Furlong, M. and McGilloway, Sinéad and Bywater, Tracey and Hutchings, J. and Smith, S.M. and Donnelly, M.
(2012)
Behavioural and cognitive-behavioural group-based parenting
programmes for early-onset conduct problems in children
aged 3 to 12 years (Review).
Technical Report.
John Wiley & Sons.
Abstract
Background
Early-onset child conduct problems are common and costly. A large number of studies and some previous reviews have focused on
behavioural and cognitive-behavioural group-based parenting interventions, but methodological limitations are commonplace and
evidence for the effectiveness and cost-effectiveness of these programmes has been unclear.
Objectives
To assess the effectiveness and cost-effectiveness of behavioural and cognitive-behavioural group-based parenting programmes for
improving child conduct problems, parental mental health and parenting skills.
Search methods
We searched the following databases between 23 and 31 January 2011: CENTRAL (2011, Issue 1), MEDLINE (1950 to current),
EMBASE (1980 to current), CINAHL (1982 to current), PsycINFO(1872 to current), Social Science Citation Index (1956 to current),
ASSIA (1987 to current), ERIC (1966 to current), Sociological Abstracts (1963 to current), Academic Search Premier (1970 to current),
Econlit (1969 to current), PEDE (1980 to current), Dissertations and Theses Abstracts (1980 to present), NHS EED (searched 31
January 2011), HEED (searched 31 January 2011), DARE (searched 31 January 2011), HTA (searched 31 January 2011), mRCT
(searched 29 January 2011). We searched the following parent training websites on 31 January 2011: Triple P Library, Incredible Years
Library and Parent Management Training. We also searched the reference lists of studies and reviews.
Selection criteria
We included studies if: (1) they involved randomised controlled trials (RCTs) or quasi-randomised controlled trials of behavioural and
cognitive-behavioural group-based parenting interventions for parents of children aged 3 to 12 years with conduct problems, and (2)
incorporated an intervention group versus a waiting list, no treatment or standard treatment control group. We only included studies
that used at least one standardised instrument to measure child conduct problems. Data collection and analysis
Two authors independently assessed the risk of bias in the trials and themethodological quality of health economic studies. Two authors
also independently extracted data. We contacted study authors for additional information.
Main results
This review includes 13 trials (10 RCTs and three quasi-randomised trials), as well as two economic evaluations based on two of
the trials. Overall, there were 1078 participants (646 in the intervention group; 432 in the control group). The results indicate that
parent training produced a statistically significant reduction in child conduct problems, whether assessed by parents (standardised mean
difference (SMD) -0.53; 95% confidence interval (CI) -0.72 to -0.34) or independently assessed (SMD -0.44; 95% CI -0.77 to -
0.11). The intervention led to statistically significant improvements in parental mental health (SMD -0.36; 95% CI -0.52 to -0.20)
and positive parenting skills, based on both parent reports (SMD -0.53; 95% CI -0.90 to -0.16) and independent reports (SMD -
0.47; 95% CI -0.65 to -0.29). Parent training also produced a statistically significant reduction in negative or harsh parenting practices
according to both parent reports (SMD -0.77; 95% CI -0.96 to -0.59) and independent assessments (SMD -0.42; 95% CI -0.67
to -0.16). Moreover, the intervention demonstrated evidence of cost-effectiveness. When compared to a waiting list control group,
there was a cost of approximately $2500 (GBP 1712; EUR 2217) per family to bring the average child with clinical levels of conduct
problems into the non-clinical range. These costs of programme delivery are modest when compared with the long-term health, social,
educational and legal costs associated with childhood conduct problems.
Authors’ conclusions
Behavioural and cognitive-behavioural group-based parenting interventions are effective and cost-effective for improving child conduct
problems, parental mental health and parenting skills in the short term. The cost of programme delivery was modest when compared
with the long-term health, social, educational and legal costs associated with childhood conduct problems. Further research is needed
on the long-term assessment of outcomes.
| Item Type: |
Monograph
(Technical Report)
|
| Additional Information: |
The definitive published version of this article is available at DOI: 10.1002/14651858.CD008225.pub2 |
| Keywords: |
Behavioural; cognitive-behavioural; group-based; parenting programmes; early-onset; conduct problems; children; 3 to 12 years; |
| Academic Unit: |
Faculty of Science and Engineering > Psychology |
| Item ID: |
6834 |
| Identification Number: |
https://doi.org/10.1002/14651858.CD008225.pub2 |
| Depositing User: |
Dr. Sinéad McGilloway
|
| Date Deposited: |
19 Jan 2016 11:25 |
| Journal or Publication Title: |
The Cochrane Collaboration |
| Publisher: |
John Wiley & Sons |
| Refereed: |
Yes |
| URI: |
|
| Use Licence: |
This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available
here |
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