Trial reportJournal of child psychology and psychiatry, and allied disciplines2022
Online-delivered parenting intervention for young children with disruptive behavior problems: a noninferiority trial focused on child and parent outcomes.
Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.
- Beyond Clicks: A Systematic Review of How Engagement is Defined, Predicted, and Linked to Child Outcomes in Self-directed eHealth Preventive Parenting Programs.Prevention science : the official journal of the Society for Prevention Research · 2025Pooled it
- Engaging Parents in Technology-Assisted Interventions for Childhood Adversity: Systematic Review.Journal of medical Internet research · 2024Pooled it
- An internet-based parent management training program (Net PAMA) improves parenting outcomes in a multicenter randomized controlled trial.Scientific reports · 2026Trial
- Efficacy of a mobile-based self-directed parent management training for parents of children with attention-deficit/hyperactivity disorder with or without oppositional defiant disorder- a randomized controlled trial.European child & adolescent psychiatry · 2025Trial
- Efficacy of guided and unguided web-assisted self-help for parents of children with attention-deficit/hyperactivity disorder and oppositional defiant disorder: A three-arm randomized controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2025Trial
- Digital Health Delivery of Parenting Skills to Improve Conduct Problems in Middle School Youth Across Two Distinct Randomized Trials.Prevention science : the official journal of the Society for Prevention Research · 2025Trial
- Is it Time to Rethink a Common Approach in the Study of Parent Participation in Parenting Interventions? (Null) Findings from a Large-Scale Cluster Randomised Trial.Prevention science : the official journal of the Society for Prevention Research · 2026Article
- A service evaluation of Early Positive Approaches to Support (E-PAtS): Comparing online versus in-person group outcomes.BJPsych bulletin · 2026Article
- Finding Solutions to Scaling Parenting Programs That Work: a Systems-Contextual Approach.Prevention science : the official journal of the Society for Prevention Research · 2025Article
- Parenting, Child Maltreatment, and Social Disadvantage: A Population-Based Implementation and Evaluation of the Triple P System of Evidence-Based Parenting Support.Child maltreatment · 2025Article
- Comparison of the effectiveness of parenting acceptance and commitment therapy with triple-P positive parenting on depression, aggression, and social skills of preschool children.Journal of education and health promotion · 2025Article
- Improving the efficacy and effectiveness of evidence-based psychosocial interventions for attention-deficit/hyperactivity disorder (ADHD) in children and adolescents.Translational psychiatry · 2024Article
- Piloting a one-day parent-only intervention in the treatment of youth with anxiety disorders: child and family-level outcomes.Child and adolescent psychiatry and mental health · 2024Article
- Technology-Assisted Parenting Intervention Plus Therapist Coaching: A Pilot Randomized Trial in a Community Practice Setting.Evidence-based practice in child and adolescent mental health · 2024Article
- The Triple P System of Evidence-Based Parenting Support: Past, Present, and Future Directions.Clinical child and family psychology review · 2023Article
- Oppositional defiant disorder.Nature reviews. Disease primers · 2023Review
- Supporting Parents of Children with ADHD During COVID-19 School Closures: A Multiple-Baseline Trial of Behavioral Parent Training for Home Learning.School mental health · 2023Article
- "Will it Work as Well on Zoom?" A Natural Experiment During the Covid-19 Pandemic of Delivering Parenting Groups Via Video Conferencing or in Person.Journal of child and family studies · 2023Article
- Online-Delivered Over Staff-Delivered Parenting Intervention for Young Children With Disruptive Behavior Problems: Cost-Minimization Analysis.JMIR pediatrics and parenting · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
backgroundThis study evaluated whether an evidence-based parenting intervention, when delivered online, could effectively address disruptive behavior problems in young children and yield outcomes comparable to in-person delivery of the same intervention.
methodsFamilies (n = 334) of children (3-7 years; 63% White, 22% African American, 15% other races; 63% male) with disruptive behavior problems were randomized to online-delivered intervention (ODI) or staff-delivered intervention (SDI), resulting in baseline and demographic equivalence. Primary outcome measures for child disruptive behavior (independent observation, parent report) and secondary outcome measures of parenting and family impact were assessed at baseline, postintervention, and follow-up. Conducted using intent-to-treat (ITT) as well as per-protocol (PP) methods, noninferiority analyses, which drew on an HLM framework with repeat measures across three timepoints and on REML to provide unbiased estimates of model parameters, tested whether the outcome-difference CI did not exceed the a priori noninferiority margin.
resultsFor ITT and PP analyses, the ODI was found to be noninferior to the SDI on the primary outcome: independently observed child disruptive behavior and parent-reported child behavior problems. The pattern for secondary outcomes was more varied: (a) noninferiority for observed positive and aversive parenting; (b) noninferiority for observed quality of parent-child relationship at post but not follow-up assessment; (c) noninferiority for parent-reported inappropriate/inconsistent discipline for PP but not ITT analyses; and (d) noninferiority not confirmed for parenting daily hassles and adverse family quality of life, despite large effect sizes for the ODI (Cohen's d .75-1.07). Finally, ODI noninferiority was found for teacher-reported child disruptive behavior.
conclusionsThe tested online-delivered parenting intervention demonstrated clear noninferiority with the corresponding staff-delivered parenting intervention on the primary outcome, child disruptive behavior problems, and reflected substantial though nonuniform noninferiority and meaningful effect sizes for secondary outcomes related to parenting and family. Future research will guide optimization of online interventions.
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What OpenQuestion holds
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.