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A randomized controlled trial of technology-enhanced behavioral parent training: sustained parent skill use and child outcomes at follow-up / Justin PARENT in Journal of Child Psychology and Psychiatry, 63-9 (September 2022)
[article]
Titre : A randomized controlled trial of technology-enhanced behavioral parent training: sustained parent skill use and child outcomes at follow-up Type de document : Texte imprimé et/ou numérique Auteurs : Justin PARENT, Auteur ; Margaret T. ANTON, Auteur ; Raelyn LOISELLE, Auteur ; April HIGHLANDER, Auteur ; Nicole BRESLEND, Auteur ; Rex FOREHAND, Auteur ; Megan HARE, Auteur ; Jennifer K. YOUNGSTROM, Auteur ; Deborah J. JONES, Auteur Article en page(s) : p.992-1001 Langues : Anglais (eng) Mots-clés : Attention Deficit and Disruptive Behavior Disorders/therapy Child Child Behavior Disorders/psychology/therapy Child, Preschool Follow-Up Studies Humans Parent-Child Relations Parenting/psychology Parents/education Technology Behavioral parent training child behavior disorders low-income families Index. décimale : PER Périodiques Résumé : BACKGROUND: Early-onset (3-8years old) disruptive behavior disorders (DBDs) have been linked to a range of psychosocial sequelae in adolescence and beyond, including delinquency, depression, and substance use. Given that low-income families are overrepresented in statistics on early-onset DBDs, prevention and early-intervention targeting this population is a public health imperative. The efficacy of Behavioral Parent Training (BPT) programs such as Helping the Noncompliant Child (HNC) has been called robust; however, given the additional societal and structural barriers faced by low-income families, family engagement and retention barriers can cause effects to wane with time. This study extends preliminary work by examining the potential for a Technology-Enhanced HNC (TE-HNC) program to improve and sustain parent skill proficiency and child outcomes among low-income families. METHODS: A randomized controlled trial with two parallel arms was the design for this study. A total of 101 children (3-8-years-old) with clinically significant problem behaviors from low-income households were randomized to HNC (n=54) or TE-HNC (n=47). Participants were assessed at pre-treatment, post-treatment, 3-month, and 6-month follow-ups. Primary outcomes were parent-reported and observed child behavior problems. Secondary outcomes included observed parenting skills use (ClinicalTrials.gov Identifier: NCT02191956). RESULTS: Primary analyses used latent curve modeling to examine treatment differences in the trajectory of change during treatment, maintenance of treatment gains, and levels of outcomes at the 6-month follow-up. Both programs yielded improvements in parenting skills and child problems at post-treatment. However, TE-HNC families evidenced greater maintenance of parent-reported and observed child behavior and observed positive parenting skills at the 6-month follow-up. CONCLUSIONS: Our findings contribute to an ongoing line of work suggesting that technology-enhanced treatment models hold promise for increasing markers of engagement in BPT and sustaining long-term outcomes among low-income families. En ligne : http://dx.doi.org/10.1111/jcpp.13554 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486
in Journal of Child Psychology and Psychiatry > 63-9 (September 2022) . - p.992-1001[article] A randomized controlled trial of technology-enhanced behavioral parent training: sustained parent skill use and child outcomes at follow-up [Texte imprimé et/ou numérique] / Justin PARENT, Auteur ; Margaret T. ANTON, Auteur ; Raelyn LOISELLE, Auteur ; April HIGHLANDER, Auteur ; Nicole BRESLEND, Auteur ; Rex FOREHAND, Auteur ; Megan HARE, Auteur ; Jennifer K. YOUNGSTROM, Auteur ; Deborah J. JONES, Auteur . - p.992-1001.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 63-9 (September 2022) . - p.992-1001
Mots-clés : Attention Deficit and Disruptive Behavior Disorders/therapy Child Child Behavior Disorders/psychology/therapy Child, Preschool Follow-Up Studies Humans Parent-Child Relations Parenting/psychology Parents/education Technology Behavioral parent training child behavior disorders low-income families Index. décimale : PER Périodiques Résumé : BACKGROUND: Early-onset (3-8years old) disruptive behavior disorders (DBDs) have been linked to a range of psychosocial sequelae in adolescence and beyond, including delinquency, depression, and substance use. Given that low-income families are overrepresented in statistics on early-onset DBDs, prevention and early-intervention targeting this population is a public health imperative. The efficacy of Behavioral Parent Training (BPT) programs such as Helping the Noncompliant Child (HNC) has been called robust; however, given the additional societal and structural barriers faced by low-income families, family engagement and retention barriers can cause effects to wane with time. This study extends preliminary work by examining the potential for a Technology-Enhanced HNC (TE-HNC) program to improve and sustain parent skill proficiency and child outcomes among low-income families. METHODS: A randomized controlled trial with two parallel arms was the design for this study. A total of 101 children (3-8-years-old) with clinically significant problem behaviors from low-income households were randomized to HNC (n=54) or TE-HNC (n=47). Participants were assessed at pre-treatment, post-treatment, 3-month, and 6-month follow-ups. Primary outcomes were parent-reported and observed child behavior problems. Secondary outcomes included observed parenting skills use (ClinicalTrials.gov Identifier: NCT02191956). RESULTS: Primary analyses used latent curve modeling to examine treatment differences in the trajectory of change during treatment, maintenance of treatment gains, and levels of outcomes at the 6-month follow-up. Both programs yielded improvements in parenting skills and child problems at post-treatment. However, TE-HNC families evidenced greater maintenance of parent-reported and observed child behavior and observed positive parenting skills at the 6-month follow-up. CONCLUSIONS: Our findings contribute to an ongoing line of work suggesting that technology-enhanced treatment models hold promise for increasing markers of engagement in BPT and sustaining long-term outcomes among low-income families. En ligne : http://dx.doi.org/10.1111/jcpp.13554 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 Promoting better functioning among children exposed to high levels of family adversity: the protective role of childcare attendance / M. P. LAROSE in Journal of Child Psychology and Psychiatry, 62-6 (June 2021)
[article]
Titre : Promoting better functioning among children exposed to high levels of family adversity: the protective role of childcare attendance Type de document : Texte imprimé et/ou numérique Auteurs : M. P. LAROSE, Auteur ; Sylvana M. CÔTÉ, Auteur ; I. OUELLET-MORIN, Auteur ; B. MAUGHAN, Auteur ; Edward D. BARKER, Auteur Article en page(s) : p.762-770 Langues : Anglais (eng) Mots-clés : Adolescent Child Child Behavior Disorders Child Care Child Health Female Humans Longitudinal Studies Pregnancy Problem Behavior adversity childcare cognitive development externalizing behaviors prevention Index. décimale : PER Périodiques Résumé : BACKGROUND: Children exposed to early adversity are vulnerable to cognitive impairments and externalizing behaviors. Attending childcare may, however, partly buffer this detrimental effect by providing social and cognitive stimulation in a secure environment. The aims of this study were (a) to determine whether the association between exposure to adversity and later externalizing behaviors is mediated by children's cognitive abilities, and (b) to examine if childcare attendance moderates this mediation-thereby highlighting a protective function of children's childcare attendance. METHODS: Data come from the Avon Longitudinal Study of Children and Parents (N = 6,149). Exposure to adversity was assessed by maternal reports three times from the second trimester of the mother's pregnancy to the child's fourth year of age. Childcare attendance was assessed on four occasions between eight months and three years of age. Factors explaining differences in childcare attendance were controlled using propensity score weights. Children's cognitive abilities were assessed by the Weschler Intelligence Scale for Children at eight years of age, and externalizing behaviors were reported by mothers using the Development and Well-Being Assessment interview at 10, 13, and 15 years of age. RESULTS: Notably, lower cognitive abilities partly accounted for the higher levels of externalizing behaviors in adolescents exposed to adversity (B indirect effect = 0.02, 95% CI = 0.007-0.03, p < .01). Importantly, childcare attendance moderated this indirect effect. For children exposed to adversity, being in maternal care was associated with lower cognitive abilities which were related to higher levels of externalizing behaviors. On the contrary, for children exposed to adversity, attending childcare was associated with higher cognitive abilities which were linked to lower levels of externalizing behaviors. CONCLUSIONS: Easily accessible community childcare may be a relatively low-cost public health strategy to prevent the emergence of externalizing behavioral problems in adolescence through its positive effects on cognitive abilities. En ligne : http://dx.doi.org/10.1111/jcpp.13313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456
in Journal of Child Psychology and Psychiatry > 62-6 (June 2021) . - p.762-770[article] Promoting better functioning among children exposed to high levels of family adversity: the protective role of childcare attendance [Texte imprimé et/ou numérique] / M. P. LAROSE, Auteur ; Sylvana M. CÔTÉ, Auteur ; I. OUELLET-MORIN, Auteur ; B. MAUGHAN, Auteur ; Edward D. BARKER, Auteur . - p.762-770.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 62-6 (June 2021) . - p.762-770
Mots-clés : Adolescent Child Child Behavior Disorders Child Care Child Health Female Humans Longitudinal Studies Pregnancy Problem Behavior adversity childcare cognitive development externalizing behaviors prevention Index. décimale : PER Périodiques Résumé : BACKGROUND: Children exposed to early adversity are vulnerable to cognitive impairments and externalizing behaviors. Attending childcare may, however, partly buffer this detrimental effect by providing social and cognitive stimulation in a secure environment. The aims of this study were (a) to determine whether the association between exposure to adversity and later externalizing behaviors is mediated by children's cognitive abilities, and (b) to examine if childcare attendance moderates this mediation-thereby highlighting a protective function of children's childcare attendance. METHODS: Data come from the Avon Longitudinal Study of Children and Parents (N = 6,149). Exposure to adversity was assessed by maternal reports three times from the second trimester of the mother's pregnancy to the child's fourth year of age. Childcare attendance was assessed on four occasions between eight months and three years of age. Factors explaining differences in childcare attendance were controlled using propensity score weights. Children's cognitive abilities were assessed by the Weschler Intelligence Scale for Children at eight years of age, and externalizing behaviors were reported by mothers using the Development and Well-Being Assessment interview at 10, 13, and 15 years of age. RESULTS: Notably, lower cognitive abilities partly accounted for the higher levels of externalizing behaviors in adolescents exposed to adversity (B indirect effect = 0.02, 95% CI = 0.007-0.03, p < .01). Importantly, childcare attendance moderated this indirect effect. For children exposed to adversity, being in maternal care was associated with lower cognitive abilities which were related to higher levels of externalizing behaviors. On the contrary, for children exposed to adversity, attending childcare was associated with higher cognitive abilities which were linked to lower levels of externalizing behaviors. CONCLUSIONS: Easily accessible community childcare may be a relatively low-cost public health strategy to prevent the emergence of externalizing behavioral problems in adolescence through its positive effects on cognitive abilities. En ligne : http://dx.doi.org/10.1111/jcpp.13313 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=456