Results From an RCT on Brief Parent Training: Long Term Effects on Parental Quality of Life

Charlotte Reedtz, Sihu K Klest, Nora Mortensen Aalo, Ingrid Daae Rasmussen, Joar Vitterso, Charlotte Reedtz, Sihu K Klest, Nora Mortensen Aalo, Ingrid Daae Rasmussen, Joar Vitterso

Abstract

Background: Previous research has shown that quality of life for adults decreases when they become parents, remains at a lower level than of non-parents and declines further with each child they have. Consistent with this, parents report that having children leads to more daily struggles and concerns than their work outside the home. In this study, we have investigated how participating in a brief parent training intervention influences parents' quality of life. The aim of the study was to evaluate whether a brief, six-session version of an evidence-based parent training program (The Incredible Years), delivered in a non-clinical community sample, changed parent quality of life up to four years after the initial intervention. Methods: Data were collected from mothers and fathers in a randomized controlled community trial (N = 117). Children's mean age was 3.95 years at baseline, and 7.5 years at 4-year follow-up. Results: There were no significant differences in the trajectory of change over the four time points between the intervention and control groups for mothers or fathers. However, results from analysing the linear change from pre to each of the other measurement points, revealed statistically significantly different change on life satisfaction after completing the intervention compared to the control group; immediately following the intervention, t(357) = 2.76, p = 0.006; and the difference between the groups was maintained three years after the intervention, t(360) = 3.14, p = 0.002. Conclusion: The results of this study suggest that offering a parenting program focused on building a positive parent-child relation, has the potential to improve mothers' quality of life. Implications of this are discussed. Clinical Trial Registration: www.ClinicalTrials.gov, identifier NCT02850510. Retrospectively registered 29 July 2016.

Keywords: parent training; parenting; quality of life; short; the incredible years.

Figures

FIGURE 1
FIGURE 1
CONSORT flowchart.
FIGURE 2
FIGURE 2
Trajectory of Change for Mothers’ scores on SWLS.
FIGURE 3
FIGURE 3
Trajectory of Change for Mothers’ scores on FS.

References

    1. Campbell A., Converse P. E., Rogers W. (1976). The Quality of American Life: Perceptions, Evaluations, and Satisfactions. New York, NY: Russel Sage Foundation.
    1. Drugli M. B., Larsson B., Fossum S., Mørch W. T. (2009). Five- to six-year outcome and its prediction for children with ODD/CD treated with parent training. J. Child Psychol. Psychiatr. 51 559–566. 10.1111/j.1469-7610.2009.02178.x
    1. Dyrdal G. M., Røysamb E., Nes R. B., Vittersø J. (2010). Can a happy relationship predict a happy life? A population-based study of maternal well- being during the life transition of pregnancy, infancy and toddlerhood. J. Happiness Stud. 12 947–962. 10.1007/s10902-010-9238-2
    1. Egger H., Angold A. (2006). Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J. Child Psychol. Psychiatr. 47 313–337. 10.1111/j.1469-7610.2006.01618.x
    1. Fixsen D. L., Naoom S. F., Blasé K. A., Friedman R. M., Wallace F. (2005). Implementation Research: A Synthesis of the Literature. Tamps, FL: University of South Florida.
    1. Flaherty E. G., Thompson R., Dubowitz H., Harvey E. M., English D. J., Proctor L. J., et al. (2013). Adverse childhood experiences and child health in early adolescence. JAMA Pediatr. 167 622–629. 10.1001/jamapediatrics.2013.22
    1. Foster E. M., Olchowski A. E., Webster-Stratton C. (2007). Is stacking intervention components cost-effective? An analysis of the incredible years program. J. Am. Acad. Child Adolesc. Psychiatr. 46 1414–1424. 10.1097/chi.0b013e3181514c8a
    1. Furlong M., McGilloway S., Bywater T., Hutchings J., Smith S. M., Donnely M. (2013). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years (Review). Evid. Based Child Health 8 318–692. 10.1002/ebch.1905
    1. Goodman S. H., Gotlib L. H. (1999). Risk for psychopathology in the children of depressed mothers: a developmental model for understanding mechanisms of transmission. Psychol. Rev. 106 458–490. 10.1037/0033-295X.106.3.458
    1. Graham J. W. (2009). Missing data analysis: making it work in the real world. Ann. Rev. Psychol. 60 549–576. 10.1146/annurev.psych.58.110405.085530
    1. Hansen T., Slagsvold B., Moum T. (2009). Childlessness and psychological well- being in midlife and old age. an examination of parental status effects across a range of outcomes. Soc. Indic. Res. 94 343–362. 10.1007/s11205-008-9426-1
    1. Hutchings J., Lane E. (2005). Parenting and the development and prevention of child mental health problems. Curr. Opin. Psychiatr. 18 386–391. 10.1097/01.yco.0000172056.63401.e0
    1. Lewis M. D., Granic I., Lamm C. (2006). Behavioral differences in aggressive children linked with neural mechanisms of emotion regulation. Ann. N. Y. Acad. Sci. 1094 164–177. 10.1196/annals.1376.017
    1. Margolis R., Myrskyla M. (2011). A global perspective on happiness and fertility. Popul. Dev. Rev. 37 29–56. 10.1111/j.1728-4457.2011.00389.x
    1. Morawska A., Winter L., Sanders M. R. (2009). Parenting knowledge and its role in the prediction of dysfunctional parenting and disruptive child behaviour. Child Care Health Dev. 35 217–226. 10.1111/j.1365-2214.2008.00929.x
    1. Nigg J. T. (2006). Temperament and developmental psychopathology. J. Child Psychol. Psychiatr. 47 395–422. 10.1111/j.1469-7610.2006.01612.x
    1. Ogden J. (2007). Health Psychology. Berkshire: Open university press.
    1. Ohan J. L., Leung D. W., Johnston C. (2000). The parenting sense of competence scale: evidence of a stable factor structure and validity. Can. J. Behav. Sci. 32 251–261. 10.1037/h0087122
    1. Pavot W., Diener E. (1993). Review of the satisfaction with life scale. Psychol. Assess. 5 164–172. 10.1037/1040-3590.5.2.164
    1. Reedtz C., Handegård B. H., Mørch W. T. (2011a). Promoting positive parenting practices in primary care: outcomes in a randomized controlled risk reduction trial. Scand. J. Psychol. 52 131–137. 10.1111/j.1467-9450.2010.00854.x
    1. Reedtz C., Martinussen M., Jørgensen F. W., Handegård B. H., Mørch W. T. (2011b). Parents seeking help in child rearing: who are they and how do their children behave? J. Child. Serv. 6 264–274. 10.1108/17466661111190956
    1. Reedtz C., Klest K. S. (2016). Improved parenting maintained four years following a brief parent training intervention in a non-clinical sample. BMC Psychol. 4:43. 10.1186/s40359-016-0150-3
    1. Reedtz C., Lauritzen C., Stover Y. V., Freili J. L., Rognmo K. (2019). Identification of children of parents with mental illness: a necessity to provide relevant support. Front. Psychiatr. 9:728. 10.3389/fpsyt.2018.00728
    1. Rollè L., Prino L. E., Sechi C., Vismara L., Neri E., Polizzi C., et al. (2017). Parenting stress, mental health, dyadic adjustment: a structural equation model. Front. Psychol. 8:839. 10.3389/fpsyg.2017.00839
    1. Rollins B. C., Feldman H. (1970). Marital satisfaction over the family life cycle. J. Marriage Fam. 32 20–28. 10.2307/349967
    1. Sanders M. R. (1999). Triple p- positive parenting program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clin. Child Fam. Psychol. Rev. 2 71–90. 10.1023/A:1021843613840
    1. Scott S., Briskman J., O’Connor G. (2014). Early prevention of antisocial personality: long-term follow-up of two randomized controlled trials comparing indicated and selective approaches. Am. J. Psychiatr. 171 649–657. 10.1176/appi.ajp.2014.13050697
    1. Shaw D. S., Bell R. Q., Gilliom M. (2000). A truly early starter model of antisocial behavior revisited. Clin. Child Fam. Psychol. Rev. 3 155–172. 10.1023/A:1009599208790
    1. Singer J. D., Willett J. B. (2003). Applied Longitudinal Data Analysis: Modeling Change and Event Occurence. New York, NY: Oxford Press; 10.1093/acprof:oso/9780195152968.001.0001
    1. Snyder J., Reid J., Patterson G. R. (2003). “A social learning model of child and adolescent antisocial behavior,” in Causes of Conduct Disorder and Juvenile Delinquency, eds Lahey B. B., Moffitt T. E., Caspi A. (New York, NY: Guilford Press; ).
    1. Statistics Norway. (2018). This Is Women and Men in Norway 2018. Available at: = 161f7d5ee40. ISBN 978-82-537-9695-6
    1. Thomas A., Chess S. (1977). Temperament and Development. New York, NY: Brunner/Mazel Publisher.
    1. Trillingsgaard T., Baucom K. J., Heyman R. E. (2014). Predictors of change in relationship satisfaction during the transition to parenthood. Fam. Relat. 63 667–679. 10.1111/fare.12089
    1. Twenge T. M., Campbell W. K., Foster C. A. (2003). Parenthood and marital satisfaction: a meta-analytic review. J. Marriage Fam. 65 574–583. 10.1111/j.1741-3737.2003.00574.x
    1. Vittersø J. (2011). “Functional well- being: happiness as feelings, evaluations, and functioning,” in Oxford Handbook of Happiness, eds Boniwell L., David S. (Oxford: Oxford University Press; ).
    1. Watson J., White A., Taplin S., Huntsman L. (2005). Prevention and Early Intervention Literature Review. Sydney: NSW Centre for Parenting & Research Research, Funding & Business Analysis NSW Department of Community Services.
    1. Webster- Stratton C., Hammond M. (1997). Treating children with early-onset conduct problems: a comparison of child and parent training interventions. J. Cons. Clin. Psychol. 65 93–109. 10.1037/0022-006X.65.1.93
    1. Webster-Stratton C. (1990). Stress: a potential disruptor of parent perceptions and family interactions. J. Clin. Child Psychol. 19 302–312. 10.1207/s15374424jccp1904_2

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