title: Moderating effects of parental well-being on parenting efficacy outcomes by intervention delivery model of the early risers conduct problems prevention program.
abstract: Parent-focused preventive interventions for youth conduct problems are efficacious when offered in different models of delivery (e.g., individual in-home, group center-based). However, we know little about the characteristics of parents associated with a positive response to a particular model of delivery. We randomly assigned the parents of an ethnically diverse sample of kindergarten through second grade students (n = 246) displaying elevated levels of aggression to parent-focused program delivery models emphasizing receiving services in a community center largely with groups (Center; n = 121) or receiving services via an individualized in-home strategy (Outreach; n = 125). In both delivery models, parents received parent skills training and goal setting/case management/referrals over an average of 16 months. Structural equation modeling revealed a significant interaction between parental well-being at baseline and intervention delivery model in predicting parenting efficacy at year 2, while controlling for baseline levels of parenting efficacy. Within the Outreach model, parents with lower levels of well-being as reported at baseline appeared to show greater improvements in parenting efficacy than parents with higher levels of well-being. Within the Center model, parental well-being did not predict parenting efficacy outcomes. The strong response of low well-being parents within the Outreach model suggests that this may be the preferred model for these parents. These findings provide support for further investigation into tailoring delivery model of parent-focused preventive interventions using parental well-being in order to improve parenting outcomes.
authors.affiliation: Division of Child and Adolescent Psychiatry, Department of Psychiatry, University of Minnesota Medical School, F256/2B West, 2450 Riverside Avenue, Minneapolis, MN, 55454, USA, tpiehler@umn.edu.
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Piehler
authors.forename: Susanne S
authors.initials: SS
authors.lastname: Lee
authors.forename: Michael L
authors.initials: ML
authors.lastname: Bloomquist
authors.forename: Gerald J
authors.initials: GJ
authors.lastname: August
mesh_terms: D000328:Adult; D002648:Child; D019955:Conduct Disorder / Q000517:prevention & control*; D004505:Education, Nonprofessional; D005260:Female; D005639:Frustration; D006801:Humans; D008297:Male; D017145:Models, Educational; D017063:Outcome Assessment, Health Care; D016487:Parenting; D010290:Parents / Q000523:psychology*; D012572:School Health Services; D012649:Self Concept; D012944:Social Support; D012959:Socioeconomic Factors; D013315:Stress, Psychological