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Group-based interventions are effective and widely used with parents of children with autism spectrum disorder (ASD). Family treatment research demonstrates that parental treatment engagement is a critical factor in determining intervention outcomes. At the present time, practitioners and researchers lack coherent conceptual frameworks of treatment engagement in group-based interventions. The purpose of this investigation was to explore the construct of treatment engagement and those factors that contribute to engagement in a group-based intervention for parents of children with ASD. Semi-structured telephone interviews were conducted with parents who participated in a group-based intervention for parents of children with ASD. Interview questions elicited parents’ experiences throughout the intervention and the factors that either detracted from or promoted their treatment engagement. Qualitative analysis yielded seven thematic categories that are organized into a conceptual framework of treatment engagement in group interventions. Specifically, we suggest that intervention characteristics (practitioner behaviors and program logistics), relational factors (group dynamics and therapeutic alliance), and external barriers/daily stresses influence parents’ attitudinal and behavioral treatment engagement. These findings can assist practitioners who are designing and implementing group interventions to more effectively engage parents of children with ASD in treatment. The resulting framework also has important implications for the conceptualization and application of treatment engagement more broadly. Future directions for research are discussed.
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Barlow, J., Smailagic, N., Huband, N., Roloff, V., & Bennett, C. (2012). Group-based parent training programmes for improving parental psychosocial health (Review). The Cochrane Collaboration, 6, 1–200.
Boggs, S. R., Eyberg, S. M., Edwards, D. L., Rayfield, A., Jacobs, J., Bagner, D., & Hood, K. K. (2004). Outcomes of parent-child interaction therapy: A comparison of treatment completers and study dropouts one to three years later. Child & Family Behavior Therapy, 26, 1–22. CrossRef
Bowen, G. (2008). Grounded theory and sensitizing concepts. International journal of qualitative methods, 5(3), 12–23.
Cunningham, C. E., Bremner, R., & Boyle, M. (2006). Large group community-based parenting programs for families of preschoolers at risk for disruptive behavior disorders: Utilization, cost effectiveness, and outcome. The Journal of Child Psychology and Psychiatry, 36(7), 1141–1159. CrossRef
Furlong, M., McGilloway, S., Bywater, T., Hutchings, J., Smith, S. M., & Donnelly, M. (2012). Behavioural and cognitive-behavioural group-based parenting programmes for early-onset conduct problems in children aged 3 to 12 years (Review ). The Cochrane Collaboration, 2, 1–357.
Gitterman, A. (1996). Life model theory and social work treatment. In F. J. Turner (Ed.), Social work treatment: Interlocking theoretical approaches (pp. 389–408). New York: Simon & Schuster.
Hames, A., & Rollings, C. (2009). A group for the parents and carers of children with severe intellectual disabilities and challenging behaviours. The British Psychological Society, 26(4), 47–54.
Horvath, A. O., & Greenburg, L. S. (Eds.). (1994). The working alliance: Theory, research, and practice. New York: Wiley.
Hutchings, J., Bywater, T., Daley, D., Gardner, F., Whitaker, C., Jones, K., & Edwards, R. T. (2007). Parenting intervention in sure start services for children at risk of developing conduct disorder: Pragmatic randomised controlled trial. British Medical Journal, 334, 678–682. PubMedCentralCrossRefPubMed
Kitzmann, K. M., Dalton, W. T., & Buscemi, J. (2008). Beyond parenting practices: Family context and the treatment of pediatric obesity. Family Relations, 57(1), 13–23. CrossRef
Larossa, R. (2005). Grounded theory methods and qualitative family research. Journal of Marriage and Family, 67, 837–857. CrossRef
McIntyre, L. L. (2008a). Parent training for young children with developmental disabilities: Randomized controlled trial. American Journal on Mental Retardation, 5, 256–268.
McIntyre, L. L. (2008b). Adapting Webster-Stratton’s incredible years parent training for children with developmental delay: Findings from a treatment group only study. Journal of Intellectual Disabilities Research, 52(12), 1176–1192. CrossRef
National Institute of Mental Health. (2001). The National Advisory Mental Health Council’s workgroup on child and adolescent mental health intervention development and deployment. “ Blueprint for change: Research on child and adolescent mental health.” (DHHS Publication). Washington, DC: U.S. Government Printing Office.
Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10(2), 155–180. CrossRef
Ogrodniczuk, J. S., & Piper, W. E. (2003). The effect of group climate on outcome in two forms of short-term group therapy. Group Dynamics: Theory, Research, and Practice, 7(1), 64. CrossRef
Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
Perrino, T., Coatsworth, J. D., Briones, E., Pantin, H., & Szapocznik, J. (2001). Initial engagement in parent-centered preventive interventions: A family systems perspective. Journal of Primary Prevention, 22(1), 21–44. CrossRef
Prinz, R. J., & Miller, G. E. (1996). Parental engagement in interventions for children at risk for conduct disorder. In R. D. Peters & R. J. McMahon (Eds.), Preventing childhood disorders, substance abuse, and delinquency (pp. 161–183). Thousand Oaks, CA: Sage. CrossRef
Randolph, K. A., Fincham, F., & Radey, M. (2009). A framework for engaging parents in prevention. Journal of Family Social Work, 12(1), 56–72. CrossRef
Research Units on Pediatric Psychopharmacology (RUPP) Autism Network. (2007). Parent training for children with pervasive developmental disorders: A multi-site feasibility trial. Behavioral Interventions, 22, 179–199. CrossRef
Singer, G. H., Hornby, G., Park, J., Wang, M., & Xu, J. (2012). Parent to parent peer support across the Pacific Rim. Journal of the International Special Needs Education, 15(2), 89–106. CrossRef
Sofronoff, K., & Farbotko, M. (2002). The effectiveness of parent management training to increase self-efficacy in parent of children with asperger syndrome. Autism: Journal of International Research and Practice, 6(3), 271–286. CrossRef
Staudt, M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research and conceptualization. Journal of Child and Family Studies, 16, 183–196. CrossRef
Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. London: Sage.
Todd, S., Bromley, J., Ioannou, K., Harrison, J., Mellor, C., Taylor, E., & Crabtree, E. (2010). Using group-based parent training interventions with parents of children with disabilities: A description of process, content and outcomes in clinical practice. Child and Adolescent Mental Health, 15, 171–175. CrossRef
Yatchmenoff, D. K. (2005). Measuring client engagement from the client’s perspective in nonvoluntary child protective services. Research on Social Work Practice, 15(2), 84–96. CrossRef
- A Parent-Informed Framework of Treatment Engagement in Group-Based Interventions
Marissa E. Yingling
- Springer US