title: A pilot study of the feasibility and efficacy of the Strategies to Enhance Positive Parenting (STEPP) program for single mothers of children with ADHD.
abstract: OBJECTIVE
  The Strategies to Enhance Positive Parenting (STEPP) program was developed to address putative factors related to poor engagement in and outcomes following traditional behavioral parent training (BPT) for single mothers of children diagnosed with ADHD.
  
  
  METHODS
  Twelve single mothers of children with ADHD were enrolled in an initial investigation of the feasibility and preliminary efficacy of the 9-week STEPP program.
  
  
  RESULTS
  Results indicated that the STEPP program was effective in reducing problematic child behavior and improving parental stress and psychopathology at posttreatment. The STEPP program resulted in high rates of treatment attendance and completion and consumer satisfaction with the program. However, results also indicated that the STEPP program did not improve childrens' overall psychosocial impairment and resulted in small effect size findings across measures.
  
  
  CONCLUSIONS
  The results of the pilot study are encouraging but indicate a need to improve the potency and delivery of certain aspects of the STEPP program.
authors.affiliation: Department of Psychiatry, Mount Sinai School of Medicine, NY 10029-6574, USA. anil.chacko@mssm.edu
authors.forename: Anil
authors.initials: A
authors.lastname: Chacko
authors.forename: Brian T
authors.initials: BT
authors.lastname: Wymbs
authors.forename: Lizette M
authors.initials: LM
authors.lastname: Flammer-Rivera
authors.forename: William E
authors.initials: WE
authors.lastname: Pelham
authors.forename: Kathryn S
authors.initials: KS
authors.lastname: Walker
authors.forename: Fran W
authors.initials: FW
authors.lastname: Arnold
authors.forename: Hema
authors.initials: H
authors.lastname: Visweswaraiah
authors.forename: Michelle
authors.initials: M
authors.lastname: Swanger-Gagne
authors.forename: Erin L
authors.initials: EL
authors.lastname: Girio
authors.forename: Lauma L
authors.initials: LL
authors.lastname: Pirvics
authors.forename: Laura
authors.initials: L
authors.lastname: Herbst
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy*; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000523:psychology / Q000628:therapy; D001521:Behavior Therapy / Q000193:education* / Q000379:methods; D002648:Child; D005240:Feasibility Studies; D005260:Female; D017144:Focus Groups; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000193:education* / Q000523:psychology; D010287:Parent-Child Relations; D016487:Parenting / Q000523:psychology*; D010865:Pilot Projects; D011340:Problem Solving; D015397:Program Evaluation; D015406:Single Parent / Q000193:education* / Q000523:psychology; D020954:Single-Parent Family / Q000523:psychology; D013315:Stress, Psychological / Q000517:prevention & control / Q000523:psychology; D016896:Treatment Outcome