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Does parental mental health moderate the effect of a telephone and internet-assisted remote parent training for disruptive 4-year-old children?

Sturla Fossum; Susanna Hinkka‐Yli‐Salomäki; Charles Cunningham; Terja Ristkari; Patrick J. McGrath; Andre Sourander

dc.contributor.authorSturla Fossum
dc.contributor.authorSusanna Hinkka‐Yli‐Salomäki
dc.contributor.authorCharles Cunningham
dc.contributor.authorTerja Ristkari
dc.contributor.authorPatrick J. McGrath
dc.contributor.authorAndre Sourander
dc.date.accessioned2022-10-27T11:45:28Z
dc.date.available2022-10-27T11:45:28Z
dc.identifier.urihttps://www.utupub.fi/handle/10024/155020
dc.description.abstract<p>This study explores the moderators affecting the success of an Internet‐based and telephone assisted remote parent training intervention and compares them to an educational control group. We prospectively identified 464 parents who reported at a health check that their 4‐year‐old children showed elevated levels of externalizing behavior. The moderators explored included parental attention deficit and hyperactivity disorder (ADHD) and parental distress. The dependent variables were child externalization scores and self‐reported parenting skills. The measures were completed at baseline, six and 12‐months follow‐up. The 232 families randomized to active treatment received 11 Internet‐based training sessions with weekly phone calls from a coach. The other 232 families had access to a website that provided general positive parenting advice and one 45‐minute phone‐call from a coach. Using hierarchical linear models, we explored if the parental ADHD or parental distress modified the treatment effects on child externalizing behavior or parenting skills. The results showed that none of the independent variables moderated intervention effects on child externalizing behavior or parenting skills. The lack of significant moderator effects could have been due to the treatment's personalization, the format's flexibility and adaptability to when and how the parents wanted to complete the sessions or the relatively low levels of ADHD and parental distress among the participants. <br /></p>
dc.language.isoen
dc.publisherBlackwell Publishing Ltd
dc.titleDoes parental mental health moderate the effect of a telephone and internet-assisted remote parent training for disruptive 4-year-old children?
dc.identifier.urnURN:NBN:fi-fe2021042718886
dc.relation.volume59
dc.contributor.organizationfi=tyks, vsshp|en=tyks, vsshp|
dc.contributor.organizationfi=lastenpsykiatrian tutkimuskeskus|en=Lastenpsykiatrian tutkimuskeskus|
dc.contributor.organization-code2607326
dc.converis.publication-id30245637
dc.converis.urlhttps://research.utu.fi/converis/portal/Publication/30245637
dc.format.pagerange280
dc.format.pagerange273
dc.identifier.eissn1467-9450
dc.identifier.jour-issn0036-5564
dc.okm.affiliatedauthorDataimport, tyks, vsshp
dc.okm.affiliatedauthorRistkari, Terja
dc.okm.affiliatedauthorHinkka-Yli-Salomäki, Susanna
dc.okm.affiliatedauthorSourander, Andre
dc.okm.discipline3123 Gynaecology and paediatricsen_GB
dc.okm.discipline3123 Naisten- ja lastentauditfi_FI
dc.okm.discipline3124 Neurology and psychiatryen_GB
dc.okm.discipline3124 Neurologia ja psykiatriafi_FI
dc.okm.internationalcopublicationinternational co-publication
dc.okm.internationalityInternational publication
dc.okm.typeJournal article
dc.publisher.countryUnited Kingdomen_GB
dc.publisher.countryBritanniafi_FI
dc.publisher.country-codeGB
dc.relation.doi10.1111/sjop.12430
dc.relation.ispartofjournalScandinavian Journal of Psychology
dc.relation.issue3
dc.year.issued2018


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