Effectiveness Of Parent Management Training Research Articles

The effectiveness of parent management training (PMT) on anxiety and depression in parents of children with ADHD to improve their children's behavior and performance in Baharan hospital, Zahedan, Iran, 2011

The effectiveness of parent management training (PMT) on anxiety and depression in parents of children with ADHD to improve their children's behavior and performance in Baharan hospital, Zahedan, Iran, 2011

The Effects of Parent Management Training, Problem-solving Skills Training and the Eclectic Training on Conduct Disorder in Iranian Elementary School Students

The present study investigated the effects of parent management training, problem-solving skills training and theeclectic training on symptoms of conduct disorder in Isfahan elementary school students during the educationalyear 2010-2011. The sample included 40 male pupils (ages 10 to 11) randomly selected assigned to experimentaland control groups. Four groups were formed (each group consisted of 10 students), namely parent managementtraining, problem-solving skills training, eclectic training and a control group. Child Behavior Checklist (CBCL,Achenbach, 1991) and clinical interview were used as research instruments. Three methods were used asintervention (parent management training, problem-solving skills training and the eclectic training).The resultsof the analysis of covariance ANCOVA with repeated measure indicated a significant difference between parentmanagement training, eclectic training and the control group, however no significant difference was observedbetween problem solving skills training group and the other groups. Scheffe post-hoc test was also used whichindicated that parent management training and eclectic training intervention decreased the conduct disordersymptoms in comparison with the control group. Also, the results indicated that eclectic training was moreeffective than parent management training.

P01-357 - The effectiveness of parent management training in parent- child relationship and parental self-efficacy of mothers with autistic children

IntroductionOne of the most significant stressors for families is extent of behaviour problems exhibited by children with developmental disabilities. These affects parental efficacy and parent-child relationship which are important variables for optimal parenting (Hastig and Brow, 2002).AimThe aim of the present study was to examine the effectiveness of parent management training to increase child-parent relationship and parental self-efficacy of mothers with autistic children.Methods30 mothers of children with autism (17 in experimental group and 13 in control group) were included. The experimental group participate in parent management training sessions includes behaviour modification techniques for 6 weeks. The scales of this research were Parenting Self-Agency Measure (Dumka, Storerzinge, Jackson and Koosa, 1996) and Parent _Child Relationship test (Pianta, 1994). t test were used to compare the meanings of pre-tests and post-tests.ResultsThe results indicate that there was significant differences between parenting self-efficacy (p < ./05) and parent-child relationship (p < ./001) scores. The experimental group's parental self-efficacy and positive parent-child relationship were significantly higher than control group and parent management trainings increase those important variables in mothers of children with autism.ConclusionParent management training programmes can enhance parental self-efficacy and parent-child relationship and prevent many problems in families with autistic children.

Treatment effectiveness of parent management training in Norway: A randomized controlled trial of children with conduct problems.

This study was a randomized control trial (RCT) of Parent Management Training--The Oregon Model (PMTO) in Norway. A sample representing all health regions of Norway and consisting of 112 children with conduct problems and their families participated in the study. Families were randomly assigned to either PMTO or a regular services comparison group. PMTO was delivered via existing children's services, and families were recruited using the agencies' regular referral procedures, making this the first effectiveness study of PMTO and the first RCT of PMTO conducted outside of the United States. Using a multiagent-multimethod approach, results showed that PMTO was effective in reducing parent-reported child externalizing problems, improving teacher-reported social competence, and enhancing parental discipline. Age level and gender modified the effects of PMTO treatment on other outcomes. In a path model, participation in PMTO was associated with improved parental discipline, and effective discipline predicted greater child compliance, fewer child-initiated negative chains, and lower levels of child externalizing problems. Findings are presented along with a discussion of the implications for practice and research and the challenges accompanying effectiveness trials.

Engagement and Effectiveness of Parent Management Training (Incredible Years) for Solo High-Risk Mothers: A Multiple Baseline Evaluation

AbstractThe effectiveness ofThe Incredible Yearsparent-training program with a small sample of four high risk solo mothers in a public clinic setting was assessed. All families had a number of risk factors for early drop-out and poor outcomes. Mindful of resource limitations in the public setting, economical strategies were used to enhance attendance rates and engagement. For the outcome evaluation, a multiple baseline across participants design was used. Participants attended a 2-hour group treatment session weekly for twenty weeks, with booster sessions at 2 months and 4 months following treatment. Participants had sons aged between 6 years and 9 years diagnosed with ADHD. Family functioning was assessed from a pretreatment interview schedule, measures of child behaviour and parent and family functioning. Participants also completed program satisfaction and program evaluation measures. Results showed: (a) all mothers engaged with and finished the program, (b) improvement in family functioning, (c) improvements in some teacher and parent reports of child behaviour, (d) increased parenting confidence, (e) reduced stress and depression levels for most parent participants, and (f) reports of better parent–child relationships. Additionally, participants all reported being highly satisfied with the program. Findings overall support the use of easy to do engagement strategies and the use of theIncredibleYears parent-training program as an effective, low cost and early step intervention for families at higher risk in a day-to-day practice setting. The use of this intervention in an overall stepped care approach is considered and discussed.

Maternal attributions and expressed emotion as predictors of attendance at parent management training

The effectiveness of parent management training (PMT) as a treatment for child behaviour problems is reduced by high attrition rates. One difficulty with engaging mothers is that, by definition, PMT is directed at the parent, yet many parents believe the cause of the problem lies within the child. Hence the model of therapy offered contradicts their understanding about the cause and nature of the problem. Moreover, the emotional consequence of holding child-responsibility causal attributions is associated with high expressed emotion (EE), a known predictor of poor compliance with therapy in other child psychiatric disorders. Seventy-five consecutive referrals of mothers to a PMT programme were recruited. EE was assessed using the Camberwell Family Interview methodology. Spontaneous causal attributions about their child's problem behaviour were collected from the same interview material and independently coded using the Leeds Attributional Coding System. Attendance data at the PMT programme was collected following completion of programmes. Contrary to expectations, mothers who made child-responsibility attributions and were highly critical about their child's behaviour were no more likely than non-blaming, low EE parents to drop out prematurely from a course of PMT. However, expressing an understanding of their own role in managing their child's behaviour was predictive of attendance. Two factors were, however, more closely associated with greater attrition: having been offered a clinical diagnosis and being from a lower socio-economic family. Socio-economic factors should be viewed as barriers to uptake of services and successful strategies for increasing engagement of families are likely to be economical rather than psychological. However, although the causal attributions mothers make about their child's behaviour did not predict whether they were likely to attend PMT, an exploratory analysis found evidence to suggest that successful engagement with PMT begins early in the referral process and that referring clinicians should ensure treatment options are aligned with diagnoses provided.

A eficácia de treinamento de pais em grupo para pacientes com transtorno desafiador de oposição: um estudo piloto

BACKGROUND: Oppositional-defiant disorder (ODD) is considered a hard to treat condition. The aim of this study was to assess the effect of parent management training (PMT) on the symptoms of ODD and conduct disorder (CD) in Brazilian children with ODD. METHODS: We conducted a clinical evaluation in which data was analyzed from parents of five patients with ODD who participated in a PMT group. The ODD and CD symptoms were assessed before and at least a month after they started participating in the group. The outcome measures were rating scales based on the DSM-IV criteria for ODD and CD. RESULTS: Most patients continued to fulfill criteria for ODD, but the severity of their ODD symptoms was reduced 48,75%. The difference between the means on the severity scale of ODD symptoms was statistically significant (p= 0,031) The fulfillment of criteria for CD was largely diminished. CONCLUSIONS: PMT was effective for the reduction of ODD and CD symptoms in patients with ODD. PMT may represent a valuable therapeutic option for patients with ODD in different cultures.

Parent Management Training and the Treatment of Conduct Disorder

ABSTRACT This commentary examines the effectiveness of Parent Management Training (PMT) as an intervention for children with conduct disorder (CD). Included is a discussion of the difficulties inherent in treating CD, the conceptual relevancy of PMT in treating conduct disordered children, the empirical support for PMT's effectiveness, and comments regarding the limitations of PMT in treating CD. It is proposed that in regard to the treatment of CD, PMT is a conceptually sound approach that has strong empirical support regarding effectiveness and by nature is highly amenable to community dissemination. Given the complexities of CD, however, it is suggested that a multisystemic approach to care will likely be needed in which PMT represents an important component.

Early Intervention for Behaviour Problems in Young Children with Developmental Disabilities

This article reviews research on intervention for young children with dual developmental and behavioural problems. It makes a case for intervention to include family variables and to occur in the preschool years. Behaviour problems are common in young children with developmental disabilities. If untreated these problems are likely to persist and become more challenging and severe in adulthood. Behaviour problems interfere with cognitive, social and emotional development, create additional family stress, often lead to exclusion from community services, and result in additional financial costs to the community. Intervention research provides some support for the effectiveness of parent management training and interventions based upon applied behaviour analysis. However, randomised controlled trials with adequate follow-up periods are required, along with the measurement of outcomes for the family as a whole.

The effectiveness of parent management training to increase self-efficacy in parents of children with Asperger syndrome.

This study was a trial of an intervention programme aimed to improve parental self-efficacy in the management of problem behaviours associated with Asperger syndrome. The intervention was compared across two formats, a 1 day workshop and six individual sessions, and also with a non-intervention control group. The results indicated that, compared with the control group, parents in both intervention groups reported fewer problem behaviours and increased self-efficacy following the interventions, at both 4 weeks and 3 months follow-up. The results also showed a difference in self-efficacy between mothers and fathers, with mothers reporting a significantly greater increase in self-efficacy following intervention than fathers. There was no significant difference between the workshop format and the individual sessions.

Effects of Parent Management Training and Problem‐solving Skills Training Combined in the Treatment of Antisocial Child Behavior

This investigation evaluated the combined effects of parent management training (PMT) and cognitive-behavioral problem-solving skills training (PSST) for the treatment of antisocial behavior. Psychiatric inpatient children (N = 40, ages 7 to 12) and their parents were assigned randomly to either PMT-PSST combined or to a contact-control condition. In the combined treatment, parents received PMT and the children received PSST. In the control condition, parents received contact meetings in which the child's treatment was discussed; children met with a therapist in individual sessions where they discussed activities on the ward. All children participated in a short-term hospital program before their return to the community. Children in the PMT-PSST condition showed significantly less aggression and externalizing behavior at home and at school and greater prosocial behavior and overall adjustment than contact-control children. These results were evident immediately after treatment and at a 1-year follow-up assessment.