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Parental predictors of an Internet-based parenting intervention for child disruptive behavior: an implementation
Yujing Li1,2, Amit Baumel3, Susanna Hinkka-Yli-Salomäki4,5
1Department of Child Psychiatry, Research Centre for Child Psychiatry, University of Turku, Lemminkäisenkatu 3a, Turku, 20014, Finland. yujili@utu.fi.
Insights
Parental mental health and lower education predicted better outcomes for child disruptive behavior interventions. Disadvantaged populations showed greater positive changes, highlighting intervention effectiveness across diverse groups.
Area of Science:
- Child Psychology
- Behavioral Science
- Public Health
Background:
- Child disruptive behavior is a common concern for parents.
- Parent training interventions aim to improve child behavior and family functioning.
- Understanding predictors of intervention success is crucial for optimizing outcomes.
Purpose of the Study:
- To investigate parental factors predicting outcomes of a nationwide internet- and telephone-assisted parent training intervention for child disruptive behavior in Finland.
- To examine how parental education, mental health, and parenting skills influence intervention effectiveness.
- To identify potential disparities in intervention outcomes across different sociodemographic groups.
Main Methods:
- A nationwide sample of 2,900 families with 4-year-old children exhibiting disruptive behavior participated.
- An 11-week internet- and telephone-assisted parent training intervention was delivered.
- Hierarchical linear models analyzed changes in the Child Behavior Checklist externalizing score over 24 months, examining predictors like parental education, mental health, and parenting skills.
Main Results:
- Maternal college education was associated with smaller reductions in externalizing problems at 6 months.
- High parental over-reactivity and elevated Depression, Anxiety and Stress Scale scores at baseline predicted greater reductions in externalizing problems at 24 months.
- Disadvantaged populations (lower education, poorer parenting skills, severe parental mental health issues) showed greater positive changes over time.
Conclusions:
- Parental mental health and specific parenting factors significantly predict intervention outcomes for child disruptive behavior.
- The intervention demonstrated effectiveness, particularly among disadvantaged populations, suggesting potential for broad public health impact.
- Further research is needed to confirm these findings across diverse settings and sociodemographic groups.
Abstract:
This study investigates parental factors as predictors of the outcome of an internet-based and telephone-assisted parent training intervention targeting child disruptive behavior, when it was implemented nationwide in Finland. 2,900 families with children who met screening criteria at their 4-year-old health checkup received the 11-week intervention. Potential predictors included parents’ age and educational attainment, family structure, enrollment year, parenting skills, and parental mental health. The outcome was the Child Behavior Checklist 1.5-5 externalizing score, collected at baseline, 6-, 12-, and 24-month follow-ups. Hierarchical linear models were used to examine changes in the outcome over time. At 6 months, parents of children whose mothers had a college or university degree reported smaller reductions in child externalizing problems compared to those with lower maternal education (β= 0.87, 95% CI [0.28, 1.45], p= .004). At 24 months, greater reductions in externalizing problems were observed in children whose parents had a high parental over-reactivity score at baseline (β= -1.23, 95% CI [-1.97, -0.49], p= .001), as well as a medium or high baseline parental Depression, Anxiety and Stress Scale total score (Medium: β= -1.01, 95% CI [-1.65, -0.36], p= .002; High: β= -1.05, 95% CI [-1.82, -0.28], p= .007). There were greater changes in the outcome over time among disadvantaged populations, particularly families with lower education, poorer parenting skills, or more severe parental mental health problems. Future research is needed to examine the consistency of these effects across diverse sociodemographic groups and settings.
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