Abstract:
Positive parenting programmes (PPP), albeit effective, are not readily accessible to the general public, particularly during the COVID-19 pandemic. In 103 healthy caregiver-child dyads, we investigated the effectiveness of online PPP on parenting sense of competencies (primary outcome), parenting styles and behavioural concerns of children aged 3–6 years (secondary outcomes) between 2 blinded, parallel groups. After block of 4 randomisations, intervention group (n = 52) attended live, group-based, internet delivered PPP while both intervention and active control group (n = 51) received weekly general education via communication application. Outcomes were measured at baseline, 8 and 14 weeks. Most parents from both groups had high education and household income. From the intervention group, 87.5% of the parents attended live sessions while 8.6% subsequently watched recorded sessions. At 14 weeks, the intervention group reported higher sense of competence (Wald 9.63, p = 0.008); both groups reported using more authoritative parenting style (Wald 15.52, p ≤ 0.001) from Generalised Estimating Equations model. Compared to baseline, both groups had significant reduction of children’s emotional problems at 14 weeks (mean change: Intervention = − 0.44, p = 0.033; Control = − 0.30, p = 0.046) and behavioural problems over time (Wald 7.07, p = 0.029). Online PPP offered an easily accessible, primary preventive measure to mitigate behavioural concerns and improve parental competency. Clinical Trial Registration: From 711 interested participants, 314 participants did not meet initial screening inclusion criteria. On further contact of 397 participants via telephone, 211 were excluded due to not meeting eligibility criteria, inability to attend on-site developmental evaluation, or participants declined to participate when more information about the programme was shared over the phone. Then, we sent the final screening form via electronic mail, which included the child development and behavioural screening, and parental stress screening forms to interested participants. Of 108 who passed the final screening, 105 attended the in-person developmental evaluation for their child at King Chulalongkorn Memorial Hospital. Finally, 103 participants met all eligibility criteria and were finally randomised into intervention (n = 52) and control (n = 51) groups (Fig. 1). Detailed demographics were collected at this time as baseline data.
Keywords: Paediatric research, Randomized controlled trials
Authors: Sararat Tuntipuchitanon, Ing-on Kangwanthiti, Ketsupar Jirakran, Pon Trairatvorakul and Weerasak Chonchaiya
Method: Randomized controlled trial
Journal: Scientific Reports
Year: 2024
For more information please click; https://pmc.ncbi.nlm.nih.gov/articles/PMC11358410/