Cost-effective Parental Programs for the Treatment of Disruptive Behavior: The case of the Empowering Parents, Empowering Communities program

Authors

  • Laura Maciel William James Center for Research, ISPA-Instituto Universitário, Lisboa
  • Miguel Basto-Pereira William James Center for Research, ISPA-Instituto Universitário, Lisboa
  • Crispin Day Department of Psychology, Child & Adolescent Mental Health Service Research Unit, King's College London, Institute of Psychiatry, Psyhcology and Neuroscience, and Centre for Parent and Child Support, South London and Maudsley NHS Foundation Trust, Michael Rutter Centre, Londres.

DOI:

https://doi.org/10.14635/ipsic.1900

Keywords:

Parenting program; Childhood; Behavior problems; Positive parenting

Abstract

Early parenting programs are known to be one of the most effective strategies to alleviate some of the negative impacts of childhood behavior problems. Although several family interventions have been created, there were still limitations that needed to be addressed. Empowering Parents, Empowering Communities (EPEC) is an evidence-based, cost-effective parenting program with the main purpose of promoting healthy childhood development, while also strengthening parenting skills, family functioning and parental wellbeing. Based on attachment, family systems and cognitive-behavioral theories, its unique peer-led approach has shown immediate benefits not only to the wellbeing of children and their families, but also to peer parent group leaders and the community in general. EPEC is presently implemented in the UK and Australia, showing high levels of acceptability and effectiveness. It is also set out to be applied in other non-Anglo-Saxon countries. Therefore, the aim of this paper is to review the evidence regarding the EPEC program and analyze its advantages, limitations, and future directions. The importance of its dissemination worldwide is also discussed.

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References

Acri, M., Hooley, C. D., Richardson, N., y Moaba, L. B. (2017). Peer models in mental health for caregivers and families. Community Mental Health Journal, 53(2), 241–249. https://doi.org/10.1007/s10597-016-0040-4

Akers, R. L. y Jennings, W. G. (2019). The Social Learning Theory of Crime and Deviance. En M. Krohn, N. Hendrix, G.Penly Hall y A. Lizotte (Eds.), Handbook on Crime and Deviance (pp. 113-129). https://doi.org/10.1007/978-3-030-20779-3_6

Australian Institute of Family Studies (2015). Communities for Children Facilitating Partners Evidence-based programme profiles: Empowering Parents, Empowering Communities (EPEC). https://apps.aifs.gov.au/cfca/guidebook/programs/empowering-parents-empowering-communities-epec

Baker, S., Sanders, M. R., Turner, K. M. T. & Morawska, A. (2017). A randomized controlled trial evaluating a lowintensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems. Behaviour Research and Therapy, 91, 78-90. https://doi.org/10.1016/j.brat.2017.01.016

Barlow, J. y Coren, E. (2017). The Effectiveeness of Parenting Programs: A Review of Campbell Reviews. Research on Social Work Practice, 28(1), 99-102. https://doi.org/10.1177/1049731517725184

Bernal, G., Bonilla, J., y Bellido, C. (1995). Ecological validity and cultural sensitivity for outcome research: Issues for cultural adaptation and development of psychosocial treatments with Hispanics. Journal of Abnormal Child Psychology, 23(1), 67–82. https://doi.org/10.1007/BF01447045

Bernal, G., Jiménez-Chafey, M. I., y Rodríguez, M. M. D. (2009). Cultural adaptation of treatments: A resource for considering culture in evidence-based practice. Professional Psychology: Research and Practice, 40(4), 361–368. https://doi.org/10.1037/a0016401

Bevilacqua, L., Hale, D., Barker, E. D. y Viner, R. (2018). Conduct problems trajectories and psychosocial outcomes: a systematic review and meta-analysis. European Child & Adolescent Psychiatry, 27(4), 1239-1260. https://doi.org/10.1007/s00787-017-1053-4

Cortis, N. (2012). Overlooked and under-served? Promoting service use and engagement among ‘hard-toreach’ populations. International Journal of Social Welfare, 21(4), 351-360. https://doi.org/10.1111/j.1468-2397.2011.00825.x

Day, C. y Nicoll, J (2017) Empowering parents empowering communities: Programme theory. South London & Maudsley NHS Foundation Trust.

Day, C., Kearney, C. y Squires, F. (2017). Art, Science and Experience of Peer Support: Learning from the Empowering Parents, Empowering Communities Programme. International Journal of Birth and Parent Education,4(2).

Day, C., Michelson, D., Thomson, S., Penney, C. y Draper, L. (2012a). Innovations in Practice: Empowering Parents, Empowering Communities: A pilot evaluation of a peer-led parenting programme. Child and Adolescent Mental Health, 17(1), 52-57. https://doi.org/10.1111/j.1475-3588.2011.00619.x

Day, C., Michelson, D., Thomson, S., Penney, C. y Draper, L. (2012b). Evaluation of a peer led parenting intervention for disruptive behavior problems in children: community based randomized controlled trial. BMJ, 344(7849), 1-10. https://doi.org/10.1136/bmj.e1107

Day, C., Nicoll, J., Harwood, J., Kendall, N., Kearney, L. y Kirkwood, J. (2020) Transforming Chidlren’s Lives: EPEC Scaling Programme. NESTA/Department of Digital Culture Media & Sport. South London & Maudsley NHS Foundation Trust.

Domenech-Rodríguez, M. y Wieling, E. (2004). Developing culturally appropriate, evidence-based treatments for interventions with ethnic minority populations. In M. Rastogi & E. Wieling (Eds.), Voices of color: First-person accounts of ethnic minority therapists (pp. 313–333). Sage.

Early Intervention Foundation (2016). Guidebook: Empowering Parents Empowering Communities. http://guidebook.eif.org.uk/programme/empowering-parents-empowering-communities

Eisler, I. y Lask, J. (2015). Family Interventions. In A. Thapar, D. S. Pine, J. F. Leckman, S. Scott, M. J. Snowling y E. Taylor (Eds.), Rutter’s Child and Adolescent Psychiatry (6th Edition) (pp. 510-520). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118381953

Eyberg, S., Boggs, S., y Algina, J. (1995). Parent‐child interaction therapy: A psychosocial model for the treatment of young children with conduct problem behavior and their families. Psychopharmacology Bulletin, 31(1), 83‐91.

Farrington, D. P., Gaffney, H., Lösel, F. y Ttofi, M. M. (2017). Systematic reviews of the effectiveness of developmental prevention programs in reducing delinquency, aggression, and bullying. Aggression and Violent Behavior, 33, 91-106. https://doi.org/10.1016/j.avb.2016.11.003

Gardner, F., Burton, J., y Klimes, I. (2006). Randomised controlled trial of a parenting intervention in the voluntary sector for reducing child conduct problems: Outcomes and mechanisms of change. Journal of Child Psychology and Psychiatry, 47(11), 1123–1132. https://doi.org/10.1111/j.1469-7610.2006.01668.x

Harwood, J. (2017). The impact of a behavioural parenting intervention on parental reflective function [Doctoral dissertation, University of London]. EThOS. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.792695

Hoagwood, K. E., Cavaleri, M. A., Olin, S. S., Burns, B. J., Slaton, E., Gruttadaro, D., y Hughes, R. (2010). Family support in children’s mental health: A review and synthesis. Clinical Child and Family Psychology Review, 13(1), 1–45. https://doi.org/10.1007/s10567-009-0060-5

Jolliffe, D., Farrington, D. P., Piquero, A. R., Loeber, R. y Hill, K. G. (2017). Systematic review of early risk factors for lifecourse-persistent, adolescence-limited, and late-onset offenders in prospective longitudinal studies. Aggression and Violent Behavior, 33, 15-23. https://doi.org/10.1016/j.avb.2017.01.009

Kaminski, J. W. y Claussem. A. H. (2017). Evidence Base Update for Psychosocial Treatments for Disruptive Behaviors in Children. Journal of Clinical Child & Adolescent Psychology, 46(4), 477-499. https://doi.org/10.1080/15374416.2017.1310044

Leijten, P., Gardner, F., Melendez-Torres, G. J., Jolien van Aar, J., Hutchings, J., Schulz, S., Knerr, W. y Overbeek, G. (2019). What to Teach Parents to Reduce Disruptive Child Behavior: Two Meta-Analyses of Parenting Program Components. Journal of the American Academy of Child & Adolescent Psychiatry, 58(2), 180-190. https://doi.org/10.1016/j.jaac.2018.07.900

Majumder, A. (2015). The impact of parenting style on children’s educational outcomes in the United States. Journal of Family and Economic Issues, 37, 1–10.

https://doi.org/10.1007/s10834-015-9444-5

Meija, A., Leijten, P., Lachman, J. M. y Parra-Cardona, J. R. (2017). Different Strokes for Different Folks? Contrasting Approaches to Cultural Adaptation of Parenting Interventions. Prevention Science, 18, 630-639. https://doi.org/10.1007/s11121-016-0671-2

Nystrand, C., Feldman, I., Enebrink, P. & Sampaio, F. (2019). Cost-effectiveness analysis of parenting interventions for the prevention of behaviour problems in children. PloS ONE, 14(12). https://doi.org/10.1371/journal.pone.0225503

O’Brien, M. y Daley, D. (2011). Self-help parenting interventions for childhood behaviour disorders: a review of the evidence. Child: Care, Health, and Development, 37(5),623-637. https://doi.org/10.1111/j.1365-2214.2011.01231.x

Pedersen, G. A., Smallegange, E., Coetzee, A., Hartog, K., Turner, J., Jordan, M. J. D. y Brown, F. L. (2019). A Systematic Review of the Evidence for Family and Parenting Interventions in Low- and Middle-Income Countries: Child and Youth Mental Health Outcomes. Journal of Child and Family Studies, 28, 2036-2055. https://doi.org/10.1007/s10826-019-01399-4

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. Clinical Child and Family Psychology Review, 2(2), 71‐90. https://doi.org/10.1037/0893‐3200.22.3.506

Scott, S., O’Connor, T. G., Futh, A., Matias, C., Price, J., y Doolan, M. (2010). Impact of a parenting program in a high-risk, multiethnic community: The PALS trial. Journal of Child Psychology and Psychiatry, 51(12), 1331–1341. https://doi.org/10.1111/j.1469-7610.2010.02302.x

Scott, S. y Gardner, F. (2015). Parenting Programs. In A. Thapar, D. S. Pine, J. F. Leckman, S. Scott, M. J. Snowling & E. Taylor (Eds.), Rutter’s Child and Adolescent Psychiatry (6th Edition) (pp. 483-495). John Wiley & Sons, Ltd. https://doi.org/10.1002/9781118381953

Thomson, S., Michelson, D. y Day, C. (2014). From parent to “peer facilitator”: a qualitative study of a peer-led parenting programme. Child: Care Health and Development, 41(1), 76-83. https://doi.org/10.1111/cch.12132

Tully, L. A., Collins, D. A. J., Piotrowska, P. J., Mairet, K. S., Hawes, D. J., Moul, C. … Dadds, M. R. (2018). Examining Practitioner Competencies, Organizational Support and Barriers to Engaging Fathers in Parenting Interventions. Child Psychiatry & Human Development, 49, 109-122. https://doi.org/10.1007/s10578-017-0733-0

Tully, L. A., Piotrowska, P. J., Collins, D. A. J., Mairet, K. S., Black, N., Kimonis, E. R. … Dadds, M. R. (2017). Optimising child outcomes from parenting interventions: fathers’ experiences, preferences and barriers to participation. BMC Public Health, 17, 550-564. https://doi.org/10.1186/s12889-017-4426-1

Vasileva, M., Graf, R. K., Reinelt, T., Petermann, U. y Petermann, F. (2020). Research review: A meta-analysis of the international prevalence and comorbidity of mental disorders in children between 1 and 7 years. Journal of Child Psychology and Psychiatry, 62(4), 372-381. https://doi.org/10.1111/jcpp.13261

Wachs, T. D., Georgieff, M., Cusick, S. y McEwen, B. S. (2014). Issues in the timing of integrated early interventions:Contributions from nutrition, neuroscience, and psychological research. Annals of the New York Academy of Sciences, 1308(1), 89–106. https://doi.org/10.1111/nyas.12314

Webster‐Stratton, C. (2001). The parent and child series: A comprehensive course divided into four programs—Leaders’guide. The Incredible Years.

Webster-Stratton, C. y Reid, M. J. (2017). In Incredible Years Parents, Teachers, and Children Training Series: A Multifaceted Treatment Approach for Young Children with Conduct Problems. In J. R. Weisz y A. E. Kazdin, Evidence-Based Psychotherapies for Children and Adolescents (3rd Ed) (pp 122-141). The Guilford Press.

Winter, R. (2013). Empowering Parents Empowering Communities. Murdoch Children’s Research Institute/Tasmanian Early Years Foundation. https://socialplanningtool.net.au/wp-content/uploads/2019/04/EPEC_Evaluation_Final.pdf

WHO (2016). INSPIRE: Seven strategies for ending violence against children. World Health Organization. https://www.who.int/publications/i/item/inspire-seven-strategies-for-ending-violence-against-children

Yalom, I. D. y Leszcz, M. (2020). The Theory and Practice of Group Psychotherapy (6th Ed). Basic Books.

Published

2022-02-01

How to Cite

Maciel, L., Basto-Pereira, M., & Day, C. (2022). Cost-effective Parental Programs for the Treatment of Disruptive Behavior: The case of the Empowering Parents, Empowering Communities program. INFORMACIO PSICOLOGICA, (122), 77–91. https://doi.org/10.14635/ipsic.1900