Hautmann, Christopher, Dose, Christina, Duda-Kirchhof, Karin, Greimel, Lisa, Hellmich, Martin, Imort, Stephanie, Katzmann, Josepha, Pinior, Julia, Scholz, Kristin, Schuermann, Stephanie, Metternich-Kaizman, Tanja Wolff and Doepfner, Manfred (2018). Behavioral Versus Nonbehavioral Guided Self-Help for Parents of Children With Externalizing Disorders in a Randomized Controlled Trial. Behav. Therapy, 49 (6). S. 951 - 966. NEW YORK: ASSOC ADV BEHAVIOR THERAPY. ISSN 1878-1888

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Abstract

Self-help interventions for parents, which have a behavioral basis, are considered to be an effective treatment option for children with externalizing disorders. Nonbehavioral approaches are widely used but have little empirical evidence. The main objective of this trial was to compare the efficacy of a behavioral and a nonbehavioral guided self-help program for parents. Families of children (aged 4-11 years) diagnosed with attention-deficit/hyperactivity disorder (ADHD) or oppositional defiant disorder (ODD) were randomized to either a behavioral or a nonbehavioral guided self-help program including 8 parenting booklets and 10 counseling telephone calls. The analyses considered the ratings of 5 informants: blinded clinician, therapist, participant, (her or his) partner, and teacher. Of the 149 families randomized to treatment (intention-to-treat sample [ITT]), 110 parents completed the intervention (per-protocol sample [PP]). For the 4 primary outcome measures (blinded clinician- and participant-rated ADHD and ODD) at post assessment, the analysis revealed a treatment advantage for the behavioral group in blinded clinician-rated ODD symptoms (ITT: d = 0.37; PP: d = 0.35). Further treatment differences, all in favor of the behavioral group (ITT and PP), were detected in therapist ratings (i.e., ODD) and participant ratings (e.g., parental self-efficacy [only PP], negative parenting behavior, parental stress). In both samples, no differences were found at post-assessment for ratings of the partner and the teacher, or at the 12-month follow-up (only participant ratings available). Behavioral guided self-help shows some treatment advantage in the short term. No superiority over nonbehavioral therapy was detected 12 months after treatment termination.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hautmann, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dose, ChristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Duda-Kirchhof, KarinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Greimel, LisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hellmich, MartinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Imort, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Katzmann, JosephaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pinior, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scholz, KristinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuermann, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Metternich-Kaizman, Tanja WolffUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Doepfner, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-168023
DOI: 10.1016/j.beth.2018.02.002
Journal or Publication Title: Behav. Therapy
Volume: 49
Number: 6
Page Range: S. 951 - 966
Date: 2018
Publisher: ASSOC ADV BEHAVIOR THERAPY
Place of Publication: NEW YORK
ISSN: 1878-1888
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; CLINICAL-SIGNIFICANCE; FAMILY INTERVENTION; FOLLOW-UP; METAANALYSIS; IMPLEMENTATION; CHILDHOOD; THERAPY; SCALE; ADHDMultiple languages
Psychology, Clinical; PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16802

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