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European Child & Adolescent Psychiatry
Published in: European Child & Adolescent Psychiatry 12/2014

01-12-2014 | Review

Are self-directed parenting interventions sufficient for externalising behaviour problems in childhood? A systematic review and meta-analysis

Authors: Joanne Tarver, David Daley, Joanna Lockwood, Kapil Sayal

Published in: European Child & Adolescent Psychiatry | Issue 12/2014

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Abstract

Externalising behaviour in childhood is a prevalent problem in the field of child and adolescent mental health. Parenting interventions are widely accepted as efficacious treatment options for reducing externalising behaviour, yet practical and psychological barriers limit their accessibility. This review aims to establish the evidence base of self-directed (SD) parenting interventions for externalising behaviour problems. Electronic searches of PubMed, Web of Knowledge, Psychinfo, Embase and CENTRAL databases and manual searches of reference lists of relevant reviews identified randomised controlled trials and cluster randomised controlled trials examining the efficacy of SD interventions compared to no-treatment or active control groups. A random-effect meta-analysis estimated pooled standard mean difference (SMD) for SD interventions on measures of externalising child behaviour. Secondary analyses examined their effect on measures of parenting behaviour, parental stress and mood and parenting efficacy. Eleven eligible trials were included in the analyses. SD interventions had a large effect on parent report of externalising child behaviour (SMD = 1.01, 95 % CI: 0.77–1.24); although this effect was not upheld by analyses of observed child behaviour. Secondary analyses revealed effects of small to moderate magnitude on measures of parenting behaviour, parental mood and stress and parenting efficacy. An analysis comparing SD interventions with therapist-led parenting interventions revealed no significant difference on parent-reported measures of externalising child behaviour. SD interventions are associated with improvements in parental perception of externalising child behaviour and parental behaviour and well-being. Future research should further investigate the relative efficacy and cost-effectiveness of SD interventions compared to therapist-led interventions.
Appendix
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Footnotes
1
Lavigne et al.’s [37] active intervention arms were nurse-led and psychologist-led parenting intervention in primary care. Webster-Stratton et al.’s [28] active intervention arms were group discussion training (GD) and group discussion videotape modelling (GDVM). GD discussed the same topics as GDVM but did not receive videotape material for visual modelling of material.
 
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Metadata
Title
Are self-directed parenting interventions sufficient for externalising behaviour problems in childhood? A systematic review and meta-analysis
Authors
Joanne Tarver
David Daley
Joanna Lockwood
Kapil Sayal
Publication date
01-12-2014
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 12/2014
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-014-0556-5

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