UTS: Family Child Behavior Clinic, Discipline of Clinical Psychology, Graduate School of Health, University of Technology Sydney, Level 5 Building 20, 100 Broadway, Ultimo, NSW, 2007, Australia.
Clin Child Fam Psychol Rev. 2024 Jun;27(2):523-549. doi: 10.1007/s10567-024-00477-4. Epub 2024 Apr 13.
The twenty-first century has seen the development and delivery of online programs of behavioral family intervention for disruptive child behavior. Typically, programs evaluate outcomes in terms of change in child functioning and change in parenting ability. Existing research has also articulated the importance of parent-child relational capacity and its role in facilitating change in child functioning, and the importance of parent emotion regulation in the interests of ensuring optimal child development. These factors were explored in a meta-analysis of k = 14 prospective longitudinal research studies of online parenting interventions for disruptive child behavior. Peer reviewed randomized controlled trials with inactive control groups that were published in English between 2000 and 2022 were included in the review if they were delivered online; offered parent self-directed treatment; included as participants families who were screened as having child behavioral difficulties on validated psychometric assessment measures; and assessed child treatment outcomes, parenting ability and parent treatment outcomes. The protocol for this study was pre-registered with PROSPERO (CRD42020215947). Statistical analyses employed random effects models and reported pooled effect sizes (Hedge's g) within and between groups. Results emphasize the importance of child outcomes and parenting ability in program assessment, however, suggest that parents' capacity to develop optimal parent-child relationships and regulate emotion may not be sufficiently reflected in program content. Identified continuous and categorical moderators of treatment outcome were also assessed. Results of the review are discussed in terms of their potential to influence the future development of online programs of behavioral family intervention and, therefore, child development.
二十一世纪见证了在线行为家庭干预项目的发展和实施，这些项目针对破坏性行为的儿童。通常，这些项目根据儿童功能的变化和育儿能力的变化来评估结果。现有研究也阐明了亲子关系能力的重要性及其在促进儿童功能变化中的作用，以及父母情绪调节在确保儿童最佳发展方面的重要性。这些因素在对 14 项在线育儿干预破坏性行为的前瞻性纵向研究的荟萃分析中得到了探讨。如果研究是在线进行的、提供家长自我指导的治疗、包括通过验证心理计量评估措施筛选出有儿童行为问题的家庭作为参与者、以及评估儿童治疗结果、育儿能力和家长治疗结果，则符合纳入标准。该研究的方案已在 PROSPERO（CRD42020215947）上预先注册。统计分析采用随机效应模型，并报告了组内和组间的综合效应大小（Hedge's g）。结果强调了儿童结果和育儿能力在项目评估中的重要性，但表明父母发展最佳亲子关系和调节情绪的能力可能没有在项目内容中得到充分体现。还评估了治疗结果的连续和分类调节因素。该综述的结果从其对未来在线行为家庭干预项目和儿童发展的潜在影响方面进行了讨论。
