@article{ref1,
title="Randomized trial of distance-based treatment for young children with discipline problems seen in primary health care",
journal="Family practice",
year="2013",
author="Reid, Graham J. and Stewart, Moira and Vingilis, Evelyn R. and Dozois, David J. A. and Wetmore, Stephen and Jordan, John and Dickie, Gordon and Osmun, W. E. and Wade, Terrance J. and Brown, Judith B. and Zaric, Gregory S.",
volume="30",
number="1",
pages="14-24",
abstract="OBJECTIVE: Many parents of preschool-age children have concerns about how to discipline their child but few receive help. We examined the effects of a brief treatment along with usual care, compared with receiving usual care alone. Patients. Parents (N = 178) with concerns about their 2- to 5-year olds' discipline were recruited when they visited their family physician at 1 of 24 practices. <br><br>METHODS: After completing mailed baseline measures, parents were randomly assigned to receive usual care or the Parenting Matters intervention along with usual care. Parenting Matters combined a self-help booklet with two calls from a telephone coach during a 6-week treatment period. Follow-up assessments were completed at 7 weeks post-randomization, and 3 and 6 months later. <br><br>RESULTS: Behaviour problems (Eyberg Child Behaviour Inventory) decreased significantly more in the Parenting Matters condition compared with Usual Care alone, based on a significant time by treatment group effect in intent-to-treat, growth curve analyses (P = 0.033). The Parenting Matters group also demonstrated greater and more rapid improvement than in usual care alone in terms of overall psychopathology (Child Behaviour Checklist, P = 0.02), but there were no group differences in parenting. The overall magnitude of group differences was small (d = 0.15 or less). <br><br>CONCLUSION: A brief early intervention combining a self-help booklet and telephone coaching is an effective way to treat mild behaviour problems among young children. This minimal-contact approach addresses the need for interventions in primary health care settings and may be a useful component in step-care models of mental health.<p /><p>Language: en</p>",
language="en",
issn="0263-2136",
doi="10.1093/fampra/cms051",
url="http://dx.doi.org/10.1093/fampra/cms051"
}