title: Internet-based parent management training: a randomized controlled study.
abstract: OBJECTIVE
  The current study evaluated the efficacy of an Internet-based parent-training program for children with conduct problems. Dose-response ratio and costs for the program were also considered.
  
  
  METHODS
  Parents of 104 children (aged 3-12 years) were randomly allocated to either parent training or a waitlist control condition. Diagnostic assessment was conducted at baseline and parent ratings of child externalizing behaviors and parent strategies were completed before and after treatment and at 6-month follow-up.
  
  
  RESULTS
  At post-treatment assessment, children whose parent(s) had received the intervention showed a greater reduction in conduct problems compared to the waitlist children. Between group intent-to-treat effect sizes (Cohen's d) on the Eyberg Intensity and Problem scales were .42 and .72, respectively (study completers .66 and 1.08). In addition, parents in the intervention group reported less use of harsh and inconsistent discipline after the treatment, as well as more positive praise. Effects on behavior problems were maintained at 6-month follow-up.
  
  
  CONCLUSIONS
  The results support the efficacy of parent training, administered through Internet, with outcomes comparable to many of the group-based parent training programs. The efficacy, low cost, and higher accessibility make this intervention a fitting part in a stepped-care model.
authors.affiliation: Karolinska Institutet, Department of Clinical Neuroscience, Division of Psychology, Stockholm, Sweden. pia.enebrink@ki.se
authors.forename: Pia
authors.initials: P
authors.lastname: Enebrink
authors.forename: Jens
authors.initials: J
authors.lastname: Högström
authors.forename: Martin
authors.initials: M
authors.lastname: Forster
authors.forename: Ata
authors.initials: A
authors.lastname: Ghaderi
mesh_terms: D002648:Child; D002652:Child Behavior; D002675:Child, Preschool; D019955:Conduct Disorder / Q000534:rehabilitation*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D010290:Parents / Q000193:education*; D016896:Treatment Outcome