Skip to main content
Top
Gepubliceerd in: Journal of Abnormal Child Psychology 8/2012

01-11-2012

Evaluating a Comprehensive Strategy to Improve Engagement to Group-based Behavioral Parent Training for High-risk Families of Children with ADHD

Auteurs: Anil Chacko, Brian T. Wymbs, Alyssa Chimiklis, Frances A. Wymbs, William E. Pelham

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Behavioral parent training (BPT) is an evidence-based intervention for the treatment of attention-deficit/hyperactivity disorder (ADHD) and related disruptive behavioral disorders of childhood. Despite convincing data on effectiveness, engagement to BPT, particularly for high-risk families, has been a long standing, yet understudied, issue. Data from a clinical trial of a comprehensive BPT approach to enhance engagement and outcomes (the Strategies to Enhance Positive Parenting [STEPP] program) are presented herein. The STEPP program was compared to a traditional group-based BPT program on propensity to attend treatment, propensity to complete homework over the course of treatment, and dropout from BPT. Additionally, factors empirically related to engagement to treatment and targeted by the STEPP program were analyzed to determine whether these factors were enhanced by participation in the STEPP program. In a randomized cohort of 80 single-mothers of school-age children with ADHD, analyses demonstrated that the STEPP program lead to greater propensity to attend treatment over time and a greater propensity to complete homework over the course of treatment. Furthermore, participation in the STEPP Program was associated with a lower rate of dropout. Finally, data suggested that parents assigned to the STEPP program reported significant improvements in factors empirically related to engagement that were targeted within the STEPP program (i.e., amount and quality of social support from their group members, expectations for treatment, and perceived barriers to treatment participation). Results of the study have implications for targeting engagement throughout the process of BPT, particularly for high-risk families.
Literatuur
go back to reference Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. Advances in Clinical Child Psychology, 16, 81–108. Armbruster, P., & Kazdin, A. E. (1994). Attrition in child psychotherapy. Advances in Clinical Child Psychology, 16, 81–108.
go back to reference Chacko, A., Wymbs, B. T., Arnold, F. W., Pelham, W. E., Swanger-Gagne, M., Girio, E. L., et al. (2009). Enhancing traditional behavioral parent training for single-mothers of children with ADHD. Journal of Clinical Child and Adolescent Psychology, 38, 206–218. doi:10.1080/15374410802698388.PubMedCrossRef Chacko, A., Wymbs, B. T., Arnold, F. W., Pelham, W. E., Swanger-Gagne, M., Girio, E. L., et al. (2009). Enhancing traditional behavioral parent training for single-mothers of children with ADHD. Journal of Clinical Child and Adolescent Psychology, 38, 206–218. doi:10.​1080/​1537441080269838​8.PubMedCrossRef
go back to reference Chacko, A., Wymbs, B. T., Flammer-Rivera, L., Pelham, W. E., Walker, K. S., Arnold, F., et al. (2008). A pilot study of the feasibility and efficacy of the Strategies to Enhance Positive Parenting program for single mothers of children with ADHD. Journal of Attention Disorders, 12, 270–280. doi:10.1177/1087054707306119.PubMedCrossRef Chacko, A., Wymbs, B. T., Flammer-Rivera, L., Pelham, W. E., Walker, K. S., Arnold, F., et al. (2008). A pilot study of the feasibility and efficacy of the Strategies to Enhance Positive Parenting program for single mothers of children with ADHD. Journal of Attention Disorders, 12, 270–280. doi:10.​1177/​1087054707306119​.PubMedCrossRef
go back to reference Cunningham, C. E., Bremner, R., & Secord, M. (1998). COPE: the community parent education program: a school-based family systems oriented workshop for parents of children with disruptive behavior disorders. Hamilton: COPE Works. Cunningham, C. E., Bremner, R., & Secord, M. (1998). COPE: the community parent education program: a school-based family systems oriented workshop for parents of children with disruptive behavior disorders. Hamilton: COPE Works.
go back to reference D’Zurilla, T. J., & Nezu, A. M. (1999). Problem-solving therapy: a social competence approach to clinical intervention (2nd ed.). New York: Springer Publishing. D’Zurilla, T. J., & Nezu, A. M. (1999). Problem-solving therapy: a social competence approach to clinical intervention (2nd ed.). New York: Springer Publishing.
go back to reference 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 and Adolescent Psychology, 37, 215–237. doi:10.1080/15374410701820117.PubMedCrossRef 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 and Adolescent Psychology, 37, 215–237. doi:10.​1080/​1537441070182011​7.PubMedCrossRef
go back to reference Fabiano, G. A., Pelham, W. E., Waschbusch, D., Gnangy, E., Lahey, B., Chronis, A., et al. (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 and Adolescent Psychology, 35, 369–385. doi:10.1207/s15374424jccp3503_3.PubMedCrossRef Fabiano, G. A., Pelham, W. E., Waschbusch, D., Gnangy, E., Lahey, B., Chronis, A., et al. (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 and Adolescent Psychology, 35, 369–385. doi:10.​1207/​s15374424jccp350​3_​3.PubMedCrossRef
go back to reference Fernandez, M. A., Butler, A. M., & Eyberg, S. M. (2011). Treatment outcome for low socioeconomic status african american families in parent-child interaction therapy: a pilot study. Child & Family Behavior Therapy, 33, 32–48. doi:10.1080/07317107.2011.545011.CrossRef Fernandez, M. A., Butler, A. M., & Eyberg, S. M. (2011). Treatment outcome for low socioeconomic status african american families in parent-child interaction therapy: a pilot study. Child & Family Behavior Therapy, 33, 32–48. doi:10.​1080/​07317107.​2011.​545011.CrossRef
go back to reference Kazdin, A. E., & Mazurick, J. L. (1994). Dropping out of child psychotherapy: distinguishing early and late dropouts over the course of treatment. Journal of Consulting and Clinical Psychology, 62, 1069–1074. 10.1037/0022-006X.62.5.1069.PubMedCrossRef Kazdin, A. E., & Mazurick, J. L. (1994). Dropping out of child psychotherapy: distinguishing early and late dropouts over the course of treatment. Journal of Consulting and Clinical Psychology, 62, 1069–1074. 10.1037/0022-006X.62.5.1069.PubMedCrossRef
go back to reference McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health & Social Work, 23, 9–15. doi:10.1093/hsw/23.1.9.CrossRef McKay, M. M., Stoewe, J., McCadam, K., & Gonzales, J. (1998). Increasing access to child mental health services for urban children and their caregivers. Health & Social Work, 23, 9–15. doi:10.​1093/​hsw/​23.​1.​9.CrossRef
go back to reference Muthen, B., & Muthen, L. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthen & Muthen. Muthen, B., & Muthen, L. (2010). Mplus user’s guide (6th ed.). Los Angeles: Muthen & Muthen.
go back to reference Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: a conceptual and empirical review. Clinical Child and Family Psychology Review, 8, 149–166. doi:10.1007/s10567-005-4753-0.PubMedCrossRef Nock, M. K., & Ferriter, C. (2005). Parent management of attendance and adherence in child and adolescent therapy: a conceptual and empirical review. Clinical Child and Family Psychology Review, 8, 149–166. doi:10.​1007/​s10567-005-4753-0.PubMedCrossRef
go back to reference 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, 155–180. doi:10.1023/A:1016699424731.CrossRef 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, 155–180. doi:10.​1023/​A:​1016699424731.CrossRef
go back to reference Pelham, W. E. (2002). Attention deficit hyperactivity disorder: diagnosis, assessment, nature, etiology, and treatment. Buffalo: CTADD. Pelham, W. E. (2002). Attention deficit hyperactivity disorder: diagnosis, assessment, nature, etiology, and treatment. Buffalo: CTADD.
go back to reference Pfiffner, L. J., Jouriles, E. N., Brown, M. M., Etscheidt, M. A., & Kelly, J. A. (1990). Effects of problem solving therapy on outcomes of parent training for single parent families. Child and Family Behavior Therapy, 12, 1–11. doi:10.1300/J019v12n01_01.CrossRef Pfiffner, L. J., Jouriles, E. N., Brown, M. M., Etscheidt, M. A., & Kelly, J. A. (1990). Effects of problem solving therapy on outcomes of parent training for single parent families. Child and Family Behavior Therapy, 12, 1–11. doi:10.​1300/​J019v12n01_​01.CrossRef
go back to reference Webster-Stratton, C. & Hammond, M. (1990). Predictors of treatment outcome in parent training for families with conduct problem children. Behavior Therapy, 21, 319–337. Retrieved from http://eresources.library.mssm.edu:2087/10.1016/S0005-7894(05)80334-X Webster-Stratton, C. & Hammond, M. (1990). Predictors of treatment outcome in parent training for families with conduct problem children. Behavior Therapy, 21, 319–337. Retrieved from http://​eresources.​library.​mssm.​edu:2087/10.​1016/​S0005-7894(05)80334-X
go back to reference Wechsler, D. (1991). The Wechsler intelligence scale for children—third edition. San Antonio: The Psychological Corporation. Wechsler, D. (1991). The Wechsler intelligence scale for children—third edition. San Antonio: The Psychological Corporation.
Metagegevens
Titel
Evaluating a Comprehensive Strategy to Improve Engagement to Group-based Behavioral Parent Training for High-risk Families of Children with ADHD
Auteurs
Anil Chacko
Brian T. Wymbs
Alyssa Chimiklis
Frances A. Wymbs
William E. Pelham
Publicatiedatum
01-11-2012
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 8/2012
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-012-9666-z

Andere artikelen Uitgave 8/2012

Journal of Abnormal Child Psychology 8/2012 Naar de uitgave