Volume 59, Issue 2 p. 99-109
Research Review

Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program

Patty Leijten

Corresponding Author

Patty Leijten

University of Oxford, Oxford, UK

University of Amsterdam, Amsterdam, The Netherlands

Correspondence

Patty Leijten, University of Amsterdam – Research Institute of Child Development and Education, Research Priority Area YIELD, Nieuwe Achtergracht 127, 1018 WS Amsterdam, the Netherlands; Email: [email protected]

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Frances Gardner

Frances Gardner

University of Oxford, Oxford, UK

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Sabine Landau

Sabine Landau

King's College London, London, UK

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Victoria Harris

Victoria Harris

King's College London, London, UK

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Joanna Mann

Joanna Mann

University of Oxford, Oxford, UK

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Judy Hutchings

Judy Hutchings

Bangor University, Bangor, UK

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Jennifer Beecham

Jennifer Beecham

London School of Economics, London, UK

Kent University, Canterbury, UK

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Eva-Maria Bonin

Eva-Maria Bonin

London School of Economics, London, UK

Kent University, Canterbury, UK

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Stephen Scott

Stephen Scott

King's College London, London, UK

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First published: 11 July 2017
Citations: 61
Conflict of interest statement: See Acknowledgements for full disclosures.

Abstract

Background

Parenting programs aim to reduce children's conduct problems through improvement of family dynamics. To date, research on the precise benefits and possible harms of parenting programs on family well-being has been unsystematic and likely to be subject to selective outcome reporting and publication bias. Better understanding of program benefits and harms requires full disclosure by researchers of all included measures, and large enough numbers of participants to be able to detect small effects and estimate them precisely.

Methods

We obtained individual participant data for 14 of 15 randomized controlled trials on the Incredible Years parenting program in Europe (total = 1,799). We used multilevel modeling to estimate program effects on 13 parent-reported outcomes, including parenting practices, children's mental health, and parental mental health.

Results

Parental use of praise, corporal punishment, threats, and shouting improved, while parental use of tangible rewards, monitoring, or laxness did not. Children's conduct problems and attention deficit hyperactivity disorder (ADHD) symptoms improved, while emotional problems did not. Parental mental health (depressive symptoms, self-efficacy, and stress) did not improve. There was no evidence of harmful effects.

Conclusions

The Incredible Years parenting program improves the aspects of family well-being that it is primarily designed to improve: parenting and children's conduct problems. It also improves parent-reported ADHD symptoms in children. Wider benefits are limited: the program does not improve children's emotional problems or parental mental health. There are no signs of harm on any of the target outcomes.