A controlled clinical evaluation of the parents plus children's programme: a video-based programme for parents of

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.