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Long‐term follow‐up of a randomised controlled trial of a brief home‐based parenting intervention to reduce behavioural problems in young children.

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Title: Long‐term follow‐up of a randomised controlled trial of a brief home‐based parenting intervention to reduce behavioural problems in young children.
Authors: Ramchandani, Paul (AUTHOR), Elkes, Jack (AUTHOR), Cornelius, Victoria (AUTHOR), Byford, Sarah (AUTHOR), Oxley, Laura (AUTHOR), Babalis, Daphne (AUTHOR), Barker, Beth (AUTHOR), Bibby, Erin (AUTHOR), Chere, Brittney (AUTHOR), Ganguli, Poushali (AUTHOR), Griffith, Sam (AUTHOR), Iqbal, Zaheema (AUTHOR), Kamarudin, Aiman (AUTHOR), Lui, Katie (AUTHOR), Scott, Stephen (AUTHOR), Tassie, Emma (AUTHOR), Viding, Essi (AUTHOR), O'Farrelly, Christine (AUTHOR)
Source: Journal of Child Psychology & Psychiatry. Mar2026, Vol. 67 Issue 3, p321-332. 12p.
Subjects: National health services, Human services programs, Evaluation of human services programs, Statistical sampling, Interviewing, Questionnaires, Probability theory, Parenting, Randomized controlled trials, Descriptive statistics, Home environment, Behavior disorders in children, Early intervention (Education), Longitudinal method, Sound recordings, Research, Psychology of parents, Psychology of caregivers, Data analysis software, Confidence intervals, Child behavior, Video recording, Sensitivity & specificity (Statistics)
Geographic Terms: England
Abstract: Background: Behaviour problems are common in childhood and are associated with higher rates of mental health problems, educational and relationship difficulties throughout life. This study assessed whether a Video‐feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP‐SD) has sustained benefit 6 years after delivery. It had previously been shown to reduce behavioural problems in children aged 2 and 4 years old. Methods: The Healthy Start, Happy Start study was a 2‐arm, multisite randomised clinical trial conducted in 6 NHS trusts in England. Participants (N = 300) were parents/caregivers of children (aged 12–36 months) at risk of behaviour problems. Participants were randomised to receive either VIPP‐SD (n = 151) or usual care (n = 149). Those allocated to VIPP‐SD were offered 6 home‐based video‐feedback sessions. Six‐year follow‐up data were collected from May 2022 to July 2023. The primary outcome was the total score on Parental Account of Children's Symptoms (PACS). The analysis used prespecified longitudinal Bayesian models to handle missing data, and findings are reported as posterior probabilities of superiority alongside treatment effect estimates with 95% credible interval. Results: Analysis included 294 of the 300 participants, with 6‐year primary outcome data available for 244/300 (81%) (106 girls [43%]; mean age, 8.2 years). The probability of superiority for VIPP‐SD on PACS was 86%. The mean difference in the total PACS score was −1.23 (95% Cred.I [−3.34, 0.90]); d = −0.11 (95% Cred.I [−0.032, 0.09]), with fewer behavioural problems in children in the VIPP‐SD group (mean [SD] score of 25.30 [9.63] vs. 26.36 [11.05]). Conclusions: This trial found a probability of 86% that VIPP‐SD was superior for reducing behaviour problems in children up to 6 years later. Taken together with the earlier positive trial findings, this suggests a small enduring positive impact of a brief early intervention with potential for scaling. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Long‐term follow‐up of a randomised controlled trial of a brief home‐based parenting intervention to reduce behavioural problems in young children.
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Child+Psychology+%26+Psychiatry%22">Journal of Child Psychology & Psychiatry</searchLink>. Mar2026, Vol. 67 Issue 3, p321-332. 12p.
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  Data: <searchLink fieldCode="DE" term="%22National+health+services%22">National health services</searchLink><br /><searchLink fieldCode="DE" term="%22Human+services+programs%22">Human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation+of+human+services+programs%22">Evaluation of human services programs</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Probability+theory%22">Probability theory</searchLink><br /><searchLink fieldCode="DE" term="%22Parenting%22">Parenting</searchLink><br /><searchLink fieldCode="DE" term="%22Randomized+controlled+trials%22">Randomized controlled trials</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Home+environment%22">Home environment</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders+in+children%22">Behavior disorders in children</searchLink><br /><searchLink fieldCode="DE" term="%22Early+intervention+%28Education%29%22">Early intervention (Education)</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Research%22">Research</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+parents%22">Psychology of parents</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+caregivers%22">Psychology of caregivers</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Child+behavior%22">Child behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Video+recording%22">Video recording</searchLink><br /><searchLink fieldCode="DE" term="%22Sensitivity+%26+specificity+%28Statistics%29%22">Sensitivity & specificity (Statistics)</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22England%22">England</searchLink>
– Name: Abstract
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  Data: Background: Behaviour problems are common in childhood and are associated with higher rates of mental health problems, educational and relationship difficulties throughout life. This study assessed whether a Video‐feedback Intervention to promote Positive Parenting and Sensitive Discipline (VIPP‐SD) has sustained benefit 6 years after delivery. It had previously been shown to reduce behavioural problems in children aged 2 and 4 years old. Methods: The Healthy Start, Happy Start study was a 2‐arm, multisite randomised clinical trial conducted in 6 NHS trusts in England. Participants (N = 300) were parents/caregivers of children (aged 12–36 months) at risk of behaviour problems. Participants were randomised to receive either VIPP‐SD (n = 151) or usual care (n = 149). Those allocated to VIPP‐SD were offered 6 home‐based video‐feedback sessions. Six‐year follow‐up data were collected from May 2022 to July 2023. The primary outcome was the total score on Parental Account of Children's Symptoms (PACS). The analysis used prespecified longitudinal Bayesian models to handle missing data, and findings are reported as posterior probabilities of superiority alongside treatment effect estimates with 95% credible interval. Results: Analysis included 294 of the 300 participants, with 6‐year primary outcome data available for 244/300 (81%) (106 girls [43%]; mean age, 8.2 years). The probability of superiority for VIPP‐SD on PACS was 86%. The mean difference in the total PACS score was −1.23 (95% Cred.I [−3.34, 0.90]); d = −0.11 (95% Cred.I [−0.032, 0.09]), with fewer behavioural problems in children in the VIPP‐SD group (mean [SD] score of 25.30 [9.63] vs. 26.36 [11.05]). Conclusions: This trial found a probability of 86% that VIPP‐SD was superior for reducing behaviour problems in children up to 6 years later. Taken together with the earlier positive trial findings, this suggests a small enduring positive impact of a brief early intervention with potential for scaling. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Child Psychology & Psychiatry is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=191428995
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        Value: 10.1111/jcpp.70037
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        Text: English
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        StartPage: 321
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      – SubjectFull: National health services
        Type: general
      – SubjectFull: Human services programs
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      – SubjectFull: Evaluation of human services programs
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      – SubjectFull: England
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