[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 |
| 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] / 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 |
|  |
A randomized controlled trial of technology-enhanced behavioral parent training: sustained parent skill use and child outcomes at follow-up in Journal of Child Psychology and Psychiatry, 63-9 (September 2022)
