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Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: a qualitative synthesis of studies of parents’ and professionals’ perceptions

Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: a qualitative synthesis of studies of parents’ and professionals’ perceptions
Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: a qualitative synthesis of studies of parents’ and professionals’ perceptions
Disruptive behaviour problems (DBPs) during childhood exert a high burden on individuals, families and the community as a whole. Reducing this impact is a major public health priority. Early parenting interventions are recommended as valuable ways to target DBPs; however, low take-up of, and high drop-out rates from, these programmes seriously reduce their effectiveness. We present a review of published qualitative evidence relating to factors that block or facilitate access and engagement of parents with such programmes using a thematic synthesis approach. 12 papers presenting views of both parents and professionals met our inclusion and quality criteria. A large number of barriers were identified highlighting the array of challenges parents can face when considering accessing and engaging with treatment for their child with behavioural problems. Facilitating factors in this area were also identified. A series of recommendations were made with regard to raising awareness of programmes and recruiting parents, providing flexible and individually tailored support, delivering programmes through highly skilled, trained and knowledgeable therapists, and highlighting factors to consider when delivering group-based programmes. Clinical guidelines should address barriers and facilitators of engagement as well as basic efficacy of treatment approaches.
qualitative methods, parent training, adhd, conduct disorder, oppositional defiant disorder, behaviour problems, treatment barriers, hard-to-reach
1018-8827
653-670
Koerting, J.
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Smith, E.
2edaa8c4-6f44-450a-a625-75c3546f71aa
Knowles, M.M.
57670dd6-57ba-49cf-9cd5-d440a962b7e2
Latter, S.
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Elsey, H.
51776d3c-3a5e-4c34-8d71-73b678c0f22e
McCann, D.C.
8bbb548a-b753-4e76-bace-f8fc079665ea
Thompson, M.
bfe8522c-b252-4771-8036-744e93357c67
Sonuga-Barke, E.J.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Koerting, J.
e6464b3e-a066-460b-b386-b217f345c1ac
Smith, E.
2edaa8c4-6f44-450a-a625-75c3546f71aa
Knowles, M.M.
57670dd6-57ba-49cf-9cd5-d440a962b7e2
Latter, S.
83f100a4-95ec-4f2e-99a5-186095de2f3b
Elsey, H.
51776d3c-3a5e-4c34-8d71-73b678c0f22e
McCann, D.C.
8bbb548a-b753-4e76-bace-f8fc079665ea
Thompson, M.
bfe8522c-b252-4771-8036-744e93357c67
Sonuga-Barke, E.J.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635

Koerting, J., Smith, E., Knowles, M.M., Latter, S., Elsey, H., McCann, D.C., Thompson, M. and Sonuga-Barke, E.J. (2013) Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: a qualitative synthesis of studies of parents’ and professionals’ perceptions. European Child & Adolescent Psychiatry, 22 (11), 653-670. (doi:10.1007/s00787-013-0401-2).

Record type: Article

Abstract

Disruptive behaviour problems (DBPs) during childhood exert a high burden on individuals, families and the community as a whole. Reducing this impact is a major public health priority. Early parenting interventions are recommended as valuable ways to target DBPs; however, low take-up of, and high drop-out rates from, these programmes seriously reduce their effectiveness. We present a review of published qualitative evidence relating to factors that block or facilitate access and engagement of parents with such programmes using a thematic synthesis approach. 12 papers presenting views of both parents and professionals met our inclusion and quality criteria. A large number of barriers were identified highlighting the array of challenges parents can face when considering accessing and engaging with treatment for their child with behavioural problems. Facilitating factors in this area were also identified. A series of recommendations were made with regard to raising awareness of programmes and recruiting parents, providing flexible and individually tailored support, delivering programmes through highly skilled, trained and knowledgeable therapists, and highlighting factors to consider when delivering group-based programmes. Clinical guidelines should address barriers and facilitators of engagement as well as basic efficacy of treatment approaches.

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Accepted/In Press date: 7 March 2013
e-pub ahead of print date: 6 April 2013
Published date: November 2013
Keywords: qualitative methods, parent training, adhd, conduct disorder, oppositional defiant disorder, behaviour problems, treatment barriers, hard-to-reach
Organisations: Clinical Neuroscience

Identifiers

Local EPrints ID: 351009
URI: https://eprints.soton.ac.uk/id/eprint/351009
ISSN: 1018-8827
PURE UUID: 61d1bbc2-dc64-4296-8b4a-1f380d8b8140
ORCID for S. Latter: ORCID iD orcid.org/0000-0003-0973-0512

Catalogue record

Date deposited: 15 Apr 2013 08:58
Last modified: 20 Jul 2019 01:07

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