Evidence map›Paper›PMID 30973337›Full record

ArticleJournal of medical Internet research2019

Web-Based Parent Training Intervention With Telephone Coaching for Disruptive Behavior in 4-Year-Old Children in Real-World Practice: Implementation Study.

Terja Ristkari, Marjo Kurki, Auli Suominen, Sonja Gilbert, Atte Sinokki, Malin Kinnunen, Jukka Huttunen, Patrick McGrath, Andre Sourander

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  4. Caregiver Participation Engagement in Child Mental Health Prevention Programs: a Systematic Review.Prevention science : the official journal of the Society for Prevention Research · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Terja Ristkari *Department of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0002-3923-1119
Marjo Kurki *Department of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0003-0737-2870
Auli SuominenDepartment of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0002-2642-9003
Sonja GilbertDepartment of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0001-7907-2637
Atte SinokkiDepartment of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0002-6440-3023
Malin KinnunenDepartment of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0003-0082-9815
Jukka HuttunenDepartment of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0003-1323-8766
Patrick McGrathCentre for Research in Family Health, Izaak Walton Killam Health Centre, Halifax, NS, Canada.ORCID 0000-0002-9568-2571
Andre Sourander *Department of Child Psychiatry, Turku University Central Hospital, University of Turku, Turku, Finland.ORCID 0000-0003-0361-7244

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParent training is the most effective approach to the psychosocial treatment of disruptive behavioral problems in childhood. However, no studies exist on how well Web-based training programs work when they make the transition from the research setting to implementation in primary health care.

objectiveThe study aimed to examine how the randomized controlled trial (RCT) and implementation study groups of the Strongest Families Smart Website (SFSW) intervention differed in child psychopathology, family demographics and treatment-related factors, such as therapeutic alliance and parents' satisfaction rates. The intervention was conducted in the pediatric primary health care in Finland.

methodsThe study focused on 232 parents who had taken part in the SFSW intervention, which formed part of a 2-arm RCT study, and 882 families that would participate in the subsequent SFSW implementation study group. Both groups comprised parents whose children displayed high levels of parent-reported disruptive behavioral problems when they were screened in child health clinics at 4 years of age. Parents in both groups were provided with the SFSW intervention, which consisted of a Web-based training program with 11 weekly themes and associated telephone sessions.

resultsDemographic factors or duration of behavioral problems did not differ statistically or clinically between the RCT and implementation groups. Overall, 42.0% (362/862) of children in the implementation group and 35.4% (80/226) in the RCT intervention group had suffered from behavioral difficulties more than 1 year before the screening phase (χ

conclusionsThe implementation of population-based screening of Web-based parent training intervention with telephone coaching resulted in good feasibility, fidelity, accessibility, and similar satisfaction level post treatment when compared with intervention in RCT research setting. The discontinuation of treatment in the implementation group was exceptionally low.

Indexed as

Parent-Child RelationsChild BehaviorChild, PreschoolFemaleHumansInternetMaleParentingParentsProblem BehaviorStress, PsychologicalTelephonechild mental healthdisruptive behaviorearly interventionparenting educationpreschool children

Identifiers

PMID30973337
PMCPMC6482405

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.