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Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic

Although parenting programs have been supported as an effective family-based intervention for children’s behavioral problems, they are underutilized in developing countries. This randomized controlled study aims to determine the effectiveness of the Incredible Years parenting program (IYPP) in impro...

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Main Authors: Masiran, Ruziana, Ibrahim, Normala, Awang, Hamidin, Lim, Poh Ying, Chan, Tze Lin, Narayanasamy, Sankari Ganesh
Format: Article
Published: Elsevier 2022
Online Access:http://psasir.upm.edu.my/id/eprint/101067/
https://www.sciencedirect.com/science/article/pii/S0190740922002651#:~:text=The%20modified%20parenting%20program%20was,effects%20demonstrated%20for%20child%20behavior.
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spelling my.upm.eprints.1010672023-06-17T23:43:44Z http://psasir.upm.edu.my/id/eprint/101067/ Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic Masiran, Ruziana Ibrahim, Normala Awang, Hamidin Lim, Poh Ying Chan, Tze Lin Narayanasamy, Sankari Ganesh Although parenting programs have been supported as an effective family-based intervention for children’s behavioral problems, they are underutilized in developing countries. This randomized controlled study aims to determine the effectiveness of the Incredible Years parenting program (IYPP) in improving behavioral problems in children, parenting stress, and parental mental health. Seventy mother–child dyads from three tertiary hospitals in Malaysia were divided into the IYPP and waitlist control groups. Weekly parent training sessions were adjusted during the pandemic period. Child’s total difficulty scores of the Strength and Difficulty Questionnaire (SDQ-TDS), Parental Stress Scale (PSS) scores, and parental DASS-21 scores were measured at pre- and post-intervention, and follow-up, and analyzed using generalized estimating equation (GEE). Compared to the control group at baseline, the intervention group showed a 4.2- and a 3.5-point significantly lower SDQ-TDS at 2 weeks post-intervention and 3 months follow-up, respectively (B = -4.20, 95 % CI: −6.68, −1.72, p = 0.001; B = -3.51, 95 % CI:-6.37, −0.66, p = 0.016), a 5.0-point significantly lower PSS at 3 months follow-up (B = -5.03, 95 % CI: −9.16, −0.90, p = 0.017), and a 4.1-point significantly lower general stress scores at 2 weeks post-intervention (B = -4.06, 95 % CI: −7.20, −0.92, p = 0.011). Effect sizes were small (ds = 0.28–0.40). There was no significant intervention effect on maternal anxiety and depression scores. The modified parenting program was effective in improving children’s behavior, parenting stress, and general stress among mothers of children aged 6–12 years presented with borderline and abnormal levels of behavioral problems, with sustained effects demonstrated for child behavior. However, the interpretation of these findings requires careful consideration of potential pandemic-instigated challenges and implications. Elsevier 2022-11 Article PeerReviewed Masiran, Ruziana and Ibrahim, Normala and Awang, Hamidin and Lim, Poh Ying and Chan, Tze Lin and Narayanasamy, Sankari Ganesh (2022) Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic. Children and Youth Services Review, 142. art. no. 106629. pp. 1-14. ISSN 0190-7409 https://www.sciencedirect.com/science/article/pii/S0190740922002651#:~:text=The%20modified%20parenting%20program%20was,effects%20demonstrated%20for%20child%20behavior. 10.1016/j.childyouth.2022.106629
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
description Although parenting programs have been supported as an effective family-based intervention for children’s behavioral problems, they are underutilized in developing countries. This randomized controlled study aims to determine the effectiveness of the Incredible Years parenting program (IYPP) in improving behavioral problems in children, parenting stress, and parental mental health. Seventy mother–child dyads from three tertiary hospitals in Malaysia were divided into the IYPP and waitlist control groups. Weekly parent training sessions were adjusted during the pandemic period. Child’s total difficulty scores of the Strength and Difficulty Questionnaire (SDQ-TDS), Parental Stress Scale (PSS) scores, and parental DASS-21 scores were measured at pre- and post-intervention, and follow-up, and analyzed using generalized estimating equation (GEE). Compared to the control group at baseline, the intervention group showed a 4.2- and a 3.5-point significantly lower SDQ-TDS at 2 weeks post-intervention and 3 months follow-up, respectively (B = -4.20, 95 % CI: −6.68, −1.72, p = 0.001; B = -3.51, 95 % CI:-6.37, −0.66, p = 0.016), a 5.0-point significantly lower PSS at 3 months follow-up (B = -5.03, 95 % CI: −9.16, −0.90, p = 0.017), and a 4.1-point significantly lower general stress scores at 2 weeks post-intervention (B = -4.06, 95 % CI: −7.20, −0.92, p = 0.011). Effect sizes were small (ds = 0.28–0.40). There was no significant intervention effect on maternal anxiety and depression scores. The modified parenting program was effective in improving children’s behavior, parenting stress, and general stress among mothers of children aged 6–12 years presented with borderline and abnormal levels of behavioral problems, with sustained effects demonstrated for child behavior. However, the interpretation of these findings requires careful consideration of potential pandemic-instigated challenges and implications.
format Article
author Masiran, Ruziana
Ibrahim, Normala
Awang, Hamidin
Lim, Poh Ying
Chan, Tze Lin
Narayanasamy, Sankari Ganesh
spellingShingle Masiran, Ruziana
Ibrahim, Normala
Awang, Hamidin
Lim, Poh Ying
Chan, Tze Lin
Narayanasamy, Sankari Ganesh
Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
author_facet Masiran, Ruziana
Ibrahim, Normala
Awang, Hamidin
Lim, Poh Ying
Chan, Tze Lin
Narayanasamy, Sankari Ganesh
author_sort Masiran, Ruziana
title Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
title_short Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
title_full Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
title_fullStr Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
title_full_unstemmed Effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
title_sort effectiveness of the incredible years parenting program for children with behavioral problems: an experience in a developing country during a pandemic
publisher Elsevier
publishDate 2022
url http://psasir.upm.edu.my/id/eprint/101067/
https://www.sciencedirect.com/science/article/pii/S0190740922002651#:~:text=The%20modified%20parenting%20program%20was,effects%20demonstrated%20for%20child%20behavior.
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score 13.211869

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