One-Year Follow-Up of Parent Management Training Program for Children with Externalizing Behavior Problems

  • ภาวิตา จงสุขศิริ Department of Psychiatry, Buddhachinaraj Hospital
  • สุพร อภินันทเวช Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University
  • สิรินัดดา ปัญญาภาส Department of Psychiatry, Faculty of Medicine Siriraj Hospital, Mahidol University
Keywords: behavior therapy; externalizing behavior; oppositional defiant behaviors; attention-deficit/ hyperactivity disorder; parenting practices

Abstract

Objectives : To study the long term effectiveness of parent management training program for
children with externalizing behavior problems at 6 months and 1 year follow up.
Methodology : This was a quasi-experimental study. The experimental group comprised of
39 parents of children with externalizing behavior problems who participated in the parent
management training during the year 2015-2016. The control group comprised of 32 parents who
attended the outpatient department. The tools used were general information questionnaire, the
modified IOWA Conners rating scale- Thai version, Weiss functional impairment rating scale- Thai
version and the modified parenting practice test. The data was analyzed using T-test and ANCOVA.
Results : The demographic data between the experimental and control group was statistically
different in the following areas: child’s sex, parent’s age, income and GPA. There’s a statistically
significant change within the experimental group comparing baseline scores to immediate
post-treatment and 6-month and 1-year follow up in the following measures: The modified IOWA
Conners rating scale - Thai version (p = 0.024 and p = 0.028), Weiss functional impairment
rating scale- Thai version (p = 0.005, 0.001 and 0.038) and the modified parenting practice test.
(p = 0.005 and 0.001). There’s no statistically significant change between the control and the
experimental group in all 3 measures.
Conclusion : Parent management training program reduced child externalizing behavior, decreased
functional impairment and improved parenting practices. The benefits were maintained for at least
6 months. Due to loss to follow up we cannot conclude whether the benefits were maintained at
1 year post-program. The results between the experimental and control group were not statistically
different. There’s limitation in comparing between these two groups as both had some different
baseline factors.

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References

Fossum S, Morch WT, Handegard BH, Drugli MB. Childhood disruptive behaviors and family functioning in clinically referred children: are girls different from boys? Scand J Psychol 2007; 48: 375-82.

Moffitt TE. Adolescence-limited and life-course-persistent antisocial behavior: a developmental taxonomy. Psychol Rev 1993; 100: 674-701.

Mrug S, Windle M. Mediators of neighborhood influences on externalizing behavior in preadolescent children. J Abnorm Child Psychol 2009; 37: 265-80.

Patterson GR, DeGarmo D, Forgatch MS. Systematic changes in families following prevention trials. J Abnorm Child Psychol 2004; 32: 621-33.

Dretzke J, Frew E, Davenport C, Barlow J, Stewart-Brown S, Sandercock J, et al. The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of conduct disorder, including oppositional defiant disorder, in children. Health Technol Assess 2005; 9: iii, ix-x, 1-233.

Eyberg SM, Nelson MM, Boggs SR. Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. J Clin Child Adolesc Psychol 2008; 37: 215-37.

de Graaf I, Speetjens P, Smit F, de Wolff M, Tavecchio L. Effectiveness of the Triple P Positive Parenting Program on behavioral problems in children: a meta-analysis. Behav Modif 2008; 32: 714-35.

Sandler IN, Schoenfelder EN, Wolchik SA, MacKinnon DP. Long-term impact of prevention programs to promote effective parenting: lasting effects but uncertain processes. Annu Rev Psychol 2011; 62: 299-329.

Kazdin AE. Parent management training: evidence, outcomes, and issues. J Am Acad Child Adolesc Psychiatry 1997; 36: 1349-56.

Larsson B, Fossum S, Clifford G, Drugli MB, Handegard BH, Morch WT. Treatment of oppositional defiant and conduct problems in young Norwegian children : results of a randomized controlled trial. Eur Child Adolesc Psychiatry 2009; 18: 42-52.

Rimwitayagorn V. The Effects of using a Parent Management Training Program on Parent’s Behavior towards Their Children. National Research Council of Thailand, 2007.

Mash EJ, Johnston C. Attention-Deficit/ Hyperactivity disorder (ADHD) and the family: A developmental psychopathology perspective. Psychopathology and the family; 2005: 93-124.

Scott S. Do Parenting Programmes for Severe Child Antisocial Behaviour Work over the Longer Term, and for Whom? One Year follow-up of a Multi-Centre Controlled Trial. Behavioural and Cognitive Psychotherapy 2005; 33: 403-21.

Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev 1977; 84: 191-215.

Kessler RC, Adler LA, Barkley R, Biederman J, Conners CK, Faraone SV, et al. Patterns and predictors of attention-deficit/hyperactivity disorder persistence into adulthood: results from the national comorbidity survey replication Biol Psychiatry 2005; 57: 1442-51.

Published
2019-06-28
How to Cite
จงสุขศิริภ., อภินันทเวชส., & ปัญญาภาสส. (2019). One-Year Follow-Up of Parent Management Training Program for Children with Externalizing Behavior Problems. Journal of the Psychiatric Association of Thailand, 64(2), 163-176. Retrieved from https://he01.tci-thaijo.org/index.php/JPAT/article/view/198843