Parent training in foster families with children with behavior problems: Follow-up results from a randomized controlled trial |
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| Institution: | 1. University of Amsterdam, Research Institute Child Development and Education, The Netherlands;2. H&S Consult, Woerden, The Netherlands;1. Illinois Department of Children and Family Services, 100 West Randolph, 6th Floor, Chicago, IL 60601, United States;2. University of Chicago, 5841 S. Maryland Avenue C150, MC 0729, Chicago, IL 60637, United States;3. Northwestern University Feinberg School of Medicine, Mental Health Services & Policy Program, 710 N. Lake Shore Drive, 12th Floor, Chicago, IL 60613, United States;1. School of Social Work, California State University, Long Beach 1250 Bellflower Boulevard, Social Sciences/Public Administration Building (SSPA) 131, Long Beach, CA 90840-4602, United States;2. Los Angeles County, Department of Children and Family Services, 425 Shatto Place, Los Angeles, CA 90020, United States;3. Children''s Administrator III, Los Angeles County Department of Children and Family Services, 425 Shatto Place, Los Angeles, CA 90020, United States;1. Indiana University School of Social Work, 902 West New York, Indianapolis, IN 46202, United States;2. Indiana University School of Medicine, 410 West 10th Street, Indianapolis, IN 46202, United States;1. Division of General Pediatrics, Department of Pediatrics, University of Rochester Medical Center, United States;2. Mattel Children''s Hospital, Department of Pediatrics, University of California Las Angeles (UCLA), United States;3. Department of Psychiatry, University of Rochester Medical Center, United States;4. University of Washington, Seattle, United States;5. Mt Hope Family Center, Department of Clinical and Social Psychology, University of Rochester, United States;1. Research institute of Child Development and Education, Faculty of Social and Behavioral Sciences, University of Amsterdam, P. O. Box 15780, 1001 NG Amsterdam, The Netherlands;2. HSConsult, Leidsestraatweg 133, 3443 BT Woerden, The Netherlands;1. Research for Evidence-based Practice, Social Service Institute, National Council of Social Service, Singapore;2. Centre for Research on Rehabilitation and Protection, Ministry of Social and Family Development, Singapore;3. Clinical and Forensic Psychology Service, Ministry of Social and Family Development, Singapore |
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| Abstract: | The present randomized controlled trial examined the four months follow-up effectiveness of Parent Management Training Oregon (PMTO) for parents with foster children (aged 4–12) with severe externalizing behavior problems in long-term foster care arrangements. The aim of PMTO, a relative long and intensive (6–9 months, with weekly sessions) parent management training is to reduce children's problem behavior through improvement of parenting practices. We specifically investigated whether PMTO is effective to reduce foster parenting stress. It was expected that PMTO would reduce parenting stress in foster parents, improve the quality of parenting practices, and reduce children's problem behavior. Multi-informant (foster mothers, foster fathers, and teachers) data were used from 86 families. Multilevel analyses based on the intention to treat principle (retention rate 73%) showed that PMTO, compared to care as usual, had no significant direct, nor indirect or sleeper effects at follow-up on parenting stress, parenting behavior and child behavior problems. Earlier reported immediate effects of PMTO on reduced parenting stress at posttest disappeared at follow-up. Additional analyses on the role of non-specific intervention factors in PMTO effects showed that higher therapist fidelity scores resulted in stronger effects of PMTO on parenting responsiveness, parental explaining and autonomy granting. Unexpectedly, higher fidelity scores also predicted less decrease of parenting stress at follow-up. |
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