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Transporting Evidence-Based Parenting Programs for Child Problem Behavior (Age 3-10) Between Countries: Systematic

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Parenting interventions for child behavior problems are effective globally. Surprisingly, interventions transported to culturally different countries showed stronger positive effects than those in their origin countries.

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Area of Science:

  • Global Health
  • Developmental Psychology
  • Cross-Cultural Psychology

Background:

  • Parenting interventions are widely disseminated globally.
  • Limited understanding exists regarding their effectiveness and success factors when implemented in diverse cultural contexts.
  • This study addresses the effectiveness of transported parenting interventions for child behavior problems.

Purpose of the Study:

  • To systematically review and analyze the effectiveness of parenting interventions transported to new countries.
  • To identify factors influencing the success of these transported interventions.
  • To provide evidence on the necessity of adaptation for successful global implementation.

Main Methods:

  • Systematic review and meta-analysis of evidence-based parenting interventions.
  • Identification of trials testing these interventions in countries different from their origin.
  • Subgroup analyses based on cultural, resource, and policy factors at trial and country levels.

Main Results:

  • Seventeen trials of four interventions originating in the US or Australia were analyzed, involving 1,558 children across 10 countries.
  • Substantial positive effects on child behavior were observed in randomized trials (SMD -.71), but not in non-randomized trials.
  • Intervention effectiveness was comparable in Western countries but stronger in culturally more distant regions and those with survival-focused childrearing values.

Conclusions:

  • Parenting interventions demonstrate significant effectiveness when transported globally, even to culturally dissimilar nations.
  • Cultural distance and survival-focused values correlate with stronger intervention effects, contrary to common assumptions.
  • Extensive adaptation of parenting interventions may not be necessary for successful international implementation.