title: Eighteen-Month Follow-Up of Internet-Based Parent Management Training for Children with Conduct Problems and the Relation of Homework Compliance to Outcome.
abstract: The primary aim of the present study was to evaluate if previously reported treatment gains of a parent management training (PMT) program, administered via Internet, were retained from post to the 18-month follow-up. Another aim was to evaluate homework compliance as a predictor of short and long-term outcomes. Participants were parents of 58 children (3-11 years) with conduct problems who received a 10-week self-directed PMT program, with limited therapist support. Parents of 32 children (55.2 %) responded at all measurement point (baseline, post-test and follow-up) and analyses showed that child conduct problems continued to decrease during the 18-month period after the intervention whereas parenting skills deteriorated somewhat from post treatment. Pre- to post-treatment change in child conduct problems was predicted by parental engagement in homework assignments intended to reduce negative child behaviors. The findings provide support for the use of Internet-based PMT and stress the importance of parental compliance to homework training.
authors.affiliation: Division of Psychology, Department of Clinical Neuroscience, Karolinska Institute, Nobels väg 9, 171 65, Solna, Stockholm, Sweden, jens.hogstrom@ki.se.
authors.forename: Jens
authors.initials: J
authors.lastname: Högström
authors.forename: Pia
authors.initials: P
authors.lastname: Enebrink
authors.forename: Bo
authors.initials: B
authors.lastname: Melin
authors.forename: Ata
authors.initials: A
authors.lastname: Ghaderi
mesh_terms: D000328:Adult; D002648:Child; D002675:Child, Preschool; D003068:Coercion; D019955:Conduct Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003299:Cooperative Behavior; D004505:Education, Nonprofessional; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020407:Internet; D008297:Male; D013813:Therapy, Computer-Assisted; D016896:Treatment Outcome; D014477:Underachievement