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A Randomized Controlled Effectiveness Trial of Parent Management Training With Varying Degrees of Therapist Support
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
Socialtjänstförvaltningen i Stockholm, The city of Stockholm's executive office.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of Psychology.
2010 (English)In: Behavior Therapy, ISSN 0005-7894, E-ISSN 1878-1888, Vol. 41, no 4, 530-542 p.Article in journal (Refereed) Published
Abstract [en]

This study examined the effectiveness of a Swedish parent management training (PMT) intervention for parents of children aged 3 to 10 within the context of regular social service. Self-referred parents of 159 children (aged 3–10) with conduct problems were randomly assigned to either eleven practitioner-assisted group sessions (PMT-P), or a single instructional workshop followed by self-administration of the training material (PMT-S), or a waitlist control group. Intent-to-treat analyses showed that both PMT-P and PMT-S improved parent competence and reduced child conduct problems compared to the waitlist at posttest. Both training conditions showed further significant improvements at the 6-month follow-up. In direct comparison, PMT-P was superior to PMT-S on measures of child conduct problems at both posttest and follow-up. Improvement in child conduct was mediated by improvement in parent competencies and homework fidelity. The findings in this study have implications for large-scale dissemination of parent management training through different means of delivery.

Place, publisher, year, edition, pages
2010. Vol. 41, no 4, 530-542 p.
Keyword [en]
Parent management training, Conduct problems, Randomized controlled trial, Effectiveness study, Self-help
National Category
Applied Psychology
Research subject
Clinical Psychology
Identifiers
URN: urn:nbn:se:uu:diva-129354DOI: 10.1016/j.beth.2010.02.004ISI: 000284393600008PubMedID: 21035616OAI: oai:DiVA.org:uu-129354DiVA: diva2:343032
Available from: 2010-08-11 Created: 2010-08-11 Last updated: 2010-12-27Bibliographically approved
In thesis
1. When Cheap is Good: Cost-Effective Parent and Teacher Interventions for Children with Externalizing Behavior Problems
Open this publication in new window or tab >>When Cheap is Good: Cost-Effective Parent and Teacher Interventions for Children with Externalizing Behavior Problems
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

There is strong empirical support for behavioral parent training (BPT) as an intervention for children with externalizing behavior problems (EBP). However, there is a lack of studies that have investigated the effectiveness of BPT in routine care. Furthermore, most families in need of service do not gain access to it. Another issue of concern is that a sizable portion of children who take part in BPT does not show clinical significant improvement. With regard to behavioral teacher training (BTT) for students with EBP, there is a paucity of intervention trials using randomized design. The training procedures have rarely been standardized, which have resulted in interventions that are dependent upon heavy involvement of external consultants. To improve the accessibility to service for students with EBP, intervention models that are feasible for typical school personnel need to be developed.

Study I investigated the effects of BPT in routine care. The participants were randomized to BPT with full practitioner support (BPT-P), self-administered BPT with minimal practitioner support (BPT-S), or a waitlist control group (WL). The study showed that BPT implemented by briefly trained social service employees (BPT-P) resulted in at least as large effects as previous efficacy studies. PMT-S also showed significant effects compared to the WL, but was less effective than PMT-P. Improvements in child behaviors were mediated by improved parenting behaviors. Study II investigated the effects of an enhanced version of the BPT-program from study I. The program targeted families with risk factors for non-response that were referred to service within the social services. The results showed strong intervention effects on child EBP and parent anxiety/depression for enhanced BPT compared to regular BPT. Study III used a randomized design to evaluate the effects of a standardized and feasible BTT program. At both posttest and follow-up, significant effects favoring the BTT-group over the active control group were found on student EBP, teacher behavior management, and peer problems. The study also showed that the effect on student EBP was mediated by change in teacher behavior management.

Place, publisher, year, edition, pages
Uppsala: Acta Universitatis Upsaliensis, 2010. 92 p.
Series
Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Social Sciences, ISSN 1652-9030 ; 60
National Category
Applied Psychology
Research subject
Clinical Psychology
Identifiers
urn:nbn:se:uu:diva-129357 (URN)978-91-554-7861-2 (ISBN)
Public defence
2010-09-24, Eva Netzelius-salen (BH/10:K102), Blåsenhus, Von Kraemers allé 1, Uppsala, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2010-09-03 Created: 2010-08-11 Last updated: 2010-09-06Bibliographically approved

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