Skip to main content
. 2016 Aug 1;2016(8):CD003680. doi: 10.1002/14651858.CD003680.pub3

Sutton 1992.

Methods Design: Quasi‐randomised controlled trial
 Unit of randomisation: Individual family
 Follow‐up: 12 to 18 months
Study dates: 1984
Participants Participants: Parents (gender not reported) of difficult preschool children
Mean age of parents: Not reported
Mean age of child: 2.8 (range 1 to 4.3; SD: NR) years; 25 boys and 5 girls; Mean, SD, range for intervention and control: NR
 Ethnicity: All children, except for 1, was White, and all parents except for 1 father was White
 Number randomised: 37 (allocation numbers not reported)
 Country & setting: UK; multi‐site; recruited from community settings; group‐based parenting training likely took place in treatment centre, though not reported
Eligibility criteria: Not specified
Interventions Four conditions: Group‐based parent training (with booklets from researcher); home visit parent training; telephone consultation parent training; wait‐list control
 Duration of intervention: 8 (1 to 2 hour) sessions over 8 weeks + boosters 2 weeks and 3 months later
 Therapist training: Researcher
Outcomes Emotional and behavioural problems: Child Behaviour Questionnaire, as reported by parent
Externalising problems subscale ‐ hyperactivity/inattention: Home Situations Questionnaire, as reported by parent
Timing of outcomes: Outcomes reported for postintervention. Follow‐up data were only reported for intervention group and not entered in the review
Secondary outcomes/adverse events: No other outcomes relevant to this review specified
Notes Level of prevention: Secondary or tertiary
Funding: No information provided
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk The study investigators reported that participants were sequentially (not randomly) assigned to their intervention group, and that 3 applications were allocated "out of order" due to "difficulty of access or similar reasons"
Allocation concealment (selection bias) High risk Participants were aware of their group allocation
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Participants: It would not have been possible to fully blind participants in this type of study (there is an obvious difference between receiving group training, home visits or telephone consulting and being assigned to a waiting list). No indication of any specific additional measures taken to reduce the risk of bias that might result from differential behaviours by participants were found
Personnel: The design of the study meant that personnel delivering the intervention were aware which groups had been assigned to the different study conditions
Blinding of outcome assessment (detection bias) 
 Independent observer reported outcomes Low risk There were no independent observer‐rated outcomes
Blinding of outcome assessment (detection bias) 
 Parent reported outcomes High risk Outcome assessments by parents were not blinded as parents were aware of the intervention condition
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Study investigators reported that 37 participants were assigned to the 4 intervention arms. 2 participants in the parent training group and 5 participants in the wait‐list group dropped out of the study; reasons for dropout were not provided. Participants placed on the waiting list were subsequently allocated to home, or telephone intervention groups and their outcome data were analysed for both intervention condition and wait‐list condition
Selective reporting (reporting bias) High risk Endpoint data for wait list condition were not supplied for negative child behaviours
Other bias High risk The study investigators did not report numbers of participants allocated to each intervention arm