| Title |
Does Giving Parents Their Choice of Interventions for Child Behavior Problems Improve Child Outcomes?
|
|---|---|
| Published in |
Prevention Science, January 2018
|
| DOI | 10.1007/s11121-018-0865-x |
| Pubmed ID | |
| Authors |
Abigail H. Gewirtz, Susanne S. Lee, Gerald J. August, Yaliu He |
| Abstract |
Empowering consumers to be active decision-makers in their own care is a core tenet of personalized, or precision medicine. Nonetheless, there is a dearth of research on intervention preferences in families seeking interventions for a child with behavior problems. Specifically, the evidence is inconclusive as to whether providing parents with choice of intervention improves child/youth outcomes (i.e., reduces externalizing problems). In this study, 129 families presenting to community mental health clinics for child conduct problems were enrolled in a doubly randomized preference study and initially randomized to choice or no-choice conditions. Families assigned to the choice condition were offered their choice of intervention from among three different formats of the Parent Management Training-Oregon Model/PMTO (group, individual clinic, home based) and services-as-usual (child-focused therapy). Those assigned to the no-choice condition were again randomized, to one of the four intervention conditions. Intent-to-treat analyses revealed partial support for the effect of parental choice on child intervention outcomes. Assignment to the choice condition predicted teacher-reported improved child hyperactivity/inattention outcomes at 6 months post-treatment completion. No main effect of choice on parent reported child outcomes was found. Moderation analyses indicated that among parents who selected PMTO, teacher report of hyperactivity/inattention was significantly improved compared with parents selecting SAU, and compared with those assigned to PMTO within the no-choice condition. Contrary to hypotheses, teacher report of hyperactivity/inattention was also significantly improved for families assigned to SAU within the no-choice condition, indicating that within the no-choice condition, SAU outperformed the parenting interventions. Implications for prevention research are discussed. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 3 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 2 | 67% |
| Scientists | 1 | 33% |
Mendeley readers
The data shown below were compiled from readership statistics for 93 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 93 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 18 | 19% |
| Student > Ph. D. Student | 11 | 12% |
| Researcher | 9 | 10% |
| Student > Bachelor | 8 | 9% |
| Student > Doctoral Student | 7 | 8% |
| Other | 11 | 12% |
| Unknown | 29 | 31% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 31 | 33% |
| Social Sciences | 8 | 9% |
| Nursing and Health Professions | 6 | 6% |
| Medicine and Dentistry | 5 | 5% |
| Biochemistry, Genetics and Molecular Biology | 3 | 3% |
| Other | 8 | 9% |
| Unknown | 32 | 34% |
Attention Score in Context
This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 28 May 2021.
All research outputs
#13,517,432
of 23,045,021 outputs
Outputs from Prevention Science
#634
of 1,036 outputs
Outputs of similar age
#218,347
of 441,266 outputs
Outputs of similar age from Prevention Science
#8
of 12 outputs
Altmetric has tracked 23,045,021 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 1,036 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.2. This one is in the 38th percentile – i.e., 38% of its peers scored the same or lower than it.
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We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.