Randomized trial of two parent-training programs for families with conduct-disordered children.

Abstract

Clinic mothers of 35 conduct-disordered children were randomly assigned to a waiting list control group, 9 weeks of individual therapy, or 9 weeks of therapistled group therapy based on a standardized videotape modeling program. Mothers and their children were assessed at baseline, immediately after treatment, and 1 year later by home visits, twice-per-week telephone reports, and questionnaires. One month after treatment, both groups of treated mothers showed significant attitudinal and behavioral improvements compared with untreated controls. Additionally, the children in the two treatment groups showed reductions in child noncompliance compared with control children. At the 1-year follow-up, not only were most of the changes in mothers' behaviors maintained, but both treatment groups of children continued to show significant reductions in noncompliant and deviant behaviors. There were no significant differences on any of the attitudinal or behavioral measures between individual and videotape modeling group discussion therapies at the immediate or 1-year follow-up. Total therapist time was approximately 251 hr for the entire individual group and 48 hr for the entire videotape discussion group. Although both treatments seem to offer equivalent and sustained improvements for parents and conduct-disordered children, the therapeutic efficiency of the videotape modeling group format is more cost-effective. In response to the large numbers of children with conduct disorders and the shortage of professional personnel, there has been an increasing emphasis on training parents as therapists for their own children. Several excellent reviews (

Child Disobedience and Noncompliance: A Review

“…84 There has also been evidence to suggest that treatment effects from these and other programs aimed at reducing noncompliance generalize to the classroom when outcome is measured using teacher report, 85 although classroom effects from parent training programs are by no means consistently found. 86 Findings also suggest that treatment effects can generalize to other behavior problems such as aggression 83,87 and to improvements in the behavior of siblings of the target child 88 for up to a year following treatment. 89 Although these and other parent training programs aimed at reducing noncompliance in children have demonstrated short-run effectiveness, there has been a paucity of follow-up studies that have documented the long-term effects of these interventions.…”

Computer‐Based Intervention with Coaching: An Example Using the Incredible Years Program

“…Group-based interventions frequently rank high on lists of evidence-based practices (e.g., Webster-Stratton, 2001a;Lewinsohn, Antonuccio, Steinmetz, & Teri, 1984), with studies demonstrating that well-designed group-based models are often at least as effective as the best alternative one-on-one approaches (e.g., Webster-Stratton, 1984). In addition to being effective, group-based approaches are more acceptable than one-on-one therapy for some individuals.…”

Conceptualizing Culturally Infused Engagement and Its Measurement for Ethnic Minority and Immigrant Children and Families

“…Thus, the CIE lends itself to the development of flexible engagement approaches by which clinicians can draw from a menu of options, thereby dovetailing the engagement process in treatment to the individualized needs of the ethnic minority and immigrant child and family. Such an approach to intervention, in which a menu of intervention options is provided to clients, is found to be particularly effective in child and family interventions (e.g., Webster-Stratton 1984;Dishion and Stormshak 2007), which suggests promising directions in utilizing the CIE to develop a menu of engagement interventions that are domain specific.…”