more...
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Berry, Vashti
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Wilkinson, Tom
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Timmons, Luke
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Hobbs, Tim
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Eames, Tim
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Kallitsoglou, An ...
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Blower, Sarah
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Warner, Georgina
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show less...
- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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- SOCIAL SCIENCES
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SOCIAL SCIENCES
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and Psychology
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and Applied Psycholo ...
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
- Articles in the publication
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Children and you ...
- By the university
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Uppsala University