Problem-solving skills training as a supplement to behavioral parent training

Abstract

This study evaluated the effectiveness of problem-solving training as an adjunct to parenting-skills training in a group program for self-referred parents concerned about child behavior problems. Fifty-three parents were randomly assigned to either parent training + problem-solving Training (n = 221), parent training + extra discussion (n = 16), or to a waiting list control group (n = 16). At posttest, both treatment groups demonstrated significant improvements in parenting behaviors as measured by a situation test of behavioral parenting skills, and by parent self-report of punitiveness. Both treatments also resulted in significant improvements in child behavior problems as measured by parent reports of three child behaviors of concern to them. On the other hand, only the parenting skills + problem solving-skills training program resulted in significant reductions in the intensity of the wider range of child behavior problems sampled by the Eyberg Child Behavior Inventory. Also, only the program with supplementary training in problem solving resulted in significant improvements in parent attitudes concerning the children's adjustment and character (Parent Attitudes Test), and concerning parents' own functioning in the parental role (Parenting Stress Index — Parent Domain). At 4- to 6-month followup, treatment gains were maintained in both treatment groups on four of seven outcome variables, but there were no statistically significant differences between the two groups. The implications of these results for preventive programs are discussed, as are the limitations of the study.