Parent training for children with pervasive developmental disorders: a multi‐site feasibility trial |
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| Authors: | Research Units on Pediatric Psychopharmacology [RUPP] Autism Network |
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| Affiliation: | 1. Eric M. Butter, Departments of Psychology and Pediatrics, The Ohio State University, Columbus Children's Hospital Autism Center, 187 West Schrock Road, Westerville, OH 43081, USA.;2. Participants in the Research Units on Pediatric Psychopharmacology (RUPP) Autism Network include: Eric M. Butter, Ph.D., Michael G. Aman, Ph.D. (Principal Investigator), L. Eugene Arnold, M.Ed., MD, Kristy Hall, BA, James A. Mulick, Ph.D., Jill Hollway, M.A., and Luc Lecavalier, Ph.D., The Ohio State University, Columbus, OH;3. Lawrence Scahill, MSN,Ph.D. (Principal Investigator), Denis G. Sukhodolsky, Ph.D., Susan Williams, Ph.D., Kathleen Koenig, MSN, Karen Bearss, Ph.D., and Roumen Nikolov, M.D., Yale University, New Haven, CT;4. Christopher, McDougle, M.D. (Principal Investigator), Kimberly Stigler, M.D., Naomi Swiezy, Ph.D., Arlene Kohn, B.A., Joy Fairbanks, M.S., Megan Grothe, B.A., Indiana University School of Medicine, Indianapolis, IN;5. Benjamin L. Handen, Ph.D. and Cynthia R. Johnson, Ph.D., The University of Pittsburgh School of Medicine, Pittsburgh, PA;6. and, Ann Wagner, Ph.D., Benedetto Vitiello, M.D., and Louise Ritz, MBA, National Institute of Mental Health. |
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| Abstract: | The primary purpose of this study was to evaluate the feasibility of a structured, manual‐based parent training (PT) program designed to reduce noncompliant behavior and enhance adaptive behavior in children with Pervasive Developmental Disorders (PDD) who were taking medication for irritability, tantrums, aggression, and self‐injury. Children (N = 17, mean age 7.7 ± 2.6 years) with PDD were enrolled in a 24‐week structured PT protocol. Parental attendance to sessions (93%), satisfaction with the program (92%), and adherence to PT assignments (80%) were excellent. The program was adequately implemented with a mean treatment integrity rate of 94%. Parent‐reported rates of noncompliance were reduced by 39%; irritability was reduced by 34%; and daily living skills were enhanced by 19%. Parenting stress was also reduced by 14%. However, these results must be interpreted with caution because the study did not include a control group. The study supports feasibility of the PT program, which will be used in an randomized clinical trials (RCT). Copyright © 2007 John Wiley & Sons, Ltd. |
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