Behavioral Family Intervention for Children With Developmental Disabilities and Behavioral Problems

Roberts, Clare; Mazzucchelli, Trevor G.; Studman, Lisa J.; Sanders, Matthew R.

doi:10.1207/s15374424jccp3502_2

Cited by 174 publications

(151 citation statements)

References 33 publications

Supporting

Mentioning

133

Contrasting

Unclassified

Order By: Relevance

“…This study supports and extends the findings of previous research (Harrold et al, 1992;Hudson et al, 2003;Huynen et al, 1996;Roberts et al, 2006;Sanders & Plant, 1989) which demonstrates the efficacy of behavioral parent training with parents of children with developmental disabilities. These studies have generally reported reductions in child problem behavior and improvements in positive parent behavior following parent programs involving contingency management training, planned activities training, compliance training, or a combination of these programs.…”

Section: Discussionsupporting

confidence: 91%

“…These studies have generally reported reductions in child problem behavior and improvements in positive parent behavior following parent programs involving contingency management training, planned activities training, compliance training, or a combination of these programs. In addition, the study supports the findings of Roberts et al (2006) which is the first controlled trial examining the efficacy of the Stepping Stones Triple P (SSTP). Results of the present study are consistent with these findings and provide further confirmation of the efficacy of Stepping Stones Triple P.…”

Section: Discussionsupporting

confidence: 79%

“…This training related to grief and loss issues, stress and coping, time management, working collaboratively with professionals, and strengthening social supports. The present study expands on previous research as there has only been one previous randomized controlled trial comparing the efficacy of SSTP-S to a waitlist control group (Roberts et al, 2006).…”

mentioning

confidence: 69%

“…The Triple P-Positive Parenting Program (Sanders, 1999) has recently been adapted for families of children with developmental disabilities. The Stepping Stones Triple P (Sanders, Mazzucchelli, & Studman, 2003) was evaluated in a randomized clinical trial (Roberts, Mazzucchelli, Studman, & Sanders, 2006) with parents of preschool-aged children with developmental disabilities and problem behaviors. Training was associated with lower levels of child problem behavior, improved maternal and paternal parenting style, and lower levels of maternal stress as compared with a waitlist control group.…”

mentioning

confidence: 99%

“…Although standard parent training programs are effective in reducing child problem behavior and improving parent behavior in families of children with developmental disabilities (Harrold et al, 1992;Hudson et al, 2003;Huynen et al, 1996;Roberts et al, 2006;Sanders & Plant, 1989), the inclusion of adjunctive training components which address other family problems contributing to care-giving may add to the efficacy of these interventions. This finding is supported in a recent review (Hastings & Beck, 2004) which concludes that stress interventions for parents of children with developmental disabilities have a positive impact upon parent adjustment and mental health.…”

mentioning

confidence: 99%

See 4 more Smart Citations

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities

Plant

Sanders

2007

Research in Developmental Disabilities

Self Cite

158

122

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 91%

Section: Discussionsupporting

confidence: 79%

mentioning

confidence: 69%

mentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities

Plant

Sanders

2007

Research in Developmental Disabilities

Self Cite

158

122

View full text Add to dashboard Cite

Telehealth Treatment of Behavior Problems in Young Children With Developmental Delay

et al. 2023

View full text Add to dashboard Cite

ImportanceEarly behavior problems in children with developmental delay (DD) are prevalent and impairing, but service barriers persist. Controlled studies examining telehealth approaches are limited, particularly for children with DD.ObjectiveTo evaluate the efficacy of a telehealth parenting intervention for behavior problems in young children with DD.Design, Setting, and ParticipantsA randomized clinical trial was conducted from March 17, 2016, to December 15, 2020, in which children with DD and externalizing behavior problems were recruited from early intervention and randomly assigned to a telehealth parenting intervention or control group and evaluated through a 12-month follow-up. Most children were from ethnic or racial minoritized backgrounds. Over one-half of children were in extreme poverty or low income-need ratio categories.InterventionsInternet-delivered parent-child interaction therapy (iPCIT), which leverages videoconferencing to provide live coaching of home-based caregiver-child interactions. Families received 20 weeks of iPCIT (provided in English or in Spanish) or referrals as usual (RAU).Main Outcomes and MeasuresObservational and caregiver-report measures of child and caregiver behaviors and caregiving stress were examined at preintervention, midtreatment, and postintervention and at 6- and 12-month follow-ups.ResultsThe sample included a total of 150 children (mean [SD] age, 36.2 [1.0] years; 111 male children [74%]) and their caregivers with 75 each randomly assigned to iPCIT or RAU groups. Children receiving iPCIT relative to RAU displayed significantly lower levels of externalizing problems (postintervention Cohen d = 0.48; 6-month Cohen d = 0.49; 12-month Cohen d = 0.50) and significantly higher levels of compliance to caregiver direction after treatment. Of those children with data at postintervention, greater clinically significant change was observed at postintervention for children in the iPCIT group (50 [74%]) than for those in the RAU group (30 [42%]), which was maintained at the 6-month but not the 12-month follow-up. iPCIT did not outperform RAU in reducing caregiving stress, but caregivers receiving iPCIT, relative to RAU, showed steeper increases in proportion of observed positive parenting skills (postintervention odds ratio [OR], 1.10; 95% CI, 0.53-2.21; 6-month OR, 1.31; 95% CI, 0.61-2.55; 12-month OR, 1.64; 95% CI, 0.70-3.07) and sharper decreases in proportion of observed controlling/critical behaviors (postintervention OR, 1.40; 95% CI, 0.61-1.52; 6-month OR, 1.72; 95% CI, 0.58-1.46; 12-month OR, 2.23; 95% CI, 0.53-1.37). After treatment, iPCIT caregivers also self-reported steeper decreases in harsh and inconsistent discipline than did than RAU caregivers (postintervention Cohen d = 0.24; 6-month Cohen d = 0.26; 12-month Cohen d = 0.27).Conclusions and RelevanceResults of this randomized clinical trial provide evidence that a telehealth-delivered parenting intervention with real-time therapist coaching led to significant and maintained improvements for young children with DD and their caregivers. Findings underscore the promise of telehealth formats for expanding scope and reach of care for underserved families.Trial RegistrationClinicalTrials.gov Identifier: NCT03260816

show abstract

Behavioural and cognitive-behavioural interventions for outwardly-directed aggressive behaviour in people with intellectual disabilities

Ali

Hall

Blickwedel

et al. 2015

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Behavioral Family Intervention for Children With Developmental Disabilities and Behavioral Problems

Cited by 174 publications

References 33 publications

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities

Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities

Telehealth Treatment of Behavior Problems in Young Children With Developmental Delay

Behavioural and cognitive-behavioural interventions for outwardly-directed aggressive behaviour in people with intellectual disabilities

Contact Info

Product

Resources

About