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Prevention Science

, Volume 14, Issue 5, pp 457–467 | Cite as

Predictors of Engagement in a School-Based Family Preventive Intervention for Youth Experiencing Behavioral Difficulties

  • Mesha L. Ellis
  • Michael A. Lindsey
  • Edward D. Barker
  • Caroline L. Boxmeyer
  • John E. Lochman
Article

Abstract

The researchers longitudinally assessed parent and child levels of engagement in an evidence-based preventive intervention for children. The sample included 114 fifth graders with aggressive, disruptive behaviors and their parents who participated in the Coping Power Program. Findings indicate that levels of engagement differentially fluctuated for children and parents throughout the course of the intervention. Results also suggest that child levels of engagement early in the course of the program influenced parent mid-intervention levels of engagement. Further, these relationships persisted when the influence of family environment variables were included in analyses.

Keywords

Child intervention engagement Family intervention Behavioral difficulties School-based Cognitive-Behavioral 

Notes

Acknowledgements

The completion of this study has been supported by a grant from the Centers for Disease Control and Prevention (R49\CCR418569). Additional support was provided by grants from the National Institute of Drug Abuse (DA-08453, DA-16135, 3R24DA021527-01A2S1).

References

  1. Armbruster, P., & Fallon, T. (1994). Clinical, sociodemographic, and systems risk factors for attrition in a children’s mental health clinic. American Journal of Orthopsychiatry, 64, 577–585. doi: 10.1037/h0079571.PubMedCrossRefGoogle Scholar
  2. Atkins, M.S., Frazier, S.L., Birman, D., Adil, J.A., Jackson, M., Graczyk, P.A., . . . McKay, M.M. (2006). School-based mental health services for children living in high poverty urban communities. Administration and Policy in Mental Health and Mental Health Services Research, 33, 146-159.Google Scholar
  3. Bentler, P. M., & Bonett, D. G. (1980). Significance tests and goodness of fit in the analysis of covariance structures. Psychological Bulletin, 88, 588–606. doi: 10.1037/0033-2909.88.3.588.CrossRefGoogle Scholar
  4. Bögels, S., & Phares, V. (2008). Fathers’ role in the etiology, prevention and treatment of child anxiety: A review and new model. Clinical Psychology Review, 28, 539–558.Google Scholar
  5. Browne, M. W., & Cudeck, R. (1993). Alternative ways of assessing model fit. In K. A. Bollen & J. S. Long (Eds.), Testing structural equation models (pp. 136–162). Beverly Hills, CA: Sage Publications.Google Scholar
  6. Burnett-Zeigler, I., & Lyons, J. (2010). Caregiver factors predicting service utilization among youth participating in a school-based mental health intervention. Journal of Child and Family Studies, 19, 572–578. doi: 10.1007/s10826-009-9331-5.CrossRefGoogle Scholar
  7. Capaldi, D.M., & Patterson, G.R. (1991). Relation of parental transitions to boys’ adjustment problems: I. A linear hypothesis, and II. Mothers at risk for transitions and unskilled parenting. Developmental Psychology in the Schools, 27, 489-504.Google Scholar
  8. Chu, B., & Kendall, P. C. (2001). Therapist responsiveness to child level of involvement: Flexibility within a manual-based treatment. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy.Google Scholar
  9. Chu, B. C., & Kendall, P. C. (2004). Positive association of child involvement and treatment outcome within a manual-based Cognitive-Behavioral treatment for children with anxiety. Journal of Consulting and Clinical Psychology, 72, 821–829.PubMedCrossRefGoogle Scholar
  10. Chu, B. C., & Kendall, P. C. (2009). Therapist responsiveness to child engagement: Flexibility within manual-based CBT for anxious youth. Journal of Clinical Psychology, 65, 736–754.PubMedCrossRefGoogle Scholar
  11. Chu, B. C., Choudhury, M. S., Shortt, A. L., Pincus, D. B., Creed, T. A., & Kendall, P. C. (2004). Alliance, technology, and outcome in the treatment of anxious youth. Cognitive and Behavioral Practice, 11, 44–55.CrossRefGoogle Scholar
  12. Clark, L. A., Kochanska, G., & Ready, R. (2000). Mothers' personality and its interaction with child temperament as predictors of parenting behavior. Journal of Personality and Social Psychology, 79, 274–285. doi: 10.1037/0022-3514.79.2.274.PubMedCrossRefGoogle Scholar
  13. Giger, J. N., & Davidhizar, R. (2007). Eliminating health disparities: Understanding this important phenomenon. The Health Care Manager, 26, 221–233.Google Scholar
  14. Gorman-Smith, D., Tolan, P. H., Zelli, A., & Huesmann, L. R. (1996). The relation of family functioning to violence among inner-city minority youth. Journal of Family Psychology, 10, 101–116.Google Scholar
  15. Halvorsen, I., & Heyerdahl, S. (2007). Treatment perception in adolescent onset anorexia nervosa: Retrospective views of patients and parents. International Journal of Eating Disorders, 40, 629–639.Google Scholar
  16. Hill, C.E. (2005). Therapist techniques, client involvement, and the therapeutic relationship: Inextricably intertwined in the therapy process. Psychotherapy: Theory/Research/Practice/Training, 42, 431-442. doi: 10.1037/0033-3204.42.4.431
  17. Hill, N. E., Castellino, D. R., Lansford, J. E., Nowlin, P., Dodge, K. A., Bates, J. E., & Pettit, G. S. (2004). Parent academic involvement as related to school behavior, achievement, and aspirations: Demographic variations across adolescence. Child Development, 75, 1491–1509.PubMedCrossRefGoogle Scholar
  18. Karver, M., Shirk, S., Handelsman, J. B., Fields, S., Crisp, H., Gudmundsen, G., & McMakin, D. (2008). Relationship processes in youth psychotherapy: Measuring alliance, alliance-building behaviors, and client involvement. Journal of Emotional and Behavioral Disorders, 16, 15–28.CrossRefGoogle Scholar
  19. Kazdin, A. E., & Whitley, M. K. (2003). Treatment of parental stress to enhance therapeutic change among children referred for aggressive and antisocial behavior. Journal of Consulting and Clinical Psychology, 71, 504–515.PubMedCrossRefGoogle Scholar
  20. Kazdin, A. E., & Whitley, M. K. (2006a). Comorbidity, case complexity, and effects of evidence-based treatment for children referred for disruptive behavior. Journal of Consulting and Clinical Psychology, 74, 455–467.PubMedCrossRefGoogle Scholar
  21. Kazdin, A. E., & Whitley, M. K. (2006b). Pretreatment social relations, therapeutic alliance, and improvements in parenting practices in parent management training. Journal of Consulting and Clinical Psychology, 74, 346–355.PubMedCrossRefGoogle Scholar
  22. Kazdin, A. E., Marciano, P. L., & Whitley, M. K. (2005). The therapeutic alliance in Cognitive-Behavioral treatment of children referred for oppositional, aggressive, and antisocial behavior. Journal of Consulting and Clinical Psychology, 73, 726–730.PubMedCrossRefGoogle Scholar
  23. Kerr, M., & Stattin, H. (2003). Parenting of adolescents: Action or reaction? Children's influence on family dynamics: The neglected side of family relationships. (pp. 121-151): Mahwah, NJ, US: Lawrence Erlbaum Associates Publishers.Google Scholar
  24. Lochman, J. E., Boxmeyer, C., Powell, N., Roth, D. L., & Windle, M. (2006). Masked intervention effects: Analytic methods for addressing low dosage of intervention. New Directions for Evaluation, 110, 19–32.CrossRefGoogle Scholar
  25. Lochman, J. E., Wells, K., & Lenhart, L. A. (2008). Coping power: Child group facilitator's guide. USA: Oxford University Press.Google Scholar
  26. Logan, D. E., & King, C. A. (2001). Parental facilitation of adolescent mental health service utilization: A conceptual and empirical review. Clinical Psychology: Science and Practice, 8, 319–333.Google Scholar
  27. Marsh, H. W., Hau, K.-T., & Wen, Z. (2004). In search of golden rules: Comment on hypothesis-testing approaches to setting cutoff values for fit indexes and dangers in overgeneralizing Hu and Bentler's (1999) findings. Structural Equation Modeling: A Multidisciplinary Journal, 11, 320–341. doi: 10.1207/s15328007sem1103_2.CrossRefGoogle Scholar
  28. McGinty, K. L., Diamond, J. M., Brown, M. B., & McCammon, S. L. (2003). Training child and adolescent psychiatrists and child mental health professionals for systems of care. In A. J. Pumariega & N. C. Winters (Eds.), The handbook of child and adolescent systems of care: The new community psychiatry (pp. 487–507). San Francisco, CA, US: Jossey-Bass.Google Scholar
  29. Muthén, L.K., & Muthén, B.O. (1998-2007). Mplus user’s guide. Fifth Edition. Los Angeles, CA: Muthén & Muthén.Google Scholar
  30. Nock, M. K., & Kazdin, A. E. (2001). Parent expectancies for child therapy: Assessment and relation to participation in treatment. Journal of Child and Family Studies, 10, 155–180.CrossRefGoogle Scholar
  31. Nock, M. K., & Kazdin, A. E. (2005). Randomized controlled trial of a brief intervention for increasing participation in parent management training. Journal of Consulting and Clinical Psychology, 73, 872–879.PubMedCrossRefGoogle Scholar
  32. Nock, M. K., & Photos, V. (2006). Parent motivation to participate in treatment: Assessment and prediction of subsequent participation. Journal of Child and Family Studies, 15, 333–346. doi: 10.1007/s10826-006-9022-4.CrossRefGoogle Scholar
  33. Pinto, R.M., McKay, M.M., Wilson, M., Phillips, D., Baptiste, D., Bell, C. C., . . . Paikoff, R.L. (2007). Correlates of participation in a family-based HIV prevention program: Exploring African-American women's motivations and understanding of the program. Journal of Human Behavior in the Social Environment, 15, 271-289.Google Scholar
  34. Prado, G., Pantin, H., Schwartz, S. J., Lupei, N. S., & Szapocznik, J. (2006). Predictors of engagement and retention into a parent-centered, ecodevelopmental HIV preventive intervention for Hispanic adolescents and their families. Journal of Pediatric Psychology, 31, 874–890.PubMedCrossRefGoogle Scholar
  35. Spoth, R., & Redmond, C. (2000). Research on family engagement in preventive interventions: Toward improved use of scientific findings in primary prevention practice. The Journal of Primary Prevention, 21, 267–284.CrossRefGoogle Scholar
  36. Staudt, M. (2007). Treatment engagement with caregivers of at-risk children: Gaps in research and conceptualization. Journal of Child and Family Studies, 16, 183–196.CrossRefGoogle Scholar
  37. Stormshak, E., Bierman, K., McMahon, R., & Lengua, L. (2000). Parenting practices and child disruptive behavior problems in early elementary school. Journal of Child Clinical Psychology, 29, 17–29.CrossRefGoogle Scholar
  38. Szapocznik, J., Perez-Vidal, A., Brickman, A. L., Foote, F. H., Santisteban, D., Hervis, O., & Kurtines, W. M. (1988). Engaging adolescent drug abusers and their families in treatment: A strategic structural systems approach. Journal of Consulting and Clinical Psychology, 56, 552–557.PubMedCrossRefGoogle Scholar
  39. Tolan, P. H., Gorman-Smith, D., Huesmann, R., & Zelli, A. (1997). Assessment of family relationship characteristics: A measure to explain risk for antisocial behavior and depression among urban youth. Psychological Assessment, 9, 212–223.CrossRefGoogle Scholar

Copyright information

© Society for Prevention Research 2013

Authors and Affiliations

  • Mesha L. Ellis
    • 1
  • Michael A. Lindsey
    • 2
  • Edward D. Barker
    • 3
  • Caroline L. Boxmeyer
    • 4
  • John E. Lochman
    • 4
  1. 1.Department of Community Health and Preventive MedicineMorehouse School of MedicineAtlantaUSA
  2. 2.School of Social WorkUniversity of MarylandCollege ParkUSA
  3. 3.Birkbeck CollegeUniversity of LondonLondonUK
  4. 4.Department of PsychologyThe University of AlabamaTuscaloosaUSA

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