Abstract
Aims: To test the effectiveness at one year of the Webster Stratton Parents and Children Series group parenting programme in a population sample of parents.
Methods: In a multicentre block randomised controlled trial, parents of children aged 2–8 years in 116 families who scored in the upper 50% on a validated behaviour inventory, took part in Webster-Stratton's 10 week parenting programme led by trained and supervised health visitors. The following outcome measures were used: Eyberg Child Behaviour Inventory, Goodman Strengths and Difficulties Questionnaire, General Health Questionnaire, Parenting Stress Index, Rosenberg Self Esteem Scale.
Results: The intervention significantly reduced child behaviour problems and improved mental health at immediate and 6 month follow ups. One year differences between control and intervention groups were not significant. Qualitative results suggest that these findings might be attributable in part to either Hawthorne effects or contamination of control group. At interview parents described ways in which the programme had improved their mental health. They reported gains in confidence and feeling less stressed. Some also reported beneficial changes in their own and their children's behaviour and improved relationships with their children. Some spoke of a need for further sessions to support the behaviour changes they had managed to make, and some the desire for attendance by both parents.
Conclusions: Parenting programmes have the potential to promote mental health and reduce social inequalities, but further work is needed to improve long term effectiveness.
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Selected References
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- Barlow J., Stewart-Brown S. Behavior problems and group-based parent education programs. J Dev Behav Pediatr. 2000 Oct;21(5):356–370. doi: 10.1097/00004703-200010000-00007. [DOI] [PubMed] [Google Scholar]
- Barlow Jane, Coren Esther, Stewart-Brown Sarah. Meta-analysis of the effectiveness of parenting programmes in improving maternal psychosocial health. Br J Gen Pract. 2002 Mar;52(476):223–233. [PMC free article] [PubMed] [Google Scholar]
- Brown J., Cohen P., Johnson J. G., Salzinger S. A longitudinal analysis of risk factors for child maltreatment: findings of a 17-year prospective study of officially recorded and self-reported child abuse and neglect. Child Abuse Negl. 1998 Nov;22(11):1065–1078. doi: 10.1016/s0145-2134(98)00087-8. [DOI] [PubMed] [Google Scholar]
- Goldberg D. P., Hillier V. F. A scaled version of the General Health Questionnaire. Psychol Med. 1979 Feb;9(1):139–145. doi: 10.1017/s0033291700021644. [DOI] [PubMed] [Google Scholar]
- Goodman R. A modified version of the Rutter parent questionnaire including extra items on children's strengths: a research note. J Child Psychol Psychiatry. 1994 Nov;35(8):1483–1494. doi: 10.1111/j.1469-7610.1994.tb01289.x. [DOI] [PubMed] [Google Scholar]
- Patterson J., Barlow J., Mockford C., Klimes I., Pyper C., Stewart-Brown S. Improving mental health through parenting programmes: block randomised controlled trial. Arch Dis Child. 2002 Dec;87(6):472–477. doi: 10.1136/adc.87.6.472. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Patterson J., Mockford C., Barlow J., Pyper C., Stewart-Brown S. Need and demand for parenting programmes in general practice. Arch Dis Child. 2002 Dec;87(6):468–471. doi: 10.1136/adc.87.6.468. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Prochaska J. O., DiClemente C. C., Norcross J. C. In search of how people change. Applications to addictive behaviors. Am Psychol. 1992 Sep;47(9):1102–1114. doi: 10.1037//0003-066x.47.9.1102. [DOI] [PubMed] [Google Scholar]
- Scott S., Spender Q., Doolan M., Jacobs B., Aspland H. Multicentre controlled trial of parenting groups for childhood antisocial behaviour in clinical practice. BMJ. 2001 Jul 28;323(7306):194–198. doi: 10.1136/bmj.323.7306.194. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Velicer W. F., Rossi J. S., Diclemente C. C., Prochaska J. O. A criterion measurement model for health behavior change. Addict Behav. 1996 Sep-Oct;21(5):555–584. doi: 10.1016/0306-4603(95)00083-6. [DOI] [PubMed] [Google Scholar]
- Webster-Stratton C., Herbert M. "What really happens in parent training?". Behav Modif. 1993 Oct;17(4):407–456. doi: 10.1177/01454455930174002. [DOI] [PubMed] [Google Scholar]
- Webster-Stratton C., Hollinsworth T., Kolpacoff M. The long-term effectiveness and clinical significance of three cost-effective training programs for families with conduct-problem children. J Consult Clin Psychol. 1989 Aug;57(4):550–553. doi: 10.1037//0022-006x.57.4.550. [DOI] [PubMed] [Google Scholar]