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)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-9 (September 2022) . - p.992-1001 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 [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

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