Elsevier

Behavior Therapy

Volume 21, Issue 3, Summer 1990, Pages 319-337
Behavior Therapy

Predictors of treatment outcome in parent training for families with conduct problem children*

https://doi.org/10.1016/S0005-7894(05)80334-XGet rights and content

A total of 101 mothers and 70 fathers with conduct problem children completed a 10-week parent-training program. Treatment effectiveness was assessed at 1 month and 1 year posttreatment based on three types of outcome variables: home observations of parent and child behaviors, parent reports of their children's behavior and teacher reports of the children's adjustment. Multiple regression analyses were performed using four predictors: parent depression, marital status or marital adjustment, socioeconomic status, and amount of negative life experiences. Results indicated that depression and the amount of negative life stress made a significant contribution to the prediction of mother and father reports of child adjustment regardless of the time of the posttreatment assessment. The combination of socioeconomic status and marital status (single versus married) made a significant contribution to mothers' behaviors with their children at both posttreatment assessments. For fathers, marital adjustment made the greatest contribution to the prediction of their critical behaviors with their children immediately at posttreatment but by 1-year follow-up, socioeconomic status emerged as a more significant predictor. For children, the best predictor of the amount of observed child deviance on the home observations was single-parent status or marital adjustment. For families who had a father present, the amount of negative life stress experienced by the family in the year since treatment was completed, was the best predictor of child deviance.

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      For example, compared to Non-Latinx, White families, racial/ethnic minority families have lower rates of enrollment in parenting interventions (Baker, Arnold, & Meagher, 2011). Racial/ethnic minority families also continue to experience higher rates of dropout and attrition and are more likely to face socioeconomic disadvantages that result in barriers to treatment (Fernandez, Butler, & Eyberg, 2011; Webster-Stratton & Hammond, 1990). Similar racial/ethnic disparities have been cited across various health care systems and contexts (Nelson, 2002) and even federal efforts to systematically address these disparities and advance health equity have resulted in modest (Fiscella & Sanders, 2016) or, in some cases, nonexistent improvements (Cook et al., 2017).

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    *

    This research was supported by the NIH Institute Nursing Grant #2 R01 NR01075-05. Special appreciation goes to Dr. Bob Abbott for his statistical consultation and to Barbara Hummel and Christine Howard for their careful preparation of the manuscript.

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