An RCT of brief online behavioral parent training for reducing child disruptive behavior (BBPTV)

Background: Addressing child disruptive behavior in low and middle-income countries (LMICs) is challenging. Therapist-facilitated, multisession, brief, online group parent training offers hope for mitigating this issue. However, trials, particularly in Asia, are limited. Objective: This study assessed the effectiveness of Brief Behavior Parent Training Vietnam (BBPTV) in improving child disruptive behavior and parenting practices. Participants and Setting: 109 Vietnamese parents of preschool children displaying ongoing disruptive behaviors were recruited online. Method: This study was a randomized controlled trial. Interventions included the BBPTV group (n = 56) receiving a therapist-facilitated, four-session online group program and the care-as-usual (CAU) group (n = 53) having a 15-minute individual online consultation. Primary outcomes, assessed online at two and six months post-intervention, encompassed child disruptive behavior and parenting practices. Secondary outcomes involved coercive interactions, marital conflicts, parenting self-efficacy, and parental mental health.研究背景：在低收入和中等收入国家（low and middle-income countries, LMICs）中，应对儿童破坏性行为是一项极具挑战性的任务。由治疗师主导的多时段简短在线团体家长培训，为缓解该问题提供了可行路径。但目前相关临床试验，尤其是亚洲地区的相关研究，仍较为匮乏。研究目的：本研究旨在评估越南简短行为家长培训（Brief Behavior Parent Training Vietnam, BBPTV）在改善儿童破坏性行为与家长教养方式方面的有效性。研究对象与设置：本研究通过线上渠道招募了109名越南籍家长，其家中的学龄前儿童均存在持续性破坏性行为。研究方法：本研究为随机对照试验。干预组（n=56）接受由治疗师主导的4时段在线团体培训项目，常规护理组（care-as-usual, CAU，n=53）则接受15分钟的线上个体咨询。主要结局指标于干预后2个月和6个月通过线上方式评估，涵盖儿童破坏性行为与家长教养表现。次要结局指标包括强制互动行为、婚姻冲突、家长教养自我效能感以及家长心理健康状况。