%0 Journal Article
%@ 2561-6722
%I JMIR Publications
%V 7
%N 
%P e63416
%T Web-Based Parent Training With Telephone Coaching Aimed at Treating Child Disruptive Behaviors in a Clinical Setting During the COVID-19 Pandemic: Single-Group Study With 2-Year Follow-Up
%A Sourander,Saana
%A Westerlund,Minja
%A Baumel,Amit
%A Hinkka-Yli-Salomäki,Susanna
%A Ristkari,Terja
%A Kurki,Marjo
%A Sourander,Andre
%K parent training
%K disruptive behavior
%K child psychopathology
%K child functioning
%K behaviors
%K behavioral
%K coaching
%K web-based
%K family counseling
%K child
%K disruptive
%K counseling
%K training
%K parents
%K parenting
%K telephone
%K telehealth
%K telemedicine
%K pediatrics
%K COVID-19
%D 2024
%7 16.12.2024
%9 
%J JMIR Pediatr Parent
%G English
%X Background: There is a lack of studies examining the long-term outcomes of web-based parent training programs implemented in clinical settings during the COVID-19 pandemic. Objective: The aim is to study 2-year outcomes of families with 3‐ to 8-year-old children referred from family counseling centers to the Finnish Strongest Families Smart Website (SFSW), which provides digital parent training with telephone coaching aimed at treating child disruptive behaviors. Methods: Counseling centers in Helsinki identified fifty 3‐ to 8-year-old children with high levels of disruptive behavioral problems. Child psychopathology and functioning as well as parenting styles and parental mental health were collected from parents at baseline; posttreatment; and at 6-, 12-, and 24-month follow-ups. Results: The SFSW program had positive long-term changes in child psychopathology and parenting skills. Improvements in child psychopathology, including Strengths and Difficulties Questionnaire total score (Cohen d=0.47; P<.001), Strengths and Difficulties Questionnaire conduct scores (Cohen d=0.65; P<.001), and Affective Reactivity Index irritability scores (Cohen d=0.52; P<.001), were maintained until the 24-month follow-up. Similarly, changes in parenting skills measured with the Parenting Scale, including overreactivity (Cohen d=0.41; P=.001) and laxness (Cohen d=0.26; P=.02), were maintained until the 24-month follow-up. However, parental hostility changes were not maintained at long-term follow-up (Cohen d=−0.04; P=.70). Conclusions: The study shows that the SFSW parent training program can yield significant long-term benefits. Findings indicate that the benefits of the treatment may vary between different parenting styles, which is important to consider when developing more personalized parenting interventions. 
%R 10.2196/63416
%U https://pediatrics.jmir.org/2024/1/e63416
%U https://doi.org/10.2196/63416