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. 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. 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. 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.

中文翻译：

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为有行为问题的儿童的父母提供个性化干预措施：一项定性研究


育儿计划旨在减轻儿童的行为问题，包括品行障碍。这项研究是一个多阶段混合方法项目的一部分，旨在通过开发证据基础来提供个性化方法，从而扩大育儿计划的范围，以治疗行为问题。它探讨了有行为和行为问题的儿童的父母对育儿计划的叙述，以确定如何个性化此类计划，以便将其覆盖范围扩大到目前未受益的父母和儿童。对 42 位有不同育儿计划经历的家长进行有目的的面对面半结构化访谈。采访是对话式的，并有主题指南提供信息。对录音采访记录的分析采用了归纳主题方法，并且主要是在现象学的视角下进行的。家长的叙述展示了三个主题：1）个性化的方法需要包括孩子在内； 2) 支持性学校很重要；并且，3）该计划需要具有个性化的感觉。当家长觉得自己的担忧在小组中得到了证实并且也得到了孩子老师的支持时，他们更有可能在育儿计划中获得积极的体验，并让孩子表现出积极的行为变化。与认为孩子的个人问题从未被考虑过的父母相比，在参加该计划之前对孩子进行过评估的父母也更有可能认为该计划是有益的。我们的研究结果表明，个性化方法有可能将育儿计划的覆盖范围扩大到目前尚未从此类计划中受益的父母和儿童。 个性化育儿计划的重要之处在于，在转介父母之前对儿童进行评估，直接与儿童和父母合作，并与父母和儿童合作，以确定哪些家庭最适合团体支持或一对一支持以及如何提供支持这可能会根据情况而改变。