Examining the Impact of the Incredible Years Parenting Program: A Systematic Review of Randomized Controlled Trials in Early Childhood
Year 2025,
Volume: 5 Issue: 1, 45 - 61, 30.06.2025
Nilüfer Kuru
Abstract
The Incredible Years (IY) parenting program is an intervention that has been widely implemented to improve parenting practices and child development. This systematic review examined randomized controlled trials (RCTs) that assessed the effectiveness of IY programs for children aged 0–8 and their caregivers. A comprehensive literature search was conducted in the Web of Science, PsycINFO, and ERIC databases for studies published between 2021 and 2025. Inclusion criteria required an RCT design and implementation of the IY parenting program with parents of children under eight. The review followed PRISMA guidelines. Eleven eligible studies were included. The findings showed consistent reductions in children's externalizing behaviors and improvements in parenting strategies. Several studies also reported positive changes in children’s emotional regulation, developmental outcomes, and caregivers' psychological well-being. Some trials examined biological indicators, such as DNA methylation, which suggests preliminary evidence of physiological benefits. However, effects based on teacher reports and observational tools were less consistent. The Incredible Years program appears to be an effective intervention for enhancing behavioral and developmental outcomes in children and improving parental well-being. It is a promising intervention for promoting early childhood mental health, though further research is needed on its long-term and biological impacts
Ethical Statement
İlgili araştırmada anket, mülakat, odak grup çalışması, gözlem, deney, görüşme teknikleri
kullanılarak katılımcılardan veri toplanmasını gerektiren araştırma türü olmadığından ve doküman
incelemesi yoluyla yürütüldüğü için etik kurul iznine tabi değildir. Ayrıca araştırmanın tüm sürecinde
Committee on Publication Ethics (COPE) tarafından belirlenen etik kurallara uyulmuştur.
References
- Arruabarrena, I., Rivas, G. R., Cañas, M., & De Paúl, J. (2022). The Incredible Years Parenting and
Child Treatment Programs: A randomized controlled trial in a child welfare setting in Spain.
Psychosocial Intervention, 31(1), 43. https://doi.org/10.5093/pi2022a2
- Blower, S. L., Berry, V. L., Bursnall, M. C., Cohen, J., Gridley, N., Loban, A., ... & Bywater, T. J.
(2021). Enhancing social-emotional outcomes in early years (E-SEE): randomized pilot study of
incredible years infant and toddler programs. Journal of Child and Family Studies, 30(8), 1933-
1949. https://doi.org/10.1007/s10826-021-01991-7
- Bywater, T., Berry, V., Blower, S., Bursnall, M., Cox, E., Mason-Jones, A., ... & Whittaker, K. (2022).
A randomized controlled trial of a proportionate universal parenting program delivery model (ESEE Steps) to enhance child social-emotional wellbeing. PLoS One, 17(4), e0265200.
https://doi.org/10.1371/journal.pone.0265200
- Creasey, N., Leijten, P., Overbeek, G., & Tollenaar, M. S. (2024a). Incredible years parenting program
buffers prospective association between parent-reported harsh parenting and epigenetic age
deceleration in children with externalizing behavior. Psychoneuroendocrinology, 165, 107043.
https://doi.org/10.1016/j.psyneuen.2024.107043
- Creasey, N., Leijten, P., Tollenaar, M. S., Boks, M. P., & Overbeek, G. (2024b). DNA methylation
variation after a parenting program for child conduct problems: Findings from a randomized
controlled trial. Child Development, 95(5), 1462-1477. https://doi.org/10.1111/cdev.14090
- Danbolt, A. M. V. (2020). Cultural responsiveness in the Incredible Years parenting programme for
refugees: a case study. International Journal of Child Care and Education Policy, 14(1), 6.
https://doi.org/10.1186/s40723-020-00071-5
- Edwards, R. T., Jones, C., Berry, V., Charles, J., Linck, P., Bywater, T., & Hutchings, J. (2016).
Incredible Years parenting programme: cost-effectiveness and implementation. Journal of
Children's Services, 11(1), 54-72. https://doi.org/10.1108/JCS-02-2015-0005
- Furlong, M., & McGilloway, S. (2012). The Incredible Years Parenting program in Ireland: A
qualitative analysis of the experience of disadvantaged parents. Clinical Child Psychology and
Psychiatry, 17(4), 616-630. https://doi.org/10.1177/1359104511426406
- Gardner, F., & Leijten, P. (2017). Incredible Years parenting interventions: Current effectiveness
research and future directions. Current Opinion in Psychology, 15, 99-104.
https://doi.org/10.1016/j.copsyc.2017.02.023
- Gardner, F., Leijten, P., Harris, V., Mann, J., Hutchings, J., Beecham, J., ... & Landau, S. (2019). Equity
effects of parenting interventions for child conduct problems: a pan-European individual
participant data meta-analysis. The Lancet Psychiatry, 6(6), 518-527.
- Huijzer-Engbrenghof, M., van Rijn-van Gelderen, L., van den Akker, A., Jorgensen, T. D., & Overbeek,
G. (2023). Intervention-induced temperament changes in children: Evidence from a randomized
controlled trial of the Incredible Years parent program. Developmental Psychology, 59(10), 1839.
https://doi.org/10.1037/dev0001591
- Jones, C. H., Erjavec, M., Viktor, S., & Hutchings, J. (2016). Outcomes of a comparison study into a
group-based infant parenting programme. Journal of Child and Family Studies, 25, 3309-3321.
https://doi.org/10.1007/s10826-016-0489-3
- Karjalainen, P., Kiviruusu, O., Aronen, E. T., & Santalahti, P. (2019). Group-based parenting program
to improve parenting and children's behavioral problems in families using special services: A
randomized controlled trial in a real-life setting. Children and Youth Services Review, 96, 420-
429. https://doi.org/10.1016/j.childyouth.2018.12.004
- Karjalainen, P., Santalahti, P., Aronen, E. T., & Kiviruusu, O. (2021). Parent-and teacher-reported longterm effects of parent training on child conduct problems in families with child protection and
other support services: a randomized controlled trial. Child and Adolescent Psychiatry and Mental
Health, 15, 1-14. https://doi.org/10.1186/s13034-021-00358-6
- Leijten, P., Gardner, F., Landau, S., Harris, V., Mann, J., Hutchings, J., ... & Scott, S. (2018). Research
review: Harnessing the power of individual participant data in a meta‐analysis of the benefits and
harms of the incredible years parenting program. Journal of Child Psychology and Psychiatry,
59(2), 99-109. https://doi.org/10.1111/jcpp.12781
- Leijten, P., Raaijmakers, M. A., Orobio de Castro, B., van den Ban, E., & Matthys, W. (2017).
Effectiveness of the Incredible Years parenting program for families with socioeconomically
disadvantaged and ethnic minority backgrounds. Journal of Clinical Child & Adolescent
Psychology, 46(1), 59-73. https://doi.org/10.1080/15374416.2015.1038823
- Leitão, S. M., Francisco, R., Seabra‐Santos, M. J., & Gaspar, M. F. (2024). The process in‐between:
Parents' perceptions about how practitioners promote the outcomes of the Incredible Years Basic
program. Family Process, 63(4), 1867-1886. https://doi.org/10.1111/famp.13018
- Lobo, F. M., & Lunkenheimer, E. (2020). Understanding the parent-child coregulation patterns shaping
child self-regulation. Developmental Psychology, 56(6), 1121.
https://doi.org/10.1037/dev0000926
- Masiran, R., Ibrahim, N., Awang, H., & Ying Lim, P. (2022). Changes in prosocial behaviors among
children with behavioral problems following Incredible Years Parenting Program. Frontiers in
Psychology, 13, 847722. https://doi.org/10.3389/fpsyg.2022.847722
- Menting, A. T., de Castro, B. O., & Matthys, W. (2013). Effectiveness of the Incredible Years parent
training to modify disruptive and prosocial child behavior: A meta-analytic review. Clinical
Psychology Review, 33(8), 901-913. https://doi.org/10.1016/j.cpr.2013.07.006
- Mooney, K. E., Bywater, T., Hinde, S., Richardson, G., Wright, J., Dickerson, J., & Blower, S. L. (2023).
A quasi-experimental effectiveness evaluation of the Incredible Years Toddler parenting
programme on children’s development aged 5: A study protocol. PLoS One, 18(9), e0291557.
https://doi.org/10.1371/journal.pone.0291557
- Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic
reviews and meta-analyses: the PRISMA statement. Bmj, 339. https://doi.org/10.1136/bmj.b2535
- Morpeth, L., Blower, S., Tobin, K., Taylor, R. S., Bywater, T., Edwards, R. T., ... & Berry, V. (2017).
The effectiveness of the Incredible Years pre-school parenting programme in the United
Kingdom: a pragmatic randomised controlled trial. Child Care in Practice, 23(2), 141-161.
https://doi.org/10.1080/13575279.2016.1264366
- Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—a web and mobile
app for systematic reviews. Systematic Reviews, 5, 1-10. https://doi.org/10.1186/s13643-016-
0384-4
- Pidano, A. E., & Allen, A. R. (2015). The Incredible Years series: A review of the independent research
base. Journal of Child and Family Studies, 24, 1898-1916. https://doi.org/10.1007/s10826-014-
9991-7
- Pontoppidan, M., Sandoy, T. M., & Klest, S. K. (2020). One-year follow-up of The Incredible Years
Parents and Babies Program: A pilot randomized controlled trial. Scandinavian Journal of Child
and Adolescent Psychiatry and Psychology, 8, 123. https://doi.org/10.21307/sjcapp-2020-012
- Pontoppidan, M., Thorsager, M., & Steenhoff, T. (2022). Parent-child relationship outcomes of the
Incredible Years Parents and Babies Program: A pilot randomized controlled trial. Scandinavian
Journal of Child and Adolescent Psychiatry and Psychology, 10(1), 40.
https://doi.org/10.2478/sjcapp-2022-0004
- Rutter, M., Kim‐Cohen, J., & Maughan, B. (2006). Continuities and discontinuities in psychopathology
between childhood and adult life. Journal of Child Psychology and Psychiatry, 47(3‐4), 276-295.
https://doi.org/10.1111/j.1469-7610.2006.01614.x
- Scott, S., Knapp, M., Henderson, J., & Maughan, B. (2001). Financial cost of social exclusion: Followup study of antisocial children into adulthood. BMJ, 323(7306), 191.
https://doi.org/10.1136/bmj.323.7306.191
- Serrano, M., Elias, M., Llorens, M., Bolasell, M., Vall-Roqué, H., & Villalta, L. (2024). Early treatment
for children with mental health problems and genetic conditions through a parenting intervention
(The GAP): Study protocol for a pragmatic randomized controlled trial. Trials, 25(1), 496.
https://doi.org/10.1186/s13063-024-08278-4
- Shaw, D. S., & Gross, H. E. (2008). What we have learned about early childhood and the development
of delinquency. In The long view of crime: A synthesis of longitudinal research (pp. 79–127).
New York, NY: Springer.
- Webster-Stratton, C. (2011). The Incredible Years parents, teachers, and children’s training series:
Program content, methods, research and dissemination 1980–2011. Seattle, WA: Incredible
Years Inc.
- Webster-Stratton, C., Hibbs, E. D., & Jensen, P. S. (2005). The Incredible Years: A training series for
the prevention and treatment of conduct problems in young children. In Vol. 2nd, pp. 507–555.
Washington, DC: American Psychological Association.
- Weeland, J., Brummelman, E., Jaffee, S. R., Chhangur, R. R., Van der Giessen, D., Matthys, W., ... &
Overbeek, G. (2022). Does caregivers’ use of praise reduce children’s externalizing behavior? A
longitudinal observational test in the context of a parenting program. Developmental Psychology,
58(7), 1371. https://doi.org/10.1037/dev0001357
- Weeland, J., Leijten, P., Orobio de Castro, B., Menting, A., Overbeek, G., Raaijmakers, M., ... &
Matthys, W. (2023). Exploring parenting profiles to understand who benefits from the Incredible
Years Parenting Program. Prevention Science, 24(2), 259-270. https://doi.org/10.1007/s11121-
022-01364-6
- Valencia, F., Urbiola, E., Romero-González, M., Navas, I., Elías, M., Garriz, A., ... & Villalta, L. (2021).
Protocol for a randomized pilot study (FIRST STEPS): Implementation of the Incredible YearsASLD® program in Spanish children with autism and preterm children with communication
and/or socialization difficulties. Trials, 22, 1–10. https://doi.org/10.1186/s13063-021-05229-1
Eşsiz Yıllar Ebeveynlik Programının Etkililiğinin İncelenmesi: Erken Çocuklukta Yürütülen Randomize Kontrollü Çalışmaların Sistematik Derlemesi
Year 2025,
Volume: 5 Issue: 1, 45 - 61, 30.06.2025
Nilüfer Kuru
Abstract
The Incredible Years (IY) parenting program is an intervention that has been widely implemented to improve parenting practices and child development. This systematic review examined randomized controlled trials (RCTs) that assessed the effectiveness of IY programs for children aged 0–8 and their caregivers. A comprehensive literature search was conducted in the Web of Science, PsycINFO, and ERIC databases for studies published between 2021 and 2025. Inclusion criteria required an RCT design and implementation of the IY parenting program with parents of children under eight. The review followed PRISMA guidelines. Eleven eligible studies were included. The findings showed consistent reductions in children's externalizing behaviors and improvements in parenting strategies. Several studies also reported positive changes in children’s emotional regulation, developmental outcomes, and caregivers' psychological well-being. Some trials examined biological indicators, such as DNA methylation, which suggests preliminary evidence of physiological benefits. However, effects based on teacher reports and observational tools were less consistent. The Incredible Years program appears to be an effective intervention for enhancing behavioral and developmental outcomes in children and improving parental well-being. It is a promising intervention for promoting early childhood mental health, though further research is needed on its long-term and biological impacts
References
- Arruabarrena, I., Rivas, G. R., Cañas, M., & De Paúl, J. (2022). The Incredible Years Parenting and
Child Treatment Programs: A randomized controlled trial in a child welfare setting in Spain.
Psychosocial Intervention, 31(1), 43. https://doi.org/10.5093/pi2022a2
- Blower, S. L., Berry, V. L., Bursnall, M. C., Cohen, J., Gridley, N., Loban, A., ... & Bywater, T. J.
(2021). Enhancing social-emotional outcomes in early years (E-SEE): randomized pilot study of
incredible years infant and toddler programs. Journal of Child and Family Studies, 30(8), 1933-
1949. https://doi.org/10.1007/s10826-021-01991-7
- Bywater, T., Berry, V., Blower, S., Bursnall, M., Cox, E., Mason-Jones, A., ... & Whittaker, K. (2022).
A randomized controlled trial of a proportionate universal parenting program delivery model (ESEE Steps) to enhance child social-emotional wellbeing. PLoS One, 17(4), e0265200.
https://doi.org/10.1371/journal.pone.0265200
- Creasey, N., Leijten, P., Overbeek, G., & Tollenaar, M. S. (2024a). Incredible years parenting program
buffers prospective association between parent-reported harsh parenting and epigenetic age
deceleration in children with externalizing behavior. Psychoneuroendocrinology, 165, 107043.
https://doi.org/10.1016/j.psyneuen.2024.107043
- Creasey, N., Leijten, P., Tollenaar, M. S., Boks, M. P., & Overbeek, G. (2024b). DNA methylation
variation after a parenting program for child conduct problems: Findings from a randomized
controlled trial. Child Development, 95(5), 1462-1477. https://doi.org/10.1111/cdev.14090
- Danbolt, A. M. V. (2020). Cultural responsiveness in the Incredible Years parenting programme for
refugees: a case study. International Journal of Child Care and Education Policy, 14(1), 6.
https://doi.org/10.1186/s40723-020-00071-5
- Edwards, R. T., Jones, C., Berry, V., Charles, J., Linck, P., Bywater, T., & Hutchings, J. (2016).
Incredible Years parenting programme: cost-effectiveness and implementation. Journal of
Children's Services, 11(1), 54-72. https://doi.org/10.1108/JCS-02-2015-0005
- Furlong, M., & McGilloway, S. (2012). The Incredible Years Parenting program in Ireland: A
qualitative analysis of the experience of disadvantaged parents. Clinical Child Psychology and
Psychiatry, 17(4), 616-630. https://doi.org/10.1177/1359104511426406
- Gardner, F., & Leijten, P. (2017). Incredible Years parenting interventions: Current effectiveness
research and future directions. Current Opinion in Psychology, 15, 99-104.
https://doi.org/10.1016/j.copsyc.2017.02.023
- Gardner, F., Leijten, P., Harris, V., Mann, J., Hutchings, J., Beecham, J., ... & Landau, S. (2019). Equity
effects of parenting interventions for child conduct problems: a pan-European individual
participant data meta-analysis. The Lancet Psychiatry, 6(6), 518-527.
- Huijzer-Engbrenghof, M., van Rijn-van Gelderen, L., van den Akker, A., Jorgensen, T. D., & Overbeek,
G. (2023). Intervention-induced temperament changes in children: Evidence from a randomized
controlled trial of the Incredible Years parent program. Developmental Psychology, 59(10), 1839.
https://doi.org/10.1037/dev0001591
- Jones, C. H., Erjavec, M., Viktor, S., & Hutchings, J. (2016). Outcomes of a comparison study into a
group-based infant parenting programme. Journal of Child and Family Studies, 25, 3309-3321.
https://doi.org/10.1007/s10826-016-0489-3
- Karjalainen, P., Kiviruusu, O., Aronen, E. T., & Santalahti, P. (2019). Group-based parenting program
to improve parenting and children's behavioral problems in families using special services: A
randomized controlled trial in a real-life setting. Children and Youth Services Review, 96, 420-
429. https://doi.org/10.1016/j.childyouth.2018.12.004
- Karjalainen, P., Santalahti, P., Aronen, E. T., & Kiviruusu, O. (2021). Parent-and teacher-reported longterm effects of parent training on child conduct problems in families with child protection and
other support services: a randomized controlled trial. Child and Adolescent Psychiatry and Mental
Health, 15, 1-14. https://doi.org/10.1186/s13034-021-00358-6
- Leijten, P., Gardner, F., Landau, S., Harris, V., Mann, J., Hutchings, J., ... & Scott, S. (2018). Research
review: Harnessing the power of individual participant data in a meta‐analysis of the benefits and
harms of the incredible years parenting program. Journal of Child Psychology and Psychiatry,
59(2), 99-109. https://doi.org/10.1111/jcpp.12781
- Leijten, P., Raaijmakers, M. A., Orobio de Castro, B., van den Ban, E., & Matthys, W. (2017).
Effectiveness of the Incredible Years parenting program for families with socioeconomically
disadvantaged and ethnic minority backgrounds. Journal of Clinical Child & Adolescent
Psychology, 46(1), 59-73. https://doi.org/10.1080/15374416.2015.1038823
- Leitão, S. M., Francisco, R., Seabra‐Santos, M. J., & Gaspar, M. F. (2024). The process in‐between:
Parents' perceptions about how practitioners promote the outcomes of the Incredible Years Basic
program. Family Process, 63(4), 1867-1886. https://doi.org/10.1111/famp.13018
- Lobo, F. M., & Lunkenheimer, E. (2020). Understanding the parent-child coregulation patterns shaping
child self-regulation. Developmental Psychology, 56(6), 1121.
https://doi.org/10.1037/dev0000926
- Masiran, R., Ibrahim, N., Awang, H., & Ying Lim, P. (2022). Changes in prosocial behaviors among
children with behavioral problems following Incredible Years Parenting Program. Frontiers in
Psychology, 13, 847722. https://doi.org/10.3389/fpsyg.2022.847722
- Menting, A. T., de Castro, B. O., & Matthys, W. (2013). Effectiveness of the Incredible Years parent
training to modify disruptive and prosocial child behavior: A meta-analytic review. Clinical
Psychology Review, 33(8), 901-913. https://doi.org/10.1016/j.cpr.2013.07.006
- Mooney, K. E., Bywater, T., Hinde, S., Richardson, G., Wright, J., Dickerson, J., & Blower, S. L. (2023).
A quasi-experimental effectiveness evaluation of the Incredible Years Toddler parenting
programme on children’s development aged 5: A study protocol. PLoS One, 18(9), e0291557.
https://doi.org/10.1371/journal.pone.0291557
- Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic
reviews and meta-analyses: the PRISMA statement. Bmj, 339. https://doi.org/10.1136/bmj.b2535
- Morpeth, L., Blower, S., Tobin, K., Taylor, R. S., Bywater, T., Edwards, R. T., ... & Berry, V. (2017).
The effectiveness of the Incredible Years pre-school parenting programme in the United
Kingdom: a pragmatic randomised controlled trial. Child Care in Practice, 23(2), 141-161.
https://doi.org/10.1080/13575279.2016.1264366
- Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan—a web and mobile
app for systematic reviews. Systematic Reviews, 5, 1-10. https://doi.org/10.1186/s13643-016-
0384-4
- Pidano, A. E., & Allen, A. R. (2015). The Incredible Years series: A review of the independent research
base. Journal of Child and Family Studies, 24, 1898-1916. https://doi.org/10.1007/s10826-014-
9991-7
- Pontoppidan, M., Sandoy, T. M., & Klest, S. K. (2020). One-year follow-up of The Incredible Years
Parents and Babies Program: A pilot randomized controlled trial. Scandinavian Journal of Child
and Adolescent Psychiatry and Psychology, 8, 123. https://doi.org/10.21307/sjcapp-2020-012
- Pontoppidan, M., Thorsager, M., & Steenhoff, T. (2022). Parent-child relationship outcomes of the
Incredible Years Parents and Babies Program: A pilot randomized controlled trial. Scandinavian
Journal of Child and Adolescent Psychiatry and Psychology, 10(1), 40.
https://doi.org/10.2478/sjcapp-2022-0004
- Rutter, M., Kim‐Cohen, J., & Maughan, B. (2006). Continuities and discontinuities in psychopathology
between childhood and adult life. Journal of Child Psychology and Psychiatry, 47(3‐4), 276-295.
https://doi.org/10.1111/j.1469-7610.2006.01614.x
- Scott, S., Knapp, M., Henderson, J., & Maughan, B. (2001). Financial cost of social exclusion: Followup study of antisocial children into adulthood. BMJ, 323(7306), 191.
https://doi.org/10.1136/bmj.323.7306.191
- Serrano, M., Elias, M., Llorens, M., Bolasell, M., Vall-Roqué, H., & Villalta, L. (2024). Early treatment
for children with mental health problems and genetic conditions through a parenting intervention
(The GAP): Study protocol for a pragmatic randomized controlled trial. Trials, 25(1), 496.
https://doi.org/10.1186/s13063-024-08278-4
- Shaw, D. S., & Gross, H. E. (2008). What we have learned about early childhood and the development
of delinquency. In The long view of crime: A synthesis of longitudinal research (pp. 79–127).
New York, NY: Springer.
- Webster-Stratton, C. (2011). The Incredible Years parents, teachers, and children’s training series:
Program content, methods, research and dissemination 1980–2011. Seattle, WA: Incredible
Years Inc.
- Webster-Stratton, C., Hibbs, E. D., & Jensen, P. S. (2005). The Incredible Years: A training series for
the prevention and treatment of conduct problems in young children. In Vol. 2nd, pp. 507–555.
Washington, DC: American Psychological Association.
- Weeland, J., Brummelman, E., Jaffee, S. R., Chhangur, R. R., Van der Giessen, D., Matthys, W., ... &
Overbeek, G. (2022). Does caregivers’ use of praise reduce children’s externalizing behavior? A
longitudinal observational test in the context of a parenting program. Developmental Psychology,
58(7), 1371. https://doi.org/10.1037/dev0001357
- Weeland, J., Leijten, P., Orobio de Castro, B., Menting, A., Overbeek, G., Raaijmakers, M., ... &
Matthys, W. (2023). Exploring parenting profiles to understand who benefits from the Incredible
Years Parenting Program. Prevention Science, 24(2), 259-270. https://doi.org/10.1007/s11121-
022-01364-6
- Valencia, F., Urbiola, E., Romero-González, M., Navas, I., Elías, M., Garriz, A., ... & Villalta, L. (2021).
Protocol for a randomized pilot study (FIRST STEPS): Implementation of the Incredible YearsASLD® program in Spanish children with autism and preterm children with communication
and/or socialization difficulties. Trials, 22, 1–10. https://doi.org/10.1186/s13063-021-05229-1