Primary prevention of parent-child conflict and abuse in Iranian mothers: a randomized-controlled trial

Child Abuse Negl. 2010 Mar;34(3):206-13. doi: 10.1016/j.chiabu.2009.05.008. Epub 2010 Mar 5.


Objective: The aim of this study was to assess whether primary health care settings can be used to engage and provide a preventive intervention to mothers of young children.

Methods: Two hundred and twenty-four mothers who had come to the health centers were randomly assigned to either control group (CG: n=116) or intervention group (IG: n=108). Mothers in IG were taught about the role of parenting skills in families and common mistakes in parenting in 2-h-weekly sessions for 2 successive weeks. A parenting questionnaire was distributed to mothers at pre-test and after 8 weeks from the last training session.

Results: Compared to the CG, there were significant improvements from pre- to post-test in IG on measures of Parenting Scales (PS) total scores and Parent-Child Conflict Tactics Scale-modified (CTSPCm) total scores. This improvement was maintained at 8-week follow up.

Conclusion: The results support previous international studies that primary health care settings can be used successfully to engage and provide preventive interventions to mothers of young children.

Practice implications: Within health centers of Iran where parents routinely bring their children for monitoring of growth or vaccinating against some disease, mothers with a child aged between 2 and 6 years received a parent training. The program gave skills for managing misbehavior and preventing child behavior problems. Mothers reported that their behaviors improved from pre-treatment to post-treatment measured at 8-week follow up. The current work may lead decision-makers to organize this program for all of the health centers to train Iranian mothers.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Child Abuse / ethnology*
  • Child Abuse / prevention & control*
  • Child Behavior Disorders / ethnology
  • Child Behavior Disorders / prevention & control
  • Child Health Services
  • Child, Preschool
  • Cross-Cultural Comparison*
  • Education / methods*
  • Family Conflict / psychology
  • Female
  • Follow-Up Studies
  • Humans
  • Iran
  • Male
  • Primary Health Care
  • Socioeconomic Factors