Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Prevention Science
Published in: Prevention Science 1/2019

01-01-2019

Does Giving Parents Their Choice of Interventions for Child Behavior Problems Improve Child Outcomes?

Authors: Abigail H. Gewirtz, Susanne S. Lee, Gerald J. August, Yaliu He

Published in: Prevention Science | Issue 1/2019

Login to get access

Abstract

Empowering consumers to be active decision-makers in their own care is a core tenet of personalized, or precision medicine. Nonetheless, there is a dearth of research on intervention preferences in families seeking interventions for a child with behavior problems. Specifically, the evidence is inconclusive as to whether providing parents with choice of intervention improves child/youth outcomes (i.e., reduces externalizing problems). In this study, 129 families presenting to community mental health clinics for child conduct problems were enrolled in a doubly randomized preference study and initially randomized to choice or no-choice conditions. Families assigned to the choice condition were offered their choice of intervention from among three different formats of the Parent Management Training-Oregon Model/PMTO (group, individual clinic, home based) and services-as-usual (child-focused therapy). Those assigned to the no-choice condition were again randomized, to one of the four intervention conditions. Intent-to-treat analyses revealed partial support for the effect of parental choice on child intervention outcomes. Assignment to the choice condition predicted teacher-reported improved child hyperactivity/inattention outcomes at 6 months post-treatment completion. No main effect of choice on parent reported child outcomes was found. Moderation analyses indicated that among parents who selected PMTO, teacher report of hyperactivity/inattention was significantly improved compared with parents selecting SAU, and compared with those assigned to PMTO within the no-choice condition. Contrary to hypotheses, teacher report of hyperactivity/inattention was also significantly improved for families assigned to SAU within the no-choice condition, indicating that within the no-choice condition, SAU outperformed the parenting interventions. Implications for prevention research are discussed.
Literature
Arnkoff, D. B., Glass, C. R., & Shapiro, S. J. (2002). Psychotherapy relationships that work: Therapist contributions and responsiveness to patients. In J. C. Norcross (Ed.), Expectations and preferences (pp. 335–356). New York: Oxford University Press.
Bierman, K. L., Nix, R. L., Maples, J. J., Murphy, S. A., & Conduct Problems Prevention Research Group. (2006). Examining clinical judgment in an adaptive intervention design: The fast track program. Journal of Consulting and Clinical Psychology, 74, 468–481.CrossRefPubMedPubMedCentral
Briggs-Gowan, M. J., Horwitz, S. M., Schwab-Stone, M. E., Leventhal, J. M., & Leaf, P. J. (2000). Mental health in pediatric settings: Disorders and factors related to service use. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 841–849.CrossRefPubMed
Broman, C. L. (2012). Race differences in the receipt of mental health services among young adults. Psychological Services, 9, 38–48.CrossRefPubMed
Burke, J. D., Loeber, R., & Birmaher, B. (2002). Oppositional defiant disorder and conduct disorder: A review of the past 10 years, part II. Journal of the American Academy of Child and Adolescent Psychiatry, 41, 1275–1293.CrossRefPubMed
Burke, L. E., Warziski, M., Styn, M. A., Music, E., Hudson, A. G., & Sereika, S. M. (2008). A randomized clinical trial of a standard versus vegetarian diet for weight loss: The impact of treatment preference. International Journal of Obesity, 32, 166–176.CrossRefPubMed
Chilvers, C., Dewey, M., Fielding, K., Gretton, V., Miller, P., Palmer, B., … Counselling versus Antidepressants in Primary Care Study Group. (2001). Antidepressant drugs and generic counselling for treatment of major depression in primary care: Randomised trial with patient preference arms. BMJ , 322, 772–775.
Clark, N. M., Janz, N. K., Dodge, J. A., Mosca, L., Lin, X., Long, Q., et al. (2008). The effect of patient choice of intervention on health outcomes. Contemporary Clinical Trials, 29, 679–686.CrossRefPubMedPubMedCentral
Collins, F. S., & Varmus, H. (2015). A new initiative on precision medicine. New England Journal of Medicine, 372, 793–795.CrossRefPubMed
Cunningham, C. E., Chen, Y., Deal, K., Rimas, H., McGrath, P., Reid, G., et al. (2013). The interim service preferences of parents waiting for children’s mental health treatment: A discrete choice conjoint experiment. Journal of Abnormal Child Psychology, 41, 865–877.CrossRefPubMed
Cunningham, C. E., Deal, K., Rimas, H., Buchanan, D. H., Gold, M., Sdao-Jarvie, K., & Boyle, M. (2008). Modeling the information preferences of parents of children with mental health problems. Journal of Abnormal Child Psychology, 36, 1123–1138.CrossRefPubMed
Dalsgaard, S., Mortensen, P. B., Frydenberg, M., & Thomsen, P. H. (2013). Long-term criminal outcome of children with attention deficit hyperactivity disorder. Criminal Behaviour and Mental Health, 23, 86–98.CrossRefPubMed
Derogatis, L. R. (2001). BSI 18, Brief symptom inventory 18: administration, scoring and procedures manual. Minneapolis: NCS Pearson Incorporated.
Dishion, T. J., Shaw, D., Connell, A., Gardner, F., Weaver, C., & Wilson, M. (2008). The family check-up with high-risk indigent families: Preventing problem behavior by increasing parents’ positive behavior support in early childhood. Child Development, 79, 1395–1414.CrossRefPubMedPubMedCentral
Dobscha, S. K., Corson, K., & Gerrity, M. S. (2007). Depression treatment preferences of VA primary care patients. Psychosomatics, 48, 482–488.CrossRefPubMed
Forgatch, M. S., & Gewirtz, A. H. (2017). Evidence-based psychotherapies for children and adolescents, 3rd ed. In J. R. Weisz & A. E. Kazdin (Eds.), Evolution of Parent Management Training-Oregon Model. New York: Guildford Press.
Forgatch, M. S., Knutson, N., & Mayne, T. (1992). Coder impressions of ODS lab tasks. Eugene, OR: Oregon Social Learning Center.​
Forgatch, M. S., Patterson, G. R., Degarmo, D. S., & Beldavs, Z. G. (2009). Testing the Oregon delinquency model with 9-year follow-up of the Oregon Divorce Study. Development and Psychopathology, 21, 637–660.CrossRefPubMed
Forgatch, M. S., Patterson, G. R., & Gewirtz, A. H. (2013). Looking forward: The promise of widespread implementation of parent training programs. Perspectives on Psychological Science, 8, 682–694.CrossRefPubMedPubMedCentral
Gewirtz, A. H., DeGarmo, D. S., Lee, S., Morrell, N., & August, G. (2015). Two-year outcomes of the Early Risers prevention trial with formerly homeless families residing in supportive housing. Journal of Family Psychology, 29, 242–252.CrossRefPubMedPubMedCentral
Gewirtz, A.H. (2014-2019). Comparing web, group, and telehealth formats of a military parenting program. Grant # W81XWH141014, Department of Defense.
Goodman, R. (2001). Psychometric properties of the strengths and difficulties questionnaire. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1337–1345.CrossRefPubMed
Goodman, R., Meltzer, H., & Bailey, V. (1998). The strengths and difficulties questionnaire: A pilot study on the validity of the self-report version. European Child & Adolescent Psychiatry, 7, 125–130.CrossRef
Gopalan, G., Goldstein, L., Klingenstein, K., Sicher, C., Blake, C., & McKay, M. M. (2010). Engaging families into child mental health treatment: Updates and special considerations. Journal of the Canadian Academy of Child and Adolescent Psychiatry, 19, 182.PubMedPubMedCentral
Graham, J. W. (2009). Missing data analysis: Making it work in the real world. Annual Review of Psychology, 60, 549–576.CrossRefPubMed
Haggerty, K. P., Skinner, M. L., MacKenzie, E. P., & Catalano, R. F. (2007). A randomized trial of parents who care. Prevention Science, 8, 249–260.CrossRefPubMed
Heinrichs, N., Bertram, H., Kuschel, A., & Hahlweg, K. (2005). Parent recruitment and retention in a universal prevention program for child behavior and emotional problems: Barriers to research and program participation. Prevention Science, 6, 275–286.CrossRefPubMed
He, B. M., Schmitz, A., & Merikangas, K. R. (2013). The Strengths and Difficulties Questionnaire (SDQ): The factor structure and scale validation in U.S. adolescents. Journal of Abnormal Child Psychology, 41, 583–595.CrossRefPubMed
He, Y., Gewirtz, A., Lee, S., Morrell, N., & August, G. (2016). A randomized preference trial to inform personalization of a parent training program implemented in community mental health clinics. Translational Behavioral Medicine, 6, 73–80.CrossRefPubMed
Kocsis, J. H., Leon, A. C., Markowitz, J. C., Manber, R., Arnow, B., Klein, D. N., & Thase, M. E. (2009). Patient preference as a moderator of outcome for chronic forms of major depressive disorder treated with nefazodone, cognitive behavioral analysis system of psychotherapy, or their combination. Journal of Clinical Psychiatry, 70, 354–361.CrossRefPubMed
Kwan, B. M., Dimidjian, S., & Rizvi, S. L. (2010). Treatment preference, engagement, and clinical improvement in pharmacotherapy versus psychotherapy for depression. Behaviour Research and Therapy, 48, 799–804.CrossRefPubMedPubMedCentral
Long, Q., Little, R. J., & Lin, X. (2008). Causal inference in hybrid intervention trials involving treatment choice. Journal of the American Statistical Association, 103, 474–484.CrossRef
Marcus, S. M., Stuart, E. A., Wang, P., Shadish, W. R., & Steiner, P. M. (2012). Estimating the causal effect of randomization versus treatment preference in a doubly randomized preference trial. Psychological Methods, 17, 244–254.CrossRefPubMedPubMedCentral
Marmorstein, N. R., & Iacono, W. G. (2004). Major depression and conduct disorder in youth: Associations with parental psychopathology and parent–child conflict. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 45, 377–386.CrossRefPubMed
McCaffery, K. J., Turner, R., Macaskill, P., Walter, S. D., Chan, S. F., & Irwig, L. (2011). Determining the impact of informed choice: Separating treatment effects from the effects of choice and selection in randomized trials. Medical Decision Making, 31, 229–236.CrossRefPubMed
McCoach, D. B., & Kaniskan, B. (2010). Using time-varying covariates in multilevel growth models. Frontiers in Psychology, 1, 17.PubMedPubMedCentral
Merikangas, K. R., He, J.-P., Brody, D., Fisher, P. W., Bourdon, K., & Koretz, D. S. (2010). Prevalence and treatment of mental disorders among US children in the 2001–2004 NHANES. Pediatrics, 125, 75–81.CrossRefPubMed
Mian, N. D., Eisenhower, A. S., & Carter, A. S. (2015). Targeted prevention of childhood anxiety. American Journal of Community Psychology, 55, 58–69.CrossRefPubMed
Ng, M. Y., & Weisz, J. R. (2016). Annual research review: Building a science of personalized intervention for youth mental health. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 57, 216–236.CrossRefPubMed
Patterson, G. R., DeBaryshe, B. D., & Ramsey, E. (1989). A developmental perspective on antisocial behavior. American Psychologist, 44, 329–335.CrossRefPubMed
Patterson, G. R., DeGarmo, D. S., & Knutson, N. (2000). Hyperactive and antisocial behaviors: Comorbid or two points in the same process? Development and Psychopathology, 12, 91–106.CrossRefPubMed
Sandler, I., Ingram, A., Wolchik, S., Tein, J.-Y., & Winslow, E. (2015). Long-term effects of parenting-focused preventive interventions to promote resilience of children and adolescents. Child Development Perspectives, 9, 164–171.CrossRefPubMedPubMedCentral
Schatz, N. K., Fabiano, G. A., Cunningham, C. E., dosReis, S., Waschbusch, D. A., Jerome, S., … Morris, K. L. (2015). Systematic review of patients’ and parents’ preferences for ADHD treatment options and processes of care. The Patient, 8, 483–497.CrossRefPubMed
Stanger, C., & Lewis, M. (1993). Agreement among parents, teachers, and children on internalizing and externalizing behavior problems. Journal of Clinical Child Psychology, 22, 107–116.CrossRef
Street Jr., R. L., Elwyn, G., & Epstein, R. M. (2012). Patient preferences and healthcare outcomes: An ecological perspective. Expert Review of Pharmacoeconomics & Outcomes Research, 12, 167–180.CrossRef
Swift, J. K., Callahan, J. L., & Vollmer, B. M. (2011). Preferences. Journal of Clinical Psychology, 67, 155–165.CrossRefPubMed
Turner, E. A., Jensen-Doss, A., & Heffer, R. W. (2015). Ethnicity as a moderator of how parents’ attitudes and perceived stigma influence intentions to seek child mental health services. Cultural Diversity & Ethnic Minority Psychology, 21, 613–618.CrossRef
Webster-Stratton, C., Reid, M. J., Hammond, M. (2001). Preventing conduct problems, promoting social competence: a parent and teacher training partnership in Head Start. Journal of Clinical Child Psychology, 30(3),283-302.
Winston, K., Grendarova, P., & Rabi, D. (2017). Video-based patient decision aids: A scoping review. Patient Education and Counseling.
Wymbs, F. A., Cunningham, C. E., Chen, Y., Rimas, H. M., Deal, K., Waschbusch, D. A., & Pelham, W. E., Jr. (2015). Examining parents’ preferences for group and individual parent training for children with ADHD symptoms. Journal of Clinical Child and Adolescent Psychology, 1–18.
Yancy Jr., W. S., McVay, M. A., & Voils, C. I. (2015). Effect of allowing choice of diet on weight loss—in response. Annals of Internal Medicine, 163, 805–806.CrossRefPubMed
Metadata
Title
Does Giving Parents Their Choice of Interventions for Child Behavior Problems Improve Child Outcomes?
Authors
Abigail H. Gewirtz
Susanne S. Lee
Gerald J. August
Yaliu He
Publication date
01-01-2019
Publisher
Springer US
Published in
Prevention Science / Issue 1/2019
Print ISSN: 1389-4986
Electronic ISSN: 1573-6695
DOI
https://doi.org/10.1007/s11121-018-0865-x

Other articles of this Issue 1/2019

Prevention Science 1/2019 Go to the issue

OriginalPaper

A Randomized Controlled Trial to Reduce HIV-Related Risk in African American Men Who Have Sex with Men and Women: the Bruthas Project

OriginalPaper

An Examination of Gay Couples’ Motivations to Use (or Forego) Pre-exposure Prophylaxis Expressed During Couples HIV Testing and Counseling (CHTC) Sessions

OriginalPaper

Using mHealth to Deliver a Home-Based Testing and Counseling Program to Improve Linkage to Care and ART Adherence in Rural South Africa

OriginalPaper

Using Technology and Assessment to Personalize Instruction: Preventing Reading Problems

OriginalPaper

Gay and Bisexual Men’s Strategies to Maintain Daily Adherence to Their HIV Pre-exposure Prophylaxis (PrEP) Medication: Results from a Qualitative Study

OriginalPaper

Personalizing and Optimizing Preventive Intervention Models via a Translational Neuroscience Framework