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Large group community-based parenting programs for families of preschoolers at risk for disruptive behaviour

C E Cunningham1, R Bremner, M Boyle

  • 1Department of Psychiatry, McMaster University, Faculty of Health Sciences, Hamilton, Ontario, Canada.

Journal of Child Psychology and Psychiatry, and Allied Disciplines
|October 1, 1995
PubMed

Insights

Community-based parent training programs are more effective and cost-efficient for children with disruptive behavior disorders. These programs improve behavior problems and offer better long-term gains compared to clinic-based options.

Area of Science:

  • Child Psychology
  • Behavioral Health
  • Public Health Interventions

Background:

  • Many children with disruptive behavior disorders lack access to mental health services.
  • Service utilization is lowest among high-risk populations, including immigrant families and those with severe behavioral issues.

Purpose of the Study:

  • To compare the effectiveness and cost-efficiency of community-based large group parent training versus clinic-based individual parent training.
  • To identify optimal delivery models for parent training to improve accessibility and outcomes for at-risk children.

Main Methods:

  • Prospective randomized trial involving junior kindergartners identified with behavioral problems.
  • Families were assigned to either a 12-week community-based group parent training, clinic-based individual parent training, or a waitlist control.
  • Enrollment patterns and outcomes were analyzed, with a focus on immigrant families and those with severe behavioral issues.

Main Results:

  • Community-based group parent training attracted more immigrant families and those with severe behavioral problems.
  • Parents in the community group reported greater improvements in child behavior problems and sustained gains at 6-month follow-up.
  • A cost analysis revealed community-based groups to be over six times more cost-effective than individual clinic-based programs for groups of 18 families.

Conclusions:

  • Community-based large group parent training is a more accessible, effective, and cost-efficient model for addressing disruptive behavior disorders in children.
  • This model shows particular promise for reaching underserved populations and improving long-term behavioral outcomes.

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