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Dadds, M. R., Sanders, M. R., & James, J. E. (1987). The generalization of treatment effects in parent training with multidistressed parents. Behavioural and Cognitive Psychotherapy, 15(04), 289-313.

Model(s) Reviewed: Triple P - Home Visiting: Child Management Training Component
Manuscript screening details
Screening decision Screening conclusion
Passes screens Eligible for review
Study design details
Rating Design Attrition Baseline equivalence Reassignment Confounding factors
High Single-case design Not applicable Not applicable Not applicable Not applicable
Notes:

footnote192

Submitted by user on Fri, 03/15/2019 - 14:29

The HomVEE review focused on the Child Management Training component, which was the only one in both studies in this publication that was adjacent to a phase that included no Triple P components. The other phases were not reviewed for impacts. This rating focuses on Study 1 of 2 in the publication. Study 2 of 2 did not pass the screening criteria for the review because the delivery of Child Management Training (two clinic sessions and two home-based sessions) was not delivered primarily in home visits.

footnote193

Submitted by user on Fri, 03/15/2019 - 14:29

Study stated that “Interobserver reliabilities were calculated on 33% of the observations for each category of child behavior” (p. 294). We assumed that these observations were distributed relatively equally across phases. This study received a mixed rating. With at least 5 data points per phase, the portion of the study in the generalization setting rated high. With at least 3 (but not 5) data points per phase, the portion of the study in the training setting rated moderate.

footnote194

Submitted by user on Fri, 03/15/2019 - 14:29

The results from single-case design studies with a high or moderate rating are not factored into whether a model meets the HHS criteria unless additional criteria are met. Please read the HHS criteria for evidence-based models for more information.

Study characteristics
Study participants Six Caucasian families with a target child presenting behavioral problems were included; individual children served as the units of analysis. All target children were boys ages 3 to 5 years. Three families had single mothers and three had intact marriages. The mean age was 31 years for mothers and 33 years for fathers. Families were eligible if (1) the mother was a single parent, experiencing marital problems, or lacked support from family and friends; (2) at least one child in the family (the target child) exhibited a conduct or oppositional disorder according to the Diagnostic and Statistical Manual of Mental Disorders, 3rd edition (DSM III) criteria; (3) the target child did not exhibit an organic pathology associated with the behavioral disorder and was ages 3 to 7; (4) neither parents nor children exhibited a psychiatric pathology beyond the behavioral disorder nor any associated marital or family discord; (5) no family member was receiving other psychological treatment; and (6) the family was willing to participate in the study.
Setting The study was conducted in Queensland, Australia.
Intervention services The focus of the review was Child Management Training. Therapists delivered nine training sessions, including seven devoted to providing feedback in the families’ homes. During these sessions, they explained that children’s behavior is learned, so parents can help teach their children new ways of behaving. They gave parents examples of how to use descriptive praise and contingent consequences to increase positive behavior, which parents rehearsed with the therapist. Therapists also explained and helped parents rehearse a six-step behavior correction routine. During the seven hour-long weekly feedback sessions in families’ homes, the therapists observed parent-child and parent-parent interactions and then provided verbal feedback to the parent about how he or she implemented the behavior correction procedure. Parents also discussed any problems they experienced with the behavior corrections. Written materials detailing the correct use of time out and other procedures were provided. Simultaneously, an independent observer recorded incidences of specific parent and child behaviors, to measure the outcome of the services.
Comparison conditions Baseline observations were conducted before instruction in the use of Child Management Training.
Staff characteristics and training The first author and five other child behavioral psychologists served as therapists implementing the intervention. The first author provided 18 hours of training to the other therapists.
Funding sources The study appears to be affiliated with the University of Queensland. No other information is provided.
Author affiliation The second author is the developer of this model.
Study Registration:

Clinicaltrials.gov Identifier: None found

Findings details

Child development and school readiness
Rating Outcome measure Effect Sample Timing of follow-up Sample size Intervention group Comparison group Group difference Effect size Statistical significance Notes
High Deviant Child Behavior -% of intervals - Generalization Setting
FavorableUnfavorable or ambiguousNo Effect
Queensland, 1987 1-3 weeks 6 families Not applicable Not applicable Not Reported Not applicable Not applicable

footnote202

Submitted by user on Fri, 03/15/2019 - 14:29

Results for families 2-6

Moderate Deviant Child Behavior -% of intervals - Training Setting
FavorableUnfavorable or ambiguousNo Effect
Queensland, 1987 1-3 weeks 5 families Not applicable Not applicable Not Reported Not applicable Not applicable

footnote202

Submitted by user on Fri, 03/15/2019 - 14:29

Results for families 2-6

Outcome measure summary

Child development and school readiness
Outcome measure Description of measure Data collection method Properties of measure

Deviant Child Behavior -% of intervals - Generalization Setting

Percentage of 25-second intervals in which an observer identified a deviant child behavior such as non-compliance, complaint, aversive mands, physical aggression, opposition, or non-interaction.

Pair of independent observers in the community

Interobserver agreement range: 87.5%-97.8%

Deviant Child Behavior -% of intervals - Training Setting

Percentage of 25-second intervals in which an observer identified a deviant child behavior such as non-compliance, complaint, aversive mands, physical aggression, opposition, or non-interaction.

Pair of independent observers in the family home

Interobserver agreement range: 87.5%-97.8%