| dc.creator |
Gardner, F |
|
| dc.creator |
Leijten, P |
|
| dc.creator |
Harris, V |
|
| dc.creator |
Mann, J |
|
| dc.creator |
Hutchings, J |
|
| dc.creator |
Beecham, J |
|
| dc.creator |
Berry, V |
|
| dc.creator |
McGilloway, S |
|
| dc.creator |
Gaspar, M |
|
| dc.creator |
Orobio de Castro, B |
|
| dc.creator |
Williams, M |
|
| dc.creator |
Axberg, U |
|
| dc.creator |
Morch, W-T |
|
| dc.creator |
Scott, S |
|
| dc.creator |
Landau, S |
|
| dc.date |
2019-04-17T14:00:30Z |
|
| dc.date |
2019-05-06 |
|
| dc.date |
2019-04-17T14:00:30Z |
|
| dc.date.accessioned |
2022-05-27T01:02:37Z |
|
| dc.date.available |
2022-05-27T01:02:37Z |
|
| dc.identifier |
Vol. 6 (6), pp. 518-527 |
|
| dc.identifier |
10.1016/S2215-0366(19)30162-2 |
|
| dc.identifier |
12-3070-04 |
|
| dc.identifier |
http://hdl.handle.net/10871/36838 |
|
| dc.identifier |
2215-0374 |
|
| dc.identifier |
Lancet Psychiatry |
|
| dc.identifier.uri |
http://localhost:8080/xmlui/handle/CUHPOERS/241900 |
|
| dc.description |
This is the author accepted manuscript. The final version is available from Elsevier via the DOI in this record |
|
| dc.description |
Note that the title of the author accepted manuscript is different from that of the final published version |
|
| dc.description |
Background: Childhood conduct problems are a costly public health problem, five times
commoner in socially disadvantaged groups. Untreated, they have a poor prognosis, with
increasing gaps between socio-economic groups, and high rates of subsequent criminality.
The Incredible Years (IY) is a high-quality parenting programme as recommended by NICE
for reducing conduct problems, and is widely disseminated in Europe. Many trials show IY to
be effective, but the potential effects on social inequality of parenting interventions are
unknown. This matters since some behavioural interventions (e.g. smoking cessation
programmes), while beneficial overall, can widen inequality gaps. Since single trials and
aggregate-level meta-analysis are ill-equipped for examining differential intervention
(moderator) effects, we pooled individual-level trial data.
Method: Individual participant data (IPD) meta-analysis of a near-complete set of
randomised trials of European IY parenting programmes (k=13; N=1696; for 1/15 trials, data
unavailable). Children were aged 2-10 years (M 5.1; 30% minority; 58% low-income).
Primary outcome was child conduct problems, measured by Eyberg Child Behavior Inventory
(ECBI-I). Moderators were analysed using multilevel modelling with multiple imputation.
Findings: IY led to an overall reduction in child conduct problems (estimated 13.5 points on
ECBI-I, 95% CI 10.9 to 16.1). There was no evidence for differential effects in families with
different levels of social disadvantage (poverty, lone or teen parenthood, joblessness; low
education), or from ethnic minorities.
Interpretation: This world-first IPD meta-analysis of parenting trials, found IY was equally
likely to be effective with disadvantaged as non-disadvantaged children, suggesting the
programme is unlikely to widen socioeconomic inequalities in conduct problems.
Furthermore, the programme may be an important tool for reducing social disparities and
improving the poor long-term outcomes in disadvantaged families, since follow-up studies
indicate that benefits persist. Meantime, clinicians and commissioners can be reassured the
programme is equally effective for families from different backgrounds |
|
| dc.description |
National Institute for Health Research (NIHR) |
|
| dc.language |
en |
|
| dc.publisher |
Elsevier |
|
| dc.rights |
© 2019. This version is made available under the CC-BY-NC-ND 4.0 license: https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
| dc.rights |
2019-11-06 |
|
| dc.rights |
Under embargo until 6 November 2019 in compliance with publisher policy |
|
| dc.rights |
https://creativecommons.org/licenses/by-nc-nd/4.0/ |
|
| dc.title |
Equity effects of parenting interventions for child conduct problems: a pan-European individual participant data meta-analysis |
|
| dc.type |
Article |
|