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Multiple Family Groups (MFG) is an evidence-based behavioral parent training developed with a specific focus on increasing engagement and decreasing treatment barriers for families of children with disruptive behavior problems within high-risk communities. Previous studies have demonstrated the effectiveness of MFG in improving oppositional behavior at the group-level compared to services as usual (SAU). However, information is lacking regarding intervention effectiveness on an individual-level (i.e., clinical significance).
The reliable change index and clinical cutoff score method was utilized to determine whether MFG produced clinically meaningful changes compared to SAU for both child- and parent-level outcomes in a sample of 320 youth aged 7 to 11-years-old.
A significantly greater percentage of children in the MFG group experienced clinically meaningful change in problem behaviors compared to the SAU group, (p = 0.003, 95% [CI]: 1.610–18.481). A significantly greater number of parents in MFG also demonstrated clinically meaningful change in parental experience of stress compared to SAU, (p = 0.01, 95% [CI]: 1.255–14.704).
Findings suggested clinically significant and reliable improvements in child problem behaviors and decreases in parental perceived stress for families in MFG compared to SAU. Nevertheless, analyses demonstrated that both MFG and SAU resulted in few families obtaining clinically significant or reliable change in their functioning. Ongoing assessments and deeper understanding of intervention effect are needed to better service families in need. Both group- and individual-level comparisons should be considered when examining the effects of a treatment as they may provide a nuanced understanding of evidence-based interventions.
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Abidin, R. R., & Brunner, J. F. (1995). Development of a parenting alliance inventory. Journal of Clinical Child Psychology, 24(1), 31–40. CrossRef
Acri, M., Chacko, A., Gopalan, G., & McKay, M. (2018). Engaging families in treatment for child behavior disorders: a synthesis of the literature. In J. E. Lochman & W. Matthys (Eds), The Wiley handbook of disruptive and impulse-control disorders (pp. 393–409). Hoboken, NJ: John Wiley & Sons Inc.
Adams, J. F. (2001). Impact of parent training on family functioning. Child & Family Behavior Therapy, 23(1), 29–42. CrossRef
Allan, C., & Chacko, A. (2018). Adverse events in behavioral parent training for children with ADHD: An under-appreciated phenomenon. The ADHD Report, 26(1), 4–9. CrossRef
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (DSM-5th ed.). Arlington, VA: American Psychiatric Publishing. CrossRef
Bickman, L. (2000). The most dangerous and difficult question in mental health services research. Mental Health Services Research, 2(2), 71–72. CrossRef
Campbell, T. C. (2005). An introduction to clinical significance: an alternative index of intervention effect for group experimental designs. Journal of Early Intervention, 27(3), 210–227. CrossRef
Chacko, A., Alan, C., Uderman, J., Cornwell, M., Anderson, L., & Chimiklis, A. (2015a). Training parents of children with ADHD. In R. Barkley (Ed.), Attention deficit hyperactivity disorder: a handbook for diagnosis and treatment (pp. 513–536). New York, NY: Guilford Press.
Chacko, A., Fabiano, G. A., Doctoroff, G. L., & Fortson, B. (2018a). Engaging fathers in effective parenting for preschool children using shared book reading: a randomized controlled trial. Journal of Clinical Child & Adolescent Psychology, 47(1), 79–93. CrossRef
Chacko, A., Granski, M., Horn, E. P., Levy, M. D., Dahl, V., Lacks, R. S., & Ramakrishnan, A. (2018b). Prevention of disruptive behavior problems in children. In M. M. Martel (Ed.), Developmental pathways to disruptive, impulse-control and conduct disorders (pp. 347–380). London, UK: Academic Press. CrossRef
Chacko, A., Isham, A., Cleek, A. F., & McKay, M. M. (2016a). Using mobile health technology to improve behavioral skill implementation through homework in evidence-based parenting intervention for disruptive behavior disorders in youth: study protocol for intervention development and evaluation. Pilot and Feasibility Studies, 2(1), 57–68. PubMedPubMedCentralCrossRef
Chacko, A., Scavenius, C., Rewitz, A. F., & Lydiksen, C. L. (2018c). Caring in chaos: a behavioral parent training model for resource-limited community providers. The ADHD Report, 26(4), 1–8. CrossRef
Chacko, A., Wymbs, B. T., Chimiklis, A., Wymbs, F. A., & Pelham, W. E. (2012). Evaluating a comprehensive strategy to improve engagement to group-based behavioral parent training for high-risk families of children with ADHD. Journal of Abnormal Child Psychology, 40(8), 1351–1362. PubMedCrossRefPubMedCentral
Chacko, A., Wymbs, B., Rajwan, E., Wymbs, F., & Feirsen, N. (2017). Characteristics of parents of children with ADHD who never attend, drop out, and complete behavioral parent training. Journal of Child and Family Studies, 26(3), 950–960. CrossRef
Chacko, A., Wymbs, B. T., Wymbs, F. A., Pelham, W. E., Swanger-Gagne, M. S., Girio, E., & O’Connor, B. (2009). Enhancing traditional behavioral parent training for single mothers of children with ADHD. Journal of Clinical Child & Adolescent Psychology, 38(2), 206–218. CrossRef
Chavis, A., Hudnut-Beumler, J., Webb, M. W., Neely, J. A., Bickman, L., Dietrich, M. S., & Scholer, S. J. (2013). A brief intervention affects parents’ attitudes toward using less physical punishment. Child Abuse & Neglect, 37(12), 1192–1201. CrossRef
Dadds, M. R., Maujean, A., & Fraser, J. A. (2003). Parenting and conduct problems in children: Australian data and psychometric properties of the Alabama parenting questionnaire. Australian Psychologist, 38(3), 238–241. CrossRef
Deater-Deckard, K. (2008). Parenting stress. New Haven, CT: Yale University Press.
Deater-Deckard, K. D. & Panneton, R. (Eds) (2017). Parental stress and early child development. Cham, CH: Springer.
Devilly, G.J. (2005). ClinTools Software for Windows: Version 4 (computer programme). Psytek Ltd. www.clintools.com.
Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37(1), 215–237. CrossRef
Fabiano, G. A., Pelham, J., William, E., Waschbusch, D. A., Gnagy, E. M., Lahey, B. B., & Burrows-MacLean, L. (2006). A practical measure of impairment: psychometric properties of the impairment rating scale in samples of children with attention deficit hyperactivity disorder and two school-based samples. Journal of Clinical Child & Adolescent Psychology, 35(3), 369–385. CrossRef
Gopalan, G., Bornheimer, L. A., Acri, M., Winters, A., O’Brien, K. H., & Chacko, A. (2018). Multiple family group service delivery model for children with disruptive behavior disorders: Impact on caregiver stress and depressive symptoms. Journal of Emotional and Behavioral Disorders, 26(3), 182–192. PubMedCrossRefPubMedCentral
Gopalan, G., Chacko, A., Franco, L., Dean-Assael, K. M., Rotko, L. E., Marcus, S. M., & McKay, M. M. (2015a). Multiple family groups for children with disruptive behavior disorders: Child outcomes at 6-month follow-up. Journal of Child and Family Studies, 24(9), 2721–2733. PubMedCrossRefPubMedCentral
Gopalan, G., Small, L., Fuss, A., Bowman, M., Jackson, J., Marcus, S., & Chacko, A. (2015c). Multiple family groups to reduce child disruptive behavior difficulties: Moderating effects of child welfare status on child outcomes. Child Abuse & Neglect, 46, 207–219. CrossRef
Gresham, F. M. (2015). Disruptive behavior disorders: evidence-based practice for assessment and interventions. New York, NY: Guilford Press.
Haskett, M. E., Ahern, L. S., Ward, C. S., & Allaire, J. C. (2006). Factor structure and validity of the parenting stress-index-short form. Journal of Clinical Child & Adolescent Psychology, 35(2), 302–312. CrossRef
Health Resources and Services Administration [HRSA] (2016). National projections of supply and demand for selected behavioral health practitioners: 2013–2025. Department of Health and Human Services. https://bhw.hrsa.gov/sites/default/files/bhw/health-workforce-analysis/research/projections/behavioral-health2013-2025.pdf. Accessed 23 Jan 2019.
Heath, C. L., Curtis, D. F., Fan, W., & McPherson, R. (2015). The association between parenting stress, parenting self-efficacy, and the clinical significance of child ADHD symptom change following behavior therapy. Child Psychiatry & Human Development, 46(1), 118–129. CrossRef
Hoagwood, K., & Kolko, D. J. (2009). Introduction to the special section on practice contexts: A glimpse into the nether world of public mental health services for children and families. Administration and Policy in Mental Health and Mental Health Services Research, 36(1), 35–36. PubMedCrossRefPubMedCentral
IBM Corp. (2017). IBM SPSS statistics for windows, version25.0. Armonk, NY: IBM Corp. Released.
Kazdin, A. E., & Whitley, M. K. (2003). Treatment of parental stress to enhance therapeutic change among children referred for aggressive and antisocial behavior. Journal of Consulting and Clinical Psychology, 71(3), 504–515. CrossRef
McCart, M. R., Priester, P. E., Davies, W. H., & Azen, R. (2006). Differential effectiveness of behavioral parent-training and cognitive-behavioral therapy for antisocial youth: a meta-analysis. Journal of Abnormal Child Psychology, 34(4), 525–541. CrossRef
McKay, M. M., Gonzales, J., Quintana, E., Kim, L., & Abdul-Adil, J. (1999). Multiple family groups: An alternative for reducing disruptive behavioral difficulties of urban children. Research on Social Work Practice, 9(5), 593–607. CrossRef
Owens, J. S., Johannes, L. M., & Karpenko, V. (2009). The relation between change in symptoms and functioning in children with ADHD receiving school-based mental health services. School Mental Health, 1(4), 183–195. CrossRef
Pelham, W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 37(1), 184–214. CrossRef
Pelham, W., Gnagy, E., Greenslade, K., & Milich, R. (1992). Teacher ratings of DSM-III-R symptoms for the disruptive behavior disorder. Journal of The American Academy of Child & Adolescent Psychiatry, 31(2), 210–218. CrossRef
Sheldrick, R. C., Kendall, P. C., & Heimberg, R. G. (2001). The clinical significance of treatments: a comparison of three treatments for conduct disordered children. Clinical Psychology: Science and Practice, 8(4), 418–430.
Shelton, K. K., Frick, P. J., & Wootton, J. (1996). Assessment of parenting practices in families of elementary school-age children. Journal of Clinical Child Psychology, 25(3), 317–329. CrossRef
Stoltz, S., Deković, M., van Londen, M., Orobio de Castro, B., & Prinzie, P. (2013). What works for whom, how and under what circumstances? Testing moderated mediation of intervention effects on externalizing behavior in children. Social Development, 22(2), 406–425. CrossRef
Warren, J. S., Nelson, P. L., & Burlingame, G. M. (2009). Identifying youth at risk for treatment failure in outpatient community mental health services. Journal of Child and Family Studies, 18(6), 690–701. CrossRef
Warren, J. S., Nelson, P. L., Mondragon, S. A., Baldwin, S. A., & Burlingame, G. M. (2010). Youth psychotherapy change trajectories and outcomes in usual care: community mental health versus managed care settings. Journal of Consulting and Clinical Psychology, 78(2), 144–155. PubMedCrossRefPubMedCentral
Waschbusch, D., & Willoughby, M. (2008). Parent and teacher ratings on the IOWA Connors Rating Scale. Journal of Psychopathology and Behavioral Assessment, 30(3), 180–192. CrossRef
Weisz, J. R. (2004). Psychotherapy for children and adolescents: Evidence-based treatments and case examples. Cambridge, UK: Cambridge University Press. CrossRef
Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., & Weersing, V. R. (2017). What five decades of research tells us about the effects of youth psychological therapy: a multilevel meta-analysis and implications for science and practice. American Psychologist, 72(2), 79–117. PubMedCrossRefPubMedCentral
- Clinically Significant and Reliable Change: Comparing an Evidence-based Intervention to Usual Care
Maria Michelle Vardanian
Suniti P. Shah
- Springer US
Journal of Child and Family Studies
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843