Technology-Enhanced BPT for Early-Onset Behavior Disorders: Improved Outcomes for Children With Co-Occurring Internalizing Symptoms.
Technology-Enhanced BPT for Early-Onset Behavior Disorders: Improved Outcomes for Children With Co-Occurring Internalizing Symptoms.
复制标题
技术增强的针对早发行为障碍的 BPT：改善同时发生内化症状的儿童的治疗结果。
DOI：
10.1080/15374416.2023.2222391
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Jones,DeborahJ
中科院分区：
文献类型：
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作者：
Parent,Justin;Highlander,April;Loiselle,Raelyn;Yang,Yexinyu;McKee,LauraG;Forehand,Rex;Jones,DeborahJ
目的早发性行为障碍（bd）是一种常见且昂贵的疾病。行为父母训练（BPT）是幼儿障碍早期干预的护理标准，其证据基础是完善的；然而，常见的合并症，如内化症状是常见的，它们的影响，尚未得到很好的理解。本研究的目的是研究技术的潜力，以改善BPT对观察到的育儿和儿童行为结果的影响，这些家庭的儿童被招募为临床显著的问题行为，并且表现出相对较高的内化症状。方法低收入家庭（N= 101）被随机分配到循证BPT项目，帮助不服从儿童（HNC）或技术增强HNC (TE-HNC)，这些家庭在早发性bd统计中占比过高。儿童年龄在3至8岁之间（55.4%为男孩）。儿童种族包括白人（64.0%）、黑人或非裔美国人（21.0%）、不止一个种族（14.0%）和西班牙裔/拉丁裔（13.9%）。结果两组患者家属治疗后内化症状均有改善；然而，TE-HNC在治疗后和随访中对基线内化症状最高的儿童的积极育儿和儿童依从性有最大的改善。结论与标准HNC相比，ste -HNC可改善同时发生内化症状水平升高的儿童的育儿和儿童行为结果。我们假设这些额外的好处可能是TE-HNC的功能，为治疗师创造个性化治疗模式的机会，以更复杂的方式提高父母技能的使用，尽管在未来的工作中，正式的调解测试将是重要的。
ObjectiveEarly-onset behavior disorders (BDs) are common and costly. The evidence-base for Behavioral Parent Training (BPT), the standard of care for early intervention for BDs in young children, is well-established; yet, common comorbidities such as internalizing symptoms are common and their impact, not well understood. The goal of the current study was to examine the potential for technology to improve BPT effects on observed parenting and child behavior outcomes for families of children recruited for clinically significant problem behavior who also presented with relatively higher internalizing symptoms.MethodFamilies with low incomes (N= 101), who are overrepresented in statistics on early-onset BDs, were randomized to an evidence-based BPT program, Helping the Noncompliant Child (HNC), or Technology-Enhanced HNC (TE-HNC). Children were ages 3 to 8 years (55.4% were boys). Child race included White (64.0%), Black or African American (21.0%), more than one race (14.0%), and Hispanic/Latinx (13.9%).ResultsFamilies in both groups evidenced improvement in internalizing symptoms at posttreatment; however, TE-HNC yielded the greatest improvement in positive parenting and child compliance at posttreatment and follow-up for children with the highest internalizing symptoms at baseline.ConclusionsTE-HNC resulted in improved parenting and child behavior outcomes for children with elevated levels of co-occurring internalizing symptoms at baseline relative to standard HNC. We posit that these added benefits may be a function of TE-HNC, creating the opportunity for therapists to personalize the treatment model boosting parent skill use with more complex presentations, although a formal test of mediation will be important in future work.