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A National Evaluation of Parenting Programs in Sweden: The Short-Term Effects Using an RCT Effectiveness Design
Örebro University, School of Law, Psychology and Social Work. (Center for Developmental research)ORCID iD: 0000-0001-7546-2275
Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Stockholm, Sweden.
Örebro University, School of Law, Psychology and Social Work. (Center for Developmental Research)ORCID iD: 0000-0001-7009-5955
Department of Psychology, Uppsala University, Uppsala, Sweden.
2015 (English)In: Journal of Consulting and Clinical Psychology, ISSN 0022-006X, E-ISSN 1939-2117, Vol. 83, no 6, 1069-1084 p.Article in journal (Refereed) Published
Abstract [en]

Objective: We evaluated the effectiveness of 4 parent-training programs for children with externalizing problems. We tested the effectiveness of 3 behavioral programs (Comet, Cope, and Incredible Years) and 1 nonbehavioral program (Connect) in reducing child behavior problems and attention-deficit/hyperactivity disorder (ADHD) symptoms, in improving positive parenting and parenting competence, and in decreasing negative parenting and parents’ stress and depressive symptoms.

Method: This national study was designed as a randomized-controlled effectiveness trial (RCT). The treatments were carried out in 30 clinical and community-based practices. Parents of 908 children (ages 3–12 years) were randomly assigned to 1 of 2 parent training programs available at each practice, or to a wait-list condition, where parents had sought help from regular services. Before and after treatment, parents rated child behavior problems and parenting strategies.

Results: At posttreatment, children whose parents had received interventions showed a strong decrease in child conduct problems and a moderate to strong decrease in ADHD symptoms. About half of parents whose children scored over the 95th percentile on the behavior measures (Eyberg Child Behavior Inventory, Swanson, Nolan, and Pelham Rating Scale), a clinically meaningful cutoff, reported that their children were no longer above the cutoff after the intervention. Parents showed considerably less negative behaviors toward their children at posttest compared with pretest; they increased in parental competence, and decreased in both stress and depressive symptoms. Overall, the behavioral programs were more effective than the nonbehavioral program.

Conclusions: The results support the general efficacy of parent training in a short-term perspective.

Place, publisher, year, edition, pages
American Psychological Association (APA), 2015. Vol. 83, no 6, 1069-1084 p.
Keyword [en]
parent training program, effectiveness trial, conduct problems, ADHD, children, No terms assigned
National Category
Psychology (excluding Applied Psychology)
Research subject
Psychology
Identifiers
URN: urn:nbn:se:oru:diva-46653DOI: 10.1037/a0039328ISI: 000365610100006PubMedID: 26009784OAI: oai:DiVA.org:oru-46653DiVA: diva2:874566
Funder
Swedish National Board of Health and Welfare
Available from: 2015-11-27 Created: 2015-11-19 Last updated: 2017-10-17Bibliographically approved

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