The Effect of Behavioral Parent Training on Problem Behaviors of Persons with DD and Collateral Effects on Mothers: A Single-Group Pre-post Treatment Design

Behavioral parent training (BPT) programs are the first-line interventions for childhood disruptive behaviors. In light of the COVID-19 pandemic, adapting these programs to telehealth modalities is necessary to ensure continued services to children and families. This study evaluates the use of telehealth versus in-person modality to deliver the Helping Our Toddlers, Developing Our Children’s Skills (HOT DOCS) BPT. The study design was quasi-experimental with two nonequivalent groups: in-person HOT DOCS ( n = 152) and internet-HOT DOCS ( n = 46). Participants were caregivers of children ages 2–5 exhibiting disruptive behaviors. Pre- and post-intervention outcome measures were collected for child disruptive behavior and parenting stress and post-test only for consumer satisfaction. Multiple linear and Poisson regression models were performed to assess the effect of class modality on the outcomes. Child disruptive behavior and parenting stress post-test scores for in-person and telehealth groups were not significantly different, even after adjusting for baseline characteristics. Consumer satisfaction scores were significantly more positive for the in-person group. The results of this study provide preliminary evidence for the i-HOT DOCS modality as being as effective as the in-person program. Study findings may be beneficial to practitioners utilizing telehealth interventions during the COVID-19 pandemic and onward.

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Telehealth Delivery of a Behavioral Parent Training Program to Spanish-Speaking Latinx Parents of Young Children With Developmental Delay: Applying an Implementation Framework Approach

School Psychology Review ◽

10.1080/2372966x.2021.1902749 ◽

2021 ◽

pp. 1-15

Author(s):

Laura Lee McIntyre ◽

Cameron L. Neece ◽

Catherine M. Sanner ◽

Geovanna Rodriguez ◽

Jonathan Safer-Lichtenstein

Keyword(s):

Young Children ◽

Parent Training ◽

Training Program ◽

Developmental Delay ◽

Behavioral Parent Training ◽

Implementation Framework ◽

Spanish Speaking ◽

Parent Training Program ◽

Framework Approach

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The Inclusion of Fathers in Behavioral Parent Training: A Critical Evaluation

Child & Family Behavior Therapy ◽

10.1300/j019v27n04_01 ◽

2005 ◽

Vol 27 (4) ◽

pp. 1-28 ◽

Cited By ~ 43

Author(s):

Jennifer D. Tiano ◽

Cheryl B. McNeil

Keyword(s):

Parent Training ◽

Critical Evaluation ◽

Behavioral Parent Training

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Maternal PTSD and Behavioral Parent Training Treatment for a Girl With Conduct Disorder and Callous–Unemotional Traits

Clinical Case Studies ◽

10.1177/1534650118795276 ◽

2018 ◽

Vol 17 (6) ◽

pp. 482-498 ◽

Cited By ~ 2

Author(s):

Sara L. Mills ◽

Dara E. Babinski ◽

Daniel A. Waschbusch

Keyword(s):

Treatment Outcome ◽

Conduct Disorder ◽

Parent Training ◽

Parental Psychopathology ◽

Behavioral Parent Training ◽

Ptsd Symptoms ◽

Negative Behaviors ◽

Cu Traits ◽

Callous Unemotional ◽

The Impact

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.

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A Reexamination of Child Problem Behaviors as Measured by ECBI: Factor Structure and Measurement Invariance Across Two Parent Training Interventions

Assessment ◽

10.1177/1073191117706022 ◽

2017 ◽

Vol 26 (7) ◽

pp. 1270-1281 ◽

Cited By ~ 2

Author(s):

Silje S. Hukkelberg

Keyword(s):

Parent Training ◽

Problem Behavior ◽

Problem Behaviors ◽

Structural Equation ◽

Management Training ◽

Total Sample ◽

Parent Report ◽

Parent Management Training ◽

Post Intervention ◽

Oppositional Defiant

The Eyberg Child Behavior Inventory (ECBI) is a widely used instrument that assesses disruptive problem behaviors via parent report. The present study compares three different conceptualizations of problem behaviors using traditional confirmatory factor analysis (CFA), a bifactor–CFA, and a bifactor exploratory structural equation model, whereof the latter two represent novel conceptualizations of disruptive problem behaviors. Data were derived from 353 Norwegian parents assigned to parent management training—the Oregon model (PMTO; N = 137) or brief parent training (BPT; N = 216), who rated their child’s problem behavior (age 3-12 years). The factor models were estimated within the PMTO and BPT samples, and in the total sample. Results showed that the bifactor–CFA, with a general problem behavior factor and three specific factors representing oppositional defiant, conduct problem, and inattentive behavior provided the best model fit. Furthermore, factorial invariance across control/intervention groups and across time (pre/post intervention) was estimated within the PMTO and BPT samples. Results revealed properties of metric and intercept invariance across intervention/control groups and over time, within both interventions. Implications of the results are discussed.

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