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Article
Publication date: 12 March 2010

Carolyn Webster‐Stratton and M Reid

Families referred to child welfare for maltreatment and neglect are frequently mandated to attend parenting programmes. Evidence‐based parenting programmes (EBPs) are…

Abstract

Families referred to child welfare for maltreatment and neglect are frequently mandated to attend parenting programmes. Evidence‐based parenting programmes (EBPs) are under‐utilised or not delivered with fidelity for this population. The Incredible Years (IY) parenting programme is an EPB that has been proven to reduce harsh parenting, increase positive discipline and nurturing parenting, reduce conduct problems and improve children's social competence. There is also promising preliminary evidence that IY is an effective intervention for families involved in child welfare and for foster parents. This article describes how the updated IY parenting basic programme is delivered with fidelity to this population.

Details

Journal of Children's Services, vol. 5 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 4 May 2008

Carolyn Webster-Stratton and M. Reid

Young children who are referred to mental health agencies because of oppositional defiant disorder (ODD) and conduct problems (CP) frequently have comorbid diagnoses or symptoms…

Abstract

Young children who are referred to mental health agencies because of oppositional defiant disorder (ODD) and conduct problems (CP) frequently have comorbid diagnoses or symptoms such as attention deficit disorder (ADD) with or without hyperactivity (ADHD), language/learning and developmental, or autism spectrum disorders. Research has shown that the Incredible Years Child Dinosaur programme offered to children with comorbid issues is successful at reducing behaviour problems and increasing social and emotional competence. This article examines ways in which this small group therapy programme is tailored to address the individual goals of each child so that the intervention is developmentally and therapeutically appropriate. It discusses group composition, as well as the importance of specific content and teaching methods for children with ADHD, academic and language delays and mild autism.

Corrigendum:

It has been brought to Emerald’s attention that the article “Adapting the Incredible Years child dinosaur social, emotional, and problem-solving intervention to address comorbid diagnoses” by Webster-Stratton, Carolyn and Reid, M. Jamila published in the Journal of Children’s Services, Vol. 3 No. 3, 2008, failed to disclose conflict of interests prior to publication. Author Carolyn Webster-Stratton disseminates the Incredible Years treatment and stands to gain from favourable reports. Because of this, she has voluntarily agreed to distance herself from certain critical research activities, including recruitment, consenting, primary data handling and data analyses. The authors apologise for not disclosing the information prior to publication. The University of Washington has approved these arrangements.

Details

Journal of Children's Services, vol. 3 no. 3
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 21 September 2015

Carolyn Webster-Stratton and Tracey Bywater

The purpose of this paper is to explore the utility of an evidence-based suite of programmes, The Incredible Years (IY), to enhance outcomes for children using a parent-teacher…

1819

Abstract

Purpose

The purpose of this paper is to explore the utility of an evidence-based suite of programmes, The Incredible Years (IY), to enhance outcomes for children using a parent-teacher partnership model.

Design/methodology/approach

A review of the broad evidence base for the IY parent, teacher and child programmes, uniquely focusing on the inter-relationships between home and school contexts.

Findings

Evidence suggests that it is beneficial to parents, teachers and children to deliver IY programmes applying a multi-modal approach.

Originality/value

This paper, read in conjunction with other contributions in this volume, demonstrates the growing viability of partnership strategies that support children, their families and teachers to enhance school readiness, and promote positive child outcomes.

Article
Publication date: 12 April 2008

Judy Hutchings, Tracey Bywater, Catrin Eames and Pam Martin

This article reports on three pragmatic randomised controlled trials (RCTs) to help children at risk of conduct disorder (CD): two involved the Incredible Years (IY) BASIC parent

156

Abstract

This article reports on three pragmatic randomised controlled trials (RCTs) to help children at risk of conduct disorder (CD): two involved the Incredible Years (IY) BASIC parent programme and the other concerned the IY teacher programme. All three interventions took place in regular service settings in North‐ and Mid‐Wales. In all three studies, staff from the provider agency delivered the programme and participated in RCT evaluations in which participants were randomly allocated to intervention or waitinglist control conditions. After a brief introduction to research into the prevention or treatment of CD, and the issues to be considered by services in selecting and delivering interventions, this article summarises the structure, content and evidence base of the IY programmes. The three Welsh studies are briefly described before exploring what factors contributed to service participation in the trials and the benefits and lessons learned in undertaking them.

Details

Journal of Children's Services, vol. 3 no. 2
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 1 August 2007

Judy Hutchings, Tracey Bywater and Dave Daley

Both the government and local service providers in the UK are becoming increasingly aware of the possibility of improving child outcomes through the delivery of parenting

197

Abstract

Both the government and local service providers in the UK are becoming increasingly aware of the possibility of improving child outcomes through the delivery of parenting programmes. Government initiatives, such as Sure Start, Pathfinders and Flying Start are a positive step forward, yet programmes sometimes fail to work in service settings. This article describes the components necessary to deliver effective interventions, exploring the need to choose an evidence‐based parent programme, implement it with fidelity and evaluate the outcome. It describes the steps taken in North and Mid Wales to do this and reports briefly on the successful outcomes achieved by delivering the Incredible Years Basic Parenting Programme to the parents of high‐risk children in Sure Start areas.

Details

Journal of Children's Services, vol. 2 no. 2
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 30 November 2012

Gregory A. Aarons, Elizabeth A. Miller, Amy E. Green, Jennifer A. Perrott and Richard Bradway

Evidence‐based practices (EBPs) are increasingly being implemented in real‐world settings. While intervention effectiveness is dependent on fidelity, interventions are often…

974

Abstract

Purpose

Evidence‐based practices (EBPs) are increasingly being implemented in real‐world settings. While intervention effectiveness is dependent on fidelity, interventions are often adapted to service settings according to the needs of stakeholders at multiple levels. This study aims to examine the naturalistic implementation of The Incredible Years (IY) parenting programme in a residential substance abuse treatment programme for pregnant and parenting women.

Design/methodology/approach

The study took place in a residential substance abuse treatment programme serving pregnant and parenting women and their children. Participants included 120 female clients. The primary IY facilitator was a master's level counselling psychologist. In person observations of IY sessions were completed by a trained bachelor's level anthropologist. Ethnographic field notes were collected and then coded in keeping with a priori themes and to identify emergent themes. The Parent Group Leader Checklist was used to evaluate quality and integrity of the IY basic parent programme.

Findings

Quantitative analyses indicate that fidelity varied by type of checklist activity. Specifically, adherence to the IY programme was highest in beginning topic activities, setup, and home activity review, and lowest in role play, vignettes, and wrap‐up activities. Qualitative analyses revealed a number of adaptations in implementation of IY. Adaptations fit into two broad categories: modification of programme delivery and modification of programme content. Within each of these categories modifications included organisation‐driven adaptations, provider‐driven adaptations, and consumer‐driven adaptations.

Practical implications

Changes to evidence‐based practice generally take two forms – adaptations consistent with model intent and theoretical approach and changes that represent drift from core elements of the EBP. The challenge for implementation science is to develop frameworks in which models can be adapted enough to make them viable for the service context (or the service context adapted to fit the model), yet avoid drift and maintain fidelity. Attending to the complexities of adaptation prior to and during implementation in a planned way is likely to help organisations better utilise EBPs to meet their unique needs while maintaining fidelity.

Originality/value

The paper shows that identification of types of intervention adaptations and drift allows for consideration of systematic approaches, frameworks, and processes to increase adherence during EBP implementation in community mental health and substance abuse treatment settings.

Article
Publication date: 29 November 2013

Kevin P. Haggerty, Anne McGlynn-Wright and Tali Klima

Adolescent problem behaviours (substance use, delinquency, school dropout, pregnancy, and violence) are costly not only for individuals, but for entire communities. Policy makers…

1384

Abstract

Purpose

Adolescent problem behaviours (substance use, delinquency, school dropout, pregnancy, and violence) are costly not only for individuals, but for entire communities. Policy makers and practitioners that are interested in preventing these problem behaviours are faced with many programming options. The purpose of this review is to discuss two criteria for selecting relevant parenting programmes, and provide five examples of such programmes.

Design/methodology/approach

The first criterion for programme selection is theory based. Well-supported theories, such as the social development model, have laid out key family-based risk and protective factors for problem behaviour. Programmes that target these risk and protective factors are more likely to be effective. Second, programmes should have demonstrated efficacy; these interventions have been called “evidence-based programmes” (EBP). This review highlights the importance of evidence from rigorous research designs, such as randomised clinical trials, in order to establish programme efficacy.

Findings

Nurse-Family Partnership, The Incredible Years, the Positive Parenting Program (Triple P), Strengthening Families 10-14, and Staying Connected with Your Teen are examined. The unique features of each programme are briefly presented. Evidence showing impact on family risk and protective factors, as well as long-term problem behaviours, is reviewed. Finally, a measure of cost effectiveness of each programme is provided.

Originality/value

The paper proposes that not all programmes are of equal value, and suggests two simple criteria for selecting a parenting programme with a high likelihood for positive outcomes. Furthermore, although this review is not exhaustive, the five examples of EBPs offer a good start for policy makers and practitioners seeking to implement effective programmes in their communities. Thus, this paper offers practical suggestions for those grappling with investments in child and adolescent programmes on the ground.

Details

Journal of Children's Services, vol. 8 no. 4
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 21 March 2016

Rhiannon Tudor Edwards, Carys Jones, Vashti Berry, Joanna Charles, Pat Linck, Tracey Bywater and Judy Hutchings

There is growing interest in the economic evaluation of public health prevention initiatives and increasing government awareness of the societal costs of conduct disorder in early…

Abstract

Purpose

There is growing interest in the economic evaluation of public health prevention initiatives and increasing government awareness of the societal costs of conduct disorder in early childhood. The purpose of this paper is to investigate the cost-effectiveness of the Incredible Years (IY) BASIC parenting programme compared with a six-month waiting list control.

Design/methodology/approach

Cost-effectiveness analysis alongside a pragmatic randomised controlled trial of a group-parenting programme. The primary outcome measure was the Strengths and Difficulties Questionnaire (SDQ), a measure of child behaviour.

Findings

The IY programme was found to have a high probability of being cost-effective, shifting an additional 23 per cent of children from above the clinical concern to below the cut-off on the SDQ compared to the control group, at a cost ranging from £1612-£2418 per child, depending on the number of children in the group.

Originality/value

The positive findings of this study have led to ongoing implementation of the IY programme and is therefore an example of commitment to evidence-based service provision and investment in prevention initiatives.

Details

Journal of Children's Services, vol. 11 no. 1
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 16 September 2011

Hannah‐Jane Braiden, Benny McDaniel, Joseph Duffy and Monica McCann

Bereaved parents often face the complex situation of managing their own grief while parenting bereaved children who are at increased risk of social, emotional and behavioural…

Abstract

Purpose

Bereaved parents often face the complex situation of managing their own grief while parenting bereaved children who are at increased risk of social, emotional and behavioural difficulties. The current evaluation was a pilot study aimed at determining the feasibility of the Incredible Years (IY) BASIC parenting programme as an intervention for bereaved families.

Design/methodology/approach

A total of seven parents of children (aged four to 12) participated in a 12‐week IY BASIC parenting programme. Participants completed a range of pre‐intervention, post‐intervention, six month follow‐up measures and semi‐structured interviews.

Findings

The results showed statistically significant reductions in parental stress, parental wellbeing, child behaviour problems, and grief.

Originality/value

There is strong evidence for the effectiveness of IY with diverse parenting populations but this is the first known study of the programme with bereaved families. The findings support its use with such families where child behaviour is a concern.

Details

Journal of Children's Services, vol. 6 no. 3
Type: Research Article
ISSN: 1746-6660

Keywords

Article
Publication date: 15 June 2012

Judy Hutchings

This paper describes the author's work during 35 years as a clinical psychologist in the NHS in Wales working mainly with conduct disordered children and their families. It…

229

Abstract

Purpose

This paper describes the author's work during 35 years as a clinical psychologist in the NHS in Wales working mainly with conduct disordered children and their families. It describe how from initially working within an applied behaviour analysis (ABA) framework with individual families she subsequently established and researched the group based Incredible Years (IY) parent programme in Wales and led a Wales‐wide dissemination of the IY programmes.

Design/methodology/approach

The paper provides a case study example of the use of the Society for Prevention Research (SPR) criteria for translational research, that is research that can be applied successfully in the real world.

Findings

Many of the challenges were overcome through the inclusion of strategies to maximise effectiveness with differing populations, and by gaining the support of government and local services.

Originality/value

The paper discusses the challenges of taking an evidence‐based programme to scale.

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