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Gepubliceerd in: Journal of Child and Family Studies 11/2015

06-02-2015 | Original Paper

A Parent-Informed Framework of Treatment Engagement in Group-Based Interventions

Auteurs: Robert Hock, Marissa E. Yingling, Anne Kinsman

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 11/2015

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Abstract

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.
Literatuur
go back to reference 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. 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.
go back to reference 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 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
go back to reference Bowen, G. (2008). Grounded theory and sensitizing concepts. International journal of qualitative methods, 5(3), 12–23. Bowen, G. (2008). Grounded theory and sensitizing concepts. International journal of qualitative methods, 5(3), 12–23.
go back to reference Bromley, J., Hare, D. J., Davison, K., & Emerson, E. (2004). Mothers supporting children with autistic spectrum disorders: Social support, mental health status and satisfaction with services. Autism, 8, 409–423.CrossRefPubMed Bromley, J., Hare, D. J., Davison, K., & Emerson, E. (2004). Mothers supporting children with autistic spectrum disorders: Social support, mental health status and satisfaction with services. Autism, 8, 409–423.CrossRefPubMed
go back to reference Brookman-Frazee, L., Stahmer, A., Baker-Ericzén, M. J., & Tsai, K. (2006). Parenting interventions for children with autism spectrum and disruptive behavior disorders: Opportunities for cross-fertilization. Clinical Child and Family Psychology Review, 9(3–4), 181–200.PubMedCentralCrossRefPubMed Brookman-Frazee, L., Stahmer, A., Baker-Ericzén, M. J., & Tsai, K. (2006). Parenting interventions for children with autism spectrum and disruptive behavior disorders: Opportunities for cross-fertilization. Clinical Child and Family Psychology Review, 9(3–4), 181–200.PubMedCentralCrossRefPubMed
go back to reference Brown, L. D., Goslin, M. C., & Feinberg, M. E. (2012). Relating engagement to outcomes in prevention: The case of a parenting program for couples. American Journal of Community Psychology, 50(1–2), 17–25.PubMedCentralCrossRefPubMed Brown, L. D., Goslin, M. C., & Feinberg, M. E. (2012). Relating engagement to outcomes in prevention: The case of a parenting program for couples. American Journal of Community Psychology, 50(1–2), 17–25.PubMedCentralCrossRefPubMed
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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. 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.
go back to reference Gross, D., & Grady, J. (2002). Group-based parent training for preventive mental health disorders in children. Issues in Mental Health Nursing, 23(4), 367–383.CrossRefPubMed Gross, D., & Grady, J. (2002). Group-based parent training for preventive mental health disorders in children. Issues in Mental Health Nursing, 23(4), 367–383.CrossRefPubMed
go back to reference 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. 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.
go back to reference Hogue, A., & Liddle, H. A. (2009). Family-based treatment for adolescent substance abuse: Controlled trials and new horizons in services research. Journal of Family Therapy, 31(2), 126–154.PubMedCentralCrossRefPubMed Hogue, A., & Liddle, H. A. (2009). Family-based treatment for adolescent substance abuse: Controlled trials and new horizons in services research. Journal of Family Therapy, 31(2), 126–154.PubMedCentralCrossRefPubMed
go back to reference Horvath, A. O., & Greenburg, L. S. (Eds.). (1994). The working alliance: Theory, research, and practice. New York: Wiley. Horvath, A. O., & Greenburg, L. S. (Eds.). (1994). The working alliance: Theory, research, and practice. New York: Wiley.
go back to reference 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 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
go back to reference Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645.PubMedCentralCrossRefPubMed Ingoldsby, E. M. (2010). Review of interventions to improve family engagement and retention in parent and child mental health programs. Journal of Child and Family Studies, 19(5), 629–645.PubMedCentralCrossRefPubMed
go back to reference Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research, 7(1), 35–52.CrossRefPubMed Karver, M. S., Handelsman, J. B., Fields, S., & Bickman, L. (2005). A theoretical model of common process factors in youth and family therapy. Mental Health Services Research, 7(1), 35–52.CrossRefPubMed
go back to reference King, G., Currie, M., & Petersen, P. (2014). Child and parent engagement in the mental health intervention process: A motivational framework. Child and Adolescent Mental Health, 19, 2–8. doi:10.1111/camh.12015.CrossRef King, G., Currie, M., & Petersen, P. (2014). Child and parent engagement in the mental health intervention process: A motivational framework. Child and Adolescent Mental Health, 19, 2–8. doi:10.​1111/​camh.​12015.CrossRef
go back to reference 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 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
go back to reference Larossa, R. (2005). Grounded theory methods and qualitative family research. Journal of Marriage and Family, 67, 837–857.CrossRef Larossa, R. (2005). Grounded theory methods and qualitative family research. Journal of Marriage and Family, 67, 837–857.CrossRef
go back to reference Liddle, H. A., Jackson-Gilfort, A., & Marvel, F. A. (2006). An empirically supported and culturally specific engagement and intervention strategy for African American adolescent males. American Journal of Orthopsychiatry, 76(2), 215–225.CrossRefPubMed Liddle, H. A., Jackson-Gilfort, A., & Marvel, F. A. (2006). An empirically supported and culturally specific engagement and intervention strategy for African American adolescent males. American Journal of Orthopsychiatry, 76(2), 215–225.CrossRefPubMed
go back to reference 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. (2008a). Parent training for young children with developmental disabilities: Randomized controlled trial. American Journal on Mental Retardation, 5, 256–268.
go back to reference 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 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
go back to reference Moore, T. R., & Symons, F. J. (2009). Adherence to behavioral and medical treatment recommendations by parents of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(8), 1173–1184.CrossRefPubMed Moore, T. R., & Symons, F. J. (2009). Adherence to behavioral and medical treatment recommendations by parents of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 39(8), 1173–1184.CrossRefPubMed
go back to reference Morrissey-Kane, E., & Prinz, R. J. (1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical Child and Family Psychology Review, 2, 183–198.CrossRefPubMed Morrissey-Kane, E., & Prinz, R. J. (1999). Engagement in child and adolescent treatment: The role of parental cognitions and attributions. Clinical Child and Family Psychology Review, 2, 183–198.CrossRefPubMed
go back to reference Moses, T. (2011). Parents’ conceptualization of adolescents’ mental health problems: Who adopts a psychiatric perspective and does it make a difference? Community Mental Health Journal, 47(1), 67–81.CrossRefPubMed Moses, T. (2011). Parents’ conceptualization of adolescents’ mental health problems: Who adopts a psychiatric perspective and does it make a difference? Community Mental Health Journal, 47(1), 67–81.CrossRefPubMed
go back to reference 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. 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.
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(2), 155–180.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(2), 155–180.CrossRef
go back to reference O’Brien, A., Fahmy, R., & Singh, S. P. (2009). Disengagement from mental health services. Social Psychiatry and Psychiatric Epidemiology, 44(7), 558–568.CrossRefPubMed O’Brien, A., Fahmy, R., & Singh, S. P. (2009). Disengagement from mental health services. Social Psychiatry and Psychiatric Epidemiology, 44(7), 558–568.CrossRefPubMed
go back to reference 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 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
go back to reference Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. HSR: Health Services Research., 34(5 Pt 2), 1189–1208.PubMedCentralPubMed Patton, M. Q. (1999). Enhancing the quality and credibility of qualitative analysis. HSR: Health Services Research., 34(5 Pt 2), 1189–1208.PubMedCentralPubMed
go back to reference Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage. Patton, M. Q. (2002). Qualitative research and evaluation methods (3rd ed.). Thousand Oaks, CA: Sage.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. London: Sage. Strauss, A., & Corbin, J. (1990). Basics of qualitative research: Grounded theory procedures and techniques. London: Sage.
go back to reference Tetley, A., Jinks, M., Huband, N., & Howells, K. (2011). A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment. Journal of Clinical Psychology, 67(9), 927–941.CrossRefPubMed Tetley, A., Jinks, M., Huband, N., & Howells, K. (2011). A systematic review of measures of therapeutic engagement in psychosocial and psychological treatment. Journal of Clinical Psychology, 67(9), 927–941.CrossRefPubMed
go back to reference 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 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
go back to reference Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009). Stepping Stones Triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37, 469–480.CrossRefPubMed Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009). Stepping Stones Triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37, 469–480.CrossRefPubMed
go back to reference 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 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
Metagegevens
Titel
A Parent-Informed Framework of Treatment Engagement in Group-Based Interventions
Auteurs
Robert Hock
Marissa E. Yingling
Anne Kinsman
Publicatiedatum
06-02-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Child and Family Studies / Uitgave 11/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI
https://doi.org/10.1007/s10826-015-0139-1

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