Community-Delivered Collaborative and Proactive Solutions and Parent Management Training for Oppositional Youth: A Randomized Trial

The aim of this study was to examine the relative effectiveness of Collaborative and Proactive Solutions (CPS) and Parent Management Training (PMT) for youth with oppositional defiant disorder (ODD) in a community setting. Based on a semistructured diagnostic interview, 160 youth with ODD (ages 7–14; 72% male; ethnicity representative of the wider Australian population) were randomized to CPS (n = 81) or PMT (n = 79) for up to 16 weekly sessions. The primary hypothesis was that participants in the CPS group, treated in a community setting, would exhibit significant improvement in ODD, equivalent to that of an evidence-based treatment, PMT. Assessment was conducted at baseline, post-intervention, and at 6-month follow-up, using independently rated semistructured diagnostic interviews, parent ratings of ODD symptoms, and global ratings of severity and improvement. Analyses were conducted with hierarchical growth linear modeling, ANCOVA, and equivalence testing using an intent-to-treat sample. Both treatments demonstrated similar outcomes, with 45–50% of youth in the nonclinical range after treatment, and 67% considered much improved. No differences were found between groups, and group equivalency was shown on the independent clinician and parent-rated measures. Gains were maintained at the 6-month follow-up. In conclusion, CPS works as effectively as the well-established treatment, PMT, for youths with ODD, when implemented in a community-based setting. As such, CPS provides a viable choice for families who seek alternate treatments.     

BEHAVIOR MANAGEMENT OF INFANT SLEEP DISTURBANCE

Using a nonconcurrent multiple baseline design, we evaluated the effects of extinction and stimulus control on nighttime sleep disturbances exhibited by 7 infants. Results showed that frequency and duration of night wakings decreased for all subjects, with corresponding improvements reflected through changes in responses to the sleep behavior scale. Observed improvements maintained at 3 and 24 months posttreatment.     

If It's Offered,Will They Come? Influences on Parents' Participation in a Community-Based Conduct Problems Prevention Program

This study examined influences on the rate and quality of parent participation in the Fast Track Program, a multi-system, longitudinal preventive intervention for children who are at risk for conduct problems. A theoretical model of the relations among family coordinator characteristics, parent characteristics, the therapeutic engagement between family coordinator and parent, and rate and quality of parent participation was the basis for this study. Family coordinators are the Fast Track program personnel who conduct group-based parent-training sessions and home visits. Participants in this study included 12 family coordinators (42% were African American, 58% European American) and 87parents (55% were African American, 45% European American). The level of therapeutic engagement between the parent and the family coordinator was positively associated with the rate of parent attendance at group training sessions. The extent of family coordinator-parent racial and socioeconomic similarity and the extent of the family coordinator's relevant life experiences were highly associated with the level of therapeutic engagement. The quality, but not the rate, of participation was lower for African American parents. Implications of these findings for preventive intervention with this population are discussed.     

PROGRAMMING PARTICIPATION IN FAMILY ACTIVITIES FOR CHILDREN WITH AUTISM: PARENTS' USE OF PHOTOGRAPHIC ACTIVITY SCHEDULES

The parents of 3 boys with autism were taught to help their children follow photographic activity schedules depicting a variety of home-living tasks. A multiple baseline across participants showed that the home-based intervention produced increases in children's engagement and social initiations and decreases in disruptive behavior, which were maintained for as long as 10 months.     

TEACHING A PARENT TO TRAIN A SPOUSE IN CHILD MANAGEMENT TECHNIQUES

This study analyzed several aspects of the training of a mother and father in child management techniques for use with their 6-year-old severely developmentally delayed son. The mother received clinic training in procedures for increasing her son's independent dressing skills; subsequently, she was asked to teach the same procedures to her husband with no assistance from the trainer. For both parents, procedures were introduced sequentially across two components of parent behavior in a multiple baseline design. Examinations were made of (a) the effectiveness of initial child management training on the mother's behaviors, (b) her ability to teach the same techniques to her husband independently, (c) the generalization of both parents' skills from the training setting (a dressing task) to two untrained activities (eating and toy use), and (d) the impact of training on the child's behavior. Results showed that the mother learned to implement the trained procedures and successfully communicated them to her husband, as evidenced by substantial positive changes in both parents' behaviors after being introduced to the child management skills. Both parents showed some generalization to the untrained activities, and their written comments following training indicated they understood the procedures. Clear-cut improvements were observed in the child's attending and independent performance of dressing and toy use skills concurrent with parent training. A 2-year follow-up report indicated that both parents retained their knowledge of skills taught, continued to use the procedures, and rated the training as very helpful in teaching the child self-help skills.     

TEACHING CHILDREN APPROPRIATE SHOPPING BEHAVIOR THROUGH PARENT TRAINING IN THE SUPERMARKET SETTING1

The shopping behavior of three elementary school-age boys was analyzed and parent-child interactions assessed for one boy and his mother. Estimates of parent or consumer satisfaction with child shopping behavior were also obtained. The effects of a parent-mediated treatment package on child behavior were assessed using a multiple-baseline design. Treatment produced significant increases in appropriate shopping behavior in all three children and parents became increasingly satisfied with improved child behavior. Analysis of data for one mother also revealed that her manner of interacting with her child became more positive.     

Support reciprocity and depression among elementary school and high school students1

Abstract: This study examined the relationship between support reciprocity in friendships and depression among elementary school and high school students, taking specific account of the quality of parent‐child relationships. The participants were 340 first‐year high school students and 317 sixth‐year elementary school students, all of whom completed questionnaires measuring levels of depression and support receiving and support giving in the relationship with their best friend. In addition, high school students answered questions about their parents’ child‐rearing attitudes. Consistent with predictions, it was shown that support reciprocity correlated significantly with lower depression among high school students but not among elementary school students. Moreover, it was found that for high school students who perceived their parents as caring and affectionate, support reciprocity related significantly to lower depression but not for those who perceived their parents as distant and dismissive.     

Parents’ perceptions of children’s executive functions across different cities

Culture is thought to strongly influence the development of executive functions (EF), such that ethnic groups with similar cultural origins are generally assumed to exhibit comparable levels of EF performance. However, other characteristics, such as urbanization and Westernization, may also affect EF performance in societies comprising different ethnic groups, even if the ethnic groups share a similar cultural origin. The present study aimed to compare the perceptions of parents in three cities [China–Shenzhen (ZH group), China–Hong Kong (HK group), and Singapore (SG group)] regarding the EF performances of their children, all of whom share the same genetic and cultural (i.e., Chinese) origin. The study recruited 95 children aged 5–6 years (ZH group = 32; HK group = 32; SG group = 31). Their parents were invited to complete the Behavior Rating Inventory of Executive Function (BRIEF). The ZH group had significantly lower BRIEF scores compared to both the HK and SG groups. However, the BRIEF scores of the HK and SG groups only differed significantly in terms of the Organization of Materials domain. The results suggest city-related differences in parents’ perceptions of their children’s EF performances, despite their similar genetic and cultural backgrounds. We additionally discuss further interpretations of our results and the limitations of this study.