Disruptive child behavior severity and parenting program session attendance: Individual participant data meta-analysis

G J Melendez-Torres; Patty Leijten; Stephen Scott; Frances Gardner; Nick Axford; Maria João Seabra Santos; Ankie Menting; Judy Hutchings; Vashti Berry

doi:10.1037/ccp0000893

Disruptive child behavior severity and parenting program session attendance: Individual participant data meta-analysis

G J Melendez-Torres, Patty Leijten, Stephen Scott, Frances Gardner, Nick Axford, Maria João Seabra Santos, Ankie Menting, Judy Hutchings, Vashti Berry

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program.

Method: We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between trial-level problem severity and child-level problem severity, compared linear and quadratic functional forms at both levels, and considered cross-level interactions, all in a multilevel Poisson regression framework.

Results: Drawing on 918 participants in 12 trials, we found that within trials, parents of children with the least and most severe problems attended fewer sessions. Between trials, each additional 10-point increase in the Eyberg Child Behavior Inventory trial mean predicted an 11% increase in attendance. Models including child sex, age, or family low-income did not change coefficients or their interpretation.

Conclusions: Our findings suggest that although generally attendance is higher in parents of children with more challenging behavior, it seems difficult for group programs to keep families with the least or most severe problems engaged. Our findings call for the need to better understand the conditions under which lower attendance translates into equivalent or lesser program benefits.

Original language	English
Pages (from-to)	692-697
Number of pages	6
Journal	Journal of Consulting and Clinical Psychology
Volume	92
Issue number	10
Early online date	23 May 2024
DOIs	https://doi.org/10.1037/ccp0000893
Publication status	Published - Oct 2024

Bibliographical note

Publisher Copyright:
© (2024), (American Psychological Association). All rights reserved.

Funding

This study was partly funded by the National Institute of Health Research (NIHR) Public Health Research Program (Grant 12/3070/04; principal investigator: Frances Gardner). In addition, Vashti Berry, G. J. Melendez-Torres, and Nick Axford\u2019s time is supported by the NIHR Applied Research Collaboration South West Peninsula. The views expressed are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health and Social Care. Patty Leijten\u2019s time is supported by grants from ZonMw (636320007) and the Nederlandse Organisatie voor Wetenschappelijk Onderzoek (Grant VI.Vidi.201.065).

Funders	Funder number
National Institute for Health and Care Research
ZonMw	636320007
Public Health Research Programme	12/3070/04
Nederlandse Organisatie voor Wetenschappelijke Onderzoek (NWO)	VI.Vidi.201.065

Keywords

attendance
disruptive child behavior
individual participant data meta-analysis
parenting programs

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1037/ccp0000893

2024-85612-001Final published version, 352 KBLicence: Taverne

Cite this

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abstract = "Objective: We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program. Method: We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between trial-level problem severity and child-level problem severity, compared linear and quadratic functional forms at both levels, and considered cross-level interactions, all in a multilevel Poisson regression framework.Results: Drawing on 918 participants in 12 trials, we found that within trials, parents of children with the least and most severe problems attended fewer sessions. Between trials, each additional 10-point increase in the Eyberg Child Behavior Inventory trial mean predicted an 11% increase in attendance. Models including child sex, age, or family low-income did not change coefficients or their interpretation. Conclusions: Our findings suggest that although generally attendance is higher in parents of children with more challenging behavior, it seems difficult for group programs to keep families with the least or most severe problems engaged. Our findings call for the need to better understand the conditions under which lower attendance translates into equivalent or lesser program benefits.",

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Disruptive child behavior severity and parenting program session attendance: Individual participant data meta-analysis

Abstract

Bibliographical note

Funding

Keywords

UN SDGs

Access to Document

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