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The Effects of Online Behavioral Parenting Interventions on Child Outcomes, Parenting Ability and Parent Outcomes: A Systematic Review and Meta-analysis
Clinical Child and Family Psychology Review ( IF 7.410 ) Pub Date : 2024-04-13 , DOI: 10.1007/s10567-024-00477-4
John McAloon , Simone Mastrillo Armstrong

The twenty-first century has seen the development and delivery of online programs of behavioral family intervention for disruptive child behavior. Typically, programs evaluate outcomes in terms of change in child functioning and change in parenting ability. Existing research has also articulated the importance of parent–child relational capacity and its role in facilitating change in child functioning, and the importance of parent emotion regulation in the interests of ensuring optimal child development. These factors were explored in a meta-analysis of k = 14 prospective longitudinal research studies of online parenting interventions for disruptive child behavior. Peer reviewed randomized controlled trials with inactive control groups that were published in English between 2000 and 2022 were included in the review if they were delivered online; offered parent self-directed treatment; included as participants families who were screened as having child behavioral difficulties on validated psychometric assessment measures; and assessed child treatment outcomes, parenting ability and parent treatment outcomes. The protocol for this study was pre-registered with PROSPERO (CRD42020215947). Statistical analyses employed random effects models and reported pooled effect sizes (Hedge’s g) within and between groups. Results emphasize the importance of child outcomes and parenting ability in program assessment, however, suggest that parents’ capacity to develop optimal parent–child relationships and regulate emotion may not be sufficiently reflected in program content. Identified continuous and categorical moderators of treatment outcome were also assessed. Results of the review are discussed in terms of their potential to influence the future development of online programs of behavioral family intervention and, therefore, child development.



中文翻译:

在线行为养育干预对儿童结局、养育能力和父母结局的影响:系统回顾和荟萃分析

二十一世纪见证了针对破坏性儿童行为的在线行为家庭干预计划的开发和实施。通常,项目会根据儿童功能的变化和养育能力的变化来评估结果。现有的研究还阐明了亲子关系能力的重要性及其在促进儿童功能改变方面的作用,以及父母情绪调节对于确保儿童最佳发展的重要性。在对k  = 14 项针对破坏性儿童行为的在线育儿干预的前瞻性纵向研究的荟萃分析中探讨了这些因素。 2000 年至 2022 年期间以英文发表的同行评审随机对照试验,如果这些试验是在线发布的,则这些试验将包含在不活跃对照组中;为家长提供自我指导的治疗;纳入经验证的心理测量评估措施中被筛查为有儿童行为困难的家庭作为参与者;并评估儿童治疗结果、养育能力和家长治疗结果。本研究的方案已在 PROSPERO 中预先注册 (CRD42020215947)。统计分析采用随机效应模型并报告组内和组间的汇总效应大小(Hedge's g)。结果强调了儿童成果和养育能力在计划评估中的重要性,然而,表明父母发展最佳亲子关系和调节情绪的能力可能没有在计划内容中得到充分反映。还评估了治疗结果的连续和分类调节因素。审查结果讨论了其影响行为家庭干预在线项目的未来发展以及儿童发展的潜力。

更新日期:2024-04-13
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