The Efficacy of Technology-Enhanced Behavioral Parent Training for Families With Low Income: Do Parent-Centered Profiles Moderate Treatment Outcomes?

IF 3.4 2区心理学 Q2 PSYCHIATRY

Behavior Therapy Pub Date : 2024-10-18 DOI:10.1016/j.beth.2024.10.002

Yexinyu Yang, Justin Parent, Karen M. Gil, Deborah J. Jones

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引用次数: 0

Abstract

Behavior disorders (BDs) in children are common and have long-term impacts. Financially disadvantaged families are at a greater risk of having a child with an early-onset BD but have more difficulty engaging in and therefore benefiting from behavior parent training (BPT). Building upon the potential of technology-enhanced (TE) treatment approaches in addressing barriers to treatment engagement and effectiveness, TE to one BPT program, Helping the Noncompliant Child (HNC), were tested in a randomized controlled trial (RCT) with 101 families with low income. The current study aimed to examine for whom TE-HNC versus standard HNC is optimal at posttreatment by exploring how pretreatment, parent-centered profiles may moderate parenting and child outcomes at posttreatment. Latent profile analyses yielded four distinct parent-centered profiles. The profile membership differentially predicted treatment outcomes by group for positive and negative parenting, as well as child behavior intensity, but not child problem behavior. The heterogeneity of responses to standard relative to TE treatment models among underserved families may provide clues regarding the future personalization of BPT toward improved treatment efficacy.

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技术增强的父母行为训练对低收入家庭的效果：以父母为中心的档案是否会影响治疗结果？

儿童行为障碍（bd）是一种常见且具有长期影响的疾病。经济状况不佳的家庭有更大的风险让孩子患有早发性双相障碍，但更难以参与并因此受益于行为父母训练（BPT）。基于技术增强（TE）治疗方法在解决治疗参与和有效性障碍方面的潜力，我们在101个低收入家庭的随机对照试验（RCT）中对一个名为“帮助不服从儿童”（HNC）的BPT项目进行了技术增强（TE）测试。目前的研究旨在通过探索预处理、以父母为中心的资料如何调节治疗后的父母教养和儿童结局，来检查TE-HNC与标准HNC孰优孰低。潜在剖面分析产生了四种不同的以父母为中心的剖面。档案成员不同地预测了积极和消极养育方式的治疗结果，以及儿童行为强度，但对儿童问题行为没有影响。在服务不足的家庭中，对标准治疗模式和TE治疗模式的反应的异质性可能为BPT的未来个性化提供线索，以提高治疗效果。

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来源期刊

Behavior Therapy Multiple-

CiteScore

7.40

自引率

2.70%

发文量

113

审稿时长

121 days

期刊介绍： Behavior Therapy is a quarterly international journal devoted to the application of the behavioral and cognitive sciences to the conceptualization, assessment, and treatment of psychopathology and related clinical problems. It is intended for mental health professionals and students from all related disciplines who wish to remain current in these areas and provides a vehicle for scientist-practitioners and clinical scientists to report the results of their original empirical research. Although the major emphasis is placed upon empirical research, methodological and theoretical papers as well as evaluative reviews of the literature will also be published. Controlled single-case designs and clinical replication series are welcome.