title: Prevention of problem behavior through annual family check-ups in early childhood: intervention effects from home to early elementary school.
abstract: This randomized intervention trial examined the effects of yearly Family Check-Ups (FCUs) and tailored parent management training on parent report of problem behavior from age 2 to 5 years and teacher report of oppositional behavior at age 7.5. A multiethnic risk sample of 731 families in 3 distinct geographical settings who were receiving assistance from the Women, Infants, and Children Nutritional Supplement (WIC) program were randomly assigned to a yearly FCU. Intention to treat (ITT) analyses were used to examine overall intervention effects, and complier average causal effect (CACE) modeling was used to examine the effects of annual intervention engagement in the FCU on parent reports of child problem behavior from age 2 to 5 and teacher reports of problem behavior at age 7.5. ITT intervention effects were found regarding parent report at ages 2 to 5 and teacher report at age 7.5, indicating less growth in problem behavior for children in the intervention group than for those in the control group. CACE modeling of intervention engagement revealed that the effect sizes on parent- and teacher-reported problem behavior increased as a function of the number of yearly FCUs caregivers participated in. Findings suggest that embedding yearly FCU services within the context of social, health, and educational services in early childhood can potentially prevent early-onset trajectories of antisocial behavior. The increases in effect size with successive FCU engagement underscores the importance of a motivational approach to parenting support among high-risk families.
authors.affiliation: Prevention Research Center, University of Oregon, Tempe, AZ, USA, dishion@asu.edu.
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Dishion
authors.forename: Lauretta M
authors.initials: LM
authors.lastname: Brennan
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Shaw
authors.forename: Amber D
authors.initials: AD
authors.lastname: McEachern
authors.forename: Melvin N
authors.initials: MN
authors.lastname: Wilson
authors.forename: Booil
authors.initials: B
authors.lastname: Jo
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000517:prevention & control* / Q000523:psychology; D002675:Child, Preschool; D003156:Community Mental Health Services / Q000379:methods; D061345:Early Medical Intervention; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006699:Home Care Services / Q000458:organization & administration; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000193:education / Q000523:psychology; D016487:Parenting; D012944:Social Support
references.citation: J Consult Clin Psychol. 2007 Aug;75(4):568-79
references.pmid: 17663611
references.citation: J Fam Psychol. 2008 Aug;22(4):574-85
references.pmid: 18729671
references.citation: Prev Sci. 2002 Sep;3(3):145-52
references.pmid: 12387551
references.citation: Stat Med. 2002 Nov 15;21(21):3161-81
references.pmid: 12375297
references.citation: Prev Sci. 2002 Sep;3(3):191-201
references.pmid: 12387554
references.citation: Psychol Methods. 2008 Dec;13(4):314-36
references.pmid: 19071997
references.citation: Psychol Methods. 2002 Jun;7(2):178-93
references.pmid: 12090409
references.citation: Clin Child Fam Psychol Rev. 2002 Mar;5(1):21-55
references.pmid: 11993544
references.citation: J Child Psychol Psychiatry. 2008 Nov;49(11):1211-9
references.pmid: 18665880
references.citation: Child Dev. 2008 Sep-Oct;79(5):1395-414
references.pmid: 18826532
references.citation: J Consult Clin Psychol. 2006 Feb;74(1):1-9
references.pmid: 16551138
references.citation: Dev Psychol. 2003 Mar;39(2):189-200
references.pmid: 12661881
references.citation: School Ment Health. 2010 Jun;2(2):82-92
references.pmid: 20495673
references.citation: J Abnorm Psychol. 1982 Jun;91(3):199-209
references.pmid: 7096790
references.citation: Dev Psychopathol. 2009 Spring;21(2):417-39
references.pmid: 19338691
references.citation: Multivariate Behav Res. 2011 May;46(3):425-452
references.pmid: 22399826
references.citation: Prev Sci. 2003 Dec;4(4):213-32
references.pmid: 14598995
references.citation: Psychol Bull. 1983 Jul;94(1):68-99
references.pmid: 6353467
references.citation: Psychol Bull. 1987 Sep;102(2):187-203
references.pmid: 3310058
references.citation: J Clin Child Adolesc Psychol. 2005 Mar;34(1):93-104
references.pmid: 15677284
references.citation: Child Dev. 1990 Oct;61(5):1628-37
references.pmid: 2245752
references.citation: Prev Sci. 2008 Dec;9(4):288-98
references.pmid: 18843535
references.citation: Stat Med. 2009 Nov 30;28(27):3363-85
references.pmid: 19731223