scholarly journals Cluster Analysis of Child Externalizing and Prosocial Behaviors in a Randomized Effectiveness Trial of the Family-Check Up and Internet-Delivered Parent Training (iComet)

2020 ◽  
Vol 6 (2) ◽  
pp. 88-102
Author(s):  
Annika Björnsdotter ◽  
Ata Ghaderi ◽  
Pia Enebrink
Keyword(s):  
Prosocial Behavior ◽  
Externalizing Behavior ◽  
Management Training ◽  
Post Treatment ◽  
Parent Management Training ◽  
Prosocial Behaviors ◽  
Post Intervention ◽  
Oppositional Defiant ◽  
The Family ◽  
Family Warmth

Objective: To explore whether children with various externalizing/prosocial behavior profiles benefit differently from face-to-face training than from an internet-based parent management training (PMT) programme. Methods: A total of 231 families with children (aged 10 to 13 years) with externalizing behavior problems (EBP) were randomized to receive either the Family Check-Up, delivered by therapists in the community, or the internet-based PMT program (iComet).   Person-oriented analysis was used for subtyping the children according to combinations of prosocial behavior and EBP. Results: The person-oriented analysis resulted in five significantly different clusters. There were no significant differences between the five clusters in relation to the total difficulties score of the Strengths and Difficulties Questionnaire, family warmth or family conflict, but the within-group effect sizes for the main outcome (total difficulties score) from baseline to post-treatment varied from Cohen’s d of 0.52 to 2.56. There were no significant interaction effects between the clusters and type of intervention. However, for children high on symptoms of attention deficit hyperactivity disorder and moderate to high on oppositional defiant disorder, and low to relatively high on prosocial behaviors (Cluster 3 respectively 5), substantial residual EBP-symptomatology remained at post-treatment, although both interventions resulted in significant effects. The other three clusters were within the non-clinical EBP-range at post-intervention, irrespective of treatment condition. There were no significant differences between the clusters regarding treatment completion rate (ranging from 47.2% to 67.4%). This study illustrates the value of distinguishing between different profiles of children in the context of PMT for parents of children with EBP.

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

Assessment ◽  
2017 ◽  
Vol 26 (7) ◽  
pp. 1270-1281 ◽  
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.

scholarly journals Cascading effects following intervention

2010 ◽  
Vol 22 (4) ◽  
pp. 949-970 ◽  
Author(s):  
Gerald R. Patterson ◽  
Marion S. Forgatch ◽  
David S. DeGarmo
Keyword(s):  
Social Interaction ◽  
Family Environment ◽  
Preventive Intervention ◽  
Controlled Trial ◽  
Management Training ◽  
Parent Management Training ◽  
Interpersonal Processes ◽  
Long Term Effects ◽  
New Findings ◽  
The Family

AbstractFour different sources for cascade effects were examined using 9-year process and outcome data from a randomized controlled trial of a preventive intervention using the Parent Management Training—Oregon Model (PMTO™). The social interaction learning model of child antisocial behavior serves as one basis for predicting change. A second source addresses the issue of comorbid relationships among clinical diagnoses. The third source, collateral changes, describes events in which changes in one family member correlate with changes in another. The fourth component is based on the long-term effects of reducing coercion and increasing positive interpersonal processes within the family. New findings from the 9-year follow-up show that mothers experienced benefits as measured by standard of living (i.e., income, occupation, education, and financial stress) and frequency of police arrests. It is assumed that PMTO reduces the level of coercion, which sets the stage for a massive increase in positive social interaction. In effect, PMTO alters the family environment and thereby opens doors to healthy new social environments.

scholarly journals Comparing styles of parent-child conversation: The influence on children's conduct problems and emotion knowledge

2021 ◽  
Author(s):  
◽  
William Drummond
Keyword(s):  
Conduct Problems ◽  
Management Training ◽  
Conduct Problem ◽  
Parent Management Training ◽  
Emotion Knowledge ◽  
Post Intervention ◽  
Wh Questions ◽  
Problem Severity ◽  
Preliminary Study ◽  
Parent Management

<p>This preliminary study conducted across Canberra and Wellington was the first to compare the effectiveness of two styles of maternal-reminiscing as an adjunct to Parent Management Training (PMT) for mothers of children ranging from four to eight-years-old (M = 63.1, SD = 14.4 months) with conduct problems. This was a manualised six session intervention. Parents in both conditions received PMT. Parents were asked to reminisce with their child about shared events using their allocated style of maternal reminiscing. The W-D-E condition drew on research by Van Bergen, Salmon, Dadds, and Allen (2009) which encouraged mothers to use 'wh' questions and detailed descriptive information about the even. The R-U-S style extended on the research by Ensor and Hughes (2008) in which mothers were encouraged to be responsive and allow their child to lead the conversation. Both conditions placed a direct focus on discussing emotion, including labels, behaviours, causes and consequences of emotion. As expected, both condition showed a significant decrease in conduct problem severity and a significant increase in aspects of children‟s emotion knowledge between pre- and immediately post-intervention. However, there were no significant differences between conditions with respect to children‟s conduct problems severity and emotion knowledge. Given that the literature supports a link between deficits in emotion knowledge and children‟s conduct problems, and that parental discussion of emotion supports children‟s developing socioemotional development, the current preliminary study extends on the work by Salmon, Dadds, Allen, and Hawes (2009) in which efforts are being made to integrate emotion components with PMT.</p>

scholarly journals Comparing styles of parent-child conversation: The influence on children's conduct problems and emotion knowledge

2021 ◽  
Author(s):  
◽  
William Drummond
Keyword(s):  
Conduct Problems ◽  
Management Training ◽  
Conduct Problem ◽  
Parent Management Training ◽  
Emotion Knowledge ◽  
Post Intervention ◽  
Wh Questions ◽  
Problem Severity ◽  
Preliminary Study ◽  
Parent Management

<p>This preliminary study conducted across Canberra and Wellington was the first to compare the effectiveness of two styles of maternal-reminiscing as an adjunct to Parent Management Training (PMT) for mothers of children ranging from four to eight-years-old (M = 63.1, SD = 14.4 months) with conduct problems. This was a manualised six session intervention. Parents in both conditions received PMT. Parents were asked to reminisce with their child about shared events using their allocated style of maternal reminiscing. The W-D-E condition drew on research by Van Bergen, Salmon, Dadds, and Allen (2009) which encouraged mothers to use 'wh' questions and detailed descriptive information about the even. The R-U-S style extended on the research by Ensor and Hughes (2008) in which mothers were encouraged to be responsive and allow their child to lead the conversation. Both conditions placed a direct focus on discussing emotion, including labels, behaviours, causes and consequences of emotion. As expected, both condition showed a significant decrease in conduct problem severity and a significant increase in aspects of children‟s emotion knowledge between pre- and immediately post-intervention. However, there were no significant differences between conditions with respect to children‟s conduct problems severity and emotion knowledge. Given that the literature supports a link between deficits in emotion knowledge and children‟s conduct problems, and that parental discussion of emotion supports children‟s developing socioemotional development, the current preliminary study extends on the work by Salmon, Dadds, Allen, and Hawes (2009) in which efforts are being made to integrate emotion components with PMT.</p>

scholarly journals Adding the Coping Power Programme to parent management training: the cost-effectiveness of stacking interventions for children with disruptive behaviour disorders

2020 ◽  
Author(s):  
Camilla Nystrand ◽  
Maria Helander ◽  
Pia Enebrink ◽  
Inna Feldman ◽  
Filipa Sampaio
Keyword(s):  
Cost Effectiveness ◽  
Management Training ◽  
Parent Management Training ◽  
Disruptive Behaviour ◽  
Net Benefit ◽  
Oppositional Defiant ◽  
Disruptive Behaviour Disorders ◽  
Coping Power ◽  
Parent Management

Abstract Parent management training (PMT) programmes and child cognitive behavioural therapy are recommended approaches for treatment of oppositional defiant disorder in children, and combining these may be effective. However, little is known regarding the economic efficiency of this additive effect. A within-trial cost-effectiveness analysis was carried out in Sweden including 120 children aged 8–12 who screened positive for disruptive behaviour disorders, within a psychiatric care setting, and their parents. They were randomly assigned to either the Swedish group-based PMT Comet, or to an enhanced version, where an additional child component was provided, the Coping Power Programme (CPP). Child behaviour problems as well as healthcare and educational resource use were measured at baseline, post-test and at two-year follow-up. A net benefit regression framework was used to estimate differences in costs and health outcomes between the two intervention arms during the two-year period. Comet with CPP cost on average 820 EURO more per family than Comet only. At the 2-year follow-up, there were 37% recovered cases of ODD in Comet with CPP, in comparison to 26% in the Comet only arm. At a willingness-to-pay of approximately 62,300 EURO per recovered case of ODD, Comet with CPP yielded positive net benefits, in comparison to Comet only. Offering children the CPP simultaneously as their parents receive PMT, in comparison to only providing PMT, yields clinically relevant gains. Despite the relatively small cost for CPP, investment in combining PMT and CPP should be guided by resource prioritisation. Trial registration number: ISRCTN10834473, date of registration: 23/12/2015

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