OBJECTIVE: To examine predictors and moderators of parent-training outcomes for treatment of Oppositional Defiant Disorder (ODD) in pediatric primary care. METHODS:Parents of 117 children with ODD, ages 3-6 years, seen in primary care received either a minimal intervention bibliotherapy treatment (MIT), or a 12-session parenting program led by a nurse or psychologist. RESULTS: More initial total life stress, parenting distress, internalizing problems, functional impairment, and difficult temperament were associated with more improvement, but families scoring lower on those variables had fewer behavior problems at posttreatment and follow-up. Gender was a significant moderator, with more improvement for girls than boys in the nurse-led group but more improvement for boys than girls in the MIT group. Less well-educated mothers treated by psychologists showed the greatest change. CONCLUSIONS: Predictors and moderators may play a role in deciding, which families receive a particular form of treatment for ODD in primary care.
RCT Entities:
OBJECTIVE: To examine predictors and moderators of parent-training outcomes for treatment of Oppositional Defiant Disorder (ODD) in pediatric primary care. METHODS: Parents of 117 children with ODD, ages 3-6 years, seen in primary care received either a minimal intervention bibliotherapy treatment (MIT), or a 12-session parenting program led by a nurse or psychologist. RESULTS: More initial total life stress, parenting distress, internalizing problems, functional impairment, and difficult temperament were associated with more improvement, but families scoring lower on those variables had fewer behavior problems at posttreatment and follow-up. Gender was a significant moderator, with more improvement for girls than boys in the nurse-led group but more improvement for boys than girls in the MIT group. Less well-educated mothers treated by psychologists showed the greatest change. CONCLUSIONS: Predictors and moderators may play a role in deciding, which families receive a particular form of treatment for ODD in primary care.
Authors: Rinad S Beidas; Oliver Lindhiem; Douglas M Brodman; Anna Swan; Matthew Carper; Colleen Cummings; Philip C Kendall; Anne Marie Albano; Moira Rynn; John Piacentini; James McCracken; Scott N Compton; John March; John Walkup; Golda Ginsburg; Courtney P Keeton; Boris Birmaher; Dara Sakolsky; Joel Sherrill Journal: Behav Ther Date: 2013-05-16