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Promoting self-regulation and cooperation in pre-kindergarten children with conduct problems: a randomized controlled

Lior Y Somech1, Yoel Elizur

  • 1School of Education, The Hebrew University of Jerusalem, Mount Scopus, Jerusalem, Israel. .

Journal of the American Academy of Child and Adolescent Psychiatry
|March 28, 2012
PubMed

Insights

Hitkashashrut, a parent training program, significantly reduced conduct problems in preschoolers. Improvements in parenting practices and reduced parental distress mediated long-term positive outcomes.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Intervention Science

Background:

  • Preschoolers at risk for conduct problems (CP) benefit from early intervention.
  • Parent training (PT) programs are effective but require accessible, adaptable models.

Purpose of the Study:

  • To assess the effectiveness and mechanisms of Hitkashrut, a culturally adapted "common elements" co-parent training program.
  • To evaluate its impact on preschoolers (3-5 years) at risk for conduct problems.

Main Methods:

  • Randomized controlled trial (140 PT, 69 control).
  • Assessed primary outcome (CP) at pre-, post-, and 1-year follow-up.
  • Measured secondary outcomes including callous-unemotional traits, effortful control, and parenting.

Main Results:

  • Large intervention effect (ES = .76) at post-intervention, maintained at follow-up (ES = 0.63).
  • Significant improvements in callous-unemotional traits (ES = 0.85) and effortful control (ES = 0.47) were sustained.
  • Improvements in CP were mediated by enhanced parental practices and reduced distress.

Conclusions:

  • Hitkashashrut demonstrates effectiveness for real-world dissemination, supporting "common elements" approaches.
  • Findings support cascade models of early development and the preventive impact of facilitated parental change.
Abstract

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