Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study

Abstract Background Parenting programmes aim to alleviate behavioural problems in children, including conduct disorder. This study was part of a multi-phase mixed-methods project seeking to extend the reach of parenting programmes for the treatment of conduct problems through developing an evidence...

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Main Authors: Kathy McKay, Eilis Kennedy, Rob Senior, Stephen Scott, Jonathan Hill, Moira Doolan, Matt Woolgar, Siofra Peeren, Bridget Young
Format: Article
Language:English
Published: BMC 2020-10-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-020-02917-1
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spelling doaj-177f4765811842a4ba62f308b73433402020-11-25T04:08:38ZengBMCBMC Psychiatry1471-244X2020-10-0120111210.1186/s12888-020-02917-1Informing the personalisation of interventions for parents of children with conduct problems: a qualitative studyKathy McKay0Eilis Kennedy1Rob Senior2Stephen Scott3Jonathan Hill4Moira Doolan5Matt Woolgar6Siofra Peeren7Bridget Young8University of LiverpoolTavistock and Portman NHS Foundation TrustTavistock and Portman NHS Foundation TrustKings CollegeUniversity of ReadingKings CollegeKings CollegeKings CollegeUniversity of LiverpoolAbstract Background Parenting programmes aim to alleviate behavioural problems in children, including conduct disorder. This study was part of a multi-phase mixed-methods project seeking to extend the reach of parenting programmes for the treatment of conduct problems through developing an evidence base to inform a personalised approach. It explored the narratives of parents of children with behavioural and conduct problems about parenting programmes to identify how such programmes could be personalised in order to extend their reach to parents and children who do not currently benefit. Methods Face-to-face semi-structured interviews with a purposive sample of 42 parents, who had different experiences of parenting programmes. Interviews were conversational and informed by a topic guide. Analysis of transcripts of audio-recorded interviews drew on inductive thematic approaches and was framed largely within a phenomenological perspective. Results Parents’ accounts demonstrated three themes: 1) a personalised approach needs to include the child; 2) a supportive school matters; and, 3) the programme needs to feel personal. Parents were more likely to have a positive experience at a parenting programme, and for their child to demonstrate positive behavioural changes, when they felt their concerns were validated within the group and they also felt supported by the child’s teachers. Parents whose children had been assessed prior to undertaking the programme were also more likely to perceive the programme to be beneficial, compared to parents who felt their child’s individual issues were never considered. Conclusions Our findings point to the potential for personalised approaches to extend the reach of parenting programmes to parents and children who do not currently benefit from such programmes. Important in personalising parenting programmes is assessing children before parents are referred, to directly work with children as well as parents, and to work collaboratively with parents and children to identify which families are most suited to group support or one-to-one support and how this may change depending on circumstances.http://link.springer.com/article/10.1186/s12888-020-02917-1ChildrenConduct disorderParenting programmePersonalisationMental healthQualitative
collection DOAJ
language English
format Article
sources DOAJ
author Kathy McKay
Eilis Kennedy
Rob Senior
Stephen Scott
Jonathan Hill
Moira Doolan
Matt Woolgar
Siofra Peeren
Bridget Young
spellingShingle Kathy McKay
Eilis Kennedy
Rob Senior
Stephen Scott
Jonathan Hill
Moira Doolan
Matt Woolgar
Siofra Peeren
Bridget Young
Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
BMC Psychiatry
Children
Conduct disorder
Parenting programme
Personalisation
Mental health
Qualitative
author_facet Kathy McKay
Eilis Kennedy
Rob Senior
Stephen Scott
Jonathan Hill
Moira Doolan
Matt Woolgar
Siofra Peeren
Bridget Young
author_sort Kathy McKay
title Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
title_short Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
title_full Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
title_fullStr Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
title_full_unstemmed Informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
title_sort informing the personalisation of interventions for parents of children with conduct problems: a qualitative study
publisher BMC
series BMC Psychiatry
issn 1471-244X
publishDate 2020-10-01
description Abstract Background Parenting programmes aim to alleviate behavioural problems in children, including conduct disorder. This study was part of a multi-phase mixed-methods project seeking to extend the reach of parenting programmes for the treatment of conduct problems through developing an evidence base to inform a personalised approach. It explored the narratives of parents of children with behavioural and conduct problems about parenting programmes to identify how such programmes could be personalised in order to extend their reach to parents and children who do not currently benefit. Methods Face-to-face semi-structured interviews with a purposive sample of 42 parents, who had different experiences of parenting programmes. Interviews were conversational and informed by a topic guide. Analysis of transcripts of audio-recorded interviews drew on inductive thematic approaches and was framed largely within a phenomenological perspective. Results Parents’ accounts demonstrated three themes: 1) a personalised approach needs to include the child; 2) a supportive school matters; and, 3) the programme needs to feel personal. Parents were more likely to have a positive experience at a parenting programme, and for their child to demonstrate positive behavioural changes, when they felt their concerns were validated within the group and they also felt supported by the child’s teachers. Parents whose children had been assessed prior to undertaking the programme were also more likely to perceive the programme to be beneficial, compared to parents who felt their child’s individual issues were never considered. Conclusions Our findings point to the potential for personalised approaches to extend the reach of parenting programmes to parents and children who do not currently benefit from such programmes. Important in personalising parenting programmes is assessing children before parents are referred, to directly work with children as well as parents, and to work collaboratively with parents and children to identify which families are most suited to group support or one-to-one support and how this may change depending on circumstances.
topic Children
Conduct disorder
Parenting programme
Personalisation
Mental health
Qualitative
url http://link.springer.com/article/10.1186/s12888-020-02917-1
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