Treatment effectiveness of Parent Management Training in Norway: A randomized controlled trial of children with conduct problems
Treatment effectiveness of Parent Management Training in Norway: A randomized controlled trial of children with conduct problems
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DOI：
10.1037/0022-006x.76.4.607
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发表时间：
2008-08-01
影响因子：
5.9
通讯作者：
Hagen, Kristine Amlund
中科院分区：
文献类型：
--
作者：
Ogden, Terje;Hagen, Kristine Amlund
本研究是一项在挪威进行的父母管理培训--俄勒冈模式(PMTO)的随机对照试验。代表挪威所有卫生区的样本由112名有行为问题的儿童及其家庭组成，参与了这项研究。家庭被随机分配到PMTO或常规服务对照组。PMTO是通过现有的儿童服务提供的，通过各机构的常规转介程序招募家庭，这使这成为第一个关于PMTO的有效性研究，也是第一个在美国以外进行的PMTO随机对照试验。采用多主体-多方法的方法，结果表明，PMTO在减少家长报告的儿童外化问题，提高教师报告的社会能力，以及加强父母管教方面是有效的。年龄水平和性别改变了PMTO治疗对其他结果的影响。在路径模型中，参与PMTO与父母管教的改善有关，有效的管教预示着更大的儿童顺从性，更少的儿童发起的负面链条，以及更低水平的儿童外化问题。调查结果与对实践和研究的影响以及伴随有效性试验的挑战的讨论一起呈现。
This study was a randomized control trial (RCT) of Parent Management Training-The Oregon Model (PMTO) in Norway. A sample representing all health regions of Norway and consisting of 112 children with conduct problems and their families participated in the study. Families were randomly assigned to either PMTO or a regular services comparison group. PMTO was delivered via existing children's services, and families were recruited using the agencies' regular referral procedures, making this the first effectiveness study of PMTO and the first RCT of PMTO conducted outside of the United States. Using a multiagent-multimethod approach, results showed that PMTO was effective in reducing parent-reported child externalizing problems, improving teacher-reported social competence, and enhancing parental discipline. Age level and gender modified the effects of PMTO treatment on other outcomes. In a path model, participation in PMTO was associated with improved parental discipline, and effective discipline predicted greater child compliance, fewer child-initiated negative chains, and lower levels of child externalizing problems. Findings are presented along with a discussion of the implications for practice and research and the challenges accompanying effectiveness trials.