Evidence map›Paper›PMID 37316980›Full record

Trial reportJournal of pediatric psychology2023

Stepping up to COVID-19: A Clinical Trial of a Telepsychology Positive Parenting Program Targeting Behavior Problems in Children With Neurological Risk.

Angela Deotto, Giulia F Fabiano, Beryl Y T Chung, Shari L Wade, Evdokia Anagnostou, Jennifer Crosbie, Elizabeth Kelley, Rob Nicolson, Brendan F Andrade, Steven P Miller and 1 more

Open access · hybridAbstract readClinical TrialPragmatic Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of pediatric psychology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
7.0field-weighted citation impact, top 3% 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.

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

10 citing papers in PubMed, 12 citations in OpenAlex.

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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

11 authors at 9 institutions in 2 countries.

Angela DeottoDivision of Neurology, Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada.
Giulia F FabianoDivision of Neurology, Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada.
Beryl Y T ChungDivision of Neurology, Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada.
Shari L WadeDivision of Physical Medicine and Rehabilitation, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Evdokia AnagnostouDepartment of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Jennifer CrosbieDepartment of Psychiatry, The Hospital for Sick Children Toronto, ON, Canada.
Elizabeth KelleyDepartment of Psychology, Queens University, Kingston, ON, Canada.
Rob NicolsonDepartment of Psychiatry, Western University, London, ON, Canada.
Brendan F AndradeDepartment of Psychiatry, University of Toronto, Toronto, Canada.
Steven P MillerFaculty of Medicine, BC Children's Hospital, Vancouver, BC, Canada.
Tricia S WilliamsDivision of Neurology, Department of Psychology, The Hospital for Sick Children, Toronto, ON, Canada.
Hospital for Sick Children · CAUniversity of Toronto · CABC Children's Hospital · CAHolland Bloorview Kids Rehabilitation Hospital · CALawson Health Research Institute · CAQueen's University · CAUniversity of Cincinnati Medical Center · USWestern University · CAYork University · CA

Funding

CIHR 178854
6 · The paper itself

Abstract

objectiveTo evaluate the feasibility, acceptability, and preliminary efficacy of a stepped-care parenting program implemented during COVID-19 among families of behaviorally at-risk children with neurological or neurodevelopmental disorders aged 3-9 years.

methodsStepped-care I-InTERACT-North increased psychological support across 3 steps, matched to family needs: (1) guided self-help (podcast), (2) brief support, and (3) longer-term parent support. The intervention was provided by clinicians at The Hospital for Sick Children. Recruitment occurred via hospital and research cohort referral. A single-arm trial using a pragmatic prospective pre-post mixed-method design was utilized to assess accrual, engagement, acceptability, and preliminary efficacy.

resultsOver 15 months, 68 families enrolled (83% consent rate) and 56 families completed stepped-care (Step 1 = 56; Step 2 = 39; Step 3 = 28), with high adherence across Steps (100%, 98%, and 93%, respectively). Parents reported high acceptability, reflected in themes surrounding accessibility, comprehension, effectiveness, and targeted care. Positive parenting skill increases were documented, and robust improvement in child behavior problems was apparent upon Step 3 completion (p =.001, d = .390). Stepped-care was as effective as traditional delivery, while improving consent and completion rates within a pandemic context.

conclusionsThis stepped-care telepsychology parenting program provides a compelling intervention model to address significant gaps in accessible mental health intervention while simultaneously balancing the need for efficient service. Findings inform program scalability beyond COVID-19 and emphasize the value of stepped-care intervention in delivering and monitoring mental health treatment.

Indexed as

COVID-19Problem BehaviorChildChild, PreschoolHumansParentingParentsProspective Studieschild behaviorCOVID-19early brain injurymental healthneurodevelopmentalparentingstepped-caretelepsychology

Identifiers

PMID37316980
PMCPMC10321395
OpenAlexW4380681645

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.