The Efficacy of Internet-Based Parenting Programs for Children and Adolescents with Behavior Problems: A Meta-Analysis o
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The Efficacy of Internet‑Based Parenting Programs for Children and Adolescents with Behavior Problems: A Meta‑Analysis of Randomized Clinical Trials Ionuț Stelian Florean1,2 · Anca Dobrean1,3 · Costina Ruxandra Păsărelu1,3 · Raluca Diana Georgescu1,2 · Ion Milea1,2 Accepted: 30 August 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Online parenting programs can increase the accessibility of mental health services. This meta-analysis investigated the effectiveness of online parenting interventions in reducing children and adolescents behavior problems (primary outcome) and improving parenting behavior, parent distress, and parenting efficacy (secondary outcomes). A systematic search was conducted on PubMed, PsycInfo, Web of Science, SCOPUS, and ProQuest on June 28th, 2019. The meta-analysis was prior registered in PROSPERO. In total, 2160 records were identified and 15 Randomized Controlled Trials (RCTs) were included (N = 1668) in the systematic review and meta-analysis. The quality of each study was assessed by two independent evaluators. When compared to waitlist, online parenting interventions are effective in reducing behavior problems with a small effect size (Hedges’s g = 0.40). No significant differences were found between online and classical delivered parenting interventions in reducing behavior problems (g = − 0.07). Compared to waitlist, the interventions are effective in improving parenting behavior (g = 0.34), parent distress (g = 0.30), and parenting efficacy (g = 0.41). The results appear to be stable at follow-up measures. The factors responsible for the effectiveness of the interventions were explored through moderation analyses. Online parenting interventions are promising for improving both behavior problems and parent outcomes. Future studies should focus on methods to increase their effectiveness and measure the outcomes more objectively. Keywords Online parenting · Behavior problems · Parenting behavior · Parent distress · Parenting efficacy · RCTs
Introduction
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s10567-020-00326-0) contains supplementary material, which is available to authorized users. * Anca Dobrean [email protected] 1
International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj‑Napoca, Romania
2
Evidence Based Psychological Assessment and Interventions Doctoral School, Babeș-Bolyai University, Cluj‑Napoca, Romania
3
Department of Clinical Psychology and Psychotherapy, Babeş-Bolyai University, Republicii Street 37, 400015 Cluj‑Napoca, Romania
A recent study estimated that up to 7.4% of children from the USA (3–17 years) have a behavior disorder (Ghandour et al. 2019). Behavior disorders include oppositional defiant disorder (ODD), conduct disorder (CD), and attentiondeficit hyperactivity disorder (ADHD) (Britain 2013; Loeber and Burke 2011). The worldwide prevalence of disruptive behavior disorders (i
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