The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines

Abstract Background Studies have investigated the role of different parenting intervention programs in the early development of children. Here we aimed to determine the long-term efficacy of Care for Child Development (CCD) guideline interventions on behavioral dimensions of children’s development....

Full description

Saved in:
Bibliographic Details
Main Authors: Kasra Talebi Anaraki, Nastaran Ghanbarian Alavijeh, Maryam Bemanalizadeh, Omid Yaghini, Negin Badihian, Mehri Khoshhali, Shervin Badihian, Neda Hosseini, Marziye Purpirali, Mansoore Abadian, Seyede Shahrbanoo Daniali, Roya Kelishadi
Format: Article
Language:English
Published: BMC 2024-11-01
Series:BMC Pediatrics
Subjects:
Online Access:https://doi.org/10.1186/s12887-024-05253-5
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846147395244523520
author Kasra Talebi Anaraki
Nastaran Ghanbarian Alavijeh
Maryam Bemanalizadeh
Omid Yaghini
Negin Badihian
Mehri Khoshhali
Shervin Badihian
Neda Hosseini
Marziye Purpirali
Mansoore Abadian
Seyede Shahrbanoo Daniali
Roya Kelishadi
author_facet Kasra Talebi Anaraki
Nastaran Ghanbarian Alavijeh
Maryam Bemanalizadeh
Omid Yaghini
Negin Badihian
Mehri Khoshhali
Shervin Badihian
Neda Hosseini
Marziye Purpirali
Mansoore Abadian
Seyede Shahrbanoo Daniali
Roya Kelishadi
author_sort Kasra Talebi Anaraki
collection DOAJ
description Abstract Background Studies have investigated the role of different parenting intervention programs in the early development of children. Here we aimed to determine the long-term efficacy of Care for Child Development (CCD) guideline interventions on behavioral dimensions of children’s development. Methods This randomized clinical trial took place at an outpatient public Pediatrics clinic in Isfahan, Iran from February 2020 to May 2024. Pregnant women between the ages of 18 and 45 in their third trimester were included in the study, and their children were followed for 48 months. The intervention group participated in 5 educational group sessions, each session lasting approximately 45 min. The control group underwent routine education on childcare, as suggested by WHO. The main outcome was the children’s socio-emotional behavior problems using the Children Behavior Checklist (CBCL) at 18, 36, and 48 months. The comparisons between groups were done using independent two-sample t-tests, or the Mann-Whitney test and the Chi-square test. Statistical software SPSS 22 was utilized for data analysis. Results Finally, the data of 166 participants (70 in the intervention group and 96 in the control group) were included in the current study. The adjusted mean differences between the intervention and control groups significantly differed in some scales after follow-up. After 36 months of follow-up, the scores in the following aspects were significantly lower in the intervention group: emotional problems, anxiety, seclusion problems, sleep disorders, aggressive behavior, and the total problem. After 48 months, only sleep problems were significantly lower in the intervention group. Conclusion According to the results of this intervention, delivering parenting interventions through group sessions according to the CCD recommendation indicated weak efficacy during long-term follow-ups. Further trials are needed to assess the effects of these programs on parents. Trial Registration IRCT20190128042533N2, Date of Registration: 16 January 2020, www.irct.ir .
format Article
id doaj-art-2aac51477db447eaa78a001993f33b9c
institution Kabale University
issn 1471-2431
language English
publishDate 2024-11-01
publisher BMC
record_format Article
series BMC Pediatrics
spelling doaj-art-2aac51477db447eaa78a001993f33b9c2024-12-01T12:45:17ZengBMCBMC Pediatrics1471-24312024-11-012411810.1186/s12887-024-05253-5The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelinesKasra Talebi Anaraki0Nastaran Ghanbarian Alavijeh1Maryam Bemanalizadeh2Omid Yaghini3Negin Badihian4Mehri Khoshhali5Shervin Badihian6Neda Hosseini7Marziye Purpirali8Mansoore Abadian9Seyede Shahrbanoo Daniali10Roya Kelishadi11Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesMaster of Mathematical Statistics, University of IsfahanChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesDepartment of Neurology, Neurological InstituteChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesDepartment of Neurology, Neurological InstituteDepartment of Child Neurology, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesOccupational Therapy Department, School of Rehabilitation Sciences, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesChild Growth and Development Research Center, Research Institute for Primordial Prevention of Non-Communicable Disease, Isfahan University of Medical SciencesAbstract Background Studies have investigated the role of different parenting intervention programs in the early development of children. Here we aimed to determine the long-term efficacy of Care for Child Development (CCD) guideline interventions on behavioral dimensions of children’s development. Methods This randomized clinical trial took place at an outpatient public Pediatrics clinic in Isfahan, Iran from February 2020 to May 2024. Pregnant women between the ages of 18 and 45 in their third trimester were included in the study, and their children were followed for 48 months. The intervention group participated in 5 educational group sessions, each session lasting approximately 45 min. The control group underwent routine education on childcare, as suggested by WHO. The main outcome was the children’s socio-emotional behavior problems using the Children Behavior Checklist (CBCL) at 18, 36, and 48 months. The comparisons between groups were done using independent two-sample t-tests, or the Mann-Whitney test and the Chi-square test. Statistical software SPSS 22 was utilized for data analysis. Results Finally, the data of 166 participants (70 in the intervention group and 96 in the control group) were included in the current study. The adjusted mean differences between the intervention and control groups significantly differed in some scales after follow-up. After 36 months of follow-up, the scores in the following aspects were significantly lower in the intervention group: emotional problems, anxiety, seclusion problems, sleep disorders, aggressive behavior, and the total problem. After 48 months, only sleep problems were significantly lower in the intervention group. Conclusion According to the results of this intervention, delivering parenting interventions through group sessions according to the CCD recommendation indicated weak efficacy during long-term follow-ups. Further trials are needed to assess the effects of these programs on parents. Trial Registration IRCT20190128042533N2, Date of Registration: 16 January 2020, www.irct.ir .https://doi.org/10.1186/s12887-024-05253-5Child developmentChild behaviorParenting education
spellingShingle Kasra Talebi Anaraki
Nastaran Ghanbarian Alavijeh
Maryam Bemanalizadeh
Omid Yaghini
Negin Badihian
Mehri Khoshhali
Shervin Badihian
Neda Hosseini
Marziye Purpirali
Mansoore Abadian
Seyede Shahrbanoo Daniali
Roya Kelishadi
The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
BMC Pediatrics
Child development
Child behavior
Parenting education
title The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
title_full The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
title_fullStr The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
title_full_unstemmed The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
title_short The lasting influence of parenting intervention on child behavior: findings from a randomized clinical trial using care for child development guidelines
title_sort lasting influence of parenting intervention on child behavior findings from a randomized clinical trial using care for child development guidelines
topic Child development
Child behavior
Parenting education
url https://doi.org/10.1186/s12887-024-05253-5
work_keys_str_mv AT kasratalebianaraki thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT nastaranghanbarianalavijeh thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT maryambemanalizadeh thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT omidyaghini thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT neginbadihian thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT mehrikhoshhali thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT shervinbadihian thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT nedahosseini thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT marziyepurpirali thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT mansooreabadian thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT seyedeshahrbanoodaniali thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT royakelishadi thelastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT kasratalebianaraki lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT nastaranghanbarianalavijeh lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT maryambemanalizadeh lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT omidyaghini lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT neginbadihian lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT mehrikhoshhali lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT shervinbadihian lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT nedahosseini lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT marziyepurpirali lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT mansooreabadian lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT seyedeshahrbanoodaniali lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines
AT royakelishadi lastinginfluenceofparentinginterventiononchildbehaviorfindingsfromarandomizedclinicaltrialusingcareforchilddevelopmentguidelines