Evidence map›Paper›PMID 42257151›Full record

ArticleJournal of family medicine and primary care2026

Establishing an observational framework for the objective evaluation of parent training effectiveness.

Yukari Nakano, Hiromi Kawasaki, Hiromi Masuda, Sae Nakaoka

Abstract read
In one paragraph

Article in Journal of family medicine and primary care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Yukari NakanoDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Hiromi KawasakiDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.
Hiromi MasudaDeparetment of Nursing,Graduate School of Nursing, St. Catherine University, Matsuyama, Ehime, Japan.
Sae NakaokaDepartment of Health Science, Graduate School of Biomedical and Health Sciences, Hiroshima University, Hiroshima, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose/Background: Parent training (PT) helps parents of children with neurodevelopmental disorders cope with anxiety and stress. Current PT evaluation relies on subjective self-assessment and lacks objective indicators. To provide professional support, objective indicators are needed to monitor parent-child relationship changes through PT. The aim is to develop an observation framework for supporters to objectively assess the changes and challenges of PT. Methods: An observational study was conducted on one pair using Group Triple P, a Level four program of the Positive Parenting Program (Triple P). Ten observational aspects were established as objective evaluation indicators. Nine aspects were confirmed by two observers based on 10-min video recordings of parent-child free-play sessions before PT, after PT, and at follow-up. Confirmed data were coded every 10 sec, and reliability and validity were analyzed using kappa coefficients. The remaining item, parent-child utterances, was counted using video footage and verbatim transcripts. Results: Eight observational aspects were adopted, and seven (speaking for and empathizing with child's feelings, physical displays of affection, simple or specific praise, suggesting play, setting parental example, and responsiveness) showed high inter-observer reliability. By quantifying speaking frequency, we captured changes in parent-child interactions, demonstrating effectiveness. Conclusions: These eight observational perspectives capture changes in parent-child interactions. Using these perspectives, it is possible to objectively evaluate PT effectiveness and identify future challenges. This method could improve by increasing cases, providing concrete examples of observational perspectives, and considering a pre-training program.

Indexed as

Neurodevelopmental disordersobjective evaluationobservation perspectiveparent–child interactionparent trainingpositive parenting program

Identifiers

PMID42257151
PMCPMC13241140

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Registered trials

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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.