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Improving mental health through parenting programmes: block randomised controlled trial
J Patterson1, J Barlow, C Mockford
1Health Services Research Unit, Institute of Health Sciences, Old Road, Headington, Oxford OX3 7LF, UK John Radcliffe Hospital, Oxford, UK. jacoby@ukgateway.net
Insights
A 10-week parenting program delivered by health visitors effectively reduced child conduct problems and improved parent mental health. Benefits were observed in both clinical and non-clinical populations, supporting its role in primary care.
Area of Science:
- Child and Adolescent Psychology
- Primary Care Pediatrics
- Mental Health Promotion
Background:
- Parenting programs are crucial for addressing child behavior issues.
- Health visitors in primary care offer a accessible platform for early intervention.
- Early identification and management of behavioral problems can prevent long-term difficulties.
Purpose of the Study:
- To evaluate a 10-week parenting program delivered by health visitors.
- To assess the program's impact on child behavior and parental mental health.
- To determine effectiveness within a general practice population.
Main Methods:
- Randomized controlled trial involving parents of children aged 2-8 years.
- Intervention group received the Webster-Stratton parenting program; control group received no intervention.
- Outcomes measured using validated tools for child behavior (Eyberg, Goodman) and parent mental health (GHQ, PSI, RSE) at baseline, post-intervention, and 6-month follow-up.
Main Results:
- The parenting program significantly reduced child conduct problems at immediate and 6-month follow-up.
- Improvements in child behavior, specifically on the Eyberg Child Behaviour Inventory, were noted at 6 months.
- Parents experienced short-term reductions in social dysfunction, regardless of the child's initial behavior score.
Conclusions:
- The parenting program is effective in preventing child behavior problems.
- This intervention contributes to mental health promotion within primary care settings.
- Health visitor-delivered parenting support is a viable strategy for improving child and family well-being.
Aims:
To assess the effectiveness of a parenting programme, delivered by health visitors in primary care, in improving the mental health of children and their parents among a representative general practice population.
Methods:
Parents of children aged 2-8 years who scored in the upper 50% on a behaviour inventory were randomised to the Webster-Stratton 10 week parenting programme delivered by trained health visitors, or no intervention. Main outcome measures were the Eyberg Child Behaviour Inventory and the Goodman Strengths and Difficulties Questionnaire to measure child behaviour, and the General Health Questionnaire, Abidin's Parenting Stress Index, and Rosenberg's Self Esteem Scale to measure parents' mental health. These outcomes were measured before and immediately after the intervention, and at six months follow up.
Results:
The intervention was more effective at improving some aspects of the children's mental health, notably conduct problems, than the no intervention control condition. The Goodman conduct problem score was reduced at immediate and six month follow up, and the Eyberg Child Behaviour Inventory was reduced at six months. The intervention also had a short term impact on social dysfunction among parents. These benefits were seen among families with children scoring in the clinical range for behaviour problems and also among children scoring in the non-clinical (normal) range.
Conclusion:
This intervention could make a useful contribution to the prevention of child behaviour problems and to mental health promotion in primary care.
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