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Updated: Jun 16, 2025

Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood
Published on: February 11, 2017
A Systematic Review of Guided, Parent-Led Digital Interventions for Preadolescent Children with Emotional and
Emily Whitaker1,2, Chloe Chessell3,4, Maxwell Klapow3,5
1Department of Experimental Psychology, University of Oxford, Oxford, UK. emily.whitaker@psy.ox.ac.uk.
Insights
Guided, parent-led digital interventions show promise for improving children's emotional and behavioural problems (EBP). These digital treatments led to significant symptom improvements, offering accessible support for families seeking effective care.
Area of Science:
- Child Psychology
- Digital Health Interventions
- Evidence-Based Practice
Background:
- Emotional and behavioural problems (EBP) are common in children.
- Guided, parent-led digital interventions can increase access to effective treatments.
- A systematic review is needed to assess the evidence for these interventions.
Purpose of the Study:
- To examine the evidence base for guided, parent-led digital interventions for childhood EBP.
- To identify the characteristics of these interventions.
- To synthesize findings through a narrative review.
Main Methods:
- Systematic searches of major databases (Medline, EMBASE, PsycINFO, Scopus, Web of Science) and hand searching.
- Inclusion of 13 studies (RCTs and pre-post designs) involving 2643 children.
- Quality assessment using the QualSyst checklist, with all studies rated as good quality.
Main Results:
- All included studies reported statistically significant improvements in child symptoms or interference levels.
- Effect sizes ranged from small to very large immediately post-treatment, and medium at follow-up.
- Eight interventions addressed various conditions including anxiety, ADHD, conduct, and disruptive behaviors.
Conclusions:
- Guided, parent-led digital interventions demonstrate a promising evidence base for childhood EBP.
- Intervention characteristics were diverse, providing a foundation for future development.
- Further high-quality RCTs are needed, addressing reporting consistency and parent demographics.
Abstract:
Emotional and behavioural problems (EBP) are prevalent amongst children, and guided, parent-led digital interventions offer one method of improving access to effective treatments. This systematic review (PROSPERO: CRD42023484098) aimed to examine the evidence base for, and characteristics of, these types of interventions through a narrative synthesis. Systematic searches were conducted using Medline, EMBASE, PsycINFO, Scopus and Web of Science in January 2024 and February 2025, supplemented with hand searching in March/April 2024 and February 2025. Studies were eligible if they reported outcomes related to preadolescent EBP from a guided, fully parent-led, fully digital intervention. Thirteen studies were eligible, including 2643 children and covering eight interventions (addressing anxiety problems, comorbid anxiety and depression, attention deficit hyperactivity disorder, conduct disorder and disruptive behaviour). Studies included randomised controlled trials and pre-post studies. The QualSyst checklist was used to assess study quality; all studies were rated as good quality. All studies showed statistically significant improvements in the child's symptoms or interference levels, with small to very large effect sizes immediately post-treatment, and at least medium effect sizes by follow-up, suggesting a promising evidence base. A wide range of intervention characteristics were identified, forming a basis for future intervention development for childhood EBP. However, there was a lack of consistency in how information was reported across studies (such as completion rates) and studies lacked information on parent demographics and key intervention details. Further high quality randomised controlled trials for a wider range of EBP are needed to continue building the evidence base.
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