Evidence map›Paper›PMID 42864621›Full record

SynthesisBMC public health2026

The effects of universal parental support programs: a systematic review and meta-analysis.

Linus Haglund, Carl Lovén, Lars-Göran Öst, Agneta Herlitz, Pia Enebrink

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC public health, 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

5 authors.

Linus HaglundDepartment of Clinical Neurosciences, Karolinska Institutet, Stockholm, 171 77, Sweden.
Carl LovénDepartment of Clinical Neurosciences, Karolinska Institutet, Stockholm, 171 77, Sweden.
Lars-Göran ÖstDepartment of Psychology, Stockholm University, Stockholm, Sweden.
Agneta HerlitzDepartment of Clinical Neurosciences, Karolinska Institutet, Stockholm, 171 77, Sweden.
Pia EnebrinkDepartment of Clinical Neurosciences, Karolinska Institutet, Stockholm, 171 77, Sweden. pia.enebrink@ki.se.ORCID http://orcid.org/0000-0002-1082-683X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere are few current comprehensive meta-analyses and systematic reviews of the literature on universal parental support programs. The aim of this meta-analysis was therefore to examine the effects of universal parental support programs on children's externalizing and internalizing problems, as well as on parental mental health, and to evaluate the possible importance of theoretical frameworks in achieving better outcomes.

methodsThe meta-analysis included randomized controlled trials of universal parental support programs for parents to children and adolescents aged 2-17 years. A search in five databases was conducted from inception to December 2020 and updated in April 2024. The abstracts and subsequent full-text articles were independently reviewed by two pairs of authors, resulting in 31 original studies (36 articles) with a total of 7635 participants. To evaluate risk of bias, we used the Cochrane risk-of-bias tool for randomized trials.

resultsSmall positive short-term effects were obtained for the included universal parental support programs on parental ratings of children's externalizing (d = 0.18: 95% CI 0.07-0.29) and internalizing problems (d = 0.16: 95% CI 0.03-0.30), parental stress (d = 0.22: 95% CI 0.04-0.40) and parental depression (d = 0.13: 95% CI 0.01-0.25). Subgroup analyses showed that significant effects on primary outcomes were only found when interventions were compared to waitlist, not to an active control group. The long-term between-group effects were positive but small and non-significant. Most of the programs were based on social learning theory, no differences emerged between programs with different theoretical frameworks.

conclusionThis meta-analysis indicates that universal parental support programs, when compared to waitlist only, may have a small positive impact on children's externalizing and internalizing problems as well as on parental stress and depression in the short time frame.

Indexed as

ParentingParentsSocial SupportAdolescentChildChild, PreschoolFamily SupportHumansParent-Child RelationsProgram EvaluationRandomized Controlled Trials as TopicChildrenExternalizing problemsInternalizing problemsMeta-analysisParentingUniversal parental support program

Identifiers

PMID42864621
PMCPMC13656496

What OpenQuestion holds

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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.