Prevention SciencePub Date : 2025-05-01Epub Date: 2024-11-11DOI: 10.1007/s11121-024-01748-w
Ronald J Prinz, Emilie P Smith, Brianna Tennie
{"title":"A Multicomponent Preventive Intervention in the Early Elementary Years: A Look at Academic and Social Adjustment Outcomes.","authors":"Ronald J Prinz, Emilie P Smith, Brianna Tennie","doi":"10.1007/s11121-024-01748-w","DOIUrl":"10.1007/s11121-024-01748-w","url":null,"abstract":"<p><p>Cogent indicated prevention with young children at risk for early onset conduct problems needs to address multiple domains of influence in school and home settings. A multicontextual preventive intervention (MPI) spanning grades one and two was conducted in schools serving economically disadvantaged communities and evaluated separately for boys and girls. The cluster randomized design evaluated children nested within schools receiving either the MPI (6 schools), which consisted of after-school reading-mentoring, home-based family, peer coping-skills, and classroom components, or a control condition (6 schools) involving a school-wide conflict management program without targeted intervention. Drawn at the end of kindergarten based on elevated behavioral difficulties and first-grade attendance at one of the 12 schools, the two subsamples consisted of 193 boys and 171 girls (63% in households with annual income < $15,000; 95% Black children). Extensive fidelity data indicated that the MPI components were well implemented. The two post-intervention third-grade outcomes in this report are academic performance and social/behavioral adjustment. The analyses involved a linear mixed effects model controlling for school. The key finding for the male subsample was that the MPI produced greater overall and language-arts/reading achievement, measured by report cards for the entire third-grade school year, compared with the control group. MPI-control differences did not emerge for externalizing problems and social competence assessed via teacher and parent report. In the face of elevated risk and poverty, the study underscored the importance of contributions from community-based reading-mentors, positive and inclusive classrooms, and nurturing family contexts in achieving academic gains.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"633-643"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2024-12-07DOI: 10.1007/s11121-024-01753-z
Nicholas A Bellamy, Randall T Salekin, Sarah J Racz, Andres De Los Reyes
{"title":"A Multi-Dimensional, Multi-Informant Examination of Adolescent Psychopathy and its Links to Parental Monitoring: The Moderating Role of Resting Arousal.","authors":"Nicholas A Bellamy, Randall T Salekin, Sarah J Racz, Andres De Los Reyes","doi":"10.1007/s11121-024-01753-z","DOIUrl":"10.1007/s11121-024-01753-z","url":null,"abstract":"<p><p>Recent work indicates clinically meaningful differences in domains of psychopathic personality - such as grandiose-manipulative (GM), callous-unemotional (CU), and daring-impulsive (DI) traits - and parenting factors. Yet, different domains of parenting and reports from multiple informants may vary in their associations to psychopathic traits. This study examined psychopathic traits and their links with parental monitoring behaviors, parental knowledge, and adolescent disclosure. Further, we evaluated whether adolescents' self-reported resting arousal moderated these associations. A mixed clinic-referred/community sample of 134 adolescent-parent dyads (M<sub>age</sub> = 14.49; SD = 0.50; 66.4% female) completed multi-dimensional measures of psychopathy, parental monitoring behaviors, parental knowledge, and adolescent disclosure; adolescents also self-reported on their resting arousal. Results indicated links between: (a) increased parent-reported GM traits and decreased parent-reported parental knowledge, and (b) increased parent-reported DI traits and lower parent-reported monitoring behaviors, which were attenuated at high levels of adolescent-reported resting arousal. Associations between elevated dimensions of psychopathic traits and lower levels of parental monitoring behaviors, parental knowledge, and adolescent disclosure were most consistent within-informants, with some cross-informant associations identified for links between elevated GM and DI and lower levels of parental monitoring behaviors and parental knowledge. These findings have important implications for our understanding of how to assess and prevent psychopathy and associated externalizing problems, and suggest that targeting modifiable environmental and psychophysiological factors may be particularly important.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"530-541"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142792606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2025-01-14DOI: 10.1007/s11121-025-01767-1
Meagan E Heilman, John E Lochman, Robert D Laird, Kristina L McDonald, Joan M Barth, Nicole P Powell, Caroline L Boxmeyer, Bradley A White
{"title":"Can Peer Acceptance and Perceptual Accuracy Impact the Effectiveness of Two Formats of a Preventative Intervention on Functional Subtypes of Aggression in Youth?","authors":"Meagan E Heilman, John E Lochman, Robert D Laird, Kristina L McDonald, Joan M Barth, Nicole P Powell, Caroline L Boxmeyer, Bradley A White","doi":"10.1007/s11121-025-01767-1","DOIUrl":"10.1007/s11121-025-01767-1","url":null,"abstract":"<p><p>Coping Power (CP) is an empirically supported school-based intervention for children at risk for aggression. A child's social status with peers and the extent to which they accurately perceive it are important aspects of preadolescent social development that may influence how intervention format affects disruptive behavior outcomes. Further, reactive (RA) and proactive (PA) functional subtypes of aggression have differential relations with peer acceptance. This study is the first to test whether the effects of group (GCP) and individual (ICP) format of CP on RA and PA differed based on children's actual social status (aim 1) and whether they over- or underestimated their acceptance relative to their actual social status (perceptual accuracy; aim 2). This study involved secondary data analyses using a large-scale randomized controlled trial that assigned 360 children ages 9 to 11 (M = 9.74, SD = .62), predominantly male (n = 234, 65%), and Black (n = 273, 75.8%), with elevated levels of aggression to either ICP or GCP condition. Polynomial regression analyses and three-dimensional response surface plots tested and probed significant (p < .05) interactions between either actual acceptance or perceptual accuracy and intervention format on postintervention reactive and proactive aggression. Actual acceptance moderated the effects of GCP on RA, such that those with higher acceptance showed smaller reductions in RA from either preintervention or postintervention to follow-up. Perceptual accuracy also moderated the effects of ICP on PA, with those underestimating their acceptance showing smaller decreases in PA from postintervention to follow-up. These findings provide valuable insights into how children's actual peer acceptance and perceptual accuracy influence CP outcomes for different functional subtypes of aggression based on intervention format, raising important questions about potential mechanisms.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"621-632"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2025-06-20DOI: 10.1007/s11121-025-01822-x
Robert J McMahon
{"title":"Reflections on a Career in Prevention Science Focused on the Development, Prevention, and Treatment of Youth Conduct Problems.","authors":"Robert J McMahon","doi":"10.1007/s11121-025-01822-x","DOIUrl":"10.1007/s11121-025-01822-x","url":null,"abstract":"<p><p>In this article, I begin with a discussion about how the treatment of child conduct problems plays a role in their prevention. I then summarize three broad foci of my research career. Next, I describe those research activities in the broader context of my own life-course development. I first present an autobiographical account of how I became interested in prevention research on children's conduct problems and how these research interests developed at different stages of my career. I then describe several recurring themes that have characterized my career broadly. My hope in adopting this approach is that mid-career and senior researchers will identify with some of the events that facilitated my own development as a prevention scientist. I especially hope that early-career researchers (as well as graduate students and postdoctoral fellows) will see that developing a career path as a prevention scientist is often a nonlinear series of events, some of which are serendipitous, and many of which represent significant \"turning points\" (Rutter, 1996) in one's career and life. I reflect on the bidirectional and iterative nature of much of my research. I also stress the importance of mentorship (both as a mentee and as a mentor) and collaboration in the development and direction of my own research career.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"691-702"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144337158","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2024-10-13DOI: 10.1007/s11121-024-01735-1
Ana Catarina Canário, Rita Pinto, Marco Silva-Martins, Karen Rienks, Burcu Kömürcü Akik, Koraljka Modić Stanke, Oana David, Rukiye Kızıltepe, G J Melendez-Torres, Therdpong Thongseiratch, Patty Leijten
{"title":"Online Parenting Programs for Children's Behavioral and Emotional Problems: a Network Meta-Analysis.","authors":"Ana Catarina Canário, Rita Pinto, Marco Silva-Martins, Karen Rienks, Burcu Kömürcü Akik, Koraljka Modić Stanke, Oana David, Rukiye Kızıltepe, G J Melendez-Torres, Therdpong Thongseiratch, Patty Leijten","doi":"10.1007/s11121-024-01735-1","DOIUrl":"10.1007/s11121-024-01735-1","url":null,"abstract":"<p><p>Online parenting programs to support parents of children with behavioral problems and emotional problems have become widely available in recent years. Research has consistently shown their positive effects on child development, parents' adaptive parenting practices, and parents' mental health. However, knowledge is lacking on which type of content is more suitable to be delivered online. Our work addresses this knowledge gap by conducting traditional and network meta-analyses to improve our understanding of (1) how effective online parenting programs are to improve children's behavior and emotional problems, and (2) what clusters of components are most likely to yield the strongest effects. Following the PROSPERO preregistration, we systematically searched PsycINFO, MEDLINE, Web of Science, and Cochrane. Of the 8292 records retrieved, 28 records on 27 randomized controlled trials (N = 5,312) met the inclusion criteria. Results show moderate effect sizes of online parenting programs on reduced child behavioral and emotional problems, parents' ineffective parenting practices, and parents' mental health problems. Online programs adopting a learning theory perspective, either with or without additional parental self-care and parents as therapist approaches, are most likely to yield the strongest effects on child behavioral problems. Online programs adopting a learning theory perspective, parental self-care and parents as therapist approaches, with or without additional relationship perspectives, are most likely to yield the strongest effects on child emotional problems. Online parenting programs seem promising tools for improving child behavioral and emotional problems. Future research should identify the circumstances that allow parents and children to benefit more from specific components in these programs.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"592-609"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142477958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2025-04-21DOI: 10.1007/s11121-025-01809-8
Patrick H Tolan
{"title":"The Multiple Avenues of Contribution of Robert McMahon to Prevention Science.","authors":"Patrick H Tolan","doi":"10.1007/s11121-025-01809-8","DOIUrl":"10.1007/s11121-025-01809-8","url":null,"abstract":"<p><p>This issue of Prevention Science, focused on studies influenced by and reflective of the contributions of Robert McMahon, contains a diverse set of studies focused across multiple important areas of our field. This commentary focuses on that breadth and diversity of contributions as the core of McMahon's role in prevention science. Several specific examples of such impact integrating knowledge across clinical child psychology, developmental psychopathology, and prevention studies are described, and the linkages to articles in this volume noted. Also, noteworthy is the extension of McMahon's influence through collegial and collaborative efforts by convening and facilitating scientific exchange. He has provided a connective enhancement to our field that has benefitted many and continues to influence towards excellence.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"688-690"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208952/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2025-04-21DOI: 10.1007/s11121-025-01807-w
Mark T Greenberg
{"title":"Honoring the Work of Robert McMahon: a Commentary on This Special Issue.","authors":"Mark T Greenberg","doi":"10.1007/s11121-025-01807-w","DOIUrl":"10.1007/s11121-025-01807-w","url":null,"abstract":"<p><p>This commentary reviews papers prepared for this Special Issue on the work of Robert McMahon, who served as Editor of Prevention Science and who has played a major role on multiple aspects of parenting research and its relation to conduct problems in children and youth. The Special Issue papers are discussed in the context of the four main foci of Dr. McMahon's work: (1) parenting practices and child development; (2) risk and protective factors in the development and maintenance of conduct problems; (3) family-based treatments for conduct problems; and (4) multicomponent preventive interventions for conduct problems. The papers emphasize the interplay between family dynamics, parenting practices, and developmental trajectories and underscore the importance of considering these factors within the parent the child and the social and cultural context. A clear finding across multiple papers is the importance of inhibitory control and emotion regulation in both predicting conduct problem outcomes across time for children as well as an important treatment focus for improving parenting. These papers re-emphasize McMahon's research, which underscores the importance of early, sustained, and contextually sensitive parenting interventions for promoting lifelong positive outcomes in children and families, as well as the need for longitudinal studies that can reflect these pathways across time. This richly packed issue of papers in honor of Bob McMahon's research and long-term Editorship of Prevention Science is quite remarkable, and it is an honor to write this commentary as his friend and colleague of over 35 years. The papers here focus on four key areas of Dr. McMahon's research career, which focused on multiple aspects of parenting and the development of conduct problems and psychopathology. Broadly speaking, McMahon's work can be divided into more basic and more applied, treatment-focused research. His more basic work centers on the understanding of how conduct problems (and other problem behaviors) develop in children and adolescents, their developmental course over time, and how various risk and protective factors influence their manifestation and stability. On the intervention side, from early in his career his persistent interest was how to effectively prevent and treat these problems with a focus on parenting interventions. As the primary family focused researcher in the (Conduct Problems Prevention Research Group, The Fast Track program for children at risk: Preventing antisocial behavior, Guilford Press, 2020), he led the Fast Track intervention work on the development and efficacy of a parenting intervention within the context of a large, multicomponent intervention for children with early, serious conduct problems that is still being studied more than 30 years later. His outstanding, multifaceted career involved both basic and applied research on parenting but always with a focus on how research can impact and improve practice. Here, I re","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"681-687"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12209007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2024-10-11DOI: 10.1007/s11121-024-01736-0
George McCabe, Jennifer W Godwin, W Andrew Rothenberg, Natalie Goulter, Jennifer E Lansford
{"title":"Fast Track Intervention Effects and Mechanisms of Action Through Established Adulthood.","authors":"George McCabe, Jennifer W Godwin, W Andrew Rothenberg, Natalie Goulter, Jennifer E Lansford","doi":"10.1007/s11121-024-01736-0","DOIUrl":"10.1007/s11121-024-01736-0","url":null,"abstract":"<p><p>Early preventive interventions can improve outcomes in childhood, but the most effective interventions can continue to deliver benefits through the life course. The Fast Track intervention, a randomized controlled trial for children at risk of conduct problems, has lowered psychopathology, substance use problems, and criminality and elevated happiness at age 25. However, research has not studied whether the intervention's effects continue further into established adulthood. In addition, little is known about the mechanisms through which the intervention may affect adult outcomes. We attempted to answer both questions by simultaneously estimating the intervention's direct effect on adult outcomes at age 31 and the intervention's indirect effects on those outcomes via interpersonal, intrapersonal, and academic competencies gained through the intervention. Participants included the Fast Track intervention (n = 445; 72.4% male) and high-risk control samples (n = 446; 66.4% male). Direct and total effects of random assignment to Fast Track on age 31 outcomes were not significant. However, our analyses showed that Fast Track's improvements to interpersonal and intrapersonal skills in childhood served as catalysts for better life outcomes at age 31. Higher interpersonal skills led to fewer externalizing, internalizing, and substance use problems, reduced criminality and sexual partners, in addition to increased general health and full-time employment. Improved intrapersonal skills led to greater strength. There were no significant indirect pathways via academic skills. Our findings inform understanding of how a childhood preventive intervention can improve adjustment and behaviors into established adulthood.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"667-680"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2024-11-19DOI: 10.1007/s11121-024-01754-y
Gabriela L Suarez, Daniel S Shaw, Melvin N Wilson, Kathryn Lemery-Chalfant, Luke W Hyde
{"title":"Inhibitory Control in Late Childhood as a Predictor of Antisocial Behavior in Adolescence and the Role of Social Context.","authors":"Gabriela L Suarez, Daniel S Shaw, Melvin N Wilson, Kathryn Lemery-Chalfant, Luke W Hyde","doi":"10.1007/s11121-024-01754-y","DOIUrl":"10.1007/s11121-024-01754-y","url":null,"abstract":"<p><p>Understanding the factors contributing to adolescent antisocial behavior is crucial for effective interventions. Protracted development of cognitive control systems supporting inhibitory control may be linked to increases in adolescent antisocial behavior, suggesting the promotion of inhibitory control as a potential preventative strategy. Concurrently, social contextual factors, including peer relationships, parent-child dynamics, and the neighborhood environment, may exacerbate or buffer the risk posed by low inhibitory control. In a large, longitudinal sample of youth from racially and ethnically diverse low-income families (N = 731), we examined the association between inhibitory control (age 10.5) and antisocial behavior (age 14) and explored contextual factors (neighborhood, peer relationships, parent-child relationship) as potential moderators. Lastly, we investigated whether a randomized controlled trial of the Family Check-Up (FCU) intervention started at age 2 predicted a decreased youth report of antisocial behavior in adolescence via increased inhibitory control in late childhood. We found that lower inhibitory control in late childhood predicted increased antisocial behavior in adolescence. For youth with low inhibitory control, living in a dangerous neighborhood or associating more with deviant peers increased the risk for adolescent antisocial behavior. Finally, the FCU intervention indirectly reduced youth-reported adolescent antisocial behavior via enhancing inhibitory control in late childhood, and the indirect effect was strongest for youth in risky contexts (e.g., low parental knowledge and control). Although risky contexts can exacerbate individual risks related to deficits in inhibitory control, greater inhibitory control may be a protective factor. Additionally, early childhood interventions can improve inhibitory skills and decrease the risk of adolescent antisocial behavior, particularly for youth within risky contexts.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"568-581"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142677320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Prevention SciencePub Date : 2025-05-01Epub Date: 2024-11-08DOI: 10.1007/s11121-024-01749-9
April Highlander, Justin Parent, Deborah J Jones
{"title":"Helping the Noncompliant Child and Child Behavior Outcomes: An Exploratory Examination of Financial Strain.","authors":"April Highlander, Justin Parent, Deborah J Jones","doi":"10.1007/s11121-024-01749-9","DOIUrl":"10.1007/s11121-024-01749-9","url":null,"abstract":"<p><p>Theoretical models and empirical research have highlighted the impact of economic disadvantage on children's psychosocial development broadly and the onset, maintenance, and treatment of early-onset (3-8 years) behavior disorders (BDs) more specifically. In the context of intervention, evidence suggests that economic disadvantage may pose risk for diminished parent-mediated treatment efficacy (e.g., Behavioral Parent Training [BPT]) given its impact on salient factors in the family system. Though, studies have shown significant variability in BPT outcomes within families experiencing economic disadvantage, suggesting that additional influences may further contribute to disparities in the trajectory of treatment and maintenance of treatment gains for this population. To address this gap in existing knowledge, financial strain, or the inability to meet financial needs, was examined in families (N = 54) of young children (3-8 years old) with low-income and clinically elevated behavior problems participating in one BPT program, Helping the Noncompliant Child (HNC). Results demonstrated that families who experienced greater levels of financial strain prior to engaging in HNC exhibited diminished maintenance of parent reported child behavior gains following treatment. Financial strain did not significantly influence rate of change or maintenance of treatment gains for HNC clinician-coded child compliance. Clinical implications and directions for future research are discussed. ClinicalTrials.gov Identifier: NCT02191956, registered on 6/18/2014.</p>","PeriodicalId":48268,"journal":{"name":"Prevention Science","volume":" ","pages":"542-554"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}