316
Views
0
CrossRef citations to date
0
Altmetric
Research Article

Whom to ask? Whom to trust? Parents’ preferences for sources of advice on social-emotional parenting issues

ORCID Icon, ORCID Icon & ORCID Icon
Received 15 Feb 2023, Accepted 13 Mar 2024, Published online: 05 Apr 2024

ABSTRACT

Accumulating evidence shows how parents can support children’s social-emotional development with positive parenting practices. However, when confronted with parenting challenges, few parents seek evidence-based counseling. This study identifies main sources of advice for parents and examines the reasons why parents decide which sources to trust and use. Therefore, we interviewed parents of preschoolers on parenting challenges, sources of advice, general trust in these sources, and dimensions of trustworthiness. Parents’ trust was highly correlated with their intention to seek advice from someone. Furthermore, parents were most likely to seek advice within their close personal environment. Regarding the dimensions of trustworthiness, namely ability, benevolence, and integrity, we found that benevolence best predicted parents’ trust. Concerning ability, participants’ judgements were based on personal experience for some advice sources (e.g. friends, family) and on theoretical knowledge for others. Overall, this study emphasizes the important role of interpersonal trust and the dimensions of trustworthiness in advice-seeking settings. Parents already attribute evidence-based ability to professional counseling services. Consequently, we discuss how to improve evidence-based counseling by enhancing its perceived benevolence and integrity, for example, through promoting transparent and ethical practices, showing a commitment to the best interests of clients, and building strong relationships with clients.

This study investigates the sources of advice sought by parents when they face challenges in raising their children. The study first briefly reviews the relevance of parenting behavior for children’s social-emotional development, then examines potential sources of advice and reasons for selecting specific sources. Trust plays a significant role in situations in which people are uncertain of the facts and need to make relevant decisions (Baer & Colquitt, Citation2018; Lewis & Weigert, Citation1985; Oldeweme, Märtins, Westmattelmann, & Schewe, Citation2021), so the study focuses on parents’ trust in different sources of advice and its antecedents. With this knowledge, specific recommendations can be made to effectively deliver evidence-based counseling to parents.

Sources of advice

Parent-child interactions can be challenging, with intense emotions and stress caused by everyday demands, normal developmental challenges, or behavioral problems. Parents often report stressful interactions (Patterson, Mockford, & Stewart-Brown, Citation2005) and agree that they sometimes need help or advice about parenting (Keller & McDade, Citation2000; Maas, Citation2021), raising questions for psychologists: From whom do parents seek parenting advice, and why?

The process of advice seeking can include informal and formal contacts. Potential sources of “informal counseling” include all members of a family’s social network, more specifically relatives, neighbors, coworkers, and friends (Cochran, Citation1993). In a survey by the Bertelsmann foundation on competent parenting behavior, parents mentioned that helpful sources included family, friends and neighbors, their kindergarten teachers, and pediatricians (Lisakowski, Citation2018). Furthermore, there are “formal counseling services” that we define as institutions that explicitly and predominantly offer parenting counseling in a systematic and organized manner. These services are typically offered in formal settings such as counseling centers, mental health clinics, educational institutions, or private practices. Thus, possible sources for parenting advice include (a) friends, (b) family, (c) (kindergarten) teachers, (d) pediatricians, and (e) formal counseling services.

These sources represent different kinds of knowledge and experiences about child development and its challenges. Friends and family members are sources for advice that have their own parenting experience, whereas kindergarten teachers offer their specific professional expertise, pediatricians have medical expertise, and formal counseling services draw upon their respective profession’s expertise. Of course, there might be exceptions (a pediatrician may talk about her/his own child), but typically these different sources come along with different kinds of knowledge. In Germany, counseling services are run by counselors with different professional background ranging from, Pedagogy and Social Pedagogy (i.e. a distinct profession from Germany focusing on educational and social approaches to support individuals in their personal and social development, often focusing on fostering positive relationships and social skills) to Curative/Special Education (i.e. educational approaches for individuals with special needs, e.g. behavioral problems or disorders, mental, physical, and speech impairments), Religious Education, Educational Sciences, Social Work and Psychology. Since we were interested in parents’ views on parenting knowledge based on empirical evidence from psychology when thinking about whom to ask for advice, we included one further source that has not yet been considered from this perspective in most studies, namely (f) evidence-based counseling as a specific form of formal counseling services. Evidence-based counseling is defined in line with definitions from general health care (Li, Citation1998, p. 57) as “the conscientious, explicit and judicious use of current best evidence in making decisions” about parenting. In this study, evidence-based counseling was defined as counseling that is based on current psychological research, i.e. observations, surveys, measurements, and tests. Evidence-based counseling is thus distinguished from general formal counseling, which is more professionally diverse.

Evidence-based parenting programs and counseling services teach parenting strategies that promote children’s social-emotional behavior and reduce challenging behavior (Forehand, Lafko, Parent, & Burt, Citation2014; Wyatt Kaminski, Valle, Filene, & Boyle, Citation2008); numerous studies have demonstrated the effectiveness of behavioral parenting programs (Bor, Sanders, & Markie-Dadds, Citation2002; Dishion, Forgatch, Chamberlain, & Pelham, Citation2016; England-Mason & Gonzalez, Citation2020; Sanders, Kirby, Tellegen, & Day, Citation2014; Webster-Stratton, Citation1990). Children develop the ability to regulate emotions and behavior in competent ways as they interact with caregivers, especially with their parents (Denham, Citation1998; Denham, Bassett, & Wyatt, Citation2015; Morris, Silk, Steinberg, Myers, & Robinson, Citation2007; Saarni, Campos, Camras, & Witherington, Citation2007). Research indicates that positive parenting practices are related to more effective emotion regulation and higher social competences in children (Morris, Silk, Steinberg, Myers, & Robinson, Citation2007). Based on this evidence, parents can be guided to parenting practices that offer a developmentally supportive environment for their children.

Thus, scientific evidence not only fosters a general understanding of the (social) world, but it also provides a firm basis for daily life decisions (Bromme & Goldman, Citation2014). Indeed, professional support and parenting programs have proven helpful in advancing social-emotional development (Beelmann & Lösel, Citation2021). In sum, we consider evidence-based counseling as highly relevant for addressing parenting questions and, in consequence, as a key source for getting advice.

In a study on parental attitudes toward evidence-based practice, parents tended to rely on their pediatrician’s judgement (Trembath, Paynter, Keen, & Ecker, Citation2016) – an expert opinion. When analyzing where the trustworthiness ascribed to the pediatrician came from, relevant indicators were very general, and included, for instance, pediatricians’ communication skills and their ability to engage with the parents’ children effectively. In consequence, parents often selected interventions based on little or no research evidence, even when stating they had a general interest in evidence-based practice. These results highlight how laypeople tend to (and often need to) rely on their assessment of trustworthiness based on these very general indicators, when they are not able to assess the credibility of a piece of information themselves.

Given the variety of the potential sources, different aspects play a role in parents’ decisions about whom they turn to for advice. Besides practical aspects, such as physical or social distance, costs, time constraints, and psychological factors, such as fears, worries, stigma, or misconceptions about counseling (Girio-Herrera, Owens, & Langberg, Citation2012; Heinrichs, Bertram, Kuschel, & Hahlweg, Citation2005; Koerting et al., Citation2013; Rostad, Moreland, Valle, & Chaffin, Citation2018; Stevens, Kelleher, Ward-Estes, & Hayes, Citation2006), trust should be crucially important when people are confronted with the decision of whom to turn to (Lewis & Weigert, Citation1985; Strehlke, Bromme, & Kärtner, Citation2023; Strehlke, Bromme, Scholz, & Kärtner, Citation2021).

Trust

Trust can be defined as an interactional, situational process including a trustor and a trustee (Blöbaum, Citation2021; Mayer, Davis, & Schoorman, Citation1995). The trustor is in a situation where they are not able to achieve their goals on their own. Therefore, they voluntarily decide to rely on the actions (or advice) of another party, the trustee. In trusting them, the trustor always accepts the inherent risk of that decision (Blöbaum, Citation2016). In our example – parenting – the risk can be described as follows: When following the trustee’s advice, the situation may get better, but there is always a risk that the provided information was incorrect, inappropriate, or simply irrelevant. This can mean that the parent’s efforts, as guided by the trustee’s advice, do not pay off or that the situation becomes even worse. Additionally, the trustor (i.e. the parent) takes on the risk of revealing their parenting difficulties to the trustee in the first place. Therefore, the trustor bases their decision to trust on assumptions regarding the trustee’s trustworthiness (Bromme & Hendriks, Citation2022), evaluating whether the trustee’s advice is reliable and whether the following actions will help the trustor achieve their goals.

Dimensions of trustworthiness

The perceived trustworthiness of the trustee is based on the evaluation of three dimensions, namely ability, benevolence, and integrity (ABI model; Mayer, Davis, & Schoorman, Citation1995). Ability is defined as “that group of skills, competencies, and characteristics that enable a party to have influence within some specific domain” (Mayer, Davis, & Schoorman, Citation1995, p. 717) and, therefore, relies on a “subjective evaluation of the various skills and capabilities that may be needed for the trustee to actually accomplish what it is being trusted to do” (Hamm, Smidt, Mayer, & Wisneski, Citation2019, p. 2). Benevolence refers to the “extent to which a trustee is believed to want to do good to the trustor” (Mayer, Davis, & Schoorman, Citation1995, p. 718). Integrity, finally, is understood as the “trustor’s perception that the trustee adheres to a set of principles that the trustor finds acceptable” (Mayer, Davis, & Schoorman, Citation1995, p. 719). In theoretical models (Mayer, Davis, & Schoorman, Citation1995) and in empirical studies (Hendriks, Kienhues, Bromme, & Wicherts, Citation2015) researchers have shown that a global attribution of trust is determined by the perception of cues on these three dimensions. Nonetheless, it has also been shown that the different dimensions have different impacts. For example, perceived ability leads to higher levels of trust, whereas low levels of perceived benevolence abet distrust in the potential trustee (Hendriks, Seifried, & Menz, Citation2021; Rosman & Merk, Citation2021). So far, it has not been investigated how global trust judgments are related to the specific ABI dimensions of trustworthiness in the case of parents seeking parenting advice.

When looking at the three dimensions of trust in more detail, the question arises, especially for ability, which specific criteria parents use for their evaluation when confronted with potential sources of advice both within and outside of applied developmental psychology. Ability, as defined by Mayer, Davis, and Schoorman (Citation1995), may come from knowledge, aptitude, training, or experience. In current studies, indicators of an expert’s ability mostly refer to the person’s formal qualifications or profession and other indicators of expertise, such as self-proclaimed or other-proclaimed professional experience (Naujoks & Benkenstein, Citation2020). Concerning parenting, others’ own parenting experience may be an alternative indicator of ability that may have a particularly strong influence. Parenting practices have traditionally been passed down from generation to generation for centuries, with older generations being acknowledged as experts simply because of their experience. Furthermore, parents may use their social closeness and past experiences with a potential trustee as essential criteria for trust decisions within their social networks (Buskens & Raub, Citation2002; Jones & George, Citation1998; Weiss, Burgmer, & Hofmann, Citation2022). Consequently, we will differentiate between experience-based knowledge on the one hand and evidence-based knowledge on the other. In this sense, applied developmental psychology and scientific counseling provide an evidence-based – potentially more reliable but less relatable – source of knowledge (Lee, Citation2014). Often, different sources of knowledge are mixed, leaving it unclear to which source of knowledge parents refer. Therefore, we propose that impersonal research-based evidence rivals with others’ personal experiences as an indicator for ability.

To better understand parents’ advice seeking in general and to consequently make recommendations on how to reach parents with evidence-based counseling, we decided to use a mixed-method approach as we wanted to take parents’ perspective into account as well as test our specific hypotheses on trust and its dimensions. Therefore, we explored the reasons parents provide for choosing one source of advice over another when presented with an array of potential sources – the typical scenario in everyday life. Further, the study focused on whether and which of the ABI dimensions are relevant for parents’ global trust judgments when they are selecting sources of advice; we addressed this by asking parents to globally assess trust as well as ability, benevolence, and integrity separately, since parents’ notions of trust may differ dimensionally from what is assumed in trust models of trust research.

To summarize, based on what we know from previous research on social-emotional development and parenting, we expected that parents have a need for advice on social-emotional development. In addition to formal counseling services and evidence-based counseling, we assumed that parents’ private environment plays a substantial role in fielding parenting questions. In a semi-standardized interview, we explored the reasons that parents give for approaching or not approaching specific groups of people for advice. Furthermore, we focused on interpersonal trust, its sources, and its role in parents’ behavioral intentions to ask someone for advice on parenting matters. More specifically, we hypothesized that, first, trust is associated with the behavioral intention to approach this group for support and advice and, second, that trust in a specific reference group is based on this group’s perceived ability (which may be more evidence- or more experience-based), benevolence, and integrity. Finally, based on parents’ reasoning, we explored how their (lay) concept of global trust and trustworthy advice deviate from the three-dimensional model of trust as it has been established in trust research.

Method

To examine (i) whom parents turn to for receiving support, (ii) what role trust and its components play and (iii) what other reasons parents have for seeking advice from a particular group, we chose a mixed-method approach and used face-to-face interviews for data collection. In the following, we report how we determined our sample size, all data exclusions, all manipulations, and all measures in the study.

Participants

The final sample for this study consisted of 32 participants (16 male and 16 female) from middle-class families from Münster, Germany. Participants were contacted via a database from the Developmental Psychology Lab of the University of Münster and via personal contacts. The database consists of families from Münster that were recruited via city council and then signed up to participate in developmental studies on a voluntary basis. For this study, German speaking parents from this database with at least one child between four and seven years of age were asked via phone if they would like to participate in an interview study about parenting challenges. Participants received no financial compensation. One additional participant was not included in the analyses, because they were not able or willing to answer all the questions. Participants’ ages ranged between 30 and 60 years (M = 39.03, SD = 6.36), and their children (20 male and 12 female) were between 4.25 and 6.92 years old (M = 5.27, SD = .96). Thirty of 32 participants had a university degree.

General procedure

The main data collection took place from March to May 2019. Participants were interviewed in German by a female interviewer (the first author) in her office. Upon arrival, participants were informed about the study, and signed informed consent regarding their participation, audio recording, and publishing of anonymized data. The study was framed as an interview on parenting in general and challenging parenting situations. Participants completed a questionnaire on their socio-demographic background.

The interviewer started by introducing the concept of social-emotional development, including typical behaviors and everyday situations involved. Participants were then asked to list challenging situations in that area that they had either experienced themselves or observed in their social environment. Then, participants were asked to choose a specific situation from their own experience to keep in mind when answering the interview questions (In the following, I would like to ask you some questions about your behavior in a specific situation. It should be a situation that would worry you to the extent that you would want someone’s advice. […] Do you have a particular situation in mind?). Then, participants were asked about their concerns and worries in this situation, their support-seeking goals for talking to someone about it, relevant contact persons, trust and the ABI dimensions, parenting values and their opinions on internet research for solving parenting problems (see for an overview). All interviews were recorded by a digital voice recorder. The interviews took between 40 and 65 minutes.

Table 1. Main categories and questions used in the Semi-Structured Interview.

Questions on trust and ABI dimensions

Six reference groups were systematically introduced for questions on trust: friends, family, pediatricians, teachers, counselors from a formal counseling service, and counselors from an evidence-based counseling service. Counseling from this last group was characterized as “based on current results of psychological research, i.e. observations, surveys, measurements and testing.” The interviewer started with the first group that the participant had already spontaneously mentioned. For all reference groups, participants assessed their behavioral intention to contact someone within that group on a Likert scale from 1 to 4 (see ), stated why they were rather likely or unlikely to contact them, and assessed their trust in this person or group on a Likert scale from 1 to 4 (1 = very low, 2 = rather low, 3 = rather high, 4 = very high). After this was done for all six groups, participants rated each group’s ability, benevolence, and integrity on individual Likert scales from 1 to 4. For participants, ability was defined as “someone’s competence, namely whether they know enough about parenting to give helpful and reliable advice”. Benevolence was defined as “someone’s earnest will to help them and act selflessly on the parents” and their child’s behalf’. Finally, integrity was defined as “being guided by proper values, namely whether someone acts according to a reliable moral compass (in terms of parenting)”. With regard to the different sources of ability (as explained above), people were also asked whether they see this person’s ability as based on experience or expertise.

Coding and plan of analysis

Data from the present study was transcribed using the program f4. The open exploratory questions (on sources of advice and reasons) were coded based on qualitative content analysis (Mayring, Citation2010, Citation2014), while responses to the Likert scales (on behavioral intention, trust, and the ABI dimensions) were analyzed quantitatively.

Situations

All 32 participants reported their own experiences with challenging everyday situations. They described these as either challenging because their child repeatedly showed an inappropriate emotional expression or because their child was triggered by a particular situation. Responses were categorized into broader groups, the most frequent of which (mentioned by at least 30% of participants) can be found in ; for a detailed list see data in the Open Science Framework at https://osf.io/vtsqc/?view_only=129eb45e1b9a4c08adb5a8d799525e3b, blinded for review.

Table 2. Challenging parenting situations.

Sources of advice

Participants mentioned a range of sources of advice spontaneously. For every participant, up to three sources of advice were recorded. Participants’ spontaneous responses were categorized, resulting in similar groups as the reference groups introduced above, namely friends with children, kindergarten teachers, parents or parents-in-law (grandparents of the child), pediatricians, and formal counseling services.

Reasons

We asked for parents’ reasoning in two ways. First, when they mentioned someone as a source of advice spontaneously, participants were asked why they would ask them for advice. Additionally, participants were asked for pro or contra reasons for each of the reference groups, depending on their rating during the structured interview: Participants who stated that they would be likely to ask someone from a specific reference group for advice were asked to list the reasons for contacting that group (pro reasons); participants who stated that they would rather not ask someone from this group for advice were asked to list reasons against contacting them (contra reasons). The responses for why participants would (not) approach someone with parenting questions were analyzed with qualitative content analysis according to Mayring (Citation2010) with MAXQDA 2020. In the case of an exploratory research design based on a structured interview guide, Mayring (Citation2014) proposed a content structuring analysis – a combination of deductive and inductive procedures for analysis. First, we defined coding units (Krippendorff, Citation1980), where a coding unit is the smallest component of a text that can be coded, in this case defined as a word. In the next step, the transcripts were read line by line and categories were formulated. In this context, a “category” is a conceptual label or theme used to classify and organize content in the transcripts. It groups similar information together, making analysis and drawing meaningful conclusions from the text easier. Categories are formulated based on the topics or concepts identified during the line-by-line examination of the transcripts. For instance, one category was “reason – need for self-sufficiency” in the area where parents mentioned reasons for or against approaching someone for advice. This way, we built a coding scheme, including specific coding rules and anchors that provided guidance on how to systematically and consistently apply codes to the data. A coding rule was for example to code reasons for and against approaching someone for advice when mentioned spontaneously as well as when asked specifically for each group of contacts. An example anchor for the category “reason – need for self-sufficiency” was “parent mentions being able to do parenting on their own, not needing help or having been able to deal with stuff on their own”. After initially categorizing the content on a rather specific level, more abstract categories were constructed by integration (see ). The integration process involved reviewing and grouping initial specific categories based on common patterns and themes to construct more abstract categories. This process led to the formulation of higher-level concepts that capture broader, generalized ideas emerging from the data. The refinement and validation of these abstract categories contributed to a more comprehensive understanding of the overarching themes in the transcripts. For instance, the category “reason – need for self-sufficiency” was integrated with the category “reason – fear of bad talk” into the broader category “reason – stigma”. As categories occurred repeatedly across interviews, we followed Mayring’s (Citation2014) suggestion and further analyzed frequency data (i.e. the number of participants mentioning the category at least once per reference group).

Table 3. Main reasons for or against contacting someone.

Finally, as the last step of analysis, Mayring (Citation2010, Citation2014) proposed applying content-analytical quality criteria in the form of interrater reliability. In the present study, a second coder coded 31% of the material (i.e. ten interviews) based on the final category system, resulting in high inter-rater reliability, Brennan and Prediger (Citation1981) κ = .83.

Behavioral intention, trust, and the ABI Dimensions

Responses given on Likert scales were analyzed with the statistical software IBM SPSS Version 25.0. There were no missing data, and we used repeated-measures ANOVAs to test significant differences between the reference groups for behavioral intention, trust, ability, benevolence, and integrity. To analyze the relationship between behavioral intention and trust in that reference group, we first computed a correlation per person, based on the two ratings for the six reference groups. These 32 correlations were then z-transformed so that the mean could be calculated. Then we transformed this mean value back and got a final, average correlation between trust and behavioral intention. To test whether participants’ evaluation of ability, benevolence, and integrity significantly influenced trust in a person, we centered the ratings of trust, ability, benevolence, and integrity first. To account for the fact that data were nested within participants for the six reference groups, we then specified a linear mixed-effect model (LMM) with fixed main effects for ability, benevolence, and integrity and a random intercept for person. To identify differences in how the ability of groups was perceived (expert or experience knowledge), we computed a chi-square test and binomial tests for each reference group.

This study was not preregistered. The data that support the quantitative findings of this study are available in the Open Science Framework at https://osf.io/vtsqc/?view_only=129eb45e1b9a4c08adb5a8d799525e3b, blinded for review.

Results

In the first part of this section, we present the different sources of advice and parents’ behavioral intention to contact them about parenting matters. We report frequencies of the reasons for contact identified above and classify them with regard to the factor trust. In the second part, we report the results concerning group-differences and relations between trust, its dimensions and consequences for participants’ intention to seek advice.

Sources of advice

When participants were asked whom they would turn to concerning their specific parenting question, they most frequently mentioned friends with children (see ). In total, 65% of participants would reach out to befriended parents.

Figure 1. Spontaneously mentioned sources of advice.

Figure 1. Spontaneously mentioned sources of advice.

Teachers were named second most often, followed by the child’s grandparents and pediatricians. Only 12.5% of participants named formal counseling services at all, and only in second or third place. A few other sources were mentioned, including other parents in general or colleagues from work.

This picture was further consolidated by the participants’ responses to the question of how likely they would be to contact the six predefined reference groups. A repeated-measures ANOVA with reference group as the within-subject factor determined that mean behavioral intention levels showed a statistically significant difference between groups, F(5, 155) = 17.65, p < .001, η2 = .36. Significant differences between individual groups were identified using a Bonferroni-adjusted post-hoc analysis (see ). Participants rated their behavioral intention to approach one of their friends as the highest, and this was significantly higher than their behavioral intention to reach out to their pediatrician, a formal counseling service, or an evidence-based counseling service based on psychological science. Family was rated the second most likely option, followed by (kindergarten) teachers. Participants considered a formal counseling service to be the least likely option, rating it significantly lower than all other options except for pediatricians.

Table 4. Mean behavioral intention, trust, ability, benevolence, and integrity for reference groups.

Reasons

When asked why they would or would not contact someone, participants gave numerous reasons. shows how many participants mentioned a specific reason at least once per reference group. Categories of pro and contra reasons are sorted by the total number of mentions across participants, respectively. Notably, different kinds of reasons seem to be important for different reference groups. Looking at evidence-based counseling, the most popular reason to contact them seems to be ascribed expertise; expertise was not essential for any other reference group. On the other hand, parents seem to refrain from contacting formal counseling services, either general or evidence-based services, because their level of suffering is relatively low.

Table 5. Main pro and contra reasons (for or against contacting someone).

Some of the reasons can already be assigned to trust and its dimensions on the ABI model (Mayer, Davis, & Schoorman, Citation1995). First, trust itself was mentioned 21 times as a reason for contacting someone, and lack of trust was mentioned 4 times as a reason against contacting someone. Then, expertise/competence and experience knowledge correspond to the different facets of ability. According to our hypothesis, experience plays a major role with friends and family, whereas expertise seems to be most important for evidence-based counseling and pediatricians. In case of the latter, however, the lack of (domain-specific) expertise on social-emotional development was also often mentioned as a contra reason. Finally, values are commonly seen as part of integrity; these seem to have a particularly large negative impact when they do not meet the parents’ demands, as can be seen with family.

Trust and behavioral intention

When asked specifically about trust, participants’ ratings were significantly different across reference groups, F(5, 155) = 16.77, p < .001, η2 = .35. Participants’ trust in family members was rated the highest (see for details). As indicated by post-hoc t-tests with Bonferroni correction, these ratings were significantly higher than for all other reference groups except friends (see ). Formal counseling services received the lowest scores, being rated significantly lower than friends and family.

We also found significant differences for ability, F(5, 155) = 2.54, p = .031, η2 = .08, with significantly higher ability scores for formal counseling services than for family (see ). For benevolence, F(5, 155) = 7.92, p < .001, η2 = .20, we found significantly higher scores for friends than for formal counseling and evidence-based counseling services. Compared to formal counseling, family members received significantly higher benevolence scores. Using a repeated-measures ANOVA with a Greenhouse-Geisser correction due to violation of sphericity and reference group as the within-subject factor, we found that mean levels of perceived integrity showed a statistically significant difference between groups as well, F(3.77, 116.98) = 2.71, p = .036 η2 = .08, with significantly higher integrity scores for family than for pediatricians.

Next, we looked at whether global trust was related to behavioral intention at an individual level. To analyze whether a higher trust score for a reference group went along with a higher intention to approach someone from this group, we calculated the correlations across reference groups by person. In support of the hypothesis that trust is an important factor related to the question of whom a parent might contact for parenting advice, the mean correlation between trust and behavioral intention was rFisher z = .425, p < .01, indicating a medium to strong effect. This suggests a meaningful and statistically significant association between global trust in a specific reference group and the likelihood of individuals intending to seek parenting advice from that group.

Ability, benevolence, and integrity as sources of global trust

In the following, we address the question of how trust in a person is informed by the ability, benevolence, and integrity ascribed to that group. To test this, we calculated a mixed effects linear regression with ascribed ability, benevolence, and integrity as predictors. We modeled random effects for all predictors nested within subject. All variables were grand-mean-centered. The overall model was fitted by maximum likelihood and was significant compared to the null model (χ2(11) = 61.65, p < .001). The model showed that benevolence (b = .50, SE = .09, p < .001) and integrity (b = .26, SE = .11, p < .05) significantly predicted trust across reference groups, whereas the influence of ability (b = −.03, SE = .11, p = .754) was not significant. These findings indicate that participants’ perceptions of benevolence and integrity played a critical role in shaping trust. However, attributed ability did not substantially affect overall trust scores.

Different kinds of ability

To test the hypothesis that criteria for judging a person’s ability differ between reference groups, we analyzed participants’ answers to the question of whether a reference group’s ability was, in their opinion, derived from personal experience or expertise. In line with our expectations, most participants (n = 30, 93.8%) described that their friends’ ability to give advice was based on personal experience (see ). A similar pattern resulted for family. In contrast, formal counseling and evidence-based counseling services’ ability to give advice were mainly seen as based on scientific evidence and theoretical knowledge. These results suggest that participants’ judgments about a person’s ability to give advice vary depending on the reference group. A significant chi-square test indicates that ability was differentially based on experience vs. expertise across groups, χ2 = 94.5, p < .001, V = .70. For each group, separate binomial tests showed significant deviation from chance (p = 50%) for friends, family, pediatricians, formal counseling services and evidence-based counseling, ps < .05, indicating that parents consistently distinguished between experience and expertise in their assessments for these groups. For teachers, this difference was only marginally significant, p = .08, suggesting a less clear-cut distinction in parents’ perceptions of teachers’ ability.

Figure 2. Different sources of perceived ability.

Figure 2. Different sources of perceived ability.

Discussion

This study aimed to understand how parents choose where to get advice about their child’s social and emotional development and how trust plays a role in this decision. Based on the current findings, evidence-based counseling services can be improved to be more likely to be adopted. We used a mixed-method approach, meaning we not only directly asked parents about their preferred sources for parenting advice but also had them consider different reference groups like friends, family, teachers, pediatricians, formal counseling services, and evidence-based counseling and evaluate their trustworthiness, parents’ intention to get their advice and the reasons for (not) doing so. Overall, we found that, as expected, parents have a need for advice, and they mainly seek advice within their close social network. Trust played a critical role in parents’ decision about whom to ask. Specifically, general trust was associated with the intention to seek advice and, furthermore, trust was influenced by perceived benevolence and integrity, but not by perceived ability (which, depending on the specific reference group was perceived as more evidence- or more experience-based).

The study found that parents are indeed seeking advice on social-emotional development because they face daily stress and uncertainty in dealing with their child’s strong emotions and challenging behaviors. Parents report that conflicts in daily routines are particularly stressful. Rather than formal counseling services, parents prefer to seek advice from personal contacts, such as friends with children and the child’s grandparents. On the one hand, these findings could be explained by a general preference for sources with prior parenting experience; participants most frequently cited someone’s personal (parenting) experience as a reason for seeking advice from them. This matches previous findings that people, when looking to gain practical advice for everyday life, tend to prefer practitioners’ advice over researchers’ advice (Rosman & Merk, Citation2021). On the other hand, these findings could be explained by parents’ fear of stigmatization (Dempster, Davis, Faye Jones, Keating, & Wildman, Citation2015). Participants often mentioned the fear to be stigmatized when explaining why they would not use formal counseling services. Nevertheless, we found some indications that parents are more likely to tap formal counseling services when they perceive their parenting challenges as particularly serious or when they already exhausted advice from their personal environment.

When asked why they would seek advice from the different sources, parents generally cited a person’s personal experience, expertise, familiarity with themselves or their child, the possibility of gaining new perspectives on the issue, general trust in the person, previous positive experiences with advice from them, and low practical effort as encouraging them to do so. At the same time, there were other reasons that discouraged parents from asking for advice from specific groups, namely lower level of suffering, high effort, lack of expertise in social-emotional competence, unfamiliarity with the child, different values, and fear of stigmatization. Across all sources of advice, we were able to confirm the hypothesis that the intention to ask someone for advice is significantly related to interpersonal trust in that source, indicating that when individuals have a higher level of trust in a source, they are more likely to intend to ask that source for advice. This underscores the importance of trust in influencing the decision to seek advice from different sources. Some of the reasons mentioned before already referred to trust in general or to the established ABI-dimensions of trustworthiness – namely parents mentioned “trust”, “experience knowledge”, “expertise” and “values”. This suggests that, in line with previous research on interpersonal relations and information-seeking in general (Bromme & Beelmann, Citation2018; Lewis & Weigert, Citation1985; Miller & Bell, Citation2012), trust and its antecedents are crucial for advice-seeking parents. The significant association between global trust and behavioral intentions to ask for advice further supports this hypothesis.

The study found that parents trust different sources of advice to different degrees, including differences in perceived ability, benevolence, and integrity. This is consistent with the idea that parents differentiate between different groups of people, supporting the idea that source classification is meaningful, and sources of different kinds cannot be treated exactly the same in research. Parents trust and have the highest intention to seek advice from personal contacts, and trust decreases with decreasing familiarity, with formal counseling having the lowest trust scores. The personal environment received higher scores for benevolence and integrity compared to formal counseling, while formal counseling was perceived as more competent. Benevolence and integrity were related to trust across sources, and trust, in turn, was correlated with intention to seek advice. This is in line with the patterns for intention, trust, and benevolence discussed above, in which people from parents’ personal environment had the highest scores. It is particularly interesting to see that benevolence was most important for parents when deciding whom to trust. Regarding the subjective concept of trust in the context of parenting counseling, our findings support the idea that the parental notion of trust relates primarily to potential violations and harm (and avoiding those) rather than (content) quality of the given advice and the underlying knowledge. In this study we did not ask specifically about distrust. For future research, it is an interesting opportunity to look deeper into the parental concepts of trust and distrust.

However, we found an interesting discrepancy for integrity. Despite the fact that parents often mentioned that family members had different parenting values, they received the highest scores of integrity. This suggests that parents may consider someone to have good values, but not necessarily in terms of parenting. This aligns with Hamm, Smidt, Mayer, and Wisneski (Citation2019, p. 2) elaboration of integrity: “These [values] need not necessarily be the trustor’s own values.” Our findings on integrity suggest that it has a reasonable effect on trust, but value consistency seems to play an important role that could undermine this effect. Future research should examine the standards of personal values that need to be met for parents to consider someone’s advice trustworthy.

In our analyses, we found two predominant interpretations of the ability dimension, based on the reference group. Our division into “evidence-based knowledge” and “experience knowledge” is supported by theory and previous research (Hendriks, Kienhues, Bromme, & Wicherts, Citation2015; Lee, Citation2014; Svensson, Citation2016), as well as participants’ open responses. Parents perceived personal experience as the basis of ability in their personal environment, while pediatricians, formal counseling services and evidence-based counseling were perceived as having theoretical knowledge. For kindergarten teachers both evidence- and experience-based ability were ascribed to similar degrees. The comparison of personal experience and empirical evidence as sources of ability remains to be clarified and should be assessed separately in future studies.

Limitations

First, this study is limited in terms of sample size and composition, with most participants having a university degree and only dealing with everyday parenting concerns. To provide a more representative view, future studies should include a larger and more diverse sample, including at-risk parents of children with behavioral problems. An even more reliable picture could be obtained by looking at actual behavior instead of behavioral intention.

In this study, sources of advice were not differentiated by knowledge base during interviews to focus on overall reasons for choosing counseling sources. However, exploring which kinds of knowledge are attributed to each source may be useful in future research.

Implications and conclusion

Overall, this study emphasizes the important role of interpersonal trust in advice-seeking settings. Both parents’ personal social network and formal counseling services have a vital role to play in counseling parents. We were able to confirm that, when deciding whom to contact, parents rely – among other reasons – on their respective trust in different sources of advice. Although trust has been studied in personal relationships, there has been little evidence on its role in parenting advice. Trust levels vary for different reference groups and higher trust is related to higher contact intention. Knowing this, enables evidence-based counseling in the field of applied developmental psychology to reach out more effectively. Considering the strong evidence base, we must ensure that evidence-based programs are delivered effectively. Since we were able to show that trust and the intention to seek counseling are closely related, we need to strengthen trust in evidence-based counseling to foster acceptance and applicability.

To do so, the antecedents of trust and trustworthiness must be considered. Our research shows that in this specific area of parenting advice, benevolence and integrity are more important than ability. This has implications for counseling services, namely that the should not rely solely on indicators of ability to gain parents’ trust. In particular, because evidence-based counseling typically scores well on ability, it is an important finding that ascribed ability does (so far) not play a major role in parental advice-seeking. Conversely, ascribed benevolence and integrity of different reference groups have an important impact. Personal experience, benevolence, and integrity, however, are more difficult to establish for impersonal sources, in contrast to familiar sources from the personal environment. Parents can easily get an idea of professional expertise through information on professional qualification etc. – for example through a service’s website. Hence, to strengthen evidence-based services, two options seem reasonable: On the one hand, services should emphasize their benevolence- and integrity-related qualities more strongly, for example by providing information on their funding and norms and values, or by reaching out to parents through established and trustworthy structures (e.g. childcare institutions, schools, or universities). On the other hand, laypersons must be educated on the relevance of ability. Our study suggests that further investigation is needed regarding ability, as we found that parents hold different concepts (either experience- or evidence-based) for different groups of people. Either way, it is a promising approach to further investigate parents’ notion of trust, trustworthiness, and distrust.

Evidence-based counseling becomes more important when it comes to severe parenting challenges. This, in combination with practical barriers, suggests that evidence-based counseling needs to be visible and accessible. Thus, we conclude that empirical findings of developmental psychology have the potential to make a valuable contribution to parenting knowledge and everyday experience of parents. Nonetheless, parents tend to ask for advice mainly from people they know and trust, leaving professionals the difficult task of instilling similar trust so that parents will seek them out for evidence-based advice. The present study provides initial evidence that benevolence factors play an important role here and highlights the need to further examine different types of knowledge in the context of parenting advice.

CRediT author statement

Conceptualization: Eva Strehlke, Rainer Bromme, Joscha Kärtner; Data collection: Eva Strehlke; Data Curation: Eva Strehlke; Formal analysis – planning: Eva Strehlke, Joscha Kärtner; Formal analysis: Eva Strehlke; Visualization: Eva Strehlke; Manuscript – original draft preparation: Eva Strehlke; Manuscript – review and editing: Rainer Bromme, Joscha Kärtner; Supervision: Joscha Kärtner, Rainer Bromme.

Ethics statement

This research was conducted in accordance with the Declaration of Helsinki and the Ethical Principles of the German Psychological Society (DGPs), the Association of German Professional Psychologists (BDP), and the American Psychological Association (APA). It involved no invasive or otherwise ethically problematic techniques and no deception (and, therefore, according to national jurisdiction, does not require a separate vote by a local Institutional Review Board; see the regulations on freedom of research in the German Constitution (§ 5 (3)), and the German University Law (§ 22)). Informed consent was obtained from all individual participants included in the study.

Acknowledgments

We wish to thank Silvia Scholz, Larissa Aust, Theresa Elvert and Annika Johnson who were involved in data collection, transcription, or coding. Special thanks go to our research coordinator, Ulrike Wilde. We wish to thank the parents who contributed with their time and effort in this study.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Data availability statement

The data that support the quantitative findings of this study are available in the Open Science Framework at https://osf.io/vtsqc/?view_only=129eb45e1b9a4c08adb5a8d799525e3b, blinded for review.

Additional information

Funding

The research reported in this study was part of a larger project supported by the by the German Research Foundation [Research Training Group, Award Nr. DFG 1712-2].

References

  • Baer, M. D., & Colquitt, J. A. (2018). Why do people trust? In R. H. Searle, A.-M.-I. Nienaber, & S. B. Sitkin (Eds.), The Routledge companion to trust (pp. 163–182). London: Routledge. doi:10.4324/9781315745572
  • Beelmann, A., & Lösel, F. (2021). A comprehensive meta-analysis of randomized evaluations of the effect of child social skills training on antisocial development. Journal of Developmental and Life-Course Criminology, 7(1), 41–65. doi:10.1007/S40865-020-00142-8
  • Blöbaum, B. (2016). Key factors in the process of trust. On the analysis of trust under digital conditions. In B. Blöbaum (Ed.), Trust and communication in a Digitized World (pp. 3–25). Cham: Springer. doi:10.1007/978-3-319-28059-2_1
  • Blöbaum, B. (2021). Some thoughts on the nature of trust: Concept, models and theory. In B. Blöbaum (Ed.), Trust and communication (pp. 3–28). Cham: Springer. doi:10.1007/978-3-030-72945-5_1
  • Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the triple P-Positive parenting program on preschool children with Co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30(6), 571–587. doi:10.1023/A:1020807613155
  • Brennan, R. L., & Prediger, D. J. (1981). Coefficient kappa: Some uses, misuses, and alternatives. Educational and Psychological Measurement, 41(3), 687–699. doi:10.1177/001316448104100307
  • Bromme, R., & Beelmann, A. (2018). Transfer entails communication: The public understanding of (social) science as a stage and a play for implementing evidence-based prevention knowledge and programs. Prevention Science, 19(3), 347–357. doi:10.1007/S11121-016-0686-8
  • Bromme, R., & Goldman, S. R. (2014). The public’s bounded understanding of science. Educational Psychologist, 49(2), 59–69. doi:10.1080/00461520.2014.921572
  • Bromme, R., & Hendriks, F. (2022). Trust in science: When the public considers whom to trust - the example of COVID-19. A Research Agenda for Trust: Interdisciplinary Perspectives, 1–15. doi:10.31234/OSF.IO/T754D
  • Buskens, V., & Raub, W. (2002). Embedded trust: Control and learning. Advances in Group Processes, 19, 167–202. doi:10.1016/S0882-6145(02)19007-2/FULL/PDF
  • Cochran, M. (1993). Extending families: The social networks of parents and their children. Cambridge, UK: Cambridge University Press.
  • Dempster, R., Davis, D. W., Faye Jones, V., Keating, A., & Wildman, B. (2015). The role of stigma in parental help-seeking for perceived child behavior problems in Urban, low-income African American Parents. Journal of Clinical Psychology in Medical Settings, 22(4), 265–278. doi:10.1007/s10880-015-9433-8
  • Denham, S. A. (1998). Emotional development in young children. New York: Guilford Press.
  • Denham, S. A., Bassett, H. H., & Wyatt, T. (2015). The socialization of emotional competence. In J. E. Grusec & P. D. Hastings (Eds.), Handbook of socialization: Theory and research (pp. 590–613). New York City, NY: The Guilford Press.
  • Dishion, T., Forgatch, M., Chamberlain, P., & Pelham, W. E. (2016). The Oregon model of behavior family therapy: From intervention design to promoting large-scale system change. Behavior Therapy, 47(6), 812–837. doi:10.1016/J.BETH.2016.02.002
  • England-Mason, G., & Gonzalez, A. (2020). Intervening to shape children’s emotion regulation: A review of emotion socialization parenting programs for young children. Emotion, 20(1), 98–104. doi:10.1037/EMO0000638
  • Forehand, R., Lafko, N., Parent, J., & Burt, K. B. (2014). Is parenting the mediator of change in behavioral parent training for externalizing problems of youth? Clinical Psychology Review, 34(8), 608–619. doi:10.1016/J.CPR.2014.10.001
  • Girio-Herrera, E., Owens, J. S., & Langberg, J. M. (2012). Perceived barriers to help-seeking among parents of At-risk kindergarteners in rural communities. Journal of Clinical Child & Adolescent Psychology, 42(1), 68–77. doi:10.1080/15374416.2012.715365
  • Hamm, J. A., Smidt, C., Mayer, R. C., & Wisneski, D. (2019). Understanding the psychological nature and mechanisms of political trust. Public Library of Science ONE, 14(5), e0215835. doi:10.1371/JOURNAL.PONE.0215835
  • Heinrichs, N., Bertram, H., Kuschel, A., & Hahlweg, K. (2005). Parent recruitment and retention in a universal prevention program for child behavior and emotional problems: Barriers to research and program participation. Prevention Science, 6(4), 275–286. doi:10.1007/s11121-005-0006-1
  • Hendriks, F., Kienhues, D., Bromme, R., & Wicherts, J. M. (2015). Measuring Laypeople’s trust in experts in a digital age: The Muenster Epistemic Trustworthiness Inventory (METI). Public Library of Science ONE, 10(10), e0139309. doi:10.1371/JOURNAL.PONE.0139309
  • Hendriks, F., Seifried, E., & Menz, C. (2021). Unraveling the “smart but evil” stereotype: Pre-service teachers’ evaluations of educational psychology researchers versus teachers as sources of information. Pädagogische Psychologie, 35(2–3), 157–171. doi:10.1024/1010-0652/A000300
  • Jones, G. R., & George, J. M. (1998). The experience and evolution of trust: Implications for cooperation and teamwork. Academy of Management Review, 23(3), 531–546. doi:10.2307/259293
  • Keller, J., & McDade, K. (2000). Attitudes of low-income parents toward seeking help with parenting: Implications for practice. Child Welfare: Journal of Policy, Practice, and Program, 79(3), 285–312.
  • Koerting, J., Smith, E., Knowles, M. M., Latter, S., Elsey, H. … Sonuga-Barke, E. J. (2013). Barriers to, and facilitators of, parenting programmes for childhood behaviour problems: A qualitative synthesis of studies of parents’ and professionals’ perceptions. European Child and Adolescent Psychiatry, 22(11), 653–670. doi:10.1007/s00787-013-0401-2
  • Krippendorff, K. (1980). Content analysis: An introduction to its methodology. Beverly Hills, CA: Sage.
  • Lee, E. (2014). Experts and parenting culture. In E. Lee, J. Bristow, C. Faircloth, & J. Macvarish (Eds.), Parenting culture studies (pp. 51–75). London: Palgrave Macmillan. doi:10.1057/9781137304612_3
  • Lewis, J. D., & Weigert, A. (1985). Trust as a social reality. Social Forces, 63(4), 967–985. doi:10.2307/2578601
  • Li, A. W. P. (1998). Dictionary of evidence-based medicine. London, UK: Radcliffe Publishing Ltd.
  • Lisakowski, A. (2018). Wann handeln Eltern kompetent? Kindliche Entwicklung und Elternverhalten. https://www.bertelsmann-stiftung.de/de/publikationen/publikation/did/wann-handeln-eltern-kompetent
  • Maas, R. (2021). Generation Alpha Studie. Retrieved from https://www.generation-thinking.de/post/generation-alpha-studie
  • Mayer, R. C., Davis, J. H., & Schoorman, F. D. (1995). An Integrative Model of Organizational Trust. The Academy of Management Review, 20(3), 709. doi:10.2307/258792
  • Mayring, P. (2010). Qualitative Inhaltsanalyse: Grundlagen und Techniken (11th ed.). Weinheim, Germany: Beltz.
  • Mayring, P. (2014). Qualitative content analysis: Theoretical Foundation, basic procedures and software solution. Klagenfurt, Austria: Social Science Open Access Repository. http://www.ssoar.info/ssoar/handle/document/39517
  • Miller, L. M. S., & Bell, R. A. (2012). Online health information seeking: The influence of age, information trustworthiness, and search challenges. Journal of Aging and Health, 24(3), 525–541. doi:10.1177/0898264311428167
  • Morris, A. S., Silk, J. S., Steinberg, L., Myers, S. S., & Robinson, L. R. (2007). The role of the family context in the development of emotion regulation. Social Development, 16(2), 361–388. doi:10.1111/J.1467-9507.2007.00389.X
  • Naujoks, A., & Benkenstein, M. (2020). Expert Cues: How Expert Reviewers are Perceived Online. Journal of Service Theory & Practice, 30(4–5), 531–556. doi:10.1108/JSTP-11-2019-0240
  • Oldeweme, A., Märtins, J., Westmattelmann, D., & Schewe, G. (2021). The role of transparency, trust, and social influence on uncertainty reduction in times of pandemics: Empirical study on the adoption of COVID-19 tracing apps. Journal of Medical Internet Research, 23(2), e25893. doi:10.2196/25893
  • Patterson, J., Mockford, C., & Stewart-Brown, S. (2005). Parents’ perceptions of the value of the Webster-Stratton Parenting Programme: A qualitative study of a general practice based initiative. Child: Care, Health and Development, 31(1), 53–64. doi:10.1111/J.1365-2214.2005.00479.X
  • Rosman, T., & Merk, S. (2021). Teacher’s reasons for trust and distrust in scientific evidence: Reflecting a “smart but evil” stereotype? American Educational Research Association Open, 7, 233285842110285. doi:10.1177/23328584211028599
  • Rostad, W. L., Moreland, A. D., Valle, L. A., & Chaffin, M. J. (2018). Barriers to participation in parenting programs: The relationship between parenting stress, perceived barriers, and program completion. Journal of Child and Family Studies, 27(4), 1264–1274. doi:10.1007/s10826-017-0963-6
  • Saarni, C., Campos, J. J., Camras, L. A., & Witherington, D. (2007). Emotional development: Action, communication, and understanding. In N. Eisenberg (Ed.), Handbook of child psychology vol. 3: Social, emotional and personality development (pp. 226–288). New Jersey: John Wiley & Sons Inc. doi:10.1002/9780470147658.CHPSY0305
  • Sanders, M. R., Kirby, J. N., Tellegen, C. L., & Day, J. J. (2014). The Triple P-Positive parenting program: A systematic review and meta-analysis of a multi-level system of parenting support. Clinical Psychology Review, 34(4), 337–357. doi:10.1016/J.CPR.2014.04.003
  • Stevens, J., Kelleher, K. J., Ward-Estes, J., & Hayes, J. (2006). Perceived barriers to treatment and psychotherapy attendance in Child Community Mental Health Centers. Community Mental Health Journal, 42(5), 449–458. doi:10.1007/S10597-006-9048-5
  • Strehlke, E., Bromme, R., & Kärtner, J. (2023). From trust in source to trust in content: How parents’ evaluation of trustworthiness shifts after first impressions of an evidence-based parenting advice app. Journal of Technology in Human Services, 41(4), 322–347. doi:10.1080/15228835.2023.2261989
  • Strehlke, E., Bromme, R., Scholz, S., & Kärtner, J. (2021). When play store knows how to deal with your kid: Trust in digital counselling. In B. Blöbaum (Ed.), Trust and communication (pp. 221–237). Cham: Springer. doi:10.1007/978-3-030-72945-5_11
  • Svensson, L. G. (2016). New professionalism, trust and competence: Some conceptual remarks and empirical data. Current Sociology, 54(4), 579–593. doi:10.1177/0011392106065089
  • Trembath, D., Paynter, J., Keen, D., & Ecker, U. K. H. (2016). “Attention: Myth follows!” facilitated communication, parent and professional attitudes towards evidence-based practice, and the power of misinformation. Evidence-Based Communication Assessment and Intervention, 9(3), 113–126. doi:10.1080/17489539.2015.1103433
  • Webster-Stratton, C. (1990). Long-term follow-up of families with young conduct problem children: From preschool to grade school. Journal of Clinical Child & Adolescent Psychology, 19(2), 144–149. doi:10.1207/S15374424JCCP1902_6
  • Weiss, A., Burgmer, P., & Hofmann, W. (2022). The experience of trust in everyday life. Current Opinion in Psychology, 44, 245–251. doi:10.1016/j.copsyc.2021.09.016
  • Wyatt Kaminski, J., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589. doi:10.1007/s10802-007-9201-9