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.

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