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Media-based behavioural treatments for behavioural problems in children
P Montgomery1, G Bjornstad, J Dennis
1Barnett House, Centre for Evidence-Based Social Work, University of Oxford, Wellington Square, Oxford, UK, OX1 2ER. paul.montgomery@socres.ox.ac.uk
The Cochrane Database of Systematic Reviews
|January 27, 2006
Summary
Media-based cognitive-behavioral therapies offer a cost-effective way to manage childhood behavioral disorders. These interventions can significantly improve behavior and increase access to care for families.
Area of Science:
- Child Psychology
- Behavioral Therapy
- Digital Health Interventions
Background:
- Childhood behavioral problems are commonly treated with medication or psychological interventions.
- Access to traditional behavioral and cognitive-behavioral therapies is limited by cost and time constraints.
- Media-based formats can potentially reduce costs and improve accessibility of these interventions for parents.
Purpose of the Study:
- To review the effectiveness of media-based cognitive-behavioral therapies for young people diagnosed with behavioral disorders.
- To compare these interventions against standard care and no-treatment controls.
Main Methods:
- Systematic search of multiple electronic databases (CENTRAL, MEDLINE, EMBASE, PsycINFO, CINAHL, Biosis, Sociofile) from inception to August 2005.
- Inclusion of randomized and quasi-randomized controlled trials of media-based behavioral treatments for childhood behavior problems.
- Data analysis using RevMan 4.2, with cross-referencing and expert consultation for study identification.
Main Results:
- Eleven studies with 943 participants were included in the review.
- Media-based therapies demonstrated a moderate, variable effect in treating behavioral disorders in children.
- Significant improvements were observed, particularly when combined with limited therapist time (up to two hours).
Conclusions:
- Media-based behavioral interventions are a viable option for clinical practice, offering potential for clinically significant behavior changes.
- These interventions can reduce the burden on primary care workers and serve as an initial step in a stepped care approach.
- Media-based therapies present both clinical and economic benefits for treating childhood behavioral problems, increasing access to care.
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