A controlled clinical evaluation of the parents plus children's programme: a video-based programme for parents of children aged 6 to 11 with behavioural and developmental problems
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Published on: June 20, 2020
Michael Coughlin1, John Sharry, Carol Fitzpatrick
1Mater Child and Adolescent Mental Health Service, Metropolitan Building, James Joyce Street, Dublin, Ireland. michael_coughlin1@yahoo.ie
Insights
The Parents Plus Children's Programme (PPCP) significantly reduced behavioral issues and parental stress in children aged 6-11. Positive outcomes were maintained at follow-up, with greater effectiveness for children solely with behavioral problems.
Area of Science:
- Child and Adolescent Psychology
- Clinical Psychology
- Parenting Interventions
Background:
- Children aged 6-11 referred to Child Mental Health Services often present with significant behavioral problems.
- Parenting programs are crucial for addressing these challenges and supporting child development.
- Existing interventions require evaluation for efficacy in real-world clinical settings.
Purpose of the Study:
- To develop and evaluate the clinic-based Parents Plus Children's Programme (PPCP).
- To assess the PPCP's effectiveness in reducing behavioral problems and parental stress.
- To compare the PPCP with Treatment as Usual (TAU) for children with behavioral issues, with or without developmental difficulties.
Main Methods:
- A sequential block design randomized 74 parents to the PPCP group (n=42) or TAU group (n=32).
- Assessments were conducted pre-intervention, post-intervention, and at 5-month follow-up for the PPCP group.
- The Strengths and Difficulties Questionnaire (SDQ) and parental stress measures were utilized.
Main Results:
- The PPCP group showed significant reductions in total difficulties and conduct problems compared to TAU.
- Parents in the PPCP group reported decreased stress and increased confidence.
- Improvements in parent-defined problems and goals were observed, maintained at follow-up, with additional gains in peer problems and prosocial behavior.
Conclusions:
- The Parents Plus Children's Programme (PPCP) is an effective intervention for children aged 6-11 with behavioral problems.
- The program demonstrates sustained positive effects on child behavior and parental well-being.
- The PPCP appears more beneficial for children with behavioral problems exclusively, compared to those with co-occurring developmental difficulties.
Abstract:
This article describes the development and the clinic-based evaluation of the Parents Plus Children's Programme (PPCP), a group-based video-modelling-assisted programme for parents of children aged 6 to 11 referred to a Child Mental Health Service with significant behavioural problems both with and without associated developmental difficulties. In evaluating the programme, a sequential block design was used to assign 74 parents of children referred to the service to the PPCP group (n = 42) or the Treatment as Usual (TAU) Comparison Group (n = 32). Assessment took place before and immediately following the 8-week intervention for both groups and at 5-month follow-up for the PPCP Group. Compared to the TAU Group postprogramme, the PPCP Group displayed significant reductions in total difficulties and conduct problems as measured by the Strengths and Difficulties Questionnaire, decreased parental stress, increased parental confidence and significant improvements in parent-defined problems and goals. These positive changes were maintained at 5-month follow-up for the PPCP group, in addition to further significant improvements in peer problems and prosocial behaviour. The analysis also suggests that the programme is more effective for parents of children with behavioural problems only, than for those with associated developmental difficulties. The strengths and limitations of the study are discussed, as well as the difficulties of conducting practice-based research.
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