Key Takeaways
Extended Takeaways
- The intervention was brief and structured: parents received 4 group sessions delivered in groups of 10, followed by booster sessions 3 weeks later, with outcomes reassessed 6 weeks postintervention.
- Behavioral change moved beyond statistical significance into a clinically meaningful range, with SDQ total difficulties scores falling from 20.00±4.48 to 11.97±2.77, shifting the average child from the abnormal range into the normal range.
- Sleep improved substantially but remained near the clinical threshold, as mean CSHQ scores declined from 56.47 ±8.37 to 43.13±4.63; clinicians may still want to monitor residual sleep problems because scores >41 indicate clinically significant disturbance.
- Physical activity gains occurred even though the module did not include a dedicated exercise component, with PAQ mean scores increasing from 2.05±0.39 to 2.49±0.28, suggesting that reducing sedentary screen routines can indirectly increase movement.
- The trial was methodologically strengthened by blinded outcome assessment and allocation concealment with sequentially numbered, opaque, sealed envelopes, although participant and facilitator blinding was not feasible.
- Parents most often needed practical coaching around mealtime screen use, work-related parental mobile use, and getting children to participate in household routines, indicating that implementation support may be as important as psychoeducation content in child and adolescent psychiatry practice.
