Evaluation of the Centers for Disease Control and Prevention's Essentials for Parenting Toddlers and Preschoolers on parent behavioral outcomes

• Published in: Child abuse & neglect Vol. 154; p. 106928
• Main Authors: Morgan, Mary Harbert C., Herbst, Jeffrey H., Fortson, Beverly L., Shortt, Joann Wu, Willis, Leigh A., Lokey, Colby, Smith Slep, Amy M., Lorber, Michael F., Huber-Krum, Sarah
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.08.2024
• Subjects: Adult; Caregivers; Child, Preschool; Digital Behavioral Parent Training; Evaluation; Female; Humans; Male; Parent-Child Relations; Parenting - psychology; Parents; Parents - education; Parents - psychology; Program Evaluation; Toddlers and preschoolers; United States; United States; Caregivers; Digital Behavioral Parent Training; Evaluation; Parents; Toddlers and preschoolers
• ISSN: 0145-2134; 1873-7757; 1873-7757
• DOI: 10.1016/j.chiabu.2024.106928

The Centers for Disease Control and Prevention's web-based behavioral parent training (BPT) program, Essentials for Parenting Toddlers and Preschoolers (EfP), uses a psychoeducational approach to promote positive parenting and address common parenting challenges. The purpose of this study was to assess the effects of EfP on parenting behavior and whether implementation format impacted behavioral outcomes. A sample of 200 parents of 2- to 4-year-old children were recruited via Internet advertising. Using a repeated single subject, multiple baseline design, parents were randomly assigned to guided navigation (GN; n = 100) or unguided navigation (UN; n = 100) study conditions. Parents were provided secure access to the EfP website and completed 18 weekly surveys. Latent growth curve modeling was used to determine intervention effectiveness on behavioral outcomes. Latent growth curve modeling indicated both GN and UN study conditions significantly increased use of praise (β = 0.19, p = 0.038) and commands and consequences (β = 0.17, p < 0.001), and decreased corporal punishment use (β = −0.01, p = 0.017) and attitudes promoting corporal punishment (β = −0.01, p < 0.001) over the study period. The UN condition exhibited a significant initial decrease in time-out use that increased over time to match the GN condition. This study provides evidence for the effectiveness of EfP in promoting non-violent parenting behavior and increasing positive parenting techniques. The format of EfP implementation made no difference in parenting behaviors over time. Digital BPT programs like EfP provide access to evidence-informed parenting resources and can enhance positive parenting.