Inclusion and Engagement of Fathers in Behavioral Parent Training for ADHD: An Update and Recommendations

Isaacs, Lesthia; Webb, Abigail; Jerome, Stephanie; Fabiano, Gregory A.

doi:10.1521/adhd.2015.23.8.1

Cited by 5 publications

(5 citation statements)

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“…Including fathers in BPT programs comes with specific challenges (Salinas, Smith, & Armstrong, 2011). As a result, we know little about the effectiveness of such programs for fathers (Isaacs, Webb, Jerome, & Fabiano, 2015). Future research on BPT should encourage paternal participation in parent training and examine effectiveness of the intervention for fathers separately.…”

Section: Discussionmentioning

confidence: 99%

Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype

et al. 2017

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In a randomized controlled trial, the Observational Randomized Controlled Trial of Childhood Differential Susceptibility (ORCHIDS study), we tested whether observed parental affect and observed and reported parenting behavior are mechanisms of change underlying the effects of the behavioral parent training program the Incredible Years (IY). Furthermore, we tested whether some children are more susceptible to these change mechanisms because of their temperamental negative affectivity and/or serotonin transporter linked polymorphic region (5-HTTLPR) genotype. Participants were 387 Dutch children between 4 and 8 years of age (M age = 6.31, SD = 1.33; 55.3% boys) and their parents. Results showed that although IY was successful in improving parenting behavior and increasing parental positive affect, these effects did not explain the significant decreases in child externalizing problems. We therefore found no evidence for changes in parenting behavior or parental affect being the putative mechanisms of IY effectiveness. Furthermore, intervention effects on child externalizing behavior were not moderated by child negative affectivity or 5-HTTLPR genotype. However, child 5-HTTLPR genotype did moderate intervention effects on negative parenting behavior. This suggests that in research on behavioral parent training programs, "what works for which parents" might also be an important question.

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Section: Discussionmentioning

confidence: 99%

Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype

et al. 2017

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“…These programs are behaviorally based, and offer parents: 1) instruction on targeted skills, 2) behavioral modeling of targeted skills by provider, 3) parent skill practice through role plays and live practice with the child, and 4) homework assignments for the parent to assist in generalization of the targeted skills (Shaffer, Kotchick, Dorsey, & Forehand, 2001). Fathers who participate in these programs demonstrate greater use of praise and less negative talk toward their children following the intervention (Fabiano et al, 2012; Isaacs, Webb, Jerome, & Fabiano, 2015), as well as positive improvements in father-child involvement (Homem, Gasper, Seabra-Santos, Canavarro, & Azevedo, 2014; Stahlschmidt, Threlfall, Seay, Lewis, & Kohl, 2013, Threlfall & Kohl, 2015), child behavior management (Fletcher, Freeman, & Matthey, 2011), and child behavioral outcomes (Ayer, Kohl, Malsberger, & Burgette, 2016; Fabiano et al, 2012; Homem et al, 2014; Isaacs et al, 2015). However, limited research has examined the impact of parent behavioral training programs for the outcome of child maltreatment risk among fathers.…”

Section: Introductionmentioning

confidence: 99%

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

et al. 2017

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Few studies have explored the direct impact of behavioral parent training programs on child maltreatment behaviors among marginalized, at-risk fathers. This feasibility study examined SafeCare® Dad to Kids (Dad2K), an augmented version of the evidence-based child maltreatment prevention program SafeCare, to determine the acceptability and initial efficacy of the program for improving father parenting skills and reducing maltreatment risk. Ninety-nine fathers were enrolled in the study and randomized to the SafeCare Dad2K Intervention (n=51) or comparison (n=48). Intervention fathers participated in 6 home visiting sessions and comparison fathers received parenting materials via mail. All fathers participating in the study completed a baseline and 8-week assessment (post-intervention) of maltreatment behaviors. In addition, intervention fathers completed feasibility and parenting skill measures. A significant main effect emerged indicating decreases for both groups in psychologically aggressive behaviors. No significant group by time findings emerged for child maltreatment behaviors. Father intervention completers endorsed high satisfaction ratings for the program and demonstrated significant improvements in targeted father-child interaction skills. Based on the high rates of acceptability and initial improvement in positive parenting skills, findings demonstrate the feasibility for involving at-risk fathers in behavioral parent training programs targeting child maltreatment prevention.

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“…Lastly, father involvement was limited in our sample (<17%) and did not allow for comparative analyses. Because father engagement is an important component of therapy, future work should focus on initiatives to increase father involvement within these adaptations of PCIT (Isaacs, Webb, Jerome, & Fabiano, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…involvement within these adaptations of PCIT (Isaacs, Webb, Jerome, & Fabiano, 2015). In summary, the current study focused on a novel and relatively unexplored research question by examining, via a randomized trial, the comparative efficacy of a briefer, more intensive version of an established BPT (i.e., PCIT) to improve young children's externalizing behavior problems.…”

Section: Discussionmentioning

confidence: 99%

Condensing parent training: A randomized trial comparing the efficacy of a briefer, more intensive version of Parent-Child Interaction Therapy (I-PCIT).

Graziano¹,

Ros-Demarize²,

Hare³

2020

Journal of Consulting and Clinical Psychology

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Objective: The current study examined the comparative efficacy of a more intensive version of Parent-Child Interaction Therapy (I-PCIT; 5 days/week over 2 weeks) versus a time-limited weekly PCIT format (1 day/week over 10 weeks) in treating early childhood externalizing behavior problems. Method: Using a randomized trial design, 60 young children (mean age [Mage] = 4.33 years; 65% male; 85% Latinx) with clinically elevated levels of externalizing behavior problems and their parents were assigned to either I-PCIT (n = 30) or time-limited PCIT (n = 30). Families completed pre-, post-, and follow-up assessments 6–9 months following treatment completion. Parents completed measures of child behavior, discipline practices, and parenting stress. Observational data on child behavior and parenting were also collected. Results: Noninferiority and multivariate repeated-measures analyses indicated comparable improvements across 6 out of 7 observed and parent-reported outcomes, including parenting skills, discipline practices, and child externalizing behavior problems at posttreatment. Comparable treatment gains remained at follow-up, with the caveat that parents in time-limited PCIT reported lower externalizing behavior problems compared with I-PCIT, although both groups were still significantly better compared with pretreatment. Lastly, moderation analyses indicated that parents experiencing high levels of stress benefited more from I-PCIT in terms of decreasing child externalizing behavior compared with time-limited PCIT. Conclusions: I-PCIT appears to be a viable treatment option for families, especially those experiencing high levels of stress, in terms of targeting early externalizing behavior problems within a short period of time.

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Inclusion and Engagement of Fathers in Behavioral Parent Training for ADHD: An Update and Recommendations

Cited by 5 publications

References 5 publications

Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype

Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype

Initial Findings from a Feasibility Trial Examining the SafeCare Dad to Kids Program with Marginalized Fathers

Condensing parent training: A randomized trial comparing the efficacy of a briefer, more intensive version of Parent-Child Interaction Therapy (I-PCIT).

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