title: Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities.
abstract: This study evaluated two variants of a behavioral parent training program known as Stepping Stones Triple P (SSTP) using 74 preschool-aged children with developmental disabilities. Families were randomly allocated to an enhanced parent training intervention that combined parenting skills and care-giving coping skills (SSTP-E), standard parent training intervention alone (SSTP-S) or waitlist control (WL) condition. At post-intervention, both programs were associated with lower levels of observed negative child behavior, reductions in the number of care-giving settings where children displayed problem behavior, and improved parental competence and satisfaction in the parenting role as compared with the waitlist condition. Gains attained at post-intervention were maintained at 1-year follow-up. Both interventions produced significant reductions in child problem behavior, with 67% of children in the SSTP-E and 77% of children in the SSTP-S showing clinically reliable change from pre-intervention to follow-up. Parents reported a high level of satisfaction with both interventions.
authors.affiliation: The University of Queensland, Qld, Australia.
authors.forename: Karen M
authors.initials: KM
authors.lastname: Plant
authors.forename: Matthew R
authors.initials: MR
authors.lastname: Sanders
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001521:Behavior Therapy; D017028:Caregivers / Q000523:psychology*; D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy*; D002675:Child, Preschool; D003258:Consumer Behavior; D017281:Cost of Illness; D002658:Developmental Disabilities / Q000523:psychology / Q000628:therapy*; D004493:Education; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008607:Intellectual Disability / Q000628:therapy*; D008297:Male; D012931:Social Environment