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Parenting intervention in Sure Start services for children at risk of developing conduct disorder: pragmatic

Judy Hutchings1, Frances Gardner, Tracey Bywater

  • 1School of Psychology, University of Wales Bangor, Bangor, Gwynedd, LL57 2DG. j.hutchings@bangor.ac.uk

BMJ (Clinical Research Ed.)
|March 14, 2007
PubMed

Insights

This study found that a 12-week parenting program significantly reduced problem behaviors in preschool children at risk for conduct disorder. The evidence-based intervention improved parenting skills and reduced child conduct issues.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Public Health Interventions

Background:

  • Preschool children at risk for conduct disorder often exhibit challenging behaviors.
  • Parenting programs can be a crucial preventive strategy.
  • Evidence-based interventions are needed to support at-risk families.

Purpose of the Study:

  • To evaluate the effectiveness of a parenting program as a preventive intervention.
  • To assess the impact on parents of preschool children at risk for conduct disorder.
  • To determine if the intervention improves child behavior and parenting skills.

Main Methods:

  • Pragmatic randomized controlled trial in eleven Sure Start areas in Wales.
  • 153 parents of children aged 36-59 months at risk for conduct disorder participated.
  • Intervention group received the 12-week Webster-Stratton Incredible Years parenting program; control group was waitlisted.

Main Results:

  • Significant improvements in parenting skills and child problem behaviors observed in the intervention group.
  • The Eyberg Child Behavior Inventory showed significant reductions in problem behavior (effect size 0.63) and intensity (effect size 0.89).
  • Parents reported enhanced parenting competence and reduced stress and depression.

Conclusions:

  • The evidence-based parenting intervention, delivered by Sure Start staff, proved effective in a community setting.
  • The study's findings have influenced policy in Wales.
  • The results offer valuable insights for implementing similar programs in England.
Abstract

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