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A French community-based intervention for parents of French-Canadian children with behavior problems: The EQUIPE program
Institution:1. Department of psychiatry, University of Montreal, Montréal, Canada;2. Département de psychiatrie, CHU Sainte-Justine, Montréal, Canada;3. AP–HP, Hôpital Cochin, Maison de Solenn, 75014 Paris, France;4. Université de Paris, PCPP, 92100 Boulogne-Billancourt, France;5. Université Paris-Saclay, UVSQ, Inserm, CESP, Team Dev Psy, 94807 Villejuif, France;6. University Department of Child and Adolescent Psychiatry, Children''s Hospitals of Nice CHU-Lenval, Nice, France;7. CoBTek, EA7276, University of Côte d’Azur, Nice, France;8. Faculty of Nursing, University of Montreal, Montréal, Canada;9. CISSS Chaudières Appalaches, Québec, Canada;10. CISSS Montérégie Ouest, Québec, Canada;1. Pole psychiatrie, centre expert depression resistante et schizophrénie FondaMental, CHU La Conception, Marseille, France;2. Aix-Marseille university, CEReSS-health service research and quality of life center, 27, boulevard Jean-Moulin, 13005 Marseille, France;3. Centre hospitalier Montperrin, Aix en Provence, France;1. Hôpital de la santé mentale et des maladies psychiatriques, CHU Mohammed VI, Oujda, Maroc;2. Faculté de médecine et de pharmacie d’Oujda, université Mohammed 1er, Oujda, Maroc;1. Faculty of Medicine, Saint Joseph University, Beirut, Lebanon;2. Hôtel Dieu de France Hospital, Beirut, Lebanon;3. CHRU de Tours, avenue de la République, 37170 Chambray-lès-Tours, France;1. APESAC, 66450 Pollestres, France;2. 80000 Amiens, France;1. Centre de recherche en épidémiologie et santé des populations (CESP), Inserm, UMR 1018, université Paris-Saclay, hôpital Paul-Brousse, 94807 Villejuif cedex, France;2. Service hospitalo-universitaire de santé mentale de l’adolescent et du jeune adulte (SMAJA), Fondation Santé des Etudiants de France, 75014 Paris, France;3. UFR Simone Veil-Santé, université Versailles Saint-Quentin-en-Yvelines, 78180 Montigny-le-Bretonneux, France;4. Service de médecine physique et de réadaptation, hôpital Raymond-Poincaré, AP–HP, 92380 Garches, France;5. Service transdisciplinaire, clinique fondation santé des étudiants de France de Bouffémont, 95570 Bouffémont, France;1. Faculty of Medicine, Saint-Joseph University, Damascus road, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon;2. Faculty of Medicine, Saint-Joseph University, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon;3. Faculty of Educational Sciences, Saint-Joseph University, Damascus road, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon;4. Faculty of Nursing, Saint-Joseph University, Damascus road, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon;5. Saint-Joseph University, Damascus road, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon;6. Director of Ethics University Center, Saint-Joseph University, Damascus road, P.O. Box: 11-5076 – Riad-El-Solh, Beirut, Lebanon
Abstract:ObjectivesBehavior problems are one of the most common reasons for seeking mental health services in pediatric populations. The objectives are to evaluate the effects of the EQUIPE program (Étude Québécoise d’Intervention pour les Parents d’Enfants avec des problèmes de comportement) and to analyze the impact of the severity of behavior problems and of parental characteristics.MethodsThis program was translated from the Community Parent Education Program. The effects of EQUIPE, as compared to a control group, were evaluated by using Child Behavior Checklist and Parent Stress Index questionnaires before (T0) and after the intervention program (T1), and at 6 (T2) and 12 months (T3) follow-up visits.ResultsIn total, 533 participants were enrolled in intervention (n = 465) (with “severe” or “mild” subgroups according to CBCL-T score) and a control group (n = 68). In the two groups, the results showed a statistically significant decrease in Child Behavior Checklist and Parent Stress Index total scores at T1, T2 and T3, with the exception of Child Behavior Checklist total scores in the control group at T2. In the intervention group Child Behavior Checklist total scores were significantly higher in the “severe”; which was not the case for Parent Stress Index total scores at T2 and T3.DiscussionSocioeconomic characteristics, family details, parental medical history and the age of the children appeared to influence changes in Child Behavior Checklist and Parent Stress Index total scores.ConclusionThe EQUIPE program is an effective intervention for reducing behavior problems and parents’ stress in a French-Canadian population.
Keywords:Parent training program  Behavior problems  Children  Child Behavior Checklist  Parent Stress Index  Programme d’entraînement pour les parents  Troubles du comportement  Enfants  Child Behavior Checklist  Parent Stress Index
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