This study assessed the secondary effects of a parent training intervention program on maternal adjustment, with a focus on understanding ways in which program efficacy differed for participants as a function of whether or not their children had behavior problems. Mothers (N = 99) of toddlers (2–3 years of age) were randomly assigned to receive one of three levels of intervention: (1) informational booklet (2) booklet + face-to-face parent training sessions, or (3) booklet + web-based parent training sessions. Findings indicated that all levels of intervention were associated with increases in maternal well-being for participants with typically developing children. Mothers of toddlers with behavior problems, however, did not benefit from receiving only the booklet but significantly benefitted from receiving either the face-to-face or web-based interventions. Findings are discussed in terms of efficient and efficacious program dissemination and the resulting implications for public policy.
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Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, G. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of Abnormal Child Psychology, 21, 581–596.
Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal of Mental Retardation, 107, 433–444.
Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K. A., Edelbrock, C., & Low, C. (2003). Preschool children with and without developmental delay: Behavior problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.
Barclay, D. R., & Houts, A. C. (1995). Parenting skills: A review and developmental analysis of training content. In W. O’Donohue & L. Krasner (Eds.), Handbook of psychological skills training: Clinical techniques and applications (pp. 195–228). Boston: Allyn and Bacon.
Barkley, R. A., Guevremont, D. C., Anastopoulos, A. D., & Fletcher, K. F. (1992). A comparison of three family therapy programs for treating family conflicts in adolescents with ADHD. Journal of Consulting and Clinical Psychology, 60, 450–462.
Barlow, J., Coren, E., & Stewart-Brown, S. (2002). Meta-analysis of the effectiveness of parenting programmes in improving maternal psychosocial health. British Journal of General Practice, 52, 223–233.
Barnett, B., Schaafsma, M. F., Guzman, A. M., & Parker, G. B. (2006). Maternal anxiety: A 5-year review of an intervention study. Journal of Child Psychology and Psychiatry, 32, 423–438.
Beardslee, W. R., Wright, E. J., Gladstone, T. R. G., & Forbes, P. (2007). Long-term effects from a randomized trial of two public health preventive interventions for parental depression. Journal of Family Psychology, 21, 703–713.
Bert, S. S. C., & Farris, J. R. (2009). Addressing attrition rates: New directions in administering parent training. In P. H. Krause & T. M. Dailey (Eds.), Handbook of Parenting: Styles, stresses, and strategies. Hauppauge: Nova Science Publishers.
Bert, S. S. C., Farris, J. R., & Borkowski, J. G. (2008). Parent training: Implementation strategies for Adventures in Parenting. The Journal of Primary Prevention, 29, 243–261.
Borkowski, J. G., Ramey, S. L., & Stile, C. (2002). Parenting research: Translations to parenting practices. In J. G. Borkowski, S. L. Ramey, & M. Bristol-Power (Eds.), Parenting and the child’s world: Influences on academic, intellectual, and social-emotional development (pp. 365–386). Mahwah, NJ: Lawrence Erlbaum Associates.
Briggs-Gowan, M. J., Carter, A. S., Irwin, J. R., Wachtel, K., & Cicchetti, D. V. (2004). The Brief Infant-Toddler Social and Emotional Assessment: Screening for social-emotional problems and delays in competence. Journal of Pediatric Psychology, 29, 143–155.
Burke, J. D., Pardini, D. A., & Loeber, R. (2008). Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence. Journal of Abnormal Child Psychology, 36, 679–692.
Burstein, M., Stanger, C., Kamon, J., & Dumenci, L. (2006). Parent psychopathology, parenting, and child internalizing problems in substance-abusing families. Psychology of Addictive Behaviors, 20, 97–106.
Cowan, P. A., & Cowan, C. P. (2002). What an intervention design reveals about how parents affect their children’s academic achievement and behavior problems. In J. G. Borkowski, S. L. Ramey, & M. Bristol-Power (Eds.), Parenting and the child’s world: Influences on academic, intellectual, and social-emotional development (pp. 75–97). Mahwah, NJ: Lawrence Erlbaum Associates.
Cox, A. D., Puckering, C., Pound, A., & Mills, M. (1987). The impact of maternal depression on young children. Journal of Child Psychology and Psychiatry, 28, 917–928.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.
Cummings, E. M., Davies, P. T., & Campbell, S. B. (2000). Developmental psychopathology and family process: Theory research and clinical implications. New York: The Guilford Press.
Derogatis, L. R. (1994). Symptoms Checklist -90-R: Administration, scoring, and procedures manual (3rd ed.). Minneapolis, MN: National Computer Systems Pearson Incorporated.
Dore, M. M., & Lee, J. M. (1999). The role of parent training with abusive and neglectful parents. Family Relations, 48, 313–325.
Dretzke, J., Frew, E., Davenport, C., Barlow, J., Stewart-Brown, S., Sandercock, J., et al. (2005). The effectiveness and cost-effectiveness of parent training/education programmes for the treatment of Conduct Disorder, including Oppositional Defiant Disorder, in children. Health Technology Assessment, 9, 50.
Eisner, M., & Meidert, U. (2011). Stages of parental engagement in a universal parent training program. Journal of Primary Prevention, 32, 83–93.
Endo, G. T., Sloane, H. N., Hawkes, T. W., McLoughlin, C., & Jenson, W. R. (1991). Reducing child tantrums through self-instructional parent training materials. School Psychology International, 12, 95–109.
Gartstein, M. A., & Sheeber, L. (2004). Child behavior problems and maternal symptoms of depression: A mediational model. Journal of Child and Adolescent Psychiatric Nursing, 17, 141–150.
Gordon, D. A. (2000). Parent training via CD-ROM: Using technology to disseminate effective prevention practices. The Journal of Primary Prevention, 21, 227–251.
Gross, D., & Fogg, L. (2004). A critical analysis of the intent-to-treat principle in prevention research. The Journal of Primary Prevention, 25, 475–489.
Hops, H., Bigian, A., Sherman, L., Arthur, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55, 341–346.
Johnson, K. (2006). Intervention during pregnancy can reduce depression. Clinical Psychiatry News, Retrieved December 18, 2008 from http://findarticles.com/p/articles/mi_hb4345/is_/ai_n29293262.
Kazdin, A. E., & Wassell, G. (2000). Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families. Mental Health Services Research, 2, 27–40.
Kenny, M. E., Horne, A. M., Orpinas, P., & Reese, L. E. (2009). Realizing social justice: The challenge of preventive interventions. Washington, DC: American Psychological Association.
Kertz, S. J., Smith, C. L., Chapman, L. K., & Woodruff-Borden, J. (2008). Maternal sensitivity and anxiety: Impacts on child outcome. Child & Family Behavior Therapy, 30, 153–171.
Kim-Cohen, J., Moffitt, T. E., Taylor, A., Pawlby, S. J., & Caspi, A. (2005). Maternal depression and children’s antisocial behavior: Nature and nurture effects. Archives of General Psychiatry, 62, 173–181.
Lee, K. (2003). Maternal coping skills as a moderator between depression and stressful life events: Effects on children’s behavioral problems in an intervention program. Journal of Child and Family Studies, 12, 425–437.
Lundahl, B., Risser, H. J., & Lovejoy, M. C. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86–104.
Maxwell, S. E., & Delaney, H. D. (2004). Designing experiments and analyzing data: A model comparison perspective (2nd ed.). Mahwah, NJ: Lawrence Erlbaum Associates.
Murray, C., & Johnston, C. (2006). Parenting in mothers with and without Attention-Deficit/Hyperactivity Disorder. Journal of Abnormal Psychology, 115, 52–61.
National Institute of Child Health, Human Development (NICHD). (2001). Adventures in parenting: How responding, preventing, monitoring, mentoring, and modeling can help you be a successful parent (NIH Pub. No. 00–4842). Washington, DC: U.S. Government Printing Office.
Nicholson, J. S., Deboeck, P., Farris, J. R., Boker, S. M., & Borkowski, J. G. (2011). Maternal depressive symptomatology and child behavior: A dynamical system with simultaneous bidirectional coupling. Developmental Psychology, 47(5), 1230–1238.
Nixon, R. D. V. (2002). Treatment of behavior problems in preschoolers: A review of parent training programs. Clinical Psychology Review, 22, 525–546.
Orrell-Valente, J. K., Pinderhughes, E. E., Valente, E., & Laird, R. D. (1999). If it’s offered will they come? Influences on parents’ participation in a community-based conduct problems prevention program. American Journal of Community Psychology, 27, 753–783.
Patterson, J., Barlow, J., Mockford, C., Klimes, I., Pyper, C., & Stewart-Brown, S. (2002). Improving mental health through parenting programmes: Block randomized controlled trial. Archives of Disease in Childhood, 87, 472–477.
Patterson, G. R., & Chamberlain, P. (1988). Treatment process: A problem at three levels. In L. Wynne (Ed.), The state of the art in family therapy research: Controversies and recommendations (pp. 189–223). New York: Family Process Press.
Patterson, G. R., Forgatch, M. S., & DeGarmo, D. S. (2010). Cascading effects following intervention. Development and Psychopathology, 22(04), 949–970.
Rausch, J. R., Maxwell, S. E., & Kelley, K. (2003). Analytic methods for questions pertaining to a randomized pretest, posttest, follow-up design. Journal of Clinical Child and Adolescent Psychology, 32, 467–486.
Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problems: A meta-analytic review. Journal of Child Psychology and Psychiatry, 47, 99–111.
Rowe, M., Pan, B. A., & Ayoub, C. (2005). Predictors of variation in maternal talk to children: A longitudinal study of low-income families. Parenting Science and Practice, 5, 285–320.
Sanders, M. R., Markie-Dadds, C., Tully, L. A., & Bor, W. (2000). The triple p-positive parenting program: A comparison of enhanced, standard, and self-directed behavioral family interventions for parents of children with early onset conduct problems. Journal of Consulting and Clinical Psychology, 68, 624–640.
Sanders, M. R., Mazzucchelli, T. G., & Studman, L. J. (2004). Stepping Stones Triple P: The theoretical basis and development of an evidenced-based positive parenting program for families with a child who has a disability. Journal of Intellectual & Developmental Disability, 29, 265–283.
Schafer, J. L., & Graham, J. W. (2002). Missing data: Our view of state of the art. Psychological Methods, 7, 147–177.
Scott, S., Carby, A., & Rendu, A. (2008). Impact of therapists’ skill on effectiveness of parenting groups for child antisocial behavior. Implementation and Dissemination, Retrieved July 15, 2011 from (http://www.incredibleyears.com/Library/items/therapists-skill_08.pdf).
Seifer, R., & Dickstein, S. (2000). Parental mental illness and infant development. In C. Zeahnah (Ed.), Handbook of infant mental health (2nd ed., pp. 145–160). New York: Guilford Press.
Taylor, T. K., Webster-Stratton, C., Feil, E. G., Broadbent, B., Widdop, C. S., & Severson, H. H. (2008). Computer-based intervention with coaching: An example using the Incredible Years Program. Cognitive Behaviour Therapy, 37, 233–246.
Webster-Stratton, C., & Herbert, M. (1993). What really happens in parent training? Behavior Modification, 17, 407–456.
Weinburg, N., Schmale, J. D., Uken, J., & Wessel, K. (1995). Computer-mediated support groups. Social Work With Groups, 17, 43–54.
This research was supported by the Administration for Children and Families (ACF) of Health and Human Services (HHS) award # 90XP0056/01. Authors Bert and Farris were predoctoral trainees on NIH grant # HD-07184 at the time the intervention was administered, and would like to acknowledge Christina Stile, John G. Borkowski, Sharon L. Ramey, and all other contributors to Adventures in Parenting.
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Farris, J.R., Bert, S.S.C., Nicholson, J.S. et al. Effective Intervention Programming: Improving Maternal Adjustment Through Parent Education. Adm Policy Ment Health 40, 211–223 (2013). https://doi.org/10.1007/s10488-011-0397-1
- Maternal socioemotional adjustment
- Child behavior
- Parent education