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Online Behavioral Parenting Interventions for Disruptive Behavioral Disorders: A PRISMA Based Systematic Review of Clinical Trials

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Abstract

Behavioral parenting interventions (BPIs) are efficacious, evidence-based interventions for disruptive behavioral disorders in children. Technological advances have seen online adaptations of BPIs further increase efficacy and expand program reach. This systematic review examined the treatment outcomes of online BPIs. Our secondary aim was to examine which components of online BPIs are associated with beneficial child outcomes. Electronic databases were searched to identify randomized controlled trials of online BPIs for children with disruptive behavioral difficulties published between 2000 and 2020. Ten studies, reporting on nine different interventions, met inclusion criteria. The review indicated online BPIs are a viable treatment for disruptive behavioral disorders with nine of ten reporting significant improvements post-treatment. Effective interventions had clearly defined program structure and included content based on operant learning principles. Future research would benefit from greater detail when reporting intervention content, and regular assessment of progress through treatment against the delivery of specific program components.

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References

  1. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: DSM-5. American Psychiatric Association, Arlington

    Book  Google Scholar 

  2. Weisz JR, Kazdin AE (2017) Evidence-based psychotherapies for children and adolescents.

  3. Kaminski JW, Claussen AH (2017) Evidence base update for psychosocial treatments for disruptive behaviors in children. J Clin Child Adolesc Psychol 46(4):477–499

    Article  PubMed  PubMed Central  Google Scholar 

  4. Lundahl B, Risser HJ, Lovejoy MC (2006) A meta-analysis of parent training: moderators and follow-up effects. Clin Psychol Rev 26(1):86–104

    Article  PubMed  Google Scholar 

  5. Ollendick TH et al (2016) Parent management training and collaborative & proactive solutions: a randomized control trial for oppositional youth. J Clin Child Adolesc Psychol 45(5):591–604

    Article  PubMed  Google Scholar 

  6. Maliken AC, Katz LF (2013) Exploring the impact of parental psychopathology and emotion regulation on evidence-based parenting interventions: a transdiagnostic approach to improving treatment effectiveness. Clin Child Fam Psychol Rev 16(2):173–186

    Article  PubMed  Google Scholar 

  7. Murrihy RC, Kidman AD, Ollendick TH (2010) Clinical handbook of assessing and treating conduct problems in youth. Springer, Berlin

    Google Scholar 

  8. Leijten P et al (2019) Meta-analyses: key parenting program components for disruptive child behavior. J Am Acad Child Adolesc Psychiatry 58(2):180–190

    Article  PubMed  Google Scholar 

  9. Bowlby J (1982) Attachment and loss. Basic Books, New York

    Google Scholar 

  10. Skinner BF (1938) The behavior of organisms: an experimental analysis. The behavior of organisms: an experimental analysis, p 457. Appleton-Century, Oxford.

  11. Bandura A (1977) Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 84(2):191

    Article  PubMed  Google Scholar 

  12. Patterson GR, Chamberlain P, Reid JB (1982) A comparative evaluation of a parent-training program. Behav Ther 13(5):638–650

    Article  Google Scholar 

  13. Feldman R (2017) The neurobiology of human attachments. Trends Cogn Sci 21(2):80–99

    Article  PubMed  Google Scholar 

  14. Nelson CA, Thomas KM, De Haan M (2012) Neuroscience of cognitive development: the role of experience and the developing brain. Wiley, New York

    Google Scholar 

  15. Wiggins TL, Sofronoff K, Sanders MR (2009) Pathways triple P-positive parenting program: effects on parent-child relationships and child behavior problems. Fam Process 48(4):517–530

    Article  PubMed  Google Scholar 

  16. Kaminski JW et al (2008) A meta-analytic review of components associated with parent training program effectiveness. J Abnorm Child Psychol 36(4):567–589

    Article  PubMed  Google Scholar 

  17. Barlow J, Coren E, Stewart‐Brown S (2003) Parent‐training programmes for improving maternal psychosocial health. Cochrane Database Syst Rev (4).

  18. Barlow J, Coren E, et al (2011) Individual and group based parenting programmes for improving psychosocial outcomes for teenage parents and their children. Cochrane Database Syst Rev (3)

  19. Brestan EV, Eyberg SM (1998) Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. J Clin Child Psychol 27(2):180–189

    Article  PubMed  Google Scholar 

  20. Dretzke J et al (2009) The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomised controlled trials. Child Adolesc Psychiatry Ment Health 3(1):1–10

    Article  Google Scholar 

  21. Hagen KA, Ogden T, Bjørnebekk G (2011) Treatment outcomes and mediators of parent management training: a one-year follow-up of children with conduct problems. J Clin Child Adolesc Psychol 40(2):165–178

    Article  PubMed  Google Scholar 

  22. Barlow J, Coren E (2018) The effectiveness of parenting programs: a review of Campbell reviews. Res Soc Work Pract 28(1):99–102

    Article  Google Scholar 

  23. Scott S, Dadds MR (2009) Practitioner review: when parent training doesn’t work: theory-driven clinical strategies. J Child Psychol Psychiatry 50(12):1441–1450

    Article  PubMed  Google Scholar 

  24. Weisz JR et al (2005) Promoting and protecting youth mental health through evidence-based prevention and treatment. Am Psychol 60(6):628

    Article  PubMed  Google Scholar 

  25. Johnson SE et al (2018) Mental disorders in Australian 4-to 17-year olds: parent-reported need for help. Aust N Z J Psychiatry 52(2):149–162

    Article  PubMed  Google Scholar 

  26. Kazdin AE (2015) Technology-based interventions and reducing the burdens of mental illness: perspectives and comments on the special series. Cogn Behav Pract 22(3):359–366

    Article  Google Scholar 

  27. Breitenstein SM, Gross D, Christophersen R (2014) Digital delivery methods of parenting training interventions: a systematic review. Worldviews Evid Nurs 11(3):168–176

    Article  Google Scholar 

  28. Ritterband LM et al (2009) A behavior change model for internet interventions. Ann Behav Med 38(1):18–27

    Article  PubMed  Google Scholar 

  29. Taylor TK et al (2008) Computer-based intervention with coaching: an example using the Incredible Years program. Cogn Behav Ther 37(4):233–246

    Article  PubMed  PubMed Central  Google Scholar 

  30. McGoron L, Ondersma SJ (2015) Reviewing the need for technological and other expansions of evidence-based parent training for young children. Child Youth Serv Rev 59:71–83

    Article  Google Scholar 

  31. Metzler CW et al (2012) Using consumer preference information to increase the reach and impact of media-based parenting interventions in a public health approach to parenting support. Behav Ther 43(2):257–270

    Article  PubMed  Google Scholar 

  32. Corralejo SM, Rodríguez MMD (2018) Technology in parenting programs: a systematic review of existing interventions. J Child Fam Stud 27(9):2717–2731

    Article  Google Scholar 

  33. Nieuwboer CC, Fukkink RG, Hermanns JM (2013) Online programs as tools to improve parenting: a meta-analytic review. Child Youth Serv Rev 35(11):1823–1829

    Article  Google Scholar 

  34. MacDonell KW, Prinz RJ (2017) A review of technology-based youth and family-focused interventions. Clin Child Fam Psychol Rev 20(2):185–200

    Article  PubMed  PubMed Central  Google Scholar 

  35. Moher D et al (2015) Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 4(1):1

    Article  PubMed  PubMed Central  Google Scholar 

  36. Higgins JP, Green S (2011) Cochrane handbook for systematic reviews of interventions version 5.1. 0 [updated March 2011]. The cochrane collaboration. www.cochrane-handbook.org. Accessed 29 August 2011

  37. Moher D et al (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement (Reprinted from Annals of Internal Medicine). Phys Ther 89:873–880

    Article  PubMed  Google Scholar 

  38. American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders: DSM-IV, 4th edn. American Psychiatric Association, Washington, DC

  39. Achenbach TM, Rescorla LA (2000) Manual for the ASEBA preschool forms and profiles, vol 30. University of Vermont, Burlington

  40. Valentine J, Pigott T, Rothstein H (2010) How many studies do you need? A primer on statistical power for meta-analysis. Erratum

  41. Dadds MR et al (2019) Therapist-assisted online treatment for child conduct problems in rural and urban families: two randomized controlled trials. J Consult Clin Psychol 87(8):706

    Article  PubMed  Google Scholar 

  42. Baker S et al (2017) A randomized controlled trial evaluating a low-intensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems. Behav Res Ther 91:78–90

    Article  PubMed  Google Scholar 

  43. Comer JS et al (2017) Remotely delivering real-time parent training to the home: an initial randomized trial of Internet-delivered parent–child interaction therapy (I-PCIT). J Consult Clin Psychol 85(9):909

    Article  PubMed  Google Scholar 

  44. Day JJ, Sanders MR (2018) Do parents benefit from help when completing a self-guided parenting program online? A randomized controlled trial comparing Triple P Online with and without telephone support. Behav Ther 49(6):1020–1038

    Article  PubMed  Google Scholar 

  45. Enebrink P et al (2012) Internet-based parent management training: a randomized controlled study. Behav Res Ther 50(4):240–249

    Article  PubMed  Google Scholar 

  46. Sanders MR, Baker S, Turner KM (2012) A randomized controlled trial evaluating the efficacy of Triple P Online with parents of children with early-onset conduct problems. Behav Res Ther 50(11):675–684

    Article  PubMed  Google Scholar 

  47. Eyberg S, Pincus D (1999) Eyberg child behavior inventory and Sutter-Eyberg behavior inventory-revised. Professional manual.

  48. Olthuis JV et al (2018) Distance-delivered parent training for childhood disruptive behavior (Strongest FamiliesTM): a randomized controlled trial and economic analysis. J Abnorm Child Psychol 46(8):1613–1629

    Article  PubMed  Google Scholar 

  49. Rabbitt SM et al (2016) Reducing therapist contact in parenting programs: evaluation of internet-based treatments for child conduct problems. J Child Fam Stud 25(6):2001–2020

    Article  PubMed  PubMed Central  Google Scholar 

  50. Sourander A et al (2016) Internet-assisted parent training intervention for disruptive behavior in 4-year-old children: a randomized clinical trial. JAMA Psychiat 73(4):378–387

    Article  Google Scholar 

  51. Achenbach TM (1991) Manual for the child behavior checklist/4-18 and 1991 profile. University of Vermont, Department of Psychiatry

    Google Scholar 

  52. Achenbach TM, Rescorla L (2001) Manual for the ASEBA school-age forms & profiles: an integrated system of multi-informant assessment. Aseba Burlington, VT

  53. Goodman R (1999) The extended version of the Strengths and Difficulties Questionnaire as a guide to child psychiatric caseness and consequent burden. J Child Psychol Psychiatry 40(5):791–799

    Article  PubMed  Google Scholar 

  54. Shaffer D et al (1983) A children’s global assessment scale (CGAS). Arch Gen Psychiatry 40(11):1228–1231

    Article  PubMed  Google Scholar 

  55. Guy W, Bonato R (1970) Clinical global impressions. MD, IMH

  56. Morawska A et al (2014) Child adjustment and parent efficacy scale: development and initial validation of a parent report measure. Aust Psychol 49(4):241–252

    Article  Google Scholar 

  57. Rusby JC et al (2015) Emulating real-life situations with a play task to observe parenting skills and child behaviors. J Fam Psychol 29(2):201

    Article  PubMed  PubMed Central  Google Scholar 

  58. Sanders MR et al (2000) The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. J Consult Clin Psychol 68(4):624

    Article  PubMed  Google Scholar 

  59. Sanders M (2000) Family observation schedule. University of Queensland. Parenting and Family Support Centre, Brisbane

    Google Scholar 

  60. DuPaul GJ et al (2018) Face-to-face versus online behavioral parent training for young children at risk for ADHD: treatment engagement and outcomes. J Clin Child Adolesc Psychol 47(sup1):S369–S383

    Article  PubMed  Google Scholar 

  61. Conners CK, Goldstein S (2009) Conners early childhood: manual. Multi-Health Systems Incorporated.

  62. Kazdin AE et al (1997) Barriers to treatment participation scale: evaluation and validation in the context of child outpatient treatment. J Child Psychol Psychiatry 38(8):1051–1062

    Article  PubMed  Google Scholar 

  63. Kazdin AE, Whitley MK (2006) Pretreatment social relations, therapeutic alliance, and improvements in parenting practices in parent management training. J Consult Clin Psychol 74(2):346

    Article  PubMed  Google Scholar 

  64. Jones DJ et al (2013) Harnessing innovative technologies to advance children’s mental health: behavioral parent training as an example. Clin Psychol Rev 33(2):241–252

    Article  PubMed  Google Scholar 

  65. Bickman L et al (2000) What information do clinicians value for monitoring adolescent client progress and outcomes? Prof Psychol Res Pract 31(1):70

    Article  Google Scholar 

  66. Kazdin AE (2005) Evidence-based assessment for children and adolescents: issues in measurement development and clinical application. J Clin Child Adolesc Psychol 34(3):548–558

    Article  PubMed  Google Scholar 

  67. Prinz RJ, Sanders MR (2007) Adopting a population-level approach to parenting and family support interventions. Clin Psychol Rev 27(6):739–749

    Article  PubMed  Google Scholar 

  68. Kumpfer K, Magalhães C, Xie J (2017) Cultural adaptation and implementation of family evidence-based interventions with diverse populations. Prev Sci 18(6):649–659

    Article  PubMed  Google Scholar 

  69. Bernhardt AJ, Forehand R (1975) The effects of labeled and unlabeled praise upon lower and middle class children. J Exp Child Psychol 19(3):536–543

    Article  Google Scholar 

  70. Wahler RG, Meginnis KL (1997) Strengthening child compliance through positive parenting practices: what works? J Clin Child Psychol 26(4):433–440

    Article  PubMed  Google Scholar 

  71. Flanagan S, Adams HE, Forehand R (1979) A comparison of four instructional techniques for teaching parents to use time-out. Behav Ther 10(1):94–102

    Article  Google Scholar 

  72. Harwood MD, Eyberg SM (2006) Child-directed interaction: prediction of change in impaired mother–child functioning. J Abnorm Child Psychol 34(3):323–335

    Article  Google Scholar 

  73. Kochanska G et al (2005) Pathways to conscience: early mother–child mutually responsive orientation and children’s moral emotion, conduct, and cognition. J Child Psychol Psychiatry 46(1):19–34

    Article  PubMed  Google Scholar 

  74. McAloon J, Lazarou KD (2019) Preventative intervention for social, emotional and behavioural difficulties in toddlers and their families: a pilot study. Int J Environ Res Public Health 16(4):569

    Article  PubMed  PubMed Central  Google Scholar 

  75. Patterson GR (1982) Coercive family process, vol 3. Castalia Publishing Company, Eugene

    Google Scholar 

  76. Deater-Deckard K (1998) Parenting stress and child adjustment: some old hypotheses and new questions. Clin Psychol Sci Pract 5(3):314–332

    Article  Google Scholar 

  77. Morgan J, Robinson D, Aldridge J (2005) Parenting stress and externalizing child behavior. Soc Work Diagn Contemp Pract 61–67.

  78. Wakschlag LS, Keenan K (2001) Clinical significance and correlates of disruptive behavior in environmentally at-risk preschoolers. J Clin Child Psychol 30(2):262–275

    Article  PubMed  Google Scholar 

  79. Leijten P et al (2015) Bringing parenting interventions back to the future: how randomized microtrials may benefit parenting intervention efficacy. Clin Psychol Sci Pract 22(1):47–57

    Article  Google Scholar 

  80. Howe GW, Beach SR, Brody GH (2010) Microtrial methods for translating gene-environment dynamics into preventive interventions. Prev Sci 11(4):343–354

    Article  PubMed  PubMed Central  Google Scholar 

  81. Comas-Diaz L (2006) Latino healing: the integration of ethnic psychology into psychotherapy. Psychotherapy 43(4):436

    Article  PubMed  Google Scholar 

  82. Bernal G, Jiménez-Chafey MI, Rodríguez MMD (2009) Cultural adaptation of treatments: a resource for considering culture in evidence-based practice. Prof Psychol 40(4):361

    Article  Google Scholar 

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  1. UTS: Family Child Behaviour Clinic, Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Level 5 Building 20, 100 Broadway, Sydney, NSW, Australia

    John McAloon & Kate de la Poer Beresford

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  1. John McAloon
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  2. Kate de la Poer Beresford
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JM contributed to review development, methodology, protocol design, article screening, and manuscript editing and preparation. KB contributed to review development, manuscript preparation, protocol design, data extraction and synthesis, and manuscript editing and preparation. Both authors have reviewed and approved the final manuscript.

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Correspondence to John McAloon.

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McAloon, J., de la Poer Beresford, K. Online Behavioral Parenting Interventions for Disruptive Behavioral Disorders: A PRISMA Based Systematic Review of Clinical Trials. Child Psychiatry Hum Dev 54, 379–396 (2023). https://doi.org/10.1007/s10578-021-01253-z

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