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William E. Pelham - One of the best experts on this subject based on the ideXlab platform.
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Behavioral observations of Parents with adhd during Parent Training
Journal of Attention Disorders, 2018Co-Authors: Dara E Babinski, James G Waxmonsky, Daniel A Waschbusch, William E. PelhamAbstract:Objective: Several studies suggest that Parental ADHD impedes Behavioral Parent Training (BPT) outcomes. Parental ADHD symptoms exhibited during BPT may interfere with the acquisition of new skills. This study explored the observed behavior of Parents with ADHD during BPT. Method: Parents of children with ADHD attending group BPT completed self-ratings of their ADHD symptoms. Parents indicating a moderate level of ADHD symptoms were administered a clinical interview, and 37.3% of Parents met ADHD criteria based on Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) clinician-rated symptom counts. Results: Parents with high ADHD symptoms displayed more total and off-task violations compared with Parents with low ADHD symptoms, although no significant differences emerged for other behaviors (i.e., working quietly, using materials appropriately, and remaining in seat), absences, or tardiness. Conclusion: Parental ADHD symptoms were manifested during BPT. Future research should clarify the...
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treating Parents with attention deficit hyperactivity disorder the effects of Behavioral Parent Training and acute stimulant medication treatment on Parent child interactions
Journal of Abnormal Child Psychology, 2014Co-Authors: Dara E Babinski, James G Waxmonsky, William E. PelhamAbstract:This multiple baseline study evaluated the efficacy of Behavioral Parent Training (BPT) for 12 Parents (M age = 39.17 years; 91% mothers) and their children (ages 6-12; 83% boys) both with Attention-Deficit/Hyperactivity Disorder (ADHD), and also explored the acute effect of stimulant medication for Parents before and after BPT. Parents rated their own and their children's symptoms and impairment and were stabilized on optimally dosed medication. Then, Parents discontinued medication and were randomly assigned to a 3, 4, or 5 week baseline (BL), during which they provided twice-weekly ratings of their impairment, Parenting, and their child's behavior. Following BL, Parents and their children completed two laboratory tasks, once on their optimally dosed medication and once on a placebo to assess observable effects of medication on Parent-child behavior, and they completed additional assessments of family functioning. Parents then completed eight BPT sessions, during which they were unmedicated. Twice-weekly ratings of Parent and child behavior were collected during BPT and additional ratings were collected upon completing BPT. Two more Parent-child tasks with and without Parent medication were conducted upon BPT completion to assess the observable effects of BPT and BPT plus medication. Ten (83.33%) Parents completed the trial. Improvements in Parent and child behavior were observed, and Parents reported improved child behavior with BPT. Few benefits of BPT emerged through Parent reports of Parent functioning, with the exception of inconsistent discipline, and no medication or interaction effects emerged. These results, although preliminary, suggest that some Parents with ADHD benefit from BPT. While pharmacological treatment is the most common intervention for adults with ADHD, further examination of psychosocial treatments for adults is needed.
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Evaluating a Comprehensive Strategy to Improve Engagement to Group-based Behavioral Parent Training for High-risk Families of Children with ADHD
Journal of Abnormal Child Psychology, 2012Co-Authors: Anil Chacko, Brian T. Wymbs, Frances A. Wymbs, Alyssa Chimiklis, William E. PelhamAbstract:Behavioral Parent Training (BPT) is an evidence-based intervention for the treatment of attention-deficit/hyperactivity disorder (ADHD) and related disruptive Behavioral disorders of childhood. Despite convincing data on effectiveness, engagement to BPT, particularly for high-risk families, has been a long standing, yet understudied, issue. Data from a clinical trial of a comprehensive BPT approach to enhance engagement and outcomes (the Strategies to Enhance Positive Parenting [STEPP] program) are presented herein. The STEPP program was compared to a traditional group-based BPT program on propensity to attend treatment, propensity to complete homework over the course of treatment, and dropout from BPT. Additionally, factors empirically related to engagement to treatment and targeted by the STEPP program were analyzed to determine whether these factors were enhanced by participation in the STEPP program. In a randomized cohort of 80 single-mothers of school-age children with ADHD, analyses demonstrated that the STEPP program lead to greater propensity to attend treatment over time and a greater propensity to complete homework over the course of treatment. Furthermore, participation in the STEPP Program was associated with a lower rate of dropout. Finally, data suggested that Parents assigned to the STEPP program reported significant improvements in factors empirically related to engagement that were targeted within the STEPP program (i.e., amount and quality of social support from their group members, expectations for treatment, and perceived barriers to treatment participation). Results of the study have implications for targeting engagement throughout the process of BPT, particularly for high-risk families.
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a comparison of Behavioral Parent Training programs for fathers of children with attention deficit hyperactivity disorder
Behavior Therapy, 2009Co-Authors: Gregory A Fabiano, William E. Pelham, Anil Chacko, Frances A. Wymbs, Jessica A Robb, Kathryn S Walker, Amber L Sastry, Lizette Flammer, Jenna K Keenan, Hema VisweswaraiahAbstract:Few Behavioral Parent Training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) program. The COACHES program included BPT plus sports skills Training for the children and Parent-child interactions in the context of a soccer game. Groups did not differ at baseline, and father ratings of treatment outcome indicated improvement at posttreatment for both groups on measures of child behavior. There was no significant difference between groups on ADHD-related measures of child outcome. However, at posttreatment, fathers who participated in the COACHES program rated children as more improved, and they were significantly more engaged in the treatment process (e.g., greater attendance and arrival on time at sessions, more homework completion, greater consumer satisfaction). The implications for these findings and father-related treatment efforts are discussed.
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Enhancing Traditional Behavioral Parent Training for Single Mothers of Children with ADHD
Journal of Clinical Child & Adolescent Psychology, 2009Co-Authors: Anil Chacko, William E. Pelham, Brian T. Wymbs, Frances A. Wymbs, Michelle S. Swanger-gagne, Erin L. Girio, Lauma Pirvics, Laura Herbst, Jamie Guzzo, Carlie PhillipsAbstract:Behavioral Parent Training is an efficacious treatment for attention-deficit=hyperactivity disorder (ADHD). However, single-mother households are at high risk for poor outcomes during and following Behavioral Parent Training. This study randomly assigned cohorts of 120 single mothers of children (ages 5–12 years) with ADHD to a waitlist control group, a traditional Behavioral Parent Training program, or an enhanced Behavioral Parent Training program—the Strategies to Enhance Positive Parenting (STEPP) program. Intent-to-treat analysis demonstrated benefits of participating in Behavioral Parent Training, in general, and the STEPP program more specifically at immediate posttreatment on child and Parental functioning. Moreover, the STEPP program resulted in increased engagement to treatment. However, results indicated that Behavioral Parent Training does not normalize behavior for most children and treatment gains are not maintained.
Anil Chacko - One of the best experts on this subject based on the ideXlab platform.
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multiple family group service delivery model for children with disruptive behavior disorders impact on caregiver stress and depressive symptoms
Journal of Emotional and Behavioral Disorders, 2018Co-Authors: Geetha Gopalan, Lindsay A Bornheimer, Mary Acri, Andrew M Winters, Kyle H Obrien, Anil ChackoAbstract:Disproportionately high rates of caregiver stress and depression are found among poverty-impacted communities, with high levels of caregiver stress and depression putting youth at heightened risk for the onset and perpetuation of disruptive behavior disorders. The purpose of this study was to examine the effects of a Behavioral Parent Training program called the 4Rs and 2Ss for Strengthening Families Program (4R2S) on caregiver stress and depressive symptoms among 320 youth aged seven to 11 and their families assigned to either the 4R2S or services as usual (SAU) condition. Among caregivers with clinically significant scores at baseline, 4R2S participants manifested significantly reduced scores on the stress and depressive symptom scores to SAU participants at 6-month follow-up. Findings suggest that 4R2S may reduce caregiver stress and depressive symptoms among those caregivers initially manifesting clinically significant levels of stress or depressive symptoms.
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characteristics of Parents of children with adhd who never attend drop out and complete Behavioral Parent Training
Journal of Child and Family Studies, 2017Co-Authors: Anil Chacko, Brian T. Wymbs, Frances A. Wymbs, Estrella Rajwan, Nicole FeirsenAbstract:Behavioral Parent Training (BPT) is an evidence-based intervention for the treatment of attention-deficit/hyperactivity disorder and related disruptive behavior disorders in youth. Although efficacious, dropout from BPT is a notable issue, particular for high-risk families. The literature suggests that Parental factors (stress, psychopathology and cognitions) may be particularly important in understanding which Parents dropout from BPT. To date, however, limited attention has been given to how these factors may be related to dropout at varying points during BPT. Secondary data analyses from a completed clinical trial of a traditional BPT intervention is presented herein. Forty participants were classified into three groups based on timing of dropout from BPT (enrolled in but never attended BPT; dropped out during BPT, and completed BPT). Parent-level factors (stress, depressive symptoms, Parental efficacy, and Parental attributions for child behavior) were assessed at baseline and post-treatment (Parental perceived barriers to treatment) to determine if these factors were differentially related to dropout group status. Results suggested that Parents who never attended BPT were more likely to have lower Parental efficacy and greater maladaptive attributions regarding their child compared to Parents who dropped out from BPT and those who completed BPT. Moreover, Parents perceptions of the relevance of BPT was lower in the never attended group and the dropped out from BPT group compared to the completed BPT group. Results of the study have implications for tailoring engagement strategies focused on Parental cognitions throughout the process of BPT, particularly for high-risk families.
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Engagement in Behavioral Parent Training: Review of the Literature and Implications for Practice
Clinical Child and Family Psychology Review, 2016Co-Authors: Anil Chacko, Scott A. Jensen, Lynda S. Lowry, Melinda Cornwell, Alyssa Chimklis, Elizabeth Chan, Brenda PulgarinAbstract:Engagement in Behavioral Parent Training (BPT), including enrollment, attrition, attendance, within-session engagement, and homework completion, has long been a critical issue in the literature. Several estimates of various aspects of engagement have been suggested in the literature, but a systematic review of the available literature has never been accomplished. This review examines engagement data across 262 studies of BPT. Recruitment attrition, program attrition, attendance, and within-session engagement are examined across studies, with particular emphasis on the impact that SES, study purpose (efficacy vs. effectiveness), treatment format (individual vs. group), and age of child may have on those rates. Results of this review suggest that the significant amount of attrition occurs prior to enrollment in BPT, with at least 25 % of those identified as appropriate for BPT not enrolling in such programs. An additional 26 % begin, but drop out before completing treatment. Still the combined dropout rate of at least 51 % leaves at best half of identified Parents completing treatment. While SES status had a small effect on attrition, other variables were not found to meaningfully impact engagement. Information on within-session engagement (homework and ratings of participation) was not often reported in studies. Key issues in this literature (e.g., varying definitions of engagement, limited attention to reporting key aspects of engagement) are discussed, and recommendations are made to further improve this important area of research and clinical practice.
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Evaluating a Comprehensive Strategy to Improve Engagement to Group-based Behavioral Parent Training for High-risk Families of Children with ADHD
Journal of Abnormal Child Psychology, 2012Co-Authors: Anil Chacko, Brian T. Wymbs, Frances A. Wymbs, Alyssa Chimiklis, William E. PelhamAbstract:Behavioral Parent Training (BPT) is an evidence-based intervention for the treatment of attention-deficit/hyperactivity disorder (ADHD) and related disruptive Behavioral disorders of childhood. Despite convincing data on effectiveness, engagement to BPT, particularly for high-risk families, has been a long standing, yet understudied, issue. Data from a clinical trial of a comprehensive BPT approach to enhance engagement and outcomes (the Strategies to Enhance Positive Parenting [STEPP] program) are presented herein. The STEPP program was compared to a traditional group-based BPT program on propensity to attend treatment, propensity to complete homework over the course of treatment, and dropout from BPT. Additionally, factors empirically related to engagement to treatment and targeted by the STEPP program were analyzed to determine whether these factors were enhanced by participation in the STEPP program. In a randomized cohort of 80 single-mothers of school-age children with ADHD, analyses demonstrated that the STEPP program lead to greater propensity to attend treatment over time and a greater propensity to complete homework over the course of treatment. Furthermore, participation in the STEPP Program was associated with a lower rate of dropout. Finally, data suggested that Parents assigned to the STEPP program reported significant improvements in factors empirically related to engagement that were targeted within the STEPP program (i.e., amount and quality of social support from their group members, expectations for treatment, and perceived barriers to treatment participation). Results of the study have implications for targeting engagement throughout the process of BPT, particularly for high-risk families.
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a comparison of Behavioral Parent Training programs for fathers of children with attention deficit hyperactivity disorder
Behavior Therapy, 2009Co-Authors: Gregory A Fabiano, William E. Pelham, Anil Chacko, Frances A. Wymbs, Jessica A Robb, Kathryn S Walker, Amber L Sastry, Lizette Flammer, Jenna K Keenan, Hema VisweswaraiahAbstract:Few Behavioral Parent Training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) program. The COACHES program included BPT plus sports skills Training for the children and Parent-child interactions in the context of a soccer game. Groups did not differ at baseline, and father ratings of treatment outcome indicated improvement at posttreatment for both groups on measures of child behavior. There was no significant difference between groups on ADHD-related measures of child outcome. However, at posttreatment, fathers who participated in the COACHES program rated children as more improved, and they were significantly more engaged in the treatment process (e.g., greater attendance and arrival on time at sessions, more homework completion, greater consumer satisfaction). The implications for these findings and father-related treatment efforts are discussed.
John R Weisz - One of the best experts on this subject based on the ideXlab platform.
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modular psychotherapy outcomes for youth with different latent profiles of irritability and emotion dysregulation
Frontiers in Psychiatry, 2021Co-Authors: Melissa A Wei, Spencer C Evans, Sherelle L Harmon, John R WeiszAbstract:Background: Severe irritability is a common, impairing problem among youth referred for mental health services, but evidence to guide care is limited. Treatment research can be advanced by adopting a transdiagnostic perspective, leveraging existing evidence-based treatment (EBT) techniques, and situating irritability within the context of emotion dysregulation. Accordingly, this study examined treatment outcomes for youth with different levels of irritability and dysregulation who received cognitive-Behavioral therapy (CBT) or Behavioral Parent Training (BPT) in a modular EBT framework. Method: We analyzed data from a community-based implementation trial of a transdiagnostic youth psychotherapy. Two-hundred treatment-referred youths (7-15 years; 47% female; 33% White, 28% Black, 24% Latinx, 14% multiracial, 2% other) and their caregivers completed measures of clinical problems and emotion dysregulation at baseline, with repeated outcomes assessments over 18 months. First, latent profile analysis was applied to baseline irritability and emotion dysregulation data; then, latent growth curve models were used to examine outcome trajectories, controlling for covariates. Results: A two-class solution fit well, differentiating youth with high (n = 54) vs. low (n = 146) levels of dysregulation and irritability at baseline. Nearly all high-dysregulation youth received either BPT (n = 26) or CBT-Depression (n = 23). Across measures, both groups showed statistically and clinically significant improvements over time. High-dysregulation youth had greater baseline severity than low-dysregulation youth, but otherwise their longitudinal trajectories were mostly similar, with few between-group slope differences. There was virtually no evidence of differential effects for BPT vs. CBT on clinical outcomes. Conclusions: Youth with severe irritability and dysregulation, treated with a transdiagnostic, modular, EBT approach, showed significant within-person improvements over time. Their outcome trajectories did not differ according to whether they received BPT or CBT. Findings extend the literature on modular, transdiagnostic, and EBT approaches for irritability and dysregulation, suggesting comparable benefits associated with BPT and CBT when treatment selection is guided by comprehensive assessment. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03153904.
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modular psychotherapy outcomes for youth with different latent profiles of irritability and emotion dysregulation
Frontiers in Psychiatry, 2021Co-Authors: Melissa A Wei, Spencer C Evans, Sherelle L Harmon, John R WeiszAbstract:Background: Severe irritability is a common, impairing problem among youth referred for mental health services, but evidence to guide care is limited. Treatment research can be advanced by adopting a transdiagnostic perspective, leveraging existing evidence-based treatment (EBT) techniques, and situating irritability within the context of emotion dysregulation. Accordingly, this study examined treatment outcomes for youth with different levels of irritability and dysregulation who received cognitive-Behavioral therapy (CBT) or Behavioral Parent Training (BPT) in a modular EBT framework. Method: We analyzed data from a community-based implementation trial of a transdiagnostic youth psychotherapy. Two-hundred referred youths (7-15 years; 47% female; 33% White, 28% Black, 24% Latinx, 14% multiracial, 2% other) and their caregivers completed measures of clinical problems and emotion dysregulation at baseline, with repeated outcomes assessments over 18 months. Latent profile analyses were applied to baseline irritability and emotion dysregulation data; then, latent growth curve models were used to examine outcome trajectories, controlling for covariates. Results: A two-class solution fit well, differentiating youth with high (n=54) vs. low (n=146) levels of baseline irritability and dysregulation. Nearly everyone in the high irritability/dysregulation group had been treated with either BPT (n=26) or CBT for depression (n=23). Across all groups and measures, participants showed statistically significant and clinically meaningful improvements over time. High- and low-irritability/dysregulation youth were similar in their trajectories of change, with virtually no differential effects for BPT vs. CBT. Conclusions: Youth with severe irritability and dysregulation, treated with a transdiagnostic, modular, EBT approach, showed significant within-person improvements over time. Their outcome trajectories did not differ according to whether they received BPT or CBT. These findings extend the literature on modular, transdiagnostic, and EBT approaches for irritability and dysregulation, suggesting comparable benefits associated with BPT and CBT—when treatment selection is guided by a comprehensive baseline clinical assessment. ClinicalTrials.gov Identifier: NCT03153904
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amelioration of child depression through Behavioral Parent Training a preliminary study
Journal of Clinical Child and Adolescent Psychology, 2017Co-Authors: Dikla Eckshtain, Sofie Kuppens, John R WeiszAbstract:Child depression is an impairing condition for which tested treatments have shown relatively modest mean effects. One possible explanation is that the treatments have generally adopted an individual child focus, without addressing the dysfunctional Parent-child interactions that often accompany child depression. The present study provides preliminary evidence bearing on this hypothesis, using data from a treatment outcome study in which clinically referred children with a depression diagnosis could receive individual cognitive Behavioral therapy (CBT) focusing on the depression or Behavioral Parent Training (BPT) focusing on comorbid conduct problems. Among children in the study who met criteria for Diagnostic and Statistical Manual of Mental Disorders (4th ed.) depressive disorders, we identified two groups, matched on gender and age: 15 who received only CBT focused on child depression and 15 who received only BPT focused on child conduct problems. Children were 7 to 13, 20 of whom were male, and race included Caucasian (17), Latino (5), African American (2), and multirace (6). Measures assessed depressive diagnoses and symptoms, as well as Parenting stress. Analyses focused on whether BPT alone might lead to reduced depression, and if so how that reduction would compare to the depression reduction achieved through CBT that focused on depression. Both groups showed significant reductions from pre- to post-treatment in depressive diagnoses and depression symptoms, and there were no BPT versus CBT group differences at post-treatment. BPT that focuses on child conduct problems, with no emphasis on depression treatment, may produce significant depression reduction in comorbid children who meet criteria for depressive disorders.
Spencer C Evans - One of the best experts on this subject based on the ideXlab platform.
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modular psychotherapy outcomes for youth with different latent profiles of irritability and emotion dysregulation
Frontiers in Psychiatry, 2021Co-Authors: Melissa A Wei, Spencer C Evans, Sherelle L Harmon, John R WeiszAbstract:Background: Severe irritability is a common, impairing problem among youth referred for mental health services, but evidence to guide care is limited. Treatment research can be advanced by adopting a transdiagnostic perspective, leveraging existing evidence-based treatment (EBT) techniques, and situating irritability within the context of emotion dysregulation. Accordingly, this study examined treatment outcomes for youth with different levels of irritability and dysregulation who received cognitive-Behavioral therapy (CBT) or Behavioral Parent Training (BPT) in a modular EBT framework. Method: We analyzed data from a community-based implementation trial of a transdiagnostic youth psychotherapy. Two-hundred referred youths (7-15 years; 47% female; 33% White, 28% Black, 24% Latinx, 14% multiracial, 2% other) and their caregivers completed measures of clinical problems and emotion dysregulation at baseline, with repeated outcomes assessments over 18 months. Latent profile analyses were applied to baseline irritability and emotion dysregulation data; then, latent growth curve models were used to examine outcome trajectories, controlling for covariates. Results: A two-class solution fit well, differentiating youth with high (n=54) vs. low (n=146) levels of baseline irritability and dysregulation. Nearly everyone in the high irritability/dysregulation group had been treated with either BPT (n=26) or CBT for depression (n=23). Across all groups and measures, participants showed statistically significant and clinically meaningful improvements over time. High- and low-irritability/dysregulation youth were similar in their trajectories of change, with virtually no differential effects for BPT vs. CBT. Conclusions: Youth with severe irritability and dysregulation, treated with a transdiagnostic, modular, EBT approach, showed significant within-person improvements over time. Their outcome trajectories did not differ according to whether they received BPT or CBT. These findings extend the literature on modular, transdiagnostic, and EBT approaches for irritability and dysregulation, suggesting comparable benefits associated with BPT and CBT—when treatment selection is guided by a comprehensive baseline clinical assessment. ClinicalTrials.gov Identifier: NCT03153904
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modular psychotherapy outcomes for youth with different latent profiles of irritability and emotion dysregulation
Frontiers in Psychiatry, 2021Co-Authors: Melissa A Wei, Spencer C Evans, Sherelle L Harmon, John R WeiszAbstract:Background: Severe irritability is a common, impairing problem among youth referred for mental health services, but evidence to guide care is limited. Treatment research can be advanced by adopting a transdiagnostic perspective, leveraging existing evidence-based treatment (EBT) techniques, and situating irritability within the context of emotion dysregulation. Accordingly, this study examined treatment outcomes for youth with different levels of irritability and dysregulation who received cognitive-Behavioral therapy (CBT) or Behavioral Parent Training (BPT) in a modular EBT framework. Method: We analyzed data from a community-based implementation trial of a transdiagnostic youth psychotherapy. Two-hundred treatment-referred youths (7-15 years; 47% female; 33% White, 28% Black, 24% Latinx, 14% multiracial, 2% other) and their caregivers completed measures of clinical problems and emotion dysregulation at baseline, with repeated outcomes assessments over 18 months. First, latent profile analysis was applied to baseline irritability and emotion dysregulation data; then, latent growth curve models were used to examine outcome trajectories, controlling for covariates. Results: A two-class solution fit well, differentiating youth with high (n = 54) vs. low (n = 146) levels of dysregulation and irritability at baseline. Nearly all high-dysregulation youth received either BPT (n = 26) or CBT-Depression (n = 23). Across measures, both groups showed statistically and clinically significant improvements over time. High-dysregulation youth had greater baseline severity than low-dysregulation youth, but otherwise their longitudinal trajectories were mostly similar, with few between-group slope differences. There was virtually no evidence of differential effects for BPT vs. CBT on clinical outcomes. Conclusions: Youth with severe irritability and dysregulation, treated with a transdiagnostic, modular, EBT approach, showed significant within-person improvements over time. Their outcome trajectories did not differ according to whether they received BPT or CBT. Findings extend the literature on modular, transdiagnostic, and EBT approaches for irritability and dysregulation, suggesting comparable benefits associated with BPT and CBT when treatment selection is guided by comprehensive assessment. Clinical Trial Registration: www.ClinicalTrials.gov, identifier: NCT03153904.
Gregory A Fabiano - One of the best experts on this subject based on the ideXlab platform.
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a comparison of Behavioral Parent Training programs for fathers of children with attention deficit hyperactivity disorder
Behavior Therapy, 2009Co-Authors: Gregory A Fabiano, William E. Pelham, Anil Chacko, Frances A. Wymbs, Jessica A Robb, Kathryn S Walker, Amber L Sastry, Lizette Flammer, Jenna K Keenan, Hema VisweswaraiahAbstract:Few Behavioral Parent Training (BPT) treatment studies for attention-deficit/hyperactivity disorder (ADHD) have included and measured outcomes with fathers. In this study, fathers were randomly assigned to attend a standard BPT program or the Coaching Our Acting-Out Children: Heightening Essential Skills (COACHES) program. The COACHES program included BPT plus sports skills Training for the children and Parent-child interactions in the context of a soccer game. Groups did not differ at baseline, and father ratings of treatment outcome indicated improvement at posttreatment for both groups on measures of child behavior. There was no significant difference between groups on ADHD-related measures of child outcome. However, at posttreatment, fathers who participated in the COACHES program rated children as more improved, and they were significantly more engaged in the treatment process (e.g., greater attendance and arrival on time at sessions, more homework completion, greater consumer satisfaction). The implications for these findings and father-related treatment efforts are discussed.
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evidence based psychosocial treatments for attention deficit hyperactivity disorder
Journal of Clinical Child and Adolescent Psychology, 2008Co-Authors: William E. Pelham, Gregory A FabianoAbstract:Pelham, Wheeler, and Chronis (1998) reviewed the treatment literature on attention-deficit/hyperactivity disorder (ADHD) and concluded Behavioral Parent Training (BPT) and Behavioral classroom management (BCM) were well-established treatments for children with ADHD. This review updates and extends the finding of the prior review. Studies conducted since the 1998 review were identified and coded based on standard criteria, and effect sizes were calculated where appropriate. The review reinforces the conclusions of Pelham, Wheeler, and Chronis regarding BPT and BCM. Further, the review shows that intensive peer-focused Behavioral interventions implemented in recreational settings (e.g., summer programs) are also well-established. The results of this update are discussed in the context of the existing treatment literature on ADHD. Implications for practice guidelines are suggested, as are directions for future research.
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father participation in Behavioral Parent Training for adhd review and recommendations for increasing inclusion and engagement
Journal of Family Psychology, 2007Co-Authors: Gregory A FabianoAbstract:Research on Parenting has generally focused on mothers, with fathers’ Parenting approaches and interventions for fathers being relatively less studied. To investigate the involvement of fathers in Behavioral Parent Training (BPT), the literature on BPT for attention-deficit/ hyperactivity disorder (ADHD) was reviewed. A systematic review of this literature (N 32) indicated that the majority of research studies are composed of mothers as participants in treatment and raters of outcome (87% of reviewed studies did not include information on father-related outcomes). Present barriers to father participation in BPT (e.g., content of classes, characteristics of fathers) are discussed. Strategies for increasing father participation are offered and include establishing the expectation that fathers will be involved in treatment at initial clinical contacts, collecting treatment-related information from both Parents, conducting BPT classes that focus on issues of direct relevance to fathers, and integrating Parent– child interactions in recreational settings into BPT programs.
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Enhancements to the Behavioral Parent Training Paradigm for Families of Children with ADHD: Review and Future Directions
Clinical Child and Family Psychology Review, 2004Co-Authors: Andrea M. Chronis, Anil Chacko, Brian T. Wymbs, Gregory A Fabiano, William E. PelhamAbstract:Behavioral Parent Training (BPT) is one of the empirically supported psychosocial treatments for ADHD. Over many years and in many studies, BPT has been documented to improve both child ADHD behavior and maladaptive Parenting behavior. In some studies, BPT has also been found to result in benefits in additional domains, such as Parenting stress and child classroom behavior. However, the BPT literature on children selected as having ADHD lags behind research conducted on BPT for children selected as having oppositional defiant and conduct disorders (ODD and CD, respectively) with regard to examination of factors that may limit treatment attainment, compliance, and outcomes, such as single Parenthood, Parental psychopathology, and child comorbidity. Because of the high degree of comorbidity between ADHD and ODD/CD, it is difficult to separate the two BPT literatures. The parameters of BPT (e.g., format and setting), Parent factors, and child factors that may contribute to treatment outcomes for families of children with ADHD are reviewed here and recommendations for future BPT research in the area of ADHD are made.