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Evidence for effective treatment for behavioral problems continues to grow, yet evidence about the effective mechanisms underlying those interventions has lagged behind. The Stop Now and Plan (SNAP) program is a multicomponent intervention for boys between 6 and 11. This study tested putative treatment mechanisms using data from 252 boys in a randomized controlled trial of SNAP versus treatment as usual. SNAP includes a 3 month group treatment period followed by individualized intervention, which persisted through the 15 month study period. Measures were administered in four waves: at baseline and at 3, 9 and 15 months after baseline. A hierarchical linear modeling strategy was used. SNAP was associated with improved problem-solving skills, prosocial behavior, emotion regulation skills, and reduced parental stress. Prosocial behavior, emotion regulation skills and reduced parental stress partially mediated improvements in child aggression. Improved emotion regulation skills partially mediated treatment-related child anxious-depressed outcomes. Improvements in parenting behaviors did not differ between treatment conditions. The results suggest that independent processes may drive affective and behavioral outcomes, with some specificity regarding the mechanisms related to differing treatment outcomes.
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Abidin, R. R. (1995). Parenting stress index, third edition: professional manual. Odessa: Psychological Assessment Resources, Inc.
Achenbach, T. M., & Rescorla, L. (2001). Manual for the ASEBA school-age forms & profiles. Burlington: University of Vermont.
Allison, P. D. (2012). Handling missing data by maximum likelihood. Unpublished manuscript. Retrieved from http://www.statisticalhorizons.com/wp-content/uploads/MissingDataByML.pdf .
Augimeri, L. K., Jiang, D., Kogel, C. J., & Carey, J. (2006). The Under 12 Outreach Project: effect of a community-based program for children with conduct problems. Toronto: Center for Child Committing Offences, Child Development Institute.
Augimeri, L. K., Farrington, D. P., Koegl, C. J., & Day, D. M. (2007). The SNAP™ Under 12 Outreach Project: effects of a community based program for children with conduct problems. Journal of Child and Family Studies, 16, 799–807. CrossRef
Burke, J. D., & Loeber, R. (in press). The effectiveness of the Stop Now and Plan (SNAP) Program for boys at risk for violence and delinquency. Prevention Science.
Burke, J. D., Boylan, K., Rowe, R., Duku, E., Stepp, S. D., Hipwell, A. E., & Waldman, I. D. (2014). Identifying the irritability dimension of ODD: application of a modified bifactor model across five large community samples of children. Journal of Abnormal Psychology, 123, 841–851. PubMedPubMedCentralCrossRef
Chorpita, B. F., & Daleiden, E. L. (2009). Mapping evidence-based treatments for children and adolescents: application of the distillation and matching model to 615 treatments from 322 randomized trials. Journal of Consulting and Clinical Psychology, 77, 566–579. doi: 10.1037/A0014565. PubMedCrossRef
Chorpita, B. F., Daleiden, E. L., Ebesutani, C., Young, J., Becker, K. D., Nakamura, B. J., & Starace, N. (2011). Evidence-based treatments for children and adolescents: an updated review of indicators of efficacy and effectiveness. Clinical Psychology-Science and Practice, 18, 154–172. CrossRef
Conduct Problems Prevention Research Group. (1995). Psychometric properties of the social competence scale - teacher and parent ratings. (fast track project technical report). University Park: Pennsylvania State University.
Dishion, T. J., Patterson, G. R., & Kavanagh, K. A. (1992). An experimental test of the coercion model: Linking theory, measurement, and intervention. In J. McCord & R. E. Tremblay (Eds.), Preventing antisocial behavior: Interventions from birth through adolescence (pp. 253–282). New York: Guilford.
Duckworth, A. L., Tsukayama, E., & May, H. (2010). Establishing causality using longitudinal hierarchical linear modeling: an illustration predicting achievement from self-control. Social Psychological and Personality Science, 1, 311–317. doi: 10.1177/1948550609359707. PubMedPubMedCentralCrossRef
Gadow, K. D., & Sprafkin, J. (1994). Child symptom inventories manual. Stony Brook: Checkmate Plus.
Koegl, C. J., Farrington, D. P., Augimeri, L. K., & Day, D. M. (2008). Evaluation of a targeted cognitive behavioural program for children with conduct problems - the SNAP™ Under 12 Outreach Project: service intensity, age and gender effects on short and long term outcomes. Clinical Child Psychology and Psychiatry, 13, 441–456. CrossRef
MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. New York: Lawrence Erlbaum.
Patterson, G. R., & Forgatch, M. S. (1995). Predicting future clinical adjustment from treatment outcome and process variables. Psychological Assessment, 7, 275. CrossRef
Spence, S. H. (2003). Social skills training with children and young people: theory, evidence and practice. Child and Adolescent Mental Health, 8, 84–96. CrossRef
StataCorp. (2009). Stata statistical software: release 11. College Station: StataCorp LP.
- Mechanisms of Behavioral and Affective Treatment Outcomes in a Cognitive Behavioral Intervention for Boys
Jeffrey D. Burke
- Springer US