Supplemental Material for Examining the Impact of Differential Cultural Adaptation With Latina/o Immigrants Exposed to Adapted Parent Training Interventions

2017 ◽  
Vol 85 (1) ◽  
pp. 58-71 ◽  
Author(s):  
J. Rubén Parra-Cardona ◽  
Deborah Bybee ◽  
Cris M. Sullivan ◽  
Melanie M. Domenech Rodríguez ◽  
Brian Dates ◽  
...  

2021 ◽  
Author(s):  
Jessica E. Flannery ◽  
Lara Penner-Goeke ◽  
Elisabeth Xie ◽  
Diana Prince ◽  
Bridget Callaghan ◽  
...  

Telehealth interventions have the opportunity to scale evidenced-based therapeutics and increase service access to historically hard to reach populations, including rural, and minority groups. Behavior management parenting interventions are a best-practice intervention to treat a range of disruptive behavior disorders and family dysfunction concerns, which have traditionally occurred in person, but recently been trialed online due to growing demand and a need for remote delivery during COVID-19. There is limited and mixed information to date regarding evidence for online services and minimal research on client and therapeutic factors associated with better outcomes, which is critical for advancing efficacy in the rapidly-growing approach to treating child mental illness. Therefore, we conducted a systematic review and meta-analysis (k = 24, total number of intervention participants = 1469 and control participants = 800) of the impact of digital parent training interventions on parent skill, parent mental health, and child externalizing mental health outcomes from 2000 to 2020, among children 2-12 years old, across four databases. Exclusionary criteria include programs targeted for parents of children with intellectual disabilities, autism, brain injury, nutrition/health/dental needs or primary medical diagnosis. Across outcomes, there was a modest effect size of digital parent training interventions (g =.22-.30), compared to controls using random effect two-level and multi-level models. Study heterogeneity varied across outcomes (I² = 18.6% to 66.3%). Results of publication bias were mixed across tests, but they were suggestive of a slight inflation of the effects sizes across outcomes. We tested several moderators related to child demographics, family socioeconomic status, intervention design, and risk of bias. We found the effects of digital parent training on parent skills and child outcomes were stronger if the intervention used was evidence-based, combined hybrid interactive platforms with a therapist and was compared to an inactive control. Given the limitations from the existing literature assess moderating effects regarding population characteristics (i.e. SES, parent mental health), we call on future studies to provide standardized demographics to aide future knowledge synthesis work and provide templates for shared measurement. We preregistered our meta-analysis here, with datafile, code and supplementary: https://osf.io/e35bt/.


Author(s):  
Eleni Zarakoviti ◽  
Roz Shafran ◽  
Danai Papadimitriou ◽  
Sophie D. Bennett

AbstractDisruptive behavior disorders (DBDs) are among the primary reasons for child and youth referrals to mental health services and are linked to poor adult outcomes including antisocial behavior disorder. Research indicates a high incidence of internalizing problems in those with DBDs and those who have DBDs with cooccurring internalizing problems may have more severe later outcomes. Interventions targeted at internalizing symptoms have been found to also reduce comorbid externalizing problems. The impact of treatments for DBDs on comorbid internalizing disorders is not known. Databases PsycINFO, EMBASE and MEDLINE were systematically searched based on the Cochrane guidelines for systematic reviews. Records were independently reviewed by two reviewers. 12 papers were deemed eligible. A quality assessment of the selected studies was conducted independently by both reviewers. The 12 studies included 1334 young people with a mean age of 5 years. The parent training interventions assessed were the Incredible Years (6/12 studies), Triple-P (5/12) and Tuning In To Kids (1/12). 11 of the 12 studies reported significant reductions in primary externalizing behavior problems and DBDs. 7 studies reported significant reductions in internalizing symptoms. Mechanisms of change, clinical implications and directions for future research are discussed.


2018 ◽  
Vol 17 (6) ◽  
pp. 482-498 ◽  
Author(s):  
Sara L. Mills ◽  
Dara E. Babinski ◽  
Daniel A. Waschbusch

Very little is known about the impact of parental psychopathology on treatment outcome for youth with conduct problems (CPs) and callous–unemotional (CU) traits. This case study describes behavioral parent training (BPT) for “Amy,” an 11-year-old girl presenting with CP/CU traits who had a mother diagnosed with posttraumatic stress disorder (PTSD). Maternal and paternal reports of child behavior problems and impairments were collected to assess treatment outcome. Weekly ratings of maternal PTSD were also collected to examine changes in maternal psychopathology over the course of BPT. Parent ratings showed that treatment was associated with reductions in oppositional defiant disorder (ODD) symptoms, conduct disorder (CD) symptoms, and impairment, and with improvements in treatment goal progress. However, the frequency of negative behaviors remained high throughout treatment. Maternal PTSD symptoms remained in the clinical range throughout BPT, but there was some evidence of synchrony between maternal PTSD symptoms and child negative behaviors. These findings highlight the importance of examining parental psychopathology in understanding BPT outcomes for children with CP/CU traits and call for greater attention to addressing child and parent difficulties that may impede improvement in treatment for youth with CP/CU traits.


2015 ◽  
Vol 73 (8) ◽  
pp. 681-687 ◽  
Author(s):  
Raquel Ataíde Peres da Silva ◽  
Guilherme Sciascia do Olival ◽  
Lívia Palma Stievano ◽  
Vania Balardin Toller ◽  
Sergio Semeraro Jordy ◽  
...  

Multiple sclerosis (MS) is a chronic inflammatory disease of the central nervous system (CNS). These patients suffer from various comorbidities, including sexual dysfunction (SD). The lesions of MS may affect regions of the CNS along the pathway of sexual response. The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19) is a scale that assesses sexual dysfunction. Adapt and validate the MSISQ-19 to Brazilian patients with MS. 204 individuals were evaluated, 134 patients with MS and 70 healthy persons for the control group. It was determined reproducibility, validity, internal consistency and sensitivity of the MSISQ-19-BR. Among patients with MS, 54.3% of male and 71.7% of female presented some kind of SD. In the control group the results were 12.5% and 19.5%, respectively. The MSISQ-19-BR is reproducible, reliable and valid for the Brazilian population and may be used as a tool for assessing the impact of sexual dysfunction in patients with MS.


2015 ◽  
Vol 73 (1) ◽  
pp. 46-51 ◽  
Author(s):  
Lívia Palma Stievano ◽  
Guilherme Sciascia do Olival ◽  
Raquel Ataíde Peres da Silva ◽  
Vania Balardin Toller ◽  
Eduardo Gregorin Carabetta ◽  
...  

Cross-cultural adaptation and validation of the Impact Questionnaire of Urinary Incontinence (IIQ-7) and Urogenital Distress Inventory (UDI-6) - short scale - in the Brazilian population with multiple sclerosis. The IIQ-7 and UDI-6 were translated into Portuguese, called IIQ-7-BR and UDI-6-BR. The questionnaires were administered in 211 individuals selected randomly. Of these, 140 had MS according to McDonald criteria and 71 were included in the control group. In both questionnaires, the Cronbach’s alpha coefficient was above 0.7. The IIQ-7-BR showed 94.31% concordance between the evaluated studies and UDI-6-BR, 93.33%. Thus, the instruments of this study were presented according to the standards proposed by the Instrument Review Criteria, reliability, validity and sensitivity, maintaining the original scales characteristics.


2017 ◽  
Vol 39 (3) ◽  
pp. 415-425 ◽  
Author(s):  
Sarah N. Douglas ◽  
Rebecca Kammes ◽  
Erica Nordquist

Parent training is an essential part of quality programming for children with autism spectrum disorder (ASD). However, limited research exists exploring online training approaches to support parents of children with both ASD and complex communication needs (CCN; e.g., limited verbal ability), despite the many benefits that online training might have for these parents and the overall sustainability and scalability of such approaches. This study utilized a single-subject multiple probe design with three parents and their children to explore the impact of online parent training for parents and their children with ASD and CCN. Training included online interactive components to teach parents a communication strategy, as well as live practice sessions during which parents implemented the strategy, had an opportunity to ask questions, and engaged in self-reflection. Results indicated that training increased communication opportunities and responses provided by parents, and communication by the child. Limitations and future research directions are discussed.


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