{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:45:21Z","timestamp":1785545121370,"version":"3.56.0"},"reference-count":37,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Pediatr Parent"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n There is a lack of studies examining the long-term outcomes of web-based parent training programs implemented in clinical settings during the COVID-19 pandemic.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The aim is to study 2-year outcomes of families with 3\u2010 to 8-year-old children referred from family counseling centers to the Finnish Strongest Families Smart Website (SFSW), which provides digital parent training with telephone coaching aimed at treating child disruptive behaviors.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Counseling centers in Helsinki identified fifty 3\u2010 to 8-year-old children with high levels of disruptive behavioral problems. Child psychopathology and functioning as well as parenting styles and parental mental health were collected from parents at baseline; posttreatment; and at 6-, 12-, and 24-month follow-ups.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n The SFSW program had positive long-term changes in child psychopathology and parenting skills. Improvements in child psychopathology, including Strengths and Difficulties Questionnaire total score (Cohen\n d<\/jats:italic>\n =0.47;\n P<\/jats:italic>\n <.001), Strengths and Difficulties Questionnaire conduct scores (Cohen\n d<\/jats:italic>\n =0.65;\n P<\/jats:italic>\n <.001), and Affective Reactivity Index irritability scores (Cohen\n d<\/jats:italic>\n =0.52;\n P<\/jats:italic>\n <.001), were maintained until the 24-month follow-up. Similarly, changes in parenting skills measured with the Parenting Scale, including overreactivity (Cohen\n d<\/jats:italic>\n =0.41;\n P<\/jats:italic>\n =.001) and laxness (Cohen\n d<\/jats:italic>\n =0.26;\n P<\/jats:italic>\n =.02), were maintained until the 24-month follow-up. However, parental hostility changes were not maintained at long-term follow-up (Cohen\n d<\/jats:italic>\n =\u22120.04;\n P<\/jats:italic>\n =.70).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The study shows that the SFSW parent training program can yield significant long-term benefits. Findings indicate that the benefits of the treatment may vary between different parenting styles, which is important to consider when developing more personalized parenting interventions.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/63416","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T08:05:19Z","timestamp":1728547519000},"page":"e63416-e63416","source":"Crossref","is-referenced-by-count":1,"title":["Web-Based Parent Training With Telephone Coaching Aimed at Treating Child Disruptive Behaviors in a Clinical Setting During the COVID-19 Pandemic: Single-Group Study With 2-Year 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