A randomized controlled trial of therapist-facilitated brief online behavioral parent training for reducing child disruptive behavior

IF 5.3 1区心理学 Q1 PSYCHOLOGY, CLINICAL

International Journal of Clinical and Health Psychology Pub Date : 2024-02-09 DOI:10.1016/j.ijchp.2024.100448

Triet Pham , Dave Pasalich , Phu Tran , Richard O'Kearney

{"title":"A randomized controlled trial of therapist-facilitated brief online behavioral parent training for reducing child disruptive behavior","authors":"Triet Pham , Dave Pasalich , Phu Tran , Richard O'Kearney","doi":"10.1016/j.ijchp.2024.100448","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Addressing child disruptive behavior in low and middle-income countries (LMICs) is challenging. Therapist-facilitated, multisession, brief, online group parent training offers hope for mitigating this issue. However, trials, particularly in Asia, are limited.</p></div><div><h3>Objective</h3><p>This study primarily assessed the effectiveness of Brief Behavior Parent Training Vietnam (BBPTV) in reducing child disruptive behavior.</p></div><div><h3>Method</h3><p>This study was a randomized controlled trial involving 109 Vietnamese parents (mean age = 34.1, 96 % were mothers) of preschool children displaying ongoing disruptive behaviors. Interventions included the BBPTV group (<em>n</em> = 56) receiving a therapist-facilitated, four-session program conducted through online group meetings and the care-as-usual (CAU) group (<em>n</em> = 53) having a 15 min individual online consultation. Primary outcomes, assessed online at two and six months postintervention, encompassed the intensity and frequency of children's disruptive problems. Secondary outcomes involved parenting practices, coercive interactions, marital conflicts, parenting self-efficacy, and parental mental health.</p></div><div><h3>Results</h3><p>In contrast to CAU, the BBPTV group showed lower child disruptive intensity, reduced parent-child coercive interactions, and diminished marital conflicts, with a higher score in involving parenting two months post-intervention. Six months postintervention, BBPTV also exhibited significantly lower scores in child disruptive intensity and problems, harsh parenting, and coercive processes compared to CAU.</p></div><div><h3>Conclusions</h3><p>The therapist-facilitated, four-session, internet-delivered group parent intervention resulted in superior and sustained improvements in child disruptive behavior, parenting practices, and parent-child coercive interaction compared to usual care, highlighting the potential for online BBPT to extend mental health care in Vietnam and other LMICs.</p></div>","PeriodicalId":47673,"journal":{"name":"International Journal of Clinical and Health Psychology","volume":"24 2","pages":"Article 100448"},"PeriodicalIF":5.3000,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1697260024000139/pdfft?md5=869693b9e4a90244301349cbdd3efbb4&pid=1-s2.0-S1697260024000139-main.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Clinical and Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1697260024000139","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Addressing child disruptive behavior in low and middle-income countries (LMICs) is challenging. Therapist-facilitated, multisession, brief, online group parent training offers hope for mitigating this issue. However, trials, particularly in Asia, are limited.

Objective

This study primarily assessed the effectiveness of Brief Behavior Parent Training Vietnam (BBPTV) in reducing child disruptive behavior.

Method

This study was a randomized controlled trial involving 109 Vietnamese parents (mean age = 34.1, 96 % were mothers) of preschool children displaying ongoing disruptive behaviors. Interventions included the BBPTV group (n = 56) receiving a therapist-facilitated, four-session program conducted through online group meetings and the care-as-usual (CAU) group (n = 53) having a 15 min individual online consultation. Primary outcomes, assessed online at two and six months postintervention, encompassed the intensity and frequency of children's disruptive problems. Secondary outcomes involved parenting practices, coercive interactions, marital conflicts, parenting self-efficacy, and parental mental health.

Results

In contrast to CAU, the BBPTV group showed lower child disruptive intensity, reduced parent-child coercive interactions, and diminished marital conflicts, with a higher score in involving parenting two months post-intervention. Six months postintervention, BBPTV also exhibited significantly lower scores in child disruptive intensity and problems, harsh parenting, and coercive processes compared to CAU.

Conclusions

The therapist-facilitated, four-session, internet-delivered group parent intervention resulted in superior and sustained improvements in child disruptive behavior, parenting practices, and parent-child coercive interaction compared to usual care, highlighting the potential for online BBPT to extend mental health care in Vietnam and other LMICs.

查看原文本刊更多论文

由治疗师主持的简短在线行为父母培训随机对照试验，以减少儿童的破坏性行为

背景在中低收入国家（LMICs），解决儿童破坏性行为问题具有挑战性。由治疗师主持的、多课时的、简短的、在线集体家长培训为缓解这一问题带来了希望。本研究主要评估了越南简短行为家长培训（BBPTV）在减少儿童破坏性行为方面的效果。本研究是一项随机对照试验，共有 109 名学龄前儿童的越南家长（平均年龄 = 34.1 岁，96% 为母亲）参与，他们都有持续的破坏性行为。干预措施包括：BBPTV 组（56 人）通过在线小组会议接受由治疗师主持的四节课课程；照常护理 (CAU) 组（53 人）接受 15 分钟的个人在线咨询。在干预后的两个月和六个月进行在线评估的主要结果包括儿童破坏性问题的强度和频率。结果与 CAU 相比，BBPTV 组的儿童破坏性问题强度较低，亲子间的强制性互动减少，婚姻冲突减少，干预后两个月的亲子关系得分较高。与 CAU 相比，干预后六个月，BBPTV 组在儿童破坏性强度和问题、严厉的养育方式和胁迫过程方面的得分也明显降低。结论与常规护理相比，治疗师指导的、四节课的、通过互联网提供的集体家长干预在儿童破坏性行为、养育方式和亲子胁迫互动方面带来了卓越而持续的改善，突出了在线 BBPT 在越南和其他低收入、中等收入国家推广心理健康护理的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

International Journal of Clinical and Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

10.70

自引率

5.70%

发文量

审稿时长

33 days

期刊介绍： The International Journal of Clinical and Health Psychology is dedicated to publishing manuscripts with a strong emphasis on both basic and applied research, encompassing experimental, clinical, and theoretical contributions that advance the fields of Clinical and Health Psychology. With a focus on four core domains—clinical psychology and psychotherapy, psychopathology, health psychology, and clinical neurosciences—the IJCHP seeks to provide a comprehensive platform for scholarly discourse and innovation. The journal accepts Original Articles (empirical studies) and Review Articles. Manuscripts submitted to IJCHP should be original and not previously published or under consideration elsewhere. All signing authors must unanimously agree on the submitted version of the manuscript. By submitting their work, authors agree to transfer their copyrights to the Journal for the duration of the editorial process.