Research Review: Harnessing the power of individual participant data in a meta-analysis of the benefits and harms of the Incredible Years parenting program
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]
Search for more papers by this authorJennifer Beecham
London School of Economics, London, UK
Kent University, Canterbury, UK
Search for more papers by this authorEva-Maria Bonin
London School of Economics, London, UK
Kent University, Canterbury, UK
Search for more papers by this authorCorresponding 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]
Search for more papers by this authorJennifer Beecham
London School of Economics, London, UK
Kent University, Canterbury, UK
Search for more papers by this authorEva-Maria Bonin
London School of Economics, London, UK
Kent University, Canterbury, UK
Search for more papers by this authorAbstract
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 N = 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.
Supporting Information
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jcpp12781-sup-0001-AppendixS1-S3.docxWord document, 46.2 KB |
Appendix S1. Data Harmonizing Procedures. Appendix S2. Available Data for Each Outcome per Trial. Appendix S3. Items Included in Each of the Self-reported Parenting Practices Constructs. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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Note. References marked with an asterisk indicate studies included in the IPD meta-analysis.