Equity effects of parenting interventions for child conduct problems: a pan-European individual participant data meta-analysis

Publication date: Available online 6 May 2019Source: The Lancet PsychiatryAuthor(s): Frances Gardner, Patty Leijten, Victoria Harris, Joanna Mann, Judy Hutchings, Jennifer Beecham, Eva-Maria Bonin, Vashti Berry, Sinead McGilloway, Maria Gaspar, Maria João Seabra-Santos, Bram Orobio de Castro, Ankie Menting, Margiad Williams, Ulf Axberg, Willy-Tore Morch, Stephen Scott, Sabine LandauSummaryBackgroundChildhood conduct problems are a costly public health problem and are five times more common in socially disadvantaged groups than they are in advantaged groups. Untreated, conduct problems have a poor prognosis, with increasing gaps between socioeconomic groups, and high rates of subsequent criminality. Incredible Years is a high quality parenting programme for reducing conduct problems and is widely disseminated in Europe. Many trials have shown Incredible Years to be effective but the potential effects of parenting interventions on social inequality are unknown. Some behavioural interventions (eg, smoking cessation programmes), although beneficial overall, can widen inequality gaps. Because single trials and aggregate-level meta-analyses are ill equipped for examining differential intervention (moderator) effects, we pooled individual-level trial data to assess the effects of Incredible Years on social equity.MethodsWe did a systematic review and individual participant data meta-analysis by searching CINAHL, Embase, Global Health, Medline, and PsycINFO, for studies published fr...
Source: The Lancet Psychiatry - Category: Psychiatry Source Type: research