Treating children with early-onset conduct problems: A comparison of child and parent training interventions.

Abstract

Families of 97 children with early-onset conduct problems, 4 to 8 years old, were randomly assigned to 1 of 4 conditions: a parent training treatment group (PT), a child training group (CT), a combined child and parent training group (CT + PT), or a waiting-list control group (CON). Posttreatment assessments indicated that all 3 treatment conditions had resulted in significant improvements in comparison with controls. Comparisons of the 3 treatment conditions indicated that CT and CT + PT children showed significant improvements in problem solving as well as conflict management skills, as measured by observations of their interactions with a best friend; differences among treatment conditions on these measures consistently favored the CT condition over the PT condition. As for parent and child behavior at home, PT and CT + PT parents and children had significantly more positive interactions, compared with CT parents and children. One-year follow-up assessments indicated that all the significant changes noted immediately posttreatment had been maintained over time. Moreover, child conduct problems at home had significantly lessened over time. Analyses of the clinical significance of the results suggested that the combined CT + PT condition produced the most significant improvements in child behavior at 1-year follow-up.

Viewing Preschool Disruptive Behavior Disorders and Attention-Deficit/Hyperactivity Disorder Through a Developmental Lens: What We Know and What We Need to Know

“…84,90 Moreover, beyond statistical significance, studies demonstrate that some preschool children attain clinically significant (i.e., normalization of behavior) benefits from BPT. 91,92 BPT has also been shown to reduce punitive parenting behavior 86,89,92 and parenting stress, 84,93 and to increase positive parenting behavior 91 and parenting sense of competence. 86,91 Furthermore, maintenance of treatment gains for some preschool children has been seen for periods ranging from a few months 84,86 to a year 94 or more.…”

The added impact of parenting education in early childhood education programs: A meta-analysis

“…Evidence of impacts on child outcomes is less consistent. Programs that attempt to improve child behavior through changes in parenting have shown some consistent success (Webster-Stratton & Hammond, 1997), but efforts to improve cognitive skills have had mixed results (Brooks-Gunn & Markman, 2005). M A N U S C R I P T…”

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

“…A series of randomized controlled trials conducted by the program developer (Reid, Webster-Stratton, & Baydar, 2004;WebsterStratton, 1984WebsterStratton, , 1998aWebster-Stratton & Hammond, 1997;Webster-Stratton, Kolpacoff, & Hollinsworth, 1988) and others (Brotman et al, 2005;Gross et al, 2003;Scott, Spender, Doolan, Jacobs, & Aspland, 2001;Spaccarelli, Cotler, & Penman, 1992;Taylor, Schmidt, Pepler, & Hodgins, 1998) have demonstrated that the program is effective at reducing behavior problems in children, improving parenting practices and reducing parent depression.…”