Remote population-based intervention for disruptive behavior at age four: study protocol for a randomized trial of Internet-assisted parent training Strongest Families Finland-CanadaReport as inadecuate




Remote population-based intervention for disruptive behavior at age four: study protocol for a randomized trial of Internet-assisted parent training Strongest Families Finland-Canada - Download this document for free, or read online. Document in PDF available to download.

BMC Public Health

, 13:985

Health behavior, health promotion and society

Abstract

BackgroundOppositional Defiant Disorder ODD is characterized by angry and noncompliant behaviour. It is the most common disruptive behaviour disorder DBD, with prevalence estimates of 6-9% for preschoolers and is closely linked to several long-term difficulties, including disorders of conduct, mood, anxiety, impulse-control, and substance abuse. ODD in children is related to parental depression, family dysfunction, and impairments in parental work performance. Children displaying early DBDs exhibit more symptoms of greater severity, more frequent offences, and commit more serious crimes later in life. The goal of the Strongest Families™ Finland Canada SFFC Smart Website intervention research program is to develop and evaluate an affordable, accessible, effective secondary prevention parent training program for disruptive behaviour in preschoolers to prevent the negative sequelae of ODD. Strongest Families is an 11-session program with two booster sessions that focuses on teaching skills to: strengthen parent–child relationships; reinforce positive behaviour; reduce conflict; manage daily transitions; plan for potentially problematic situations; promote emotional regulation and pro-social behaviour and decrease antisocial behaviour.

Methods-designThis protocol paper describes an ongoing population-based randomized controlled trial RCT of high-risk 4 year-olds attending well-child clinics in Turku, Finland and environs to examine the effectiveness of the Strongest Families Smart Website intervention compared to an Education Control condition. Randomization consists of a 1:1 ratio for intervention versus the education group, stratified by the child’s sex. The participants randomized to the intervention group receive access to the Strongest Families Smart Website and weekly telephone coaching sessions. The participants randomized to the Education Control condition receive access to a static website with parenting tips. Children are followed using parental and daycare teacher measures at 6 and 12 months after randomization.

DiscussionThe Strongest Families Smart Website intervention is hypothesized to improve parenting skills, reduce child disruptive behaviour, reduce parental distress and improve family functioning. These results will likely inform subsequent investigations, public policy, and early treatment of childhood disruptive behaviour problems.

Trial registrationClinicalTrials.gov # NCT01750996

KeywordsDisruptive behaviour disorders Children and youth Distance treatment Health service access Population-based study Web-based parent training AbbreviationsADHDAttention-Deficit-Hyperactivity Disorder

ASEBAAchenbach System of Empirically Based Assessment

BAARS-IV-Quick ScreenBarkley Adult ADHD Rating Scale–IV

CBCLChild Behavior Checklist

CDConduct Disorder

CONSORTCONsolidated Standards Of Reporting Trials Statement

DASS-21Depression Anxiety and Stress Scale Short Form

DBDDisruptive Behaviour Disorder

HLMHierarchical Linear Modelling

HTTPSHyperText Transfer Protocol Secure

ICHInternational Conference on Harmonisation

ICUInventory of Callous-Unemotional Traits

IRISIntelligent Research and Intervention Software

NLSCYNational Longitudinal Survey of Children and Youth

ODDOppositional Defiant Disorder

PDDPervasive Developmental Disorder

PPCParent Problem Checklist

PSParenting Scale

RCTRandomized Controlled Trial

SDQStrengths and Difficulties Questionnaire

SFFCStrongest Families Finland Canada

SOC-13Sense of Coherence Scale

TRFTeacher Report Form.

Electronic supplementary materialThe online version of this article doi:10.1186-1471-2458-13-985 contains supplementary material, which is available to authorized users.

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Author: Patrick J McGrath - Andre Sourander - Patricia Lingley-Pottie - Terja Ristkari - Charles Cunningham - Jukka Huttunen - Kath

Source: https://link.springer.com/







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