The efficacy of conjoint behavioral consultation in the home setting: Outcomes and mechanisms in rural communities |
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| Affiliation: | 1. Nebraska Center for Research on Children, Youth, Families and Schools, University of Nebraska-Lincoln, United States;2. University of Missouri-Columbia, United States;3. University of Iowa, United States;1. University of Pennsylvania, United States;2. Baylor University, United States;3. Education Development Center, Inc., Waltham, MA, United States;1. Department of Counseling and Human Development, University of Louisville, Louisville, KY, USA;2. Department of Educational Leadership, Evaluation and Organizational Development, University of Louisville, Louisville, KY, USA;1. Texas A&M University, 4225 TAMU, College Station, TX 77840-4225, United States;2. Arizona State University, Psychology Building Room 230, 950 South McAllister Avenue, Tempe Campus, United States;1. University of Leuven, Tiensestraat 102, 3000 Leuven, Belgium;2. University College Thomas More, Molenstraat 8, 2018 Antwerpen, Belgium;3. University of Leuven, Dekenstraat 2, 3000 Leuven, Belgium;1. Faculdade de Psicologia e de Ciências da Educação, Universidade de Coimbra, Rua do Colégio Novo, 3000-115, Coimbra, Portugal;2. Hospital Magalhães Lemos, Centro Hospitalar do Porto, Rua Professor Álvaro Rodrigues, 4149-003 Porto, Portugal |
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| Abstract: | This study reports the results of a randomized controlled trial examining the effect of Conjoint Behavioral Consultation (CBC), a family-school partnership intervention, on children's behaviors, parents' skills, and parent-teacher relationships in rural community and town settings. Participants were 267 children, 267 parents, and 152 teachers in 45 Midwestern schools. Using an Intent to Treat approach and data analyzed within a multilevel modeling framework, CBC yielded promising results for some but not all outcomes. Specifically, children participating in CBC experienced decreases in daily reports of aggressiveness, noncompliance, and temper tantrums; and increases in parent-reported adaptive skills and social skills at a significantly greater pace than those in a control group. Other outcomes (e.g., parent reports of internalizing and externalizing behaviors) suggested a nonsignificant effect at post-test. CBC parents reported using more effective parenting strategies, gaining more competence in their problem-solving practices, and feeling more efficacious for helping their child succeed in school than parents in the control group. Parents participating in CBC also reported significant improvements in the parent-teacher relationship, and the parent-teacher relationship mediated the effect of CBC on children's adaptive skills. Implications for practice in rural communities, study limitations, and directions for future research are discussed. |
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