Early intervention for parents at risk of child abuse and neglect: A preliminary investigation.

An early intervention program for young parents and children who have been identified as being at risk of child maltreatment was evaluated. Thirty mother–child dyads were randomly assigned to one of two conditions: (a) an information group offered by the child protection agency (which served as a control condition) or (b) a special program of behavioral parent training in addition to the agency group. Self-report measures indicated that significant improvements in parenting risk and child behavior problems at posttest and at 3-month follow-up were evident only for mothers who received parent training in addition to information groups. Home observation data were inconclusive, possibly due to the limited opportunities to observe behaviors of interest. Both groups showed improvements in their child-rearing environments and in their children's adaptive behaviors at follow-up. Caseworker ratings of clients' risks of maltreatment and abilities to manage their families at 1-year follow-up significantly favored the families who received parent training in addition to information. Methodological and treatment issues arising from this preliminary investigation of early intervention with diverse population of high-risk parents and children are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The impact of the Incredible Years parent, child, and teacher training programs on children's co-occurring internalizing symptoms.

The Incredible Years (IY) Series includes separate group interventions to improve parenting interactions, teacher classroom management, and child social-emotional regulation. Although originally developed to treat early onset conduct problems, IY targets many of the proposed mechanisms and risk factors for internalizing distress in early childhood. Prior studies have demonstrated the effects of the IY parent intervention on co-occurring depressive symptoms. We attempted to extend these findings by examining the unique and combined effects of IY interventions on children's co-occurring internalizing symptoms. One-hundred and fifty-nine families with children ages 4- to 8-years-old were randomly assigned to parent training (PT); parent plus teacher training (PT + TT); child training (CT); child plus teacher training (CT + TT); parent, child, plus teacher training (PT + CT + TT); or a waiting list control group. Children who received any of the intervention components were more likely to have lower mother-rated internalizing symptoms at posttreatment compared to children in a wait-list control group. Implications for future research and for designing interventions and prevention strategies for children with internalizing symptoms are discussed. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Problem solving in the treatment of childhood obesity.

This study randomized obese children from 67 families to groups that received a 6-month family-based behavioral weight-control program plus parent and child problem solving, child problem solving, or standard treatment with no additional problem solving. The standard group showed larger body mass index (BMI) decreases than the parent?+?child group through 2 years, with significant differences in the percentage of children who showed large BMI changes. Significant statistical and clinical improvements were observed over time in child behavior problems and parental distress. Parent problem solving increased in the parent?+?child condition relative to the other conditions, whereas child problem solving increased equally in all conditions. The bulk of evidence suggests that problem solving did not add to treatment effectiveness beyond the standard family-based treatment. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Large group community-based parenting programs for families of preschoolers at risk for disruptive behaviour disorders: utilization, cost effectiveness, and outcome

A significant percentage of children with disruptive behavior disorders do not receive mental health assistance. Utilization is lowest among groups whose children are at greatest risk. To increase the availability, accessibility, and cost efficacy of parent training programs, this prospective randomized trial compared a large group community-based parent training program to a clinic-based individual parent training (PT) programs. All families of junior kindergartners in the Hamilton public and separate school boards were sent a checklist regarding problems at home. Those returning questionnaires above the 90th percentile were block randomly assigned to: (1) a 12-week clinic-based individual parent training (Clinic/Individual), (2) a 12-week community-based large group parent training (Community/Group), or (3) a waiting list control condition. Immigrant families, those using English as a second language, and parents of children with severe behaviour problems were significantly more likely to enroll in Community/Groups than Clinic/Individual PT. Parents in Community/Groups reported greater improvements in behaviour problems at home and better maintenance of these gains at 6-month follow-up. A cost analysis showed that, with groups of 18 families, Community/Groups are more than six times as cost effective as Clinic/Individual programs.     

Effects of knowledge of social learning principles on enhancing treatment outcome and generalization in a parent training program.

Examined the efficacy of incorporating formal training in social learning principles into a behavioral parent training program as a means of enhancing treatment outcome and generalization. Two groups of parents (n?=?20) received behavioral skill training designed to modify child noncompliance. One group also received formal training in social learning principles throughout the program. Children had a mean age of 61.75 mo. Outcome measures collected prior to and after treatment and at a 2-mo follow-up included home observations by independent observers, parents' perceptions of child adjustment, and a parent consumer-satisfaction measure. Results indicate that after treatment, the group receiving social learning principles tended to perceive their children as better adjusted and tended to be more satisfied with treatment. At follow-up, parents in this group perceived their children as better adjusted and rewarded their children more. Furthermore, their children were significantly more compliant. Results suggest that temporal and setting generality are enhanced by the inclusion of social learning principles into parent training procedures. (20 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Social support and treatment outcome in behavioral family therapy for child conduct problems.

Assessed the role of social support in the outcome of child management training (CMT) for single parents of conduct problem children and assessed the impact of adjunctive ally support training (AST) on treatment outcome. 22 single parents with a child diagnosed as oppositional or conduct-disordered received CMT or CMT plus AST. Each group received the same 6-wk parent training program and the AST group received an extra social support intervention. Measures of parent behavior, child deviance, social support (SS), and parental depression were obtained at pre- and posttreatment and at 6-mo follow-up. Both groups improved, and changes maintained at follow-up. AST produced no extra gains. Responders from either group were more likely than nonresponders to report high levels of SS from friends. Results emphasize the importance of SS and the difficulty of incorporating changes in SS into treatment programs. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of Collaborative Problem Solving in Affectively Dysregulated Children With Oppositional-Defiant Disorder: Initial Findings.

Oppositional-defiant disorder (ODD) refers to a recurrent pattern of negativistic, defiant, disobedient, and hostile behavior toward authority figures. Research has shown that children with ODD and comorbid mood disorders may be at particular risk for long-term adverse outcomes, including conduct disorder. In this study, the authors examined the effectiveness of a cognitive-behavioral model of intervention--called collaborative problem solving (CPS)--in comparison with parent training (PT) in 47 affectively dysregulated children with ODD. Results indicate that CPS produced significant improvements across multiple domains of functioning at posttreatment and at 4-month follow-up. These improvements were in all instances equivalent, and in many instances superior, to the improvements produced by PT. Implications of these findings for further research on and treatment selection in children with ODD are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A competency-based parent training program for child abusers.

Evaluated an intervention program for child abusers using multiple outcome criteria and extended follow-up. 16 families were given the Parent–Child Interaction Form and the Eyberg Child Behavior Inventory and were assigned to either treatment or control groups. All families were supervised by protective services, and none had requested help voluntarily. A treatment program involving group parent training in the clinic and competency-based training and rehearsal in the home was provided. Findings indicate that training abusive Ss in child-management and self-control techniques resulted in improvements in parenting skills as measured by home observations, parental reports of child-behavior problems, and caseworker reports of family problems. A 1-yr follow-up indicated that no incidences of child abuse among treatment families had been reported to or suspected by caseworkers. (23 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Marital discord and treatment outcome in behavioral treatment of child conduct disorders.

Research assessing the role of marital variables in the treatment of childhood conduct disorders is scarce. The aim of this study was (a) to assess the role of marital discord in the overall outcome of a program training parents in behavioral techniques (behavioral parent training) and (b) to assess the effects of an adjunctive treatment (partner support training [PST]) on outcome. The latter treatment focused on marital conflict, communication, and problem solving. Twenty-four families with a child diagnosed as oppositional or conduct disordered were assigned to either a marital-discord group (n?=?12) or a no-marital-discord group (n?=?12). Families within each group were then randomly assigned to either child management training (CMT) alone or CMT with PST. Measures of child deviance, parenting behavior, and marital satisfaction were collected at pre- and posttraining and at a 6-month follow-up. Results indicated a significant interaction between marital discord and treatment type on most measures at follow-up but not at posttraining. Although PST added little to the maintenance of change for the nondiscordant group, it produced significant gains over those who received CMT only for the discordant group. Further results highlighting the interaction of marital and treatment variables are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The generalization effects of parent training across stimulus settings

Five parents of nonverbal children were trained in two home settings to modify antecedents and consequences to their children's vocalizations. Generalization effects of the parent training on both the parent's and children's behaviors under different stimulus conditions were investigated using multiple-baseline designs. Increases in parent prompting and reinforcing their children's vocalizations generalized only minimally to a new setting in the home where parent training had not occurred. Child increases in vocalizations produced by the parents in the training settings did generalize to this new setting in the home. There was minimal generalization of child vocalizations to a free-play setting at school. In a formal speech session conducted by a behavior specialist at school, only one child showed definite increases in acquisition rate as a function of the parents starting to train the sound at home.     

Transcriptional activation of the tobacco retrotransposon Tto1 by wounding and methyl jasmonate

Health visitors and Clinical Medical Officers (CMOs) were trained in parent counselling and worked at home in a highly deprived area with parents of pre-school children with multiple psychosocial problems. Their basic aims were to establish a mutually respectful partnership and to support parents in managing their diverse problems. Detailed evaluation indicated that the Service was highly valued by both parents and referrers, and suggested significant changes, including: improvements in the severity of problems; increased parental self-esteem; decreased levels of parental stress and emotional difficulties; more positive constructions of their children; improvements in the home environment; and decreased child behavioural problems.     

Enhancing treatment gains in a school-based intervention for children of divorce through skill training, parental involvement, and transfer procedures.

The school-based Children's Support Group procedure teaches skills to cope with divorce-related events and provides strategies for mastering disrupted developmental tasks. Ss were 103 3rd–5th grade children of separated or divorced parents who were assigned to 1 of 3 treatment groups: (1) support, (2) support and skill building, or (3) support, skill building, transfer, and parent training procedures. 26 children from intact homes served as non-stressed controls. The 2 skill-building conditions yielded durable improvements in adjustive behaviors in the home. Transfer components yielded additional improvements in affect, but the absence of substantial increments in benefits suggests the need for a closer look at the format and expectations of the transfer vehicle. The benefits of the support-alone condition were experienced most by children who entered the intervention with significant problems, with the greatest reductions in clinical symptomatology at follow-up being found in this group. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The long-term effectiveness and clinical significance of three cost-effective training programs for families with conduct-problem children.

We evaluated the long-term effectiveness of three cost-effective parent training programs for conduct-problem children. One year posttreatment, 93.1% of families (94 mothers and 60 fathers) were assessed on the basis of teacher and parent reports and home observations. Results indicated that all the significant improvements reported immediately posttreatment were maintained one year later. Moreover, approximately two thirds of the entire sample showed ""clinically significant" improvements. There were very few differences between the three treatment conditions except for the ""consumer satisfaction" measure indicating that the treatment combining group discussion and videotape modeling was superior to treatments without both components. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Exploring the role of parent training in the treatment of childhood anxiety.

Data from a randomized clinical trial comparing the relative efficacy of individual cognitive–behavioral therapy (ICBT), family CBT (FCBT), and a family-based education/support/attention control (FESA) condition were used to examine associations between in-session therapeutic techniques related to parent training (PT) and treatment outcomes. This study explored the extent to which therapists’ use of PT techniques, specifically (a) parental anxiety management, (b) transfer of control from therapist to parent to child over child’s coping, (c) communication skills training, and (d) contingency management training, contributed to treatment outcome in family-based CBT. Children (N = 53; 31 males; 7.8–13.8 years of age; M = 10.1 years, SD = 2.3; 85% Caucasian, 9% African American, 4% Asian, 2% “other” background) with a principal anxiety disorder completed 16 sessions of CBT with their parents. The relative contributions of PT components on treatment outcome were evaluated. As hypothesized, both transfer-of-control and parental anxiety management techniques significantly contributed to improvement on clinician and parent ratings of child global functioning within FCBT. PT did not significantly contribute to improvement on measures of child anxiety. These preliminary findings suggest that when FCBT is conducted for child anxiety, PT (i.e., transfer-of-control and parental anxiety management techniques) may contribute to improvements in the child’s global functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Advancing videotape parent training: A comparison study.

This study examines the specific effects of adding a broader based, videotape treatment component (ADVANCE) to a basic videotape parent skills training program (GDVM). ADVANCE treatment trains parents to cope with interpersonal distress through improved communication, problem solving, and self-control skills. 78 families with a child diagnosed as oppositional-defiant or conduct-disordered were randomly assigned to either GDVM alone or GDVM plus ADVANCE. Parent reports of child adjustment and parent distress, assessment of child's knowledge of social skills, as well as independent observations of mother– and father–child interactions and communication and of problem solving between parents were obtained at pre- and post-GDVM and at post-ADVANCE. Both groups significantly improved at short-term follow-up. ADVANCE produced additional significant improvements in parents' communication, problem-solving skills, and consumer satisfaction, as well as children's increased knowledge of prosocial solutions. The clinical significance of these findings is discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of a child-care training program for parents at-risk for child neglect.

Evaluated a home-based parent training program aimed at teaching crucial childcare skills (e.g., diapering, bathing, feeding, safety) to 22 low-IQ mothers of children (aged 1–23 mo) considered at-risk for child neglect. Ss were randomly assigned to a training or control group. Posttests showed that the mean percent correct score (88%) of the training group was then similar to that of 12 nonhandicapped comparison mothers, with both significantly greater than the mean (61%) of the control group. The training group maintained improvements up to 76 wks following training, and the control group, when subsequently trained, had a mean score of 92%. Finally, where it could be observed, the health of children improved concomitant with the parents learning proper childcare. Parent training in childcare may help reduce the likelihood of child neglect due to parental incompetency. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Determinants of social competence in Swedish preschoolers.

One hundred forty firstborn Swedish children, averaging 16 months of age initially, participated in the study. All were on the waiting lists for child-care centers. Parents were interviewed about demographic variables, social support, and child temperament, the quality of home care was assessed, and children were observed interacting at home with familiar peers. Fifty-three children were then admitted to center day care, 33 were offered places in family day-care facilities, and 54 remained at home with their parents. Shortly after enrollment and again 1 year later, the quality of alternative care was assessed. In follow-up assessments 1 year after the initial interviews and observations, peer social skills, sociability with strange adults, and child personality (as rated by parents and care providers) were assessed. Type and quality of nonfamilial child care had no significant effect on these aspects of child development. The major determinants of personality maturity were background variables: High family socioeconomic status, high quality of home care, and easy temperament facilitated personality maturity. Availability of support from maternal grandparents had a smaller but significant effect. Prior social skills and age were the best predictors of peer social skills evidenced on the posttest. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Child and parent weight loss in family-based behavior modification programs.

Overweight preadolescents and parents from 76 families were assigned to 1 of 3 behavioral treatment groups: parent/child target, child target, or nonspecific target. Percent overweight changes at the end of the 8-mo treatment and 13-mo follow-up were equivalent for children in the 3 treatment groups, but parents in the parent/child group lost more weight during treatment. Weight changes for parents and children increased through the 8-mo treatment. Patterns of maintenance showed that 40% of the children were within 20% of their ideal weight by the end of treatment, achieving nonobese status. 100% of the newly nonobese children in the parent/child group maintained nonobesity during follow-up, whereas only 30% in the child-alone group and 33% in the nonspecific group maintained nonobesity. In addition, weight losses for parents and children in the same family correlated positively at the end of treatment but not at follow-up. Results suggest that parental modeling may be important during treatment, but long-term results probably are due to parental reinforcement of child self-regulation. (30 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Effectiveness of filial therapy for Korean parents.

Explored the effectiveness of filial therapy in enhancing the parent–child relationship of Korean parents (aged 30–42 yrs) of kindergartners (aged 4–8 yrs). The experimental design of the study was a pretest–posttest, control group design in which all of the parents (32 Ss) completed 3 instruments, the Porter Parental Acceptance Scale, the Parenting Stress Index, and the Filial Problem Checklist. The parents were also videotaped playing with their child before and after the training as a means of measuring empathic behavior in parent–child interactions. Results of quantitative and qualitative analyses indicate that Korean parents can learn basic skills of play therapy and improve the relationship with their children. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Parent training for attention-deficit hyperactivity disorder: its impact on parent functioning

This study examined changes in parent functioning resulting from parental participation in a behavioral parent training (PT) program specifically designed for school-aged children with attention-deficit hyperactivity disorder (ADHD). Relative to wait list controls, subjects who completed the nine-session PT program showed significant posttreatment gains in both child and parent functioning, which were maintained 2 months after treatment. In particular, there were PT-induced reductions in parenting stress and increases in parenting self-esteem, which accompanied parent-reported improvements in the overall severity of their child's ADHD symptoms. In addition to their statistical importance, these findings are discussed in terms of their clinical significance, utilizing methods developed by Jacobson and Truax (1991).