Swipe om te navigeren naar een ander artikel
Behavioral parent training is an efficacious treatment for children with externalizing behavior problems, but many parents refuse to attend treatment and/or terminate prematurely. The Obstacles to Engagement Scale (OES) assesses the impact of personal and intervention-based obstacles on attending parent training. The published factor structure of the OES has an unstable, two-item subscale and has not been confirmed. We ran exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) and, consistent with literature, hypothesized that factors would differ across different demographic groups. An EFA was conducted on 192 parents of 2–8 year old children presenting to primary care pediatric clinics, with a CFA on a similar sample. CFA failed to support a stable factor structure for the full sample. An EFA on 129 parents with at least a college degree revealed a 3-factor solution: Health and legal barriers, Belief in utility and effectiveness, and Personal barriers. This structure was confirmed with a CFA on 53 parents. Consistent with our hypothesis, this model did not fit for parents with less than a college education. Findings of differences based on amount of education of parents supports the need for additional research on the factor structure and predictive validity of the OES for parents with more or less education. Research should continue to examine educational differences in willingness to attend and belief in efficacy of psychological treatments. Interventions to improve attendance at empirically supported treatments need to be customized based on education of parents. Larger samples will be needed to assess the factor structure for other relevant groups.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Arbuckle, J. L. (2006). Amos (Version 7.0) [Computer Program]. Chicago: SPSS.
Assemany, A. E., & McIntosh, D. E. (2002). Negative treatment outcomes of behavioral parent training programs. Psychology in the Schools, 39(2), 209–219. CrossRef
Barlow, J., & Stewart-Brown, S. (2000). Behaviour problems and group-based parent education programs. Developmental and Behavioural Pediatrics, 21, 356–370. CrossRef
Bontempo, D. E., Hofer, S. M., & Lawrence, F. R. (2006). Assessing factorial invariance in cross-sectional and longitudinal studies. In A. D. Ong & M. H. M. van Dulmen (Eds.), Handbook of methods in positive psychology. Oxford: Oxford University Press.
Browne, M. W., & Cudek, R. (1993). Alternative ways of assessing fit. Sage Focus Editions, 154, 136.
Chaffin, M., Valle, L. A., Funderburk, B., Gurwitch, R., Silovsky, J., Bard, D., et al. (2009). A motivational intervention can improve retention in PCIT for low-motivation child welfare clients. Child Maltreatment, 14(4), 356–368.
Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 9(2), 233–255. CrossRef
Dumas, J. E., Nissley-Tsiopinis, J., & Moreland, A. D. (2007). From intent to enrollment, attendance, and participation in preventive parenting groups. Journal of Child and Family Studies, 16(1), 1–26. CrossRef
Dumas, J. E., & Wahler, R. G. (1983). Predictors of treatment outcome in parent training: Mother insularity and socioeconomic disadvantage. Behavioral Assessment, 5(4), 301–313.
Holden, G. W., Lavigne, V. V., & Cameron, A. M. (1990). Probing the continuum of effectiveness in parent training: Characteristics of parents and preschoolers. Journal of Clinical Child Psychology, 19(1), 2–8. CrossRef
Kazdin, A. E., Holland, L., & Breton, S. (1991). Barriers to Participation in Treatment Scale—Parent and therapist versions. New Haven, CT: Yale University.
Kazdin, A. E., Mazurick, J. L., & Bass, D. (1993). Risk for attrition in treatment of antisocial children and families. Journal of Clinical Child Psychology, 22(1), 2–16. CrossRef
Nock, M. K., Ferriter, C., & Holmberg, E. (2007). Parent beliefs about treatment credibility and effectiveness: Assessment and relation to subsequent treatment participation. Journal of Child and Family Studies, 16(1), 27–38. CrossRef
Owens, J. S., Richerson, L., Murphy, C. E., Jageleweski, A., & Rossi, L. (2007). The parent perspective: Informing the cultural sensitivity of parenting programs in rural communities. Child & Youth Care Forum, 36, 179–194. CrossRef
Patterson, G. R., & Chamberlain, P. (1994). A functional analysis of resistance during parent training therapy. Clinical Psychology: Science and Practice, 1(1), 53–70.
Sampers, J., Anderson, K. G., Hartung, C. M., & Scambler, D. J. (2001). Parent training programs for young children with behavior problems. Infant-Toddler Intervention: The Transdisciplinary Journal, 11(2), 91–110.
Serketich, W. J., & Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysis. Behavior Therapy, 27(2), 171–186. 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
Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 25(2), 173–180. CrossRef
Switzer, G. E., Scholle, S. H., Johnson, B. A., & Kelleher, K. J. (1998). The Client Cultural Competence Inventory: An instrument for assessing cultural competence in behavioral managed care organizations. Journal of Child and Family Studies, 7(4), 483–491. CrossRef
Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics (4th ed.). Needham Heights, MA: Allyn & Bacon.
Thompson, V. L. S., & Alexander, H. (2006). Therapists’ race and African American clients’ reactions to therapy. Psychotherapy: Theory, Research, Practice Training, 43(1), 99–110. CrossRef
Vandenberg, R. J., & Lance, C. E. (2000). A review and synthesis of the measurement invariance literature: Suggestions, practices, and recommendations for organizational research. Organizational Research Methods, 3(1), 4–70. CrossRef
Webster-Stratton, C., & Hammond, M. (1990). Predictors of treatment outcome in parent training for families with conduct problem children. Behavior Therapy, 21(3), 319–337. CrossRef
- Factor Structure of the Obstacles to Engagement Scale: Problems, Solutions, and Hypotheses
Shana M. Wilson
Beth G. Wildman
Aimee W. Smith
- Springer US