OBJECTIVE We tested if baseline disruptive child behavior problem severity predicts parental attendance at sessions of a parenting group program. METHOD We used a database of randomized trials of the Incredible Years parenting program in Europe and restricted the sample to participants randomized to the intervention arm. Using baseline Eyberg Child Behavior Inventory scores, we distinguished between trial-level problem severity and child-level problem severity, compared linear and quadratic functional forms at both levels, and considered cross-level interactions, all in a multilevel Poisson regression framework. RESULTS Drawing on 918 participants in 12 trials, we found that within trials, parents of children with the least and most severe problems attended fewer sessions. Between trials, each additional 10-point increase in the Eyberg Child Behavior Inventory trial mean predicted an 11% increase in attendance. Models including child sex, age, or family low-income did not change coefficients or their interpretation. CONCLUSIONS Our findings suggest that although generally attendance is higher in parents of children with more challenging behavior, it seems difficult for group programs to keep families with the least or most severe problems engaged. Our findings call for the need to better understand the conditions under which lower attendance translates into equivalent or lesser program benefits. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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破坏性儿童行为严重程度和育儿计划会话出席率：个体参与者数据荟萃分析。


目的 我们测试了基线破坏性儿童行为问题的严重程度是否能预测父母参加育儿小组计划会议的情况。方法 我们使用了欧洲 Incredible Years 育儿计划的随机试验数据库，并将样本限制为随机分配到干预组的参与者。使用基线 Eyberg 儿童行为量表分数，我们区分了试验水平的问题严重性和儿童水平的问题严重性，比较了两个水平的线性和二次功能形式，并考虑了跨水平交互，所有这些都在一个多级泊松回归框架中。结果 在12项试验中对918名受试者进行研究，我们发现在试验中，问题最少和最严重的儿童的父母参加的会议较少。在两次试验之间，Eyberg 儿童行为量表试验平均值每增加 10 个百分点，预示着出勤率增加 11%。包括儿童性别、年龄或家庭低收入的模型没有改变系数或其解释。结论 我们的研究结果表明，尽管行为更具挑战性的儿童的父母的出勤率通常较高，但团体计划似乎很难让问题最少或最严重的家庭参与其中。我们的研究结果表明，需要更好地了解出勤率较低转化为同等或较少计划收益的条件。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。