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Research on Child and Adolescent Psychopathology

Gepubliceerd in:

22-06-2016

Two-Year Findings from a National Effectiveness Trial: Effectiveness of Behavioral and Non-Behavioral Parenting Programs

Auteurs: Jens Högström, Viveca Olofsson, Metin Özdemir, Pia Enebrink, Håkan Stattin

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 3/2017

Abstract

Long-term follow-up studies of selective parent training (PT) programs are scarce, particularly in the case of effectiveness trials conducted within regular care settings. This study evaluated the 2-year effects of 4 programs: Comet, Incredible Years, Cope, and Connect and differences in the rate of change among programs were investigated using Latent Growth Modeling (LGM). Participants were parents who had sought help at 30 local service sector units (e.g., child psychiatric clinics and social services centers) for major problems in managing their children’s externalizing behavior. Parents of 749 children (63 % boys) with moderate levels of externalizing behavior, aged 3–12, were randomized to one of the 4 PT programs. Assessments included parent-reported measures of child externalizing, hyperactivity and inattention, as well as parenting practices, sense of competence, and parents’ stress and depressive symptoms. At 2-year follow-up, there were no differences in any of the child outcomes among the programs. All programs had reduced externalizing behaviors with large effect sizes (d = 1.21 to d = 1.32), and negative parenting practices with moderate to large effect sizes (d = 0.49 to d = 0.83). LGM analyses showed that the 2 behavioral programs, Comet and Incredible Years, produced more rapid reductions in externalizing behavior during the course of the intervention than the non-behavioral program, Connect. Connect, however, was the only program where children continued to improve after the intervention. Overall, the results indicate that the 4 programs were equally effective in a clinical setting, despite differences in their theoretical origin.

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Alleen toegankelijk voor geautoriseerde gebruikers

Alda, J. A., & Serrano-Troncoso, E. (2013). Attention-deficit hyperactivity disorder: agreement between clinical impression and the SNAP-IV screening tool. Actas Espanolas de Psiquiatria, 41, 76–83.PubMed

Axberg, U., Hanse, J. J., & Broberg, A. G. (2008). Parents' description of conduct problems in their children: a test of the Eyberg child behavior inventory (ECBI) in a Swedish sample aged 3-10. Scandinavian Journal of Psychology, 49, 497–505. doi:10.1111/J.1467-9450.2008.00670.X.CrossRefPubMed

Barkley, R. A. (1997). Defiant children: A clinician's manual for assessment and parent training. New York, NY: Guilford Press.

Brannan, A., Helflinger, A., & Brickman, L. (1997). The caregiver strain questionnaire: measuring the impact on the family of living with a child with severe emotional disturbance. Journal of Emotional and Behavioral Disorders, 5, 212–222.CrossRef

Bywater, T., Hutchings, J., Daley, D., Whitaker, C., Yeo, S. T., Jones, K., et al. (2009). Long-term effectiveness of a parenting intervention for children at risk of developing conduct disorder. British Journal of Psychiatry, 195, 318–324. doi:10.1192/bjp.bp.108.056531.CrossRefPubMed

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2 ed.). Hillsdale, NJ: Lawrence Erlbaum Associates.

Cunningham, C. E., Davis, J. R., Bremner, R., Dunn, K. W., & Rzasa, T. (1993). Coping modeling problem-solving versus mastery modeling: effects on adherence, in-session process, and skill acquisition in a residential parent-training program. Journal of Consulting and Clinical Psychology, 61, 871–877. doi:10.1037//0022-006x.61.5.871.CrossRefPubMed

Cunningham, C. E., Bremner, R., & Boyle, M. (1995). Large group community-based parenting programs for families of preschoolers at risk for disruptive behavior disorders: utilization, cost-effectiveness, and outcome. Journal of Child Psychology and Psychiatry and Allied Disciplines, 36, 1141–1159. doi:10.1111/j.1469-7610.1995.tb01362.x.CrossRef

DeGarmo, D. S., & Forgatch, M. S. (2005). Early development of delinquency within divorced families: evaluating a randomized preventive intervention trial. Developmental Science, 8, 229–239. doi:10.1111/j.1467-7687.2005.00412.x.CrossRefPubMed

DeGarmo, D. S., Patterson, G. R., & Forgatch, M. S. (2004). How do outcomes in a specified parent training intervention maintain or wane over time? Prevention Science, 5, 73–89. doi:10.1023/B:PREV.0000023078.30191.e0.CrossRefPubMed

Duncan, T. E., Duncan, S. C., & Strycker, L. A. (2013). An introduction to latent variable growth curve modeling: Concepts, issues, and application. Mahwah, NJ: Routledge Academic.

Eisner, M., Nagin, D., Ribeaud, D., & Malti, T. (2012). Effects of a universal parenting program for highly adherent parents: a propensity score matching approach. Prevention Science, 13, 252–266. doi:10.1007/s11121-011-0266-x.CrossRefPubMed

Eyberg, S., & Pincus, D. (1999). Eyberg Child Behavior Inventory and Sutter-Eyberg Student Behavior Inventory-Revised: Professional manual. Odessa, FL: Psychological Assessment Resources.

Forgatch, M. S. (1994). Parenting through change: A programmed intervention curriculum for groups of single mothers. Eugene, OR: Oregon Social Learning Center.

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. Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD008225.pub2.PubMed

Gardner, F., Burton, J., & Klimes, I. (2006). Randomised controlled trial of a parenting intervention in the voluntary sector for reducing child conduct problems: outcomes and mechanisms of change. Journal of Child Psychology and Psychiatry, 47, 1123–1132. doi:10.1111/j.1469-7610.2006.01668.x.CrossRefPubMed

Gilmore, L., & Cuskelly, M. (2009). Factor structure of the parenting sense of competence scale using a normative sample. Child: Care, Health and Development, 35, 48–55. doi:10.1111/j.1365-2214.2008.00867.x.

Hahlweg, K., Heinrichs, N., Kuschel, A., Bertram, H., & Naumann, S. (2010). Long-term outcome of a randomized controlled universal prevention trial through a positive parenting program: is it worth the effort? Child and Adolescent Psychiatry and Mental Health, 4, 14. doi:10.1186/1753-2000-4-14.CrossRefPubMedPubMedCentral

Johnston, C., & Mash, E. (1989). A measure of parenting satisfaction and efficacy. Journal of Child & Adolescent Psychology, 18, 167–175.CrossRef

Kazdin, A. E. (2003). Research design in clinical psychology (Vol. 3). Boston, MA: Allyn and Bacon Boston.

Kazdin, A. E. (2013). Evidence-based treatment and usual care cautions and qualifications. JAMA Psychiatry, 70, 666–667. doi:10.1001/jamapsychiatry.2013.2112.CrossRefPubMed

Kling, Å., Sundell, K., Melin, L., & Forster, M. (2006). Komet för föräldrar: en randomiserad effektutvärdering av ett föräldraprogram för barns beteendeproblem [comet for parents: a randomized evaluation of a parenting program for child behavior problems]: Stockholms Socialtjänstförvaltning: FoU-enheten.

Kling, A., Forster, M., Sundell, K., & Melin, L. (2010). A randomized controlled effectiveness trial of parent management training with varying degrees of therapist support. Behavior Therapy, 41, 530–542. doi:10.1016/j.beth.2010.02.004.CrossRefPubMed

Lindsay, G., & Strand, S. (2013). Evaluation of the national roll-out of parenting programmes across England: the parenting early intervention programme (PEIP). BMC Public Health, 13. doi:10.1186/1471-2458-13-972.

Litschge, C. M., Vaughn, M. G., & McCrea, C. (2010). The empirical status of treatments for children and youth with conduct problems: an overview of meta-analytic studies. Research on Social Work Practice, 20, 21–35. doi:10.1177/1049731508331247.CrossRef

Losel, F., & Stemmler, M. (2012). Preventing child behavior problems in the Erlangen-Nuremberg development and prevention study: results from preschool to secondary school age. International Journal of Conflict and Violence, 6, 214–224.

Lundahl, B., Risser, H., & Lovejoy, M. (2006). A meta-analysis of parent training: moderators and follow-up effects. Clinical Psychology Review, 26, 86–104. doi:10.1016/j.cpr.2005.07.004.CrossRefPubMed

Malti, T., Ribeaud, D., & Eisner, M. P. (2011). The effectiveness of two universal preventive interventions in reducing children's externalizing behavior: a cluster randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 40, 677–692. doi:10.1080/15374416.2011.597084.CrossRefPubMed

Maughan, D. R., Christiansen, E., Jenson, W. R., Olympia, D., & Clark, E. (2005). Behavioral parent training as a treatment for externalizing behaviors and disruptive behavior disorders: a meta-analysis. School Psychology Review, 34, 267–286.

Moretti, M. M., & Obsuth, I. (2009). Effectiveness of an attachment-focused manualized intervention for parents of teens at risk for aggressive behaviour: the connect program. Journal of Adolescence, 32, 1347–1357. doi:10.1016/j.adolescence.2009.07.013.CrossRefPubMed

Moretti, M. M., Braber, K., & Obsuth, I. (2013). Connect: An Attachment-focused treatment group for parents and caregivers – A principle based manual. Burnaby, BC: Simon Fraser University.

Muthén, L. K., & Muthén, B. O. (1998-2012). Mplus user’s guide. (7th ed.). Los Angeles, CA: Muthén & Muthén.

National Institute for Health and Clinical Excellence. (2013). Antisocial behaviour and conduct disorders in children and young people: recognition, intervention and management. NICE clinical guideline 158. Retrieved from http://www.nice.org.uk/guidance/cg158.

Özdemir, M. (2015). How much do we know about the long-term effectiveness of parenting programmes? Advances, shortcomings, and future directions. Journal of Children's Services, 10, 120–132. doi:10.1108/JCS-02-2014-0016.CrossRef

Radloff, L. S. (1977). The CES-D scale a self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385–401. doi:10.1177/014662167700100306.CrossRef

Reinecke, J., & Weins, C. (2013). The development of delinquency during adolescence: a comparison of missing data techniques. Quality & Quantity, 47, 3319–3334. doi:10.1007/s11135-012-9721-4.CrossRef

Robinson, E., Eyberg, S., & Ross, A. (1980). The standardization of an inventory of child conduct problem behaviors. Journal of Clinical Child & Adolescent Psychology, 9, 22–28.CrossRef

Sandler, I. N., Schoenfelder, E. N., Wolchik, S. A., & MacKinnon, D. P. (2011). Long-term impact of prevention programs to promote effective parenting: lasting effects but uncertain processes. Annual Review of Psychology, 62, 299–329. doi:10.1146/annurev.psych.121208.131619.CrossRefPubMedPubMedCentral

SBU. (2010). Program för att förebygga psykisk ohälsa hos barn. En systematisk litteraturöversikt [Methods to Prevent Mental ill-Health in Children. A Systematic Review]. (SBU-report 202). Retrieved january 27th 2014, from Swedish Council on Health Technology Assessment http://www.sbu.se/sv/Publicerat/Gul/Program-for-att-forebygga-psykisk-ohalsa-hos-barn/.

Schafer, J. L., & Graham, J. W. (2002). Missing data: our view of the state of the art. Psychological Methods, 7, 147–177. doi:10.1037//1082-989x.7.2.147.CrossRefPubMed

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, 171–186.CrossRef

Stattin, H., Persson, S., Burk, W. J., & Kerr, M. (2011). Adolescents’ perceptions of the democratic functioning in their families. European Psychologist, 16, 32–42. doi:10.1027/1016-9040/a000039.CrossRef

Stattin, H., Enebrink, H., Özdemir, M., & Giannotta, F. (2015). A national evaluation of parenting programs in Sweden: the short-term effects using an RCT effectiveness design. Journal of Consulting and Clinical Psychology, 83, 1069–1084. doi:10.1037/a0039328.CrossRefPubMed

Swanson, J. M. (1992). School-based assessments and interventions for ADD students. Irvine, CA: KC Publishing.

Webster-Stratton, C. (1981). Videotape modeling: a method of parent education. Journal of Clinical Child & Adolescent Psychology, 10, 93–98.CrossRef

Webster-Stratton, C. (1984). Randomized trial of two parent-training programs for families with conduct-disordered children. Journal of Consulting and Clinical Psychology, 52, 666–678. doi:10.1037/0022-006x.52.4.666.CrossRefPubMed

Webster-Stratton, C. (1998). Preventing conduct problems in head start children: strengthening parenting competencies. Journal of Consulting and Clinical Psychology, 66, 715–730. doi:10.1037/0022-006X.66.5.715.CrossRefPubMed

Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124. doi:10.1207/s15374424jccp3301_11.CrossRefPubMed

Webster-Stratton, C., Rinaldi, J., & Reid, J. M. (2011). Long-term outcomes of incredible years parenting program: predictors of adolescent adjustment. Child and Adolescent Mental Health, 16, 38–46. doi:10.1111/j.1475-3588.2010.00576.x.CrossRefPubMedPubMedCentral

Wolchik, S. A., Sandler, I. N., Millsap, R. E., Plummer, B. A., Greene, S. M., Anderson, E. R., et al. (2002). Six-year follow-up of preventive interventions for children of divorce: a randomized controlled trial. Journal of the American Medical Association, 288, 1874–1881. doi:10.1001/jama.288.15.1874.CrossRefPubMed

Zubrick, S. R., Ward, K. A., Silburn, S. R., Lawrence, D., Williams, A. A., Blair, E., et al. (2005). Prevention of child behavior problems through universal implementation of a group behavioral family intervention. Prevention Science, 6, 287–304. doi:10.1007/s11121-005-0013-2.CrossRefPubMed

Titel: Two-Year Findings from a National Effectiveness Trial: Effectiveness of Behavioral and Non-Behavioral Parenting Programs
Auteurs: Jens Högström
Viveca Olofsson
Metin Özdemir
Pia Enebrink
Håkan Stattin
Publicatiedatum: 22-06-2016
Uitgeverij: Springer US
Gepubliceerd in: Research on Child and Adolescent Psychopathology / Uitgave 3/2017
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI: https://doi.org/10.1007/s10802-016-0178-0

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