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Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Study protocol

Remote population-based intervention for disruptive behavior at age four: study protocol for a randomized trial of Internet-assisted parent training (Strongest Families Finland-Canada)

Authors: Patrick J McGrath, Andre Sourander, Patricia Lingley-Pottie, Terja Ristkari, Charles Cunningham, Jukka Huttunen, Katharine Filbert, Minna Aromaa, Penny Corkum, Susanna Hinkka-Yli-Salomäki, Malin Kinnunen, Katja Lampi, Anne Penttinen, Atte Sinokki, Anita Unruh, Jenni Vuorio, Carolyn Watters

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

Oppositional Defiant Disorder (ODD) is characterized by angry and noncompliant behaviour. It is the most common disruptive behaviour disorder (DBD), with prevalence estimates of 6-9% for preschoolers and is closely linked to several long-term difficulties, including disorders of conduct, mood, anxiety, impulse-control, and substance abuse. ODD in children is related to parental depression, family dysfunction, and impairments in parental work performance. Children displaying early DBDs exhibit more symptoms of greater severity, more frequent offences, and commit more serious crimes later in life. The goal of the Strongest Families™ Finland Canada (SFFC) Smart Website intervention research program is to develop and evaluate an affordable, accessible, effective secondary prevention parent training program for disruptive behaviour in preschoolers to prevent the negative sequelae of ODD. Strongest Families is an 11-session program with two booster sessions that focuses on teaching skills to: strengthen parent–child relationships; reinforce positive behaviour; reduce conflict; manage daily transitions; plan for potentially problematic situations; promote emotional regulation and pro-social behaviour and decrease antisocial behaviour.

Methods/design

This protocol paper describes an ongoing population-based randomized controlled trial (RCT) of high-risk 4 year-olds attending well-child clinics in Turku, Finland and environs to examine the effectiveness of the Strongest Families Smart Website intervention compared to an Education Control condition. Randomization consists of a 1:1 ratio for intervention versus the education group, stratified by the child’s sex. The participants randomized to the intervention group receive access to the Strongest Families Smart Website and weekly telephone coaching sessions. The participants randomized to the Education Control condition receive access to a static website with parenting tips. Children are followed using parental and daycare teacher measures at 6 and 12 months after randomization.

Discussion

The Strongest Families Smart Website intervention is hypothesized to improve parenting skills, reduce child disruptive behaviour, reduce parental distress and improve family functioning. These results will likely inform subsequent investigations, public policy, and early treatment of childhood disruptive behaviour problems.

Trial registration

ClinicalTrials.gov # NCT01750996
Appendix
Available only for authorised users
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Metadata
Title
Remote population-based intervention for disruptive behavior at age four: study protocol for a randomized trial of Internet-assisted parent training (Strongest Families Finland-Canada)
Authors
Patrick J McGrath
Andre Sourander
Patricia Lingley-Pottie
Terja Ristkari
Charles Cunningham
Jukka Huttunen
Katharine Filbert
Minna Aromaa
Penny Corkum
Susanna Hinkka-Yli-Salomäki
Malin Kinnunen
Katja Lampi
Anne Penttinen
Atte Sinokki
Anita Unruh
Jenni Vuorio
Carolyn Watters
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-985

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