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Summer Treatment Program for Preschoolers with Externalizing Behavior Problems: a Preliminary Examination of Parenting Outcomes

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Abstract

Within an at-risk sample of preschoolers with externalizing behavior problems (EBP), the current study examined the initial promise of a multimodal intervention, the Summer Treatment Program for Pre-Kindergarteners (STP-PreK), in improving parenting outcomes. Using an open trial design, 154 parents and their preschool children (73% male; M age = 5.06 years; 82% Hispanic/Latino background) with at-risk or clinically elevated levels of EBP (57% of which were referred by schools or mental health/medical professionals) completed a baseline and post-treatment assessment. A subsample of 90 families completed a follow-up assessment approximately 6 to 9 months after treatment completion. Parental measures of parenting stress and discipline strategies were collected across all three assessments. Observational data were also collected across all assessments during a 5-min standardized child-led play situation and a 5-min parent-led clean up task. The parenting component of the STP-PreK included a School Readiness Parenting Program (SRPP) of which the behavioral management component was implemented via a Parent-Child Interaction Therapy (PCIT) adaptation (8 weekly group sessions with 15–20 parents in each group, lack of requirement of “mastery” criteria). All parenting outcomes (both ratings and observed) significantly improved after the intervention (Cohen’s d mean effect size across measures 0.89) with all effects being maintained at the 6–9 month follow-up. These findings highlight the initial promise of our SRPP’s PCIT adaptation in targeting multiple aspects of parenting while yielding comparable parenting skills acquisition compared to traditional individual PCIT.

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Acknowledgements

The research reported here was supported by the Institute of Education Sciences, U.S. Department of Education, through Grant R324A120136 as well as a local grant from The Children’s Trust (1329-7290) to the first author. The opinions expressed are those of the authors and do not represent views of the Institute or the U.S. Department of Education or The Children’s Trust. We would also like to acknowledge the support of Miami-Dade County Public Schools and thank the families and dedicated staff who participated in the study.

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  1. Center for Children and Families & Department of Psychology, Florida International University, 11200 SW 8th Street, AHC 4 Rm. 459, Miami, FL, 33199, USA

    Paulo A. Graziano, Rosmary Ros & Katie C. Hart

  2. Department of Psychology, University of Maine, 168 College Ave, Orono, ME, 04469, USA

    Janine Slavec

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Graziano, P.A., Ros, R., Hart, K.C. et al. Summer Treatment Program for Preschoolers with Externalizing Behavior Problems: a Preliminary Examination of Parenting Outcomes. J Abnorm Child Psychol 46, 1253–1265 (2018). https://doi.org/10.1007/s10802-017-0358-6

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