Abstract
Different formats for delivering parent education designed to improve the functioning of children with FASD were evaluated. Participants were randomly assigned to a treatment condition: (1) Community Standard/Informational Packet, (2) Group Workshops, and (3) Internet Training. Overall satisfaction was high for all formats but the Workshop group received higher ratings on usefulness, understandability, amount, overall satisfaction, and willingness to recommend than did the Community group and higher ratings than did the Internet group on amount of information and overall satisfaction. All three groups improved in their knowledge of behavioral learning principles but only the Internet and Workshop groups made significant gains in knowledge of FAS and advocacy. Improved behavior was only found in the Workshop and Community conditions. The results suggest all forms of parent education have some benefits but the child’s degree of alcohol-related impairment, severity of behavioral symptoms, and overall goals of the intervention may influence optimal choice.
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Abel, E. L., & Sokol, R. J. (1991). A revised estimate of the economic impact of fetal alcohol syndrome. Recent Developments in Alcoholism, 9, 117–125.
Achenbach, T. (1991). Manual for the child behavior checklist/4–18 and 1991 profile. Burlington: University of Vermont Department of Psychiatry.
Bert, S. C., Farris, J. R., & Borkowski, J. G. (2008). Parent training: implementation strategies for adventures in parenting. Journal of Primary Prevention, 29(3), 243–261. doi:10.1007/s10935-008-0135-y.
Bertrand, J. (2009). Interventions for children with fetal alcohol spectrum disorders (FASDs): Overview of findings for five innovative research projects. Research in Developmental Disabilities, 30(5), 986–1006. doi:10.1016/j.ridd.2009.02.003.
Blackston, R. D., Coles, C. D., & Kable, J. A. (2005). Evidence for Severity of Dysmorphology in Fetal Alcohol Syndrome and Direct Correlation with Developmental Behavioral, Social and Educational Outcomes and to Psychotropic Medications. Paper presented at the David Smith Dysmorphology Meeting, Iowa City, Iowa.
Bray, D. L., & Anderson, P. D. (1989). Appraisal of the epidemiology of fetal alcohol syndrome among Canadian native peoples. Canadian Journal of Public Health, 80(1), 42–45.
Burd, L., Cotsonas-Hassler, T. M., Martsolf, J. T., & Kerbeshian, J. (2003). Recognition and management of fetal alcohol syndrome. Neurotoxicology and Teratology, 25(6), 681–688.
Coles, C. D., Brown, R. T., Smith, I. E., Platzman, K. A., Erickson, S., & Falek, A. (1991). Effects of prenatal alcohol exposure at school age: I. Physical and cognitive development. Neurotoxicology and Teratology, 13(4), 357–367.
Coles, C. D., Fernhoff, P. M., Lynch, M. E., Falek, A., & Dellis, E. (1997). Manual for scoring the dysmorphia checklist: Newborn version. Unpublished manuscript. Emory University.
Coles, C. D., Platzman, K. A., Raskind-Hood, C. L., Brown, R. T., Falek, A., & Smith, I. E. (1997). A comparison of children affected by prenatal alcohol exposure and attention deficit, hyperactivity disorder. Alcoholism, Clinical and Experimental Research, 21(1), 150–161.
Coles, C. D., Strickland, D. C., Padgett, L., & Bellmoff, L. (2007). Games that 'work': Using computer games to teach alcohol-affected children about fire and street safety. Research in Developmental Disabilities, 28(5), 518–530. doi:10.1016/j.ridd.2006.07.001.
Coles, C. D., Kable, J. A., & Taddeo, E. (2009). Math performance and behavior problems in children affected by prenatal alcohol exposure: intervention and follow-up. Journal of Developmental and Behavioral Pediatrics, 30, 7–15.
Cordero, J. F., Floyd, R. L., Martin, M. L., Davis, M., & Hymbaugh, K. J. (1994). Tracking the prevalence of FAS. Alcohol And Health Research World, 18, 82–85.
Gordon, D. A. (2000). Parent training via CD-ROM: Using technology to disseminate effective prevention practices. The Journal of Primary Prevention, 21(2), 227–251. doi:10.1023/a:1007035320118.
Kable, J. A., Coles, C. D., & Taddeo, E. (2007). Socio-cognitive habilitation using the math interactive learning experience program for alcohol-affected children. Alcoholism, Clinical and Experimental Research, 31(8), 1425–1434.
Matson, J. L., Mahan, S., & LoVullo, S. V. (2009). Parent training: A review of methods for children with developmental disabilities. Research in Developmental Disabilities, 30(5), 961–968. doi:10.1016/j.ridd.2009.01.009.
May, P. A., Hymbaugh, K. J., Aase, J. M., & Samet, J. M. (1983). Epidemiology of fetal alcohol syndrome among American Indians of the Southwest. Social Biology, 30(4), 374–387.
May, P. A., Gossage, J. P., White-Country, M., Goodhart, K., Decoteau, S., Trujillo, P. M., et al. (2004). Alcohol consumption and other maternal risk factors for fetal alcohol syndrome among three distinct samples of women before, during, and after pregnancy: The risk is relative. American Journal of Medical Genetics. Part C, Seminars in Medical Genetics, 127C(1), 10–20. doi:10.1002/ajmg.c.30011.
May, P. A., Gossage, J. P., Marais, A. S., Hendricks, L. S., Snell, C. L., Tabachnick, B. G., et al. (2008). Maternal risk factors for fetal alcohol syndrome and partial fetal alcohol syndrome in South Africa: A third study. Alcoholism, Clinical and Experimental Research, 32(5), 738–753. doi:10.1111/j.1530-0277.2008.00634.x.
May, P. A., Gossage, J. P., Kalberg, W. O., Robinson, L. K., Buckley, D., Manning, M., et al. (2009). Prevalence and epidemiologic characteristics of FASD from various research methods with an emphasis on recent in-school studies. Developmental Disabilities Research Reviews, 15(3), 176–192. doi:10.1002/ddrr.68.
May, P. A., Gossage, J. P., Smith, M., Tabachnick, B. G., Robinson, L. K., Manning, M., et al. (2009). Population differences in dysmorphic features among children with fetal alcohol spectrum disorders. Journal of Developmental and Behavioral Pediatrics, 31(4), 304–316. doi:10.1097/DBP.0b013e3181dae243.
O'Beattie, J, Day, R. E., Cockburn, F., & A., Gargm R. (1983). Alcohol an the fetus in the west of Scotland. British Medical Journal, 287(17–20).
Olegard, R., Sabel, K. G., Aronsson, M., Sandin, B., Johansson, P. R., Carlsson, C., et al. (1979). Effects on the child of alcohol abuse during pregnancy. Retrospective and prospective studies. Acta Paediatrica Scandinavica - Supplement, 275, 112–121.
Olson, H. C., Oti, R., Gelo, J., & Beck, S. (2009). "Family matters:" fetal alcohol spectrum disorders and the family. Developmental Disabilities Research Reviews, 15(3), 235–249. doi:10.1002/ddrr.65.
Pacifici, C., Delaney, R., White, L., Nelson, C., & Cummings, K. (2006). Web-based training for foster, adoptive, and kinship parents. Children and Youth Services Review, 28, 1329–1343.
Ryan, D. M., Bonnett, D. M., & Gass, C. B. (2006). Sobering thoughts: town Hall meetings on fetal alcohol spectrum disorders. American Journal of Public Health, 96(12), 2098–2101. doi:10.2105/AJPH.2005.062729.
Sampson, P. D., Streissguth, A. P., Bookstein, F. L., Little, R. E., Clarren, S. K., & Dehaene, P. (1997). Incidence of fetal alcohol syndrome and prevalence of alcohol-related neurodevelopmental disorder. Teratology, 56(5), 317–326.
Sanders, M. R., & Murphy-Brennan, M. (2010). The international dissemination of the Triple P—Positive Parenting Program. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed., pp. 519–537). New York: Guilford.
Santhanam, P., Li, Z., Hu, X., Lynch, M. E., & Coles, C. D. (2009). Effects of prenatal alcohol exposure on brain activation during an arithmetic task: An fMRI study. Alcoholism, Clinical and Experimental Research, 33(11), 1901–1908. doi:10.1111/j.1530-0277.2009.01028.x.
Spohr, H. L., & Steinhausen, H. C. (1984). Clinical, psychopathological and developmental aspects in children with the fetal alcohol syndrome: A four-year follow-up study. Ciba Foundation Symposium, 105, 197–217.
Stratton, K., Howe, C., & Battaglia, F. (1996). Fetal alcohol syndrome: Diagnosis, epidemiology, prevention and treatment. Washington: National Academy Press.
Streissguth, A. P., Bookstein, F. L., Sampson, P. D., & Barr, H. M. (1993). The enduring effects of prenatal alcohol exposure on child development: Birth through seven years, a Partial Least Squares Solution. Ann Arbor: University of Michigan Press.
Tanaka, H., Arima, M., & Suzuki, N. (1981). The fetal alcohol syndrome in Japan. Brain & Development, 3(3), 305–311.
Wade, C., Llewellyn, G., & Matthews, J. (2008). Review of parent training interventions for parents with intellectual disability. Journal of Applied Research in Intellectual Disabilities, 21(4), 351–366. doi:10.1111/j.1468-3148.2008.00449.x.
Wade, S. L., Oberjohn, K., Burkhardt, A., & Greenberg, I. (2009). Feasibility and preliminary efficacy of a web-based parenting skills program for young children with traumatic brain injury. The Journal of Head Trauma Rehabilitation, 24(4), 239–247. doi:10.1097/HTR.0b013e3181ad668000001199-200907000-00003.
Wade, S. L., Walz, N. C., Carey, J. C., & Williams, K. M. (2009). Brief report: Description of feasibility and satisfaction findings from an innovative online family problem-solving intervention for adolescents following traumatic brain injury. Journal of Pediatric Psychology, 34(5), 517–522. doi:10.1093/jpepsy/jsn081.
Warren, K., Floyd, R. L., Calhoun, F., Stone, D., Bertrand, J., Streissguth, A. P., et al. (2004). Consensus Statement on FASD. FASD Terminology Summit Retrieved 03/01/2011, from http://www.nofas.org/advocate/terminology.aspx
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This research was carried out by with the support of the Centers for Disease Control and Prevention (CDC) Cooperative agreement # U01-DD000039-01. The authors would like to thank the children and families who participated in this research.
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Kable, J.A., Coles, C.D., Strickland, D. et al. Comparing the Effectiveness of On-Line versus In-Person Caregiver Education and Training for Behavioral Regulation in Families of Children with FASD. Int J Ment Health Addiction 10, 791–803 (2012). https://doi.org/10.1007/s11469-012-9376-3
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DOI: https://doi.org/10.1007/s11469-012-9376-3