Abstract

Parenting is central to the health and well-being of children. Children with developmental disabilities have been shown to be at increased risk of developing emotional and behavioral problems. Parent training programs are effective interventions for improving child behavior and family functioning. This paper describes the outcomes of a brief 4-session parenting intervention (Primary Care Stepping Stones Triple P) targeting compliance and cooperative play skills in an 8-year-old girl with Asperger's disorder and ADHD combined type. The intervention was associated with decreases in child behavior problems, increases in parenting confidence, and decreases in dysfunctional parenting styles. This paper demonstrates that low-intensity parenting interventions can lead to significant improvements in child behavior and family functioning. Such brief interventions are cost effective, can be widely disseminated, and have been designed to be delivered within primary health care settings. Pediatricians can play a key role in identifying parents in need of assistance and in helping them access evidence-based parenting interventions.

Highlights

  • Children with developmental disabilities are at increased risk of developing behavioral and emotional problems [1]

  • At the fourth session, monitoring data indicated that both goals had been met with 75% success. Both parents reported high levels of satisfaction with the program. This case highlights the benefits that primary care parenting interventions can have on family functioning

  • The parents of an 8-year-old girl with Asperger’s disorder and attention deficit hyperactivity disorder (ADHD) combined type participated in a four-session parenting program which led to significant reductions in child behavior problems, improvements in parenting confidence, and decreases in the use of dysfunctional parenting styles

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Summary

Introduction

Children with developmental disabilities are at increased risk of developing behavioral and emotional problems [1]. The provision of parenting programs for parents of children with disabilities is warranted Due to their ongoing contact with families, pediatricians have an important role to play in promoting and disseminating parenting services [4]. Stepping Stones Triple P takes a public health perspective to promote widespread dissemination of parenting programs and provide the minimally sufficient level of intervention required to meet the needs of each individual family [12]. Randomized controlled trials have provided evidence for the efficacy of Stepping Stones Triple P when presented in a seminar format [13], and when delivered as 8–10 group or individual sessions [14,15,16]. PCSSTP consists of four brief sessions targeting one or two specific child problems This program is designed to be delivered by primary health care providers and allied staff, including pediatricians and child health nurses. This paper describes the treatment and outcomes for the family of an 8-year-old girl with Asperger’s disorder and attention deficit hyperactivity disorder (ADHD) combined type whose parents took part in a brief parenting intervention

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