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We prospectively identified 464 parents who reported at a health check that their 4\u2010year\u2010old children showed elevated levels of externalizing behavior. The moderators explored included parental attention deficit and hyperactivity disorder (ADHD) and parental distress. The dependent variables were child externalization scores and self\u2010reported parenting skills. The measures were completed at baseline, six and 12\u2010months follow\u2010up. The 232 families randomized to active treatment received 11 Internet\u2010based training sessions with weekly phone calls from a coach. The other 232 families had access to a website that provided general positive parenting advice and one 45\u2010minute phone\u2010call from a coach. Using hierarchical linear models, we explored if the parental ADHD or parental distress modified the treatment effects on child externalizing behavior or parenting skills. The results showed that none of the independent variables moderated intervention effects on child externalizing behavior or parenting skills. The lack of significant moderator effects could have been due to the treatment's personalization, the format's flexibility and adaptability to when and how the parents wanted to complete the sessions or the relatively low levels of ADHD and parental distress among the participants.<\/jats:p>","DOI":"10.1111\/sjop.12430","type":"journal-article","created":{"date-parts":[[2018,2,26]],"date-time":"2018-02-26T05:27:16Z","timestamp":1519622836000},"page":"273-280","source":"Crossref","is-referenced-by-count":7,"title":["Does parental mental health moderate the effect of a telephone and internet\u2010assisted remote parent training for disruptive 4\u2010year\u2010old children?"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5697-8046","authenticated-orcid":false,"given":"Sturla","family":"Fossum","sequence":"first","affiliation":[{"name":"UiT The Artic University of Norway the Regional Centre for Child and Youth Mental Health and Child Welfare \u2010 North Troms\u00f8 Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioural Neurosciences Michael G. 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