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Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behavior problems

Author

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  • Tanja Mingebach
  • Inge Kamp-Becker
  • Hanna Christiansen
  • Linda Weber

Abstract

Objective: The aim of this study is to perform the first meta-meta-analysis on the effectiveness of parent-based interventions for children with externalizing behavior problems. Even though parent-based interventions are considered as effective treatments the effects reported in meta-analyses are heterogeneous and the implementation in clinical practice is suboptimal. Recapitulative valid effect predictions are required to close the still existing gap between research findings and clinical practice. The meta-meta-analytic results on changes in child behavior shall result in a clear signal for clinical practice. Methods: This meta-meta-analysis encompasses 26 meta-analyses identified via search in electronic databases (PsycINFO, Medline, PubMed). Meta-analyses had to report effects of parent-based interventions on child behavior and focus on children under the age of 13 years with externalizing behavior problems in a clinical setting. Analyses were based on random-effects models. To combine results, the effect estimates of the meta-analyses were transformed to SMD and weighted to correct for primary study overlap. The meta-meta-analysis is registered on PROSPERO, registration number CRD42016036486 and was conducted in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses statement (PRISMA). Results: The results indicate a significant moderate overall effect for child behavior (SMD = 0.46) as well as for parent reports (SMD = 0.51) and observational data (SMD = 0.62). Further analyses focusing on child externalizing behavior yielded significant and moderate effects (SMD = 0.45). All effects remained stable to follow-up. Considerable heterogeneity was observed within results. Conclusion: Parent-based interventions are shown to be effective in improving behavior in children with externalizing behavior problems, as assessed using parent reports and observational measures. The present results should encourage health care providers to apply evidence-based parent-based interventions.

Suggested Citation

  • Tanja Mingebach & Inge Kamp-Becker & Hanna Christiansen & Linda Weber, 2018. "Meta-meta-analysis on the effectiveness of parent-based interventions for the treatment of child externalizing behavior problems," PLOS ONE, Public Library of Science, vol. 13(9), pages 1-21, September.
    • Handle: RePEc:plo:pone00:0202855
    DOI: 10.1371/journal.pone.0202855
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    References listed on IDEAS

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    1. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
    2. Schmidt, Frank L. & Oh, In-Sue, 2013. "Methods for second order meta-analysis and illustrative applications," Organizational Behavior and Human Decision Processes, Elsevier, vol. 121(2), pages 204-218.
    3. Viechtbauer, Wolfgang, 2010. "Conducting Meta-Analyses in R with the metafor Package," Journal of Statistical Software, Foundation for Open Access Statistics, vol. 36(i03).
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    2. Sara M. Leitão & Marco Pereira & Rita V. Santos & Maria Filomena Gaspar & Maria João Seabra-Santos, 2022. "Do Parents Perceive Practitioners to Have a Specific Role in Change? A Longitudinal Study Following Participation in an Evidence-Based Program," IJERPH, MDPI, vol. 19(15), pages 1-18, July.
    3. Kimberly B. Bausback & Eduardo L. Bunge, 2021. "Meta-Analysis of Parent Training Programs Utilizing Behavior Intervention Technologies," Social Sciences, MDPI, vol. 10(10), pages 1-27, September.
    4. Masiran, Ruziana & Ibrahim, Normala & Awang, Hamidin & Poh Ying, Lim & Tze Lin, Chan & Ganesh Narayanasamy, Sankari, 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, Elsevier, vol. 142(C).
    5. Gagné, Marie-Hélène & Piché, Geneviève & Brunson, Liesette & Clément, Marie-Ève & Drapeau, Sylvie & Jean, Sarah-Maude, 2023. "Efficacy of the Triple P – Positive Parenting Program on 0–12 year-old Quebec children's behavior," Children and Youth Services Review, Elsevier, vol. 149(C).
    6. Baumann, A.A. & Vázquez, A.L. & Macchione, A.C. & Lima, A. & Coelho, A.F. & Juras, M. & Ribeiro, M. & Kohlsdorf, M. & Carothers, B.J., 2022. "Translation and validation of the evidence-based practice attitude scale (EBPAS-15) to Brazilian Portuguese: Examining providers’ perspective about evidence-based parent intervention," Children and Youth Services Review, Elsevier, vol. 136(C).
    7. Valérie Benoit & Piera Gabola, 2021. "Effects of Positive Psychology Interventions on the Well-Being of Young Children: A Systematic Literature Review," IJERPH, MDPI, vol. 18(22), pages 1-19, November.
    8. Houle, Andrée-Anne & Besnard, Thérèse & Bérubé, Annie, 2022. "Factors that influence parent recruitment into prevention programs in early childhood: A mixed studies systematic review," Children and Youth Services Review, Elsevier, vol. 133(C).
    9. Sophie S. Havighurst & Rachel Choy & Ayca Ulker & Nantje Otterpohl & Fateme Aghaie Meybodi & Forough Edrissi & Chen Qiu & Kathy Kar-man Shum & Alessandra Radovini & Dana A. Hosn & Christiane E. Kehoe, 2022. "A Preliminary Evaluation of the Cultural Appropriateness of the Tuning in to Kids Parenting Program in Germany, Turkey, Iran and China," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    10. Bo, Ai & Durand, Brenna & Wang, Yi, 2023. "A scoping review of parent-involved ethnic and racial socialization programs," Children and Youth Services Review, Elsevier, vol. 144(C).

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