Evidence map›Paper›PMID 33338496›Full record

Trial reportThe Journal of pediatrics2021

A Randomized Trial of Digitally Delivered, Self-Administered Parent Training in Primary Care: Effects on Parenting and Child Behavior.

Susan M Breitenstein, Caitlin Fehrenbacher, Alicia F Holod, Michael E Schoeny

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02723916 (Parent Training in Pediatric Care), which is not on this map. Cited by 19 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 7 pooled it
1.3field-weighted citation impact, top 12% of its field
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.

NCT02723916 nacompletednot on this map

Parent Training in Pediatric Care: A Self Directed Tablet-Based Approach

TypeinterventionalSponsorRush University Medical CenterRan2015 to 2019Enrolled287ConditionsParent Training, Primary CareArmsezParent Program, Health-e Kids Control App
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 7 syntheses or guidelines pooled it, 29 citations in OpenAlex.

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  3. Online Parenting Programs for Children's Behavioral and Emotional Problems: a Network Meta-Analysis.Prevention science : the official journal of the Society for Prevention Research · 2025
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  16. BMJ open · 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

4 authors at 2 institutions in 1 country.

Susan M BreitensteinThe Ohio State University, College of Nursing, Columbus, OH. Electronic address: breitenstein.5@osu.edu.
Caitlin FehrenbacherRush University College of Nursing, Chicago, IL.
Alicia F HolodThe Ohio State University, College of Nursing, Columbus, OH.
Michael E SchoenyRush University College of Nursing, Chicago, IL.
Rush University · USThe Ohio State University · US

Funding

Parent Training in Pediatric Primary Care: A Self-Directed Tablet-Based ApproachR01HS024273 · AHRQ · RUSH UNIVERSITY MEDICAL CENTER · PI BREITENSTEIN, SUSAN M · 2015 to 2018
$999k
AHRQ HHS R01 HS024273
6 · The paper itself

Abstract

objectiveTo evaluate the effects of a self-administered, digital behavioral parent training program on parent and child behavior for parents of young children. STUDY

designA randomized controlled trial compared ezParent (digital delivery of the evidence-based Chicago Parent Program) with an enhanced usual-care control. Introduction to the study occurred during well-child visits at 4 primary care clinics. In total, 287 parents of children age 2-5 years were randomized to ezParent or the control. Parents responded to surveys evaluating parent behavior, self-efficacy, and stress, and child behavior at baseline, and 3-, 6-, and 12-months postbaseline. Multilevel growth models examined parent and child outcomes for intervention efficacy in intent-to-treat analyses. Secondary moderation analysis explored intervention effects by program use and baseline parenting stress and child behavior problems.

resultsThe intervention main effect was not significant for parent and child behaviors. In exploratory moderation analysis, parents in the ezParent condition with greater baseline parenting stress reported less corporal punishment (P = .044); and greater improvement in parental warmth (P = .008), setting limits (P = .026), and proactive parenting (P = .019). Parents reporting greater baseline child behavior problems reported greater improvements in parental warmth (P = .007), setting limits (P = .003), and proactive parenting (P = .010). There were no differences in outcomes based on program usage.

conclusionsResults suggest that ezParent as a self-administered behavioral parent training program may not be intense enough for child and parent behavioral change as a universal prevention model. Parents may require different levels of support for completion based on their level of service seeking, family characteristics, risk profile, and motivation for change.

trial registrationClinicaltrials.gov: NCT02723916.

Indexed as

Child BehaviorParentingChild, PreschoolComputer-Assisted InstructionFemaleHumansMaleParentsPrimary Health Carechild behaviorinternetmHealthparentingprimary health care

Identifiers

PMID33338496
PMCPMC9272894
OpenAlexW3113246967

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.