Evaluation of "The Incredible Years" in Sweden: The transferability of an American parent-training program to Sweden

University of Gothenburg, Sweden.
Scandinavian Journal of Psychology (Impact Factor: 1.29). 06/2012; 53(3):224-32. DOI: 10.1111/j.1467-9450.2012.00955.x
Source: PubMed

ABSTRACT Structured parent training has been proven to be effective in reducing disruptive behavior problems (DBP) in children. Most of the programs that are used in Sweden have their origin in North America, and there is an ongoing debate over the transferability to Sweden of manual-based programs developed in other contexts. The goal of the present study was to study effectiveness of the Incredible Years parent-training program (IY), developed in the US, in regular clinical work in Sweden, using a randomized controlled design. Parents of 62 four to eight-year-old children diagnosed with Oppositional Defiant Disorder participated in the study. Parents of 38 children were assigned to parent training (PT) and 24 to a waiting list (WL). The results indicate that the IYS retains the positive effects on children's disruptive behavior problems when translated and transferred to Swedish. There was a statistically significant difference in reduction of DBP in children between the groups in favor of the PT. The improvement in the PT group was sustained at the one-year follow-up. The improvement also, at least to some extent, generalized over time to the school context. There was also a statistically significant difference in mothers' report of pre to post change in parenting alliance between the PT and WL groups. The IYS program was appreciated and well received by the participating mothers.

Download full-text


Available from: Anders Broberg, Jul 10, 2015
  • Source
    • "The current effectiveness study focuses on the extent to which a treatment can work in applied practice settings. In comparison to other effectiveness studies focused on treatment of youth with behavior disorders in community settings (Axberg and Broberg 2012; Behan et al. 2001; Costin and Chambers 2007; Gardner et al. 2006; Hagen et al. 2011; Hautmann et al. 2009; Kleve et al. 2010; Kling et al. 2010; Kjobli and Ogden 2013; Larsson et al. 2009; Ogden and Hagen 2008), the current study is unique as it has been conducted within typical inner-city community child mental health clinics within the US with a predominantly low-income sample. Effect sizes for between-group analyses in the current study are consistent with those reported for long-term follow-up among effectiveness studies we reviewed using an active, SAU control group, which is most similar to the current study. "
    [Show abstract] [Hide abstract]
    ABSTRACT: This paper reports on the 6-month follow-up outcomes of an effectiveness study testing a multiple family group (MFG) intervention for clinic-referred youth (aged 7–11) with disruptive behavior disorders (DBDs) and their families in socioeconomically disadvantaged families compared to services-as-usual (SAU) using a block comparison design. The settings were urban community-based outpatient mental health agencies. Clinic-based providers and family partner advocates facilitated the MFG intervention. Parent-report measures targeting child behavior, social skills, and impairment across functional domains (i.e., relationships with peers, parents, siblings, and academic progress) were assessed across four timepoints (baseline, mid-test, post-test, and 6-month follow-up) using mixed effects regression modeling. Compared to SAU participants, MFG participants reported significant improvement at 6-month follow-up in child behavior, impact of behavior on relationship with peers, and overall impairment/need for services. Findings indicate that MFG may provide longer-term benefits for youth with DBDs and their families in community-based settings. Implications within the context of a transforming healthcare system are discussed.
    Journal of Child and Family Studies 12/2014; DOI:10.1007/s10826-014-0074-6 · 1.42 Impact Factor
  • Source
    • "Because parent support programmes aim to change children's behaviour by promoting changes in parenting [2], a further inquiry into Swedish parenting practices is needed. Until there is sufficient evidence that parents and children in Sweden show similar behavioural dynamics as in other countries [12], evidence-based parenting programmes will not be made broadly available and public debate will continue to flare up over every new introduction of these programmes. In addition, since both mother and fathers are considered equal parents in Sweden, it is essential to include both parents in this study. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Aims:We aim to examine the relationship between child behavioural problems and several parental factors, particularly parental behaviours as reported by both mothers and fathers in a sample of preschool children in Sweden. Methods: Participants were mothers and fathers of 504 3- to 5-year-olds that were recruited through preschools. They completed a set of questionnaires including the Eyberg Child Behavior Inventory, Parenting Sense of Competence Scale, Parenting Scale, Parent Problem Checklist, Dyadic Adjustment Scale and Depression Anxiety Stress Scale. Results: Correlational analyses showed that parent-reported child behaviour problems were positively associated with ineffective parenting practices and interparental conflicts and negatively related to parental competence. Regression analyses showed that, for both mothers and fathers, higher levels of parental over-reactivity and interparental conflict over child-rearing issues and lower levels of parental satisfaction were the most salient factors in predicting their reports of disruptive child behaviour. Conclusions: This study revealed that Swedish parents’ perceptions of their parenting is related to their ratings of child behaviour problems which therefore implies that parent training programs can be useful in addressing behavioural problems in Swedish children.
    Scandinavian Journal of Public Health 07/2014; 42(7). DOI:10.1177/1403494814541595 · 3.13 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The spread of evidence-based practice throughout the world has resulted in the wide adoption of empirically supported interventions (ESIs) and a growing number of controlled trials of imported and culturally adapted ESIs. This article is informed by outcome research on family-based interventions including programs listed in the American Blueprints Model and Promising Programs. Evidence from these controlled trials is mixed and, because it is comprised of both successful and unsuccessful replications of ESIs, it provides clues for the translation of promising programs in the future. At least four explanations appear plausible for the mixed results in replication trials. One has to do with methodological differences across trials. A second deals with ambiguities in the cultural adaptation process. A third explanation is that ESIs in failed replications have not been adequately implemented. A fourth source of variation derives from unanticipated contextual influences that might affect the effects of ESIs when transported to other cultures and countries. This article describes a model that allows for the differential examination of adaptations of interventions in new cultural contexts.
    Evaluation &amp the Health Professions 01/2013; 37(2). DOI:10.1177/0163278712469813 · 1.67 Impact Factor
Show more