Smart Beginnings Predicts Reduced Externalizing Behavior Via Parental Negative Demeanor During Discipline.

The goal of this study was to examine the impacts of the Smart Beginnings (SB) intervention, a tiered model that combines universal primary prevention and targeted secondary prevention, on parental negative affect during discipline and children's externalizing behavior. Analyses included 273 families who were randomly assigned to SB or control groups at birth. Parental negative affect during discipline and child externalizing behavior were assessed through parent report at age four and six, respectively. Compared to the control group, families in SB had significantly reduced parental negative affect during discipline, with indirect effects on children's externalizing behavior through impacts on parent affect during discipline, both for the full sample and specifically for families with increased risks. Findings suggest that interventions aimed at promoting positive parent-child interactions may have important impacts on parenting behaviors and may prevent the onset of child behavior problems, with important implications for the implementation of preventive interventions. This study examined the impacts of the Smart Beginnings (SB) tiered model, which combines universal primary prevention and targeted secondary prevention, on parental negative demeanor during discipline-negative parental behavioral traits that are expressed through anger, verbal aggression, or demeaning behavior-and children's externalizing behavior. Analyses included 273 families randomly assigned to SB or control groups at birth. Parental negative demeanor during discipline was assessed through parent report (Socolar Discipline Survey) at age four and child externalizing behavior (CBCL) at age six. Compared to controls, regression analyses indicated that families in SB had significantly reduced parental negative demeanor during discipline, with mediation analyses suggesting indirect effects on child externalizing through impacts on parent demeanor during discipline, moderated by family risk level. Findings indicate that interventions aimed at promoting positive parent-child interactions may impact parenting behaviors and prevent onset of child behavior problems, with important implications for implementation of preventive interventions.