Tantrum Tool: Development and Open Pilot Study of Online Parent Training for Irritability and Disruptive Behavior
Tantrum Tool: Development and Open Pilot Study of Online Parent Training for Irritability and Disruptive Behavior
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DOI：
10.1089/cap.2020.0089
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发表时间：
2020-10-09
影响因子：
1.9
通讯作者：
Sukhodolsky, Denis G.
中科院分区：
文献类型：
--
作者：
Diaz-Stransky, Andrea;Rowley, Sonia;Sukhodolsky, Denis G.
目的：父母管理训练是一种有效的治疗破坏性行为障碍，但它往往是在临床环境中利用不足。由于后勤障碍和服务有限，获得护理的机会有限。本研究在一项开放性试验中考察了数字化父母管理培训干预的可接受性、可行性和临床效果，其中包括视频会议指导，称为“发脾气工具”。方法：15名3-9岁的儿童参加了一项为期8周的干预开放试验。主要症状测量是破坏性行为评定量表（DBRS），次要结局测量是治疗前后由主要照顾者完成的情感反应指数（ARI）。结果：治疗保留率很高（80%），家长对该计划的满意度很高。平均DBRS评分从基线时的13.5 +/- 5.5显著降低至终点时的7.3 +/- 3.4，p < 0.001。ARI的平均易激惹评分也有显著降低，从基线时的7.2 +/- 2.6降低到终点时的3.75 +/- 2.1，p < 0.01。结论：这项开放式试点研究支持数字家长培训计划的可行性和可接受性，为幼儿破坏性行为。研究结果提供了初步的支持，临床上有意义的减少破坏性行为和易怒。使用Tantrum工具为儿童提供在线治疗可以增加对年轻人破坏性行为和易怒的一线治疗。children.ClinicalTrials.gov
Objectives:Parent management training is an effective treatment for disruptive behavior disorders but it is often underutilized in clinical settings. Access to care is limited due to logistical barriers as well as limited service availability. This study examines in an open trial the acceptability, feasibility, and clinical effects of a digital parent management training intervention that includes videoconference coaching, called "Tantrum Tool." Methods:Fifteen children, ages 3-9 years, participated in an open trial of an 8-week intervention. The primary symptom measure was the Disruptive Behavior Rating Scale (DBRS), and the secondary outcome measure was the Affective Reactivity Index (ARI) completed by the primary caregiver before and after treatment. Results:Treatment retention was high (80%), and parents reported a high level of satisfaction with the program. There was a significant reduction in the mean DBRS score from 13.5 +/- 5.5 at baseline to 7.3 +/- 3.4 at endpoint,p < 0.001. There was also a significant reduction in the mean ARI irritability score from 7.2 +/- 2.6 at baseline to 3.75 +/- 2.1 at endpoint,p < 0.01. Conclusions:This open pilot study supports the feasibility and acceptability of a digital parent training program for young children with disruptive behavior. Findings provide preliminary support for a clinically meaningful reduction of both disruptive behavior and irritability. Using the Tantrum Tool to deliver online treatment for children could increase access to first-line treatments for disruptive behavior and irritability in young children.ClinicalTrials.gov:NCT03697837.