Reducing Problem Behavior Research Articles

Behavioral interventions for Black male students: A systematic review.

Educators use behavioral interventions to help children with behavioral concerns in school settings. Research on these interventions has shown that they can be effective in reducing concerning behaviors in students of different ages, educational settings, and behavioral topographies. However, Black male students continue to be disproportionately punished in schools. Although various factors (e.g., systemic racism) likely contributed to this issue, a review of the research participants of evidence-based interventions reported by the What Works Clearinghouse found a lack of representation of Black children in the studies. Without research on the effectiveness of interventions for Black male students, educators and researchers may perpetuate the current problem. This necessitates examining their representation in such research to inform effective behavioral interventions at schools. The criteria for inclusion were as follows: (a) journal articles and unpublished dissertations or theses, (b) participants who were children aged 3-18 years, (c) interventions targeting behavioral modification to reduce problem behaviors, (d) studies conducted in school settings, and (e) research utilizing single-subject designs. The results of the review included 15 studies with a total of 34 Black male participants. Of the studies reviewed, the majority were not function-based and did not meet the What Works Clearinghouse's design standards without reservations. Limitations and practical implications within a cultural context are also discussed. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Characterization and Outcomes of Profoundly and Non-profoundly Autistic Individuals Admitted to a Specialized Psychiatric Inpatient Unit.

The prevalence of autism spectrum disorder (ASD) is currently estimated to be 1 in 36 children. While much is known about the impact of ASD on family and community functioning as well as treatment outcomes, less is known about a relatively new categorization of ASD, called "profound autism." The current study evaluated 14 consecutively admitted patients meeting criteria for profound autism to a specialized psychiatric inpatient and partial hospitalization program. We then selected 15 non-profoundly autistic youth admitted immediately before or after each profoundly autistic youth to serve as a comparison. Patient caregivers completed measures about parental stress and the severity and frequency of patient problem behavior, and patients participated in functional analyses of problem behavior and function-based treatment programs during their admission. Results showed profoundly autistic youth spent an average of 14 more days admitted to the psychiatric unit, and they engaged in higher parent-reported severity and frequency of self-injurious and stereotypic behavior. Functional analysis results for profoundly autistic youth showed a higher occurrence of automatically reinforced problem behavior but otherwise similar results. As well, profoundly autistic youth showed a lower percentage reduction in problem behavior at the end of the psychiatric hospitalization than their non-profoundly autistic peers. Profoundly autistic youth seem to require a high level of behavioral support, even after psychiatric hospitalization. Insurance companies and therapists need to recognize these challenges and invest sufficient resources to meet their treatment needs.

Functional analysis and treatment of problem behavior by domesticated canines.

Functional analyses are used to assess maintaining variables of behavior. Despite the large amount of research on functional analyses with humans, there are limited examples with nonhumans and even fewer studies incorporating modifications to standard methods of assessment with nonhumans. One modification that has yet to be evaluated with nonhuman animals is the trial-based functional analysis in which control and test conditions are embedded in naturalistic environments. This study compared a standard functional analysis with a trial-based functional analysis across different topographies of problem behavior with dogs. The results of the functional analyses corresponded for every dog. Individualized treatments were designed to reduce problem behavior. Implications of the trial-based functional analysis include feasibility for privately owned dogs and dogs under the care of shelters. The trial-based functional analysis offers a modification to established functional analyses that may allow increased access to the assessment of problem behavior.

Maternal support in preschool and child behavior problems: The mediating role of childhood emotion knowledge.

Children's emotion knowledge encompasses abilities to recognize and label emotions in the service of positive adaptation. Drawing on a sociodemographically diverse sample of 250 children (50% female sex assigned at birth; Mage_W1 = 49.02 months, SD = 2.99) and their maternal caregivers (55.6% Latina; 37.6% poverty), this study evaluated a multiple mediation model to integrate heretofore distinct bodies of research examining (a) parenting effects on the development of emotion knowledge and (b) emotion knowledge effects on socioemotional adaptation. Observations of maternal supportive presence at age 4 predicted increases in children's emotion recognition and labeling from ages 4 to 8. However, only emotion labeling skills explained children's behavioral adjustment outcomes with a significant pathway from supportive parenting at age 4 to fewer externalizing and internalizing behavior problems at age 10 via improved emotion labeling skills. These findings suggest that emotion knowledge, particularly labeling skills, partially explains the protective impact of supportive parenting on behavioral adaptation across childhood. Prevention and intervention efforts should target both supportive parenting practices and emotion knowledge skill development to support children's socioemotional functioning and reduce behavior problems. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Mobile App-Assisted Parent Training Intervention for Behavioral Problems in Children With Autism Spectrum Disorder: Pilot Randomized Controlled Trial.

In children with autism spectrum disorder (ASD), problem behaviors play a dysfunctional role, causing as much difficulty with daily living and adjustment as the core symptoms. If such behaviors are not effectively addressed, they can result in physical, economic, and psychological issues not only for the individual but also for family members. We aimed to develop and evaluate the feasibility of a mobile app-assisted parent training program for reducing problem behaviors in children with ASD. This open-label, single-center, randomized controlled trial was conducted among parents of children with ASD aged 36-84 months. Participants were recruited from the Department of Psychiatry at Seoul National University Hospital. Participants were randomly assigned (1:1) by a blinded researcher. Randomization was performed using a stratified block randomization (with a block size of 4). Parents in the intervention group completed the mobile app-assisted parent training program at home over a 12-week period. They continued to receive their usual nondrug treatment in addition to the mobile app-assisted parent training program. The control group continued to receive their usual nonpharmaceutical treatment for 12 weeks without receiving the parent training program intervention. The primary outcome measure was the median change in the Korean Child Behavior Checklist (K-CBCL) scores from before to after the intervention. Lower scores on the K-CBCL indicated a decrease in overall problem behavior. Between November 9, 2022, and December 8, 2022, 64 participants were enrolled. Overall, 42 children (intervention group median age: 49, IQR 41-52.5 months; control group median age: 49, IQR 42-58 months) of the participants joined the program. The intervention group included 20 (48%) participants and the control group included 22 (52%) participants. In the intervention group, the K-CBCL total scores showed a decrease after the intervention, with a median difference of -0.5 (95% CI -4.5 to 3). Pervasive developmental disorder scores also showed a decrease, with a median difference of -2.1 (95% CI -8.5 to 2.5). However, there was no significant difference in Clinical Global Impression-Severity of Illness scores after the intervention for both the control and intervention groups. Scores on the Korean version of the Social Communication Questionnaire showed a further decrease after the intervention in the intervention group (median difference -2, 95% CI -4 to 1). Caregivers' stress evaluated using the Korean Parenting Stress Index Fourth Edition-Short Form did not show any significant differences between the control and intervention groups. There were no adverse events related to study participation. The findings demonstrated the feasibility of using mobile devices for evidence-based parent training to reduce problem behaviors in children with ASD. Mobile devices' accessibility and flexibility may provide a viable alternative for offering early intervention for problem behaviors in children with ASD. CRIS KCT0007841; https://cris.nih.go.kr/cris/search/detailSearch.do?&seq=23112.

The Impact of the Missouri School-Wide Positive Behavior Support (MO SW-PBS) on Disciplinary Exclusions

The negative outcomes of exclusionary discipline practices on children and youth are well established. Fortunately, for the past two decades, research has demonstrated that pro-active instructional approaches and building supportive class and school environments can effectively promote student social, emotional, and behavioral well-being, especially when evidence-based practices are placed within a problem-solving multitiered system of supports such as school-wide positive behavioral interventions and supports (SWPBIS). Recent work examining state-wide behavioral interventions and supports (PBIS) initiatives, which include professional development and technical assistance to school leadership teams, has clearly documented that educators can reduce problem behavior and thereby reduce the need or use for exclusionary discipline practices. This study extends that body of knowledge by examining Missouri’s SWPBIS initiative over time and across grade levels. Using an extant data base, schools implementing SWPBIS with fidelity were compared with nonimplementing schools over 11 school years. Results indicated that schools implementing SWPBIS with fidelity had statistically significant lower rates of exclusionary discipline practices at the primary, middle, and high school level. Results are discussed within the context of past state-wide SWPBIS initiatives.

The Impact of Combined Within- and Across-Activity Choice on the Indices of Happiness and Unhappiness of Autistic Children

Abstract Objectives Autistic children often have fewer opportunities to develop autonomy and demonstrate self-determined behavior, which are key to quality of life. Including opportunities for making choices during discrete trial training (DTT) may promote self-determination. Studies have shown that embedding choice opportunities into DTT can reduce problem behaviors and increase academic engagement, but the effects of choice on quality of life indicators such as signs of happiness have rarely been examined. The purpose of this study was to measure changes in operationally defined individualized indices of happiness and unhappiness of three autistic children during DTT sessions with embedded choice-making opportunities. Methods Three preschool boys on the autism spectrum participated in the study. Their indices of happiness and unhappiness were measured using 15-s partial interval recording, while their task engagement was measured using 15-s whole interval recording. A concurrent multiple baseline across participants design was used to examine the effects of the choice intervention package. Results The additional choice-making opportunities moderately improved the behavioral indicators of happiness and unhappiness of all three children. Small improvements in task engagement were also observed for two of the three children. Conclusions This study demonstrated that various types of choice can be embedded into DTT programs for autistic children and provided preliminary evidence that additional opportunities for choice within DTT can improve the behavioral indicators of mood of autistic children.

TF-CBT for Child Earthquake Survivors: Promoting Self-Compassion, PTG, and Reducing Behavioral Problems

The present study aimed to explore the effectiveness of Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) in facilitating post-traumatic growth, increasing self-compassion, and reducing behavior problems among the children experiencing the 2017 Sarpol-e Zahab (Iran) earthquake. Among earthquake-traumatized 9-12-year-old girls, 24 were selected through purposive sampling. The 24 participants were randomly assigned to the experimental and the control group, each with 12 subjects. The experimental group received 12 sessions of TF-CBT, although 3 subjects left the experimental group during the sessions. Consequently, the analysis included 21 participants: 9 in the experimental group and 12 in the control group. The post-traumatic growth inventory for children revised (PTGI-C-R), the self-compassion scale-short form (SCS-SF), and the Rutter children’s behavior questionnaire for parents were completed at baseline, after the intervention, and one-month follow-up. The results indicated that compared to the control group the participants in the experimental group obtained higher scores in post-traumatic growth and lower scores in behavior problems (i.e., aggression and hyperactivity, and anxiety and depression) (p <.01) which were consistent in the follow-up period. It was also find out that, the experimental group reported higher levels of self-compassion in the follow-up (p <.01). The study suggests that TF-CBT may be effective in improving post-traumatic growth, self-compassion, and behavior problems among children affected by earthquake trauma.

Playing Board Games to Increase Emotional Competencies in School-Age Children and Older People: A Systematic Review

Board games have always been a part of our lives. Most studies highlight their potential for learning in childhood and for maintaining cognitive functions in older people. Nevertheless, regarding the benefits in childhood and older people and the social nature of board games, few studies have investigated the emotional nature of these shared play sessions. Thus, we conducted a systematic review of the scientific literature between 2011 and 2024 to identify the benefits of playing board games for both school-age children and older people in terms of emotional competence. First, we collected 1995 articles with defined keywords from online databases. Then, 11 articles were selected. For older people, most studies reported the usefulness of board games for emotional competencies, especially regarding depression, social interactions and communication. In childhood, board games were found to be an interesting tool for emotional competencies, helping reduce problem behaviors, support pro-social behaviors and emotion-related discussion.

Reducing behavior problems in children born after an unintended pregnancy: the generation R study

ObjectivesTo examine differences in behavior problems between children from intended versus unintended pregnancies, and to estimate how much the difference in problem behavior would be reduced if postnatal depression was eliminated and social support was increased within 6 months after birth.MethodsData from the Generation R Study were used, a population-based birth cohort in Rotterdam, the Netherlands (N = 9621). Differences in child internalizing and externalizing behavior at ages 1.5, 3, 6, 9 and 13 years between pregnancy intention groups were estimated using linear regression. Associations of postnatal depression and social support with internalizing and externalizing problems were also estimated using linear regression. Child behavior outcomes where compared before and after modelling a situation in which none of the mothers experienced a postnatal depression and all mother experienced high social support.ResultsMost pregnancies (72.9%) were planned, 14.8% were unplanned and wanted, 10.8% were unplanned with initially ambivalent feelings and 1.5% with prolonged ambivalent feelings. Children from unplanned pregnancies had more internalizing and externalizing problems at all ages as compared to children from a planned pregnancy, especially when ambivalent feelings were present. Hypothetically eliminating on postnatal depression reduced the differences in internalizing and externalizing problems by 0.02 to 0.16 standard deviation. Hypothetically increasing social support did not significantly reduce the difference in internalizing and externalizing problems.ConclusionsChildren from an unplanned pregnancy have more behavior problems, in particular when mothers had prolonged ambivalent feelings. Eliminating postnatal depression may help to reduce the inequality in child behavior related to pregnancy intention.

The Effects of Exercise Intervention on Physical Fitness and Problem Behaviors in Children with Developmental Disabilities: Focused on the Development of Evidencebased Exercise Program

PURPOSE: Developmental disabilities often result in decreased physical fitness and problematic behaviors. Participating in regular physical activity and exercise is one of the main ways to improve problems associated with developmental disabilities. In this study, we aimed to develop an evidence-based exercise program tailored to the characteristics, disability level, and functional level of children with developmental disabilities.METHODS: The development process is composed of the following nine steps: preliminary literature review, survey of physical activity participation, first expert group discussion, development of the first exercise program, feasibility study, focus group interview, second expert group discussion, development of the evidence-based exercise program, the validation of the developed exercise program.RESULTS: Participating in the evidence-based exercise program developed in this study was found to significantly improve cardiovascular fitness (6-minute walk), agility (standing long jump), and muscular function (sit-ups), but did not yield significant results in terms of flexibility (sit-and-reach). Additionally, the exercise program showed significant results in terms of reducing problem behaviors. The parents of children with developmental disabilities were all satisfied with the exercise program and its outcomes.CONCLUSIONS: The evidence-based exercise program developed in this study had positive effects on the physical fitness and behavior of children with developmental disabilities. This study provides a basis for the development of exercise programs through a safe and effective means for children with developmental disabilities.

Profiles of Teacher-Student Relationships and Classroom Management Practices: How They Relate to Self-Efficacy, Work Stress, and Classroom Climate

&lt;p style="text-align:justify"&gt;Teachers' classroom practice encompasses diverse facets of teacher behavior. Understanding teachers’ classroom practice is important as the literature has been well documented its association with student, teacher, and classroom outcomes. Positive teacher-student relationships and proper classroom management, both are important aspects of teachers’ classroom practices, have been empirically linked to increasing student academic performance and reducing problem behaviors. This study explored patterns of teacher classroom practices across teacher-student relationships and classroom management and validated them using a person-oriented approach, k-means clustering, on three sets of data with over 600 participants. Using indicators of classroom assessment scoring system (CLASS), three distinct teacher profiles were identified: supportive, intermediate, and detached. Supportive teachers demonstrated high levels of teacher-student relationships and classroom management, while detached teachers showed low levels of both. Intermediate teachers fell between these two groups. The study also compared these profiles based on teacher self-efficacy, work stress, and classroom climate. Supportive teachers had the highest classroom climate scores, followed by intermediate and detached. Work stress was comparable for intermediate and supportive teachers, but both were lower than detached. No group differences were found for self-efficacy. This study contributes to the understanding of teacher behaviors with students in the lower grades.&lt;/p&gt;

Comparison of social skills and problem behaviours of children with different developmental disabilities

Objectives Difficulties in social skills, such as a lack of understanding of emotions and thoughts, deficiencies in problem-solving, and struggles in establishing peer correlations, can negatively impact both the social and academic dimensions of one’s life, resulting in the emergence of problematic behaviors. Studies have consistently shown a correlation between the social skills and problem behaviors of children with developmental disabilities. Therefore, it may be essential to compare the social skills and problem behaviors across various developmental disabilities and understand the correlation between them to design effective intervention programs. Methods In this study, the social skills and problem behaviors of 172 children and 18 teachers in inclusive classrooms, special education classrooms, and special education schools were analyzed. The Social Skills Rating System-Teacher Form assessed children’s social skills and problem behavior profiles with different developmental disabilities. Results The findings revealed that children with autism spectrum disorder exhibited the most significant social skill deficits and the most intense problem behaviors. Following autism spectrum disorder, those with intellectual disabilities, learning difficulties, and language and speech difficulties experienced elevated levels of social skill deficits. In terms of problem behaviors, after autism spectrum disorder, those with intellectual disabilities, language and speech difficulties, and learning difficulties exhibited the most intense problem behaviors. Gender differences were observed, with girls demonstrating higher social skills and lower problem behaviors than boys. Children with developmental disabilities receiving inclusive education showed higher social skills than those educated in special education schools. Additionally, a strong negative correlation between the social skills and problem behaviors of children with developmental disabilities was identified. Conclusions Our results show that social skills and problem behaviors of children with developmental disabilities vary according to the type of disability, age, gender, and educational settings. In addition, our results show that improving the social skills of children with developmental disabilities can effectively prevent and reduce problem behaviors.

Effectiveness of a training program among parents of preschool children with ASD in Tunisia: a randomized controlled trial

Raising a child with ASD can be overwhelming and challenging for parents, and it poses different needs that require support, guidance, and education. Purpose: The aim of this study was to assess the effectiveness of a psychoeducational intervention developed to support parents of children with ASD in Tunisia. A randomized controlled trial was carried out in three Autism socio-educational centers in Tunisia. The study was conducted among parents of children with ASD aged 3 to 8 years from November 2020 to January 2022 (N = 31) compared to a control sample of parents of children attending the same centers but received no specific parent intervention (n = 31). The “Blue Hope” program includes eight training sessions delivered through a combination of face-to-face and online sessions. Results showed that the program significantly improved communication and reduced behavior problems in preschool children with ASD, with a significant positive difference noted at the 6-month follow-up. The program also had a positive impact on parental anxiety and depression, with significant and positive differences observed in anxiety and depression scores and the total score at follow-up compared to baseline. These findings suggest that the “Blue Hope” program could be a cost-effective and valuable solution for parents of children with ASD in Tunisia and could be the first step in developing and improving training programs for parents in low-income countries.

Training and coaching early childhood teachers to foster social, emotional, and behavioral competence of children in Turkey.

A growing evidence base demonstrates the effectiveness of teacher training and coaching interventions to improve teacher- and child-level outcomes in high-income countries. However, more information is needed to show the benefits of these interventions in low- and middle-income countries (LMICs). To provide an evidence base for LMICs, we conducted a cluster-randomized controlled trial examining the efficacy of a teacher training and coaching intervention for promoting children's social, emotional, and behavioral competence, Reaching Educators and Children (REACH) Classroom Check-Up (CCU), on teachers' behaviors, teacher-child relationship quality, and children's social competence and problem behaviors. Participants included 20 early childhood teachers and 175 children (4-6 year olds) in Turkey. Findings indicate that REACH CCU increased teachers' positive behaviors and teacher behaviors that support social, emotional, and behavioral competence of children, while reducing teachers' negative behaviors. Teachers in REACH CCU demonstrated an increased level of closeness and reduced levels of conflict with children in their classrooms. Furthermore, REACH CCU improved teacher-reported social competence and reduced problem behaviors of children. Results provide evidence that REACH CCU is a promising approach for improving teachers' behaviors, teacher-child relationship quality, and children's social, emotional, and behavioral competence, especially in LMICs. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Evaluating preference displacement of edible stimuli and social interactions for typically developing preschool children

AbstractEdible and leisure items are often used in behavioral intervention to teach skills or reduce problem behavior. Social interactions, however, have also been shown to function as reinforcers for both typically developing children and children diagnosed with autism. Previous research has been conducted investigating preference displacement between edible, leisure and social items. The current study included edible stimuli and social interactions to evaluate whether patterns of displacement would appear with typically developing children. Multiple stimulus without replacement preference assessments were conducted to identify highly preferred stimuli from both edible item and social interaction classes to use in combined assessments to evaluate displacement. Three of six participants showed complete displacement of social interactions by edible items and three participants showed patterns of partial displacement. Two of the participants demonstrating patterns of partial displacement showed a disproportionate preference for social interactions.

Supporting Paraeducators and their Use of Active Supervision at Recess: An Exploratory Study

Schools have increasingly relied on paraeducators in elementary settings to help address student needs. Research demonstrates that simple prevention strategies, like active supervision (e.g., moving, scanning, interacting), can reduce problem behavior in areas where paraeducators are assigned; however, less is known about how to best support paraeducators in implementing these practices. For this study, four paraeducators participated in a brief training on recess active supervision and then engaged in self-management by filling out a checklist and direct behavior ratings (DBRs). Using a multiple baseline across participants design, we introduced the intervention to participants in a randomly assigned order and examined effects, fidelity, and social validity. Results suggest that training and self-management may lead to changes in the interacting behavior of active supervision at recess with more frequent prompting and praising by the paraeducators. Despite limitations, this exploratory study has implications for schools and researchers.

THE EFFECTIVENESS OF TOKEN ECONOMY IN IMPROVING CONCENTRATION AND REDUCING DISRUPTIVE BEHAVIOUR AMONG AUTISTIC STUDENTS

Inattention refers to behaviors that disrupt the learning process due to a lack of focus on learning activities. This study was conducted to identify the efficacy of applying token economy to improve attention spans and manage disruptive behaviours in autistic students. This is a experimental research and uses A-B-A-B, where A denotes the baseline phase and B signifies the intervention phase, the study included an eight-year-old autistic girl and two nine-year-old autistic boys as participants. Data were collected for observation at the school for four weeks, which involved first baseline phase, first intervention phase, second baseline phase and second intervention phase. Data collection involved a four-week observation at the school, encompassing periods before, during, and after the intervention, and was presented in the form of a linear graph depicting the effectiveness of the token economy. The results of this study indicate that the use of token economy enhanced autistic students' motivation in paying attention and reduced behavior problems. Overall, this study shows token economy is a form of intervention which is effective in improving attention spans of autistic students. Disruptive behaviours may be reduced at the same time overcome by maintaining a consistent token economy with continuous reinforcement over an extended period, along with the full cooperation of parents and other teachers.

Mothers' Perceived Co-Parenting and Preschooler's Problem Behaviors: The Mediating Role of Maternal Parenting Stress and the Moderating Role of Family Resilience.

Problem behaviors in preschoolers signals social adjustment challenges. This study investigates the mediating role of parenting stress in the relationship between co-parenting and these behaviors, and examines how family resilience impacts this dynamic. A detailed survey was conducted with 1279 mothers of 3-6-year-olds in Shanghai, China, focusing on co-parenting, family resilience, parenting stress, and children's behaviors. We employed SPSS 26 for initial tests and the Hayes PROCESS macro in SPSS 23.0 for advanced analysis, using bootstrap methods to assess mediation and moderation effects. The analysis revealed that maternal parenting stress mediates the relationship between co-parenting and children's problem behaviors. Specifically, unsupportive co-parenting or low levels of supportive co-parenting heightened maternal stress, which in turn increased children's problem behaviors. Family resilience was found to moderate this relationship, buffering the impact of unsupportive co-parenting on maternal stress. High family resilience levels were associated with lower parenting stress, regardless of co-parenting quality. These findings highlight the importance of enhancing family resilience and supportive co-parenting to mitigate parenting stress and reduce problem behaviors in children. It has practical implications for developing family-centred interventions and policies to strengthen family resilience and co-parenting skills.

Family skill development for attention deficit hyperactivity disorder behavior problem alleviation model in at-risk preschool children: a mixed methods study

Introduction: Attention Deficit Hyperactivity Disorder is the most prevalent childhood mental health problem. This study examined families caring for children with ADHD and created a model to alleviate behavior problems in at-risk preschoolers. Methods: This exploratory sequential mixed-methods study comprised two phases. Phase 1 included a qualitative retrospective survey that examined family experiences in caring for ADHD children. This involved in-depth interviews with 14 family caregivers (FCGs) and utilized thematic content analysis. Phase 2 involved creating, implementing, and evaluating a family skill development model using a quasi-experimental design. Thirty FCG- ADHD at-risk preschool child dyads, utilizing services at two Child Development Clinics, were paired and equally divided into experimental and control groups. Data analysis used repeated measures ANOVA and covariances (ANCOVA). Results: The study FCGs reported that family-child interactions and positive parenting alleviated the ADHD at-risk preschool child’s behavior problems. The Family Skill Development for ADHD Behavior Problem Alleviation Model was constructed and validated. Results from within-group comparisons showed significant improvements in the experimental group, with reduced behavior problems (p&lt;0.05, ηp2=0.28) in ADHD at-risk children, improved caregiver behaviors to alleviate the child’s behavior problems (p&lt;0.01, ηp2=0.37), and enhanced family functions (p&lt; 0.001, ηp2=0.42). Conclusions: The model significantly aids families in alleviating behavior problems in ADHD at-risk children, improving family functions and caregivers’ efforts to address the children’s behavioral issues. It is a promising parental intervention model for fostering healthy families and reducing behavior problems in ADHD-at-risk preschool children in northeastern Thailand and similar contexts.