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Individual Participant Data Meta-analysis: Individual Differences in Mediators of Parenting Program Effects on Disruptive Behavior

Laas Sigurðardóttir, Liina Björg; Melendez-Torres, G J; Backhaus, Sophia; Gardner, Frances; Scott, Stephen; Leijten, Patty (2025). Individual Participant Data Meta-analysis: Individual Differences in Mediators of Parenting Program Effects on Disruptive Behavior. Journal of the American Academy of Child and Adolescent Psychiatry, 64(5):564-576.

Abstract

Objective
Although parenting programs are the most widely used approach to reduce disruptive behavior in children, there is a notable lack of understanding of the exact changes in parenting that underlie their effects. Challenges include the frequent use of composite measures of parenting behavior and insufficient power to detect mediation effects and individual differences in these in individual trials.
Method
Individual participant data from 14 European randomized controlled trials of social learning–based parenting programs were pooled to examine which specific parenting behaviors best explain program effects. Participants included 3,252 families with children ages 1 to 13 years. Parental use of praise, tangible rewards, physical discipline, harsh verbal discipline, and not following through on discipline were included as putative mediators. Additionally, the study explored whether subgroups of families showing different mediational pathways exist.
Results
Changes in parenting partially mediated program effects, with all included parenting behaviors except parental use of praise serving as unique mediators. Less harsh verbal discipline and increased following through on discipline were the strongest mediators. The study identified 3 subgroups with distinct responses to parenting programs. Most families benefited, partly through increased following through on discipline; families with the least or most difficulties were more likely to benefit less or not at all.
Conclusion
These findings offer insight into the specific parenting behavior changes key to reducing disruptive child behavior, while highlighting the need for innovative research methodologies to gain a deeper understanding of individual differences in parenting program benefits and mechanisms.

Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:06 Faculty of Arts > Institute of Psychology
Dewey Decimal Classification:150 Psychology
Scopus Subject Areas:Social Sciences & Humanities > Developmental and Educational Psychology
Health Sciences > Psychiatry and Mental Health
Uncontrolled Keywords:disruptive behavior, individual participant data meta-analysis, mediators, parenting programs
Language:English
Date:1 May 2025
Deposited On:14 Nov 2024 14:11
Last Modified:29 Apr 2025 01:02
Publisher:Elsevier
ISSN:0890-8567
OA Status:Green
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1016/j.jaac.2024.10.003
PubMed ID:39395649
Project Information:
  • Funder: Dutch Research Council
  • Grant ID:
  • Project Title:
  • Funder: National Institute for Health and Care Research
  • Grant ID:
  • Project Title:
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  • Content: Accepted Version
  • Language: English
  • Licence: Creative Commons: Attribution 4.0 International (CC BY 4.0)

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