1. Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: a qualitative synthesis of studies of parents’ and professionals’ perceptions
- Author
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Mark Knowles, Elizabeth Smith, Sue Latter, Helen Elsey, Margaret Thompson, Edmund J.S. Sonuga-Barke, Johanna Koerting, and Donna C. McCann
- Subjects
Parents ,PRESCHOOL-CHILDREN ,Social Sciences ,Health Services Accessibility ,Conduct disorder ,Health care ,Developmental and Educational Psychology ,Child and adolescent psychiatry ,Early Intervention, Educational ,Program Development ,Child ,Qualitative Research ,media_common ,Parenting ,ATTENTION-DEFICIT/HYPERACTIVITY DISORDER ,General Medicine ,Original Contribution ,CONDUCT PROBLEMS ,Psychiatry and Mental health ,Behaviour problems ,Attention Deficit and Disruptive Behavior Disorders ,Psychology ,INTERVENTION ,Inclusion (education) ,Attitude to Health ,Clinical psychology ,medicine.medical_specialty ,media_common.quotation_subject ,PARTICIPATION ,Oppositional defiant disorder ,Intervention (counseling) ,medicine ,ADHD ,Humans ,Quality (business) ,Pediatrics, Perinatology, and Child Health ,Medical education ,business.industry ,Parent training ,Public health ,Hard-to-reach ,Qualitative methods ,PERSPECTIVES ,HEALTH-CARE ,Pediatrics, Perinatology and Child Health ,Perception ,Treatment barriers ,FOLLOW-UP ,business ,DISRUPTIVE BEHAVIOR ,Qualitative research - 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. Electronic supplementary material The online version of this article (doi:10.1007/s00787-013-0401-2) contains supplementary material, which is available to authorized users.
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