After Deployment, Adaptive Parenting Tools: 1-Year Outcomes of an Evidence-Based Parenting Program for Military Families Following Deployment
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Despite significant stressors facing military families over the past 15 years of wars in Iraq and Afghanistan, no parenting programs adapted or developed for military families with school-aged children have been rigorously tested. We present outcome data from the first randomized controlled trial of a behavioral parent training program for families with a parent deployed to Iraq or Afghanistan. In the present study, 336 primarily National Guard and Reserve families with 4–12-year-old children were recruited from a Midwestern state. At least one parent in each family had deployed to the recent conflicts: Operations Iraqi or Enduring Freedom, or New Dawn (OIF/OEF/OND). Families were randomized to a group-based parenting program (After Deployment, Adaptive Parenting Tools (ADAPT)) or web and print resources-as-usual. Using a social interaction learning framework, we hypothesized an indirect effects model: that the intervention would improve parenting, which, in turn, would be associated with improvements in child outcomes. Applying intent-to-treat analyses, we examined the program’s effect on observed parenting, and children’s adjustment at 12-months post baseline. Controlling for demographic (marital status, length, child gender), deployment variables (number of deployments), and baseline values, families randomized to the ADAPT intervention showed significantly improved observed parenting compared to those in the comparison group. Observed parenting, in turn, was associated with significant improvements in child adjustment. These findings present the first evidence for the effectiveness of a parenting program for deployed military families with school-aged children.
KeywordsParenting Military Parental deployment Child adjustment Prevention
Compliance with Ethical Standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Conflicts of Interest
The authors declare that they have no conflict of interest.
Informed consent was obtained from all individual participants included in the study.
- Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the ASEBA School-Age Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth, & Families.Google Scholar
- Brown, C. H., Wang, W., Kellam, S. G., Muthen, B. O., Petras, H., Toyinbo, P., et al. (2008). Methods for testing theory and evaluating impact in randomized filed trials: Intent-to-treat analysis for integrating the perspective of person, place and time. Drug and Alcohol Dependence, 95, S74–S104.CrossRefPubMedPubMedCentralGoogle Scholar
- Byrne, B. M. (2013). Structural equation modeling with Mplus: Basic concepts, applications, and programming. Routledge.Google Scholar
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale: Lawrence Earlbaum Associates.Google Scholar
- Defense, D. of (2009). Profile of the Military Community. Washington D.C. Retrieved from http://download.militaryonesource.mil/12038/MOS/Reports/2009-Demographics-pdf.
- Dishion, T., Peterson, J., Winter, C. E., Jabson, J. M., & Hogansen, J. M. (2007). Family assessment task coder impressions. Unpublished coding manual.Google Scholar
- Dishion, T., Forgatch, M., Chamberlain, P., & Pelham III, W. E. (2015). The Oregon model of behavior family therapy: From intervention design to promoting large-scale system change. Behavior Therapy. https://doi.org/10.1016/j.beth.2016.02.002.
- Forgatch, M., Patterson, G., Degarmo, D., & Beldavs, Z. (2009). Testing the Oregon delinquency model with 9-year follow-up of the Oregon Divorce Study. Development and Psychopathology, 21, 637-660. https://doi.org/10.1017/S0954579409000340.
- Forgatch, M. S., & Patterson, G. R. (2010). Parent management training—Oregon model: An intervention for antisocial behavior in children. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents. New York: Guilford.Google Scholar
- Forgatch, M. S., Knutson, N. M., & Mayne, T. (1992). Coder impressions of ODS lab tasks. Eugene: Oregon Social Learning Center.Google Scholar
- Gewirtz, A. H., & Youssef, A. M. (2016). Parenting and children’s resilience in military families. New York: Springer.Google Scholar
- Gewirtz, A.H., DeGarmo, D.S., Plowman, E., August, G.J., & Realmuto, G. (2009). Parenting, parental mental health, and child functioning in families residing in supportive housing. American Journal of Orthopsychiatry, 79, 336-347.Google Scholar
- Gewirtz, A. H., DeGarmo, D. S., & Zamir, O. (2017). Testing a military family stress model. Family Process. https://doi.org/10.1111/famp.12282.
- Griffith, J. (2009). After 9/11, what kind of reserve soldier? Considerations given to emerging demands, organizational orientation, and individual commitment. Armed Forces and Society, 35, 214-240. https://doi.org/10.1177/0095327X07312490.
- MacKinnon, D. P. (2008). Introduction to statistical mediation analysis. NY: Lawrence Earlbaum Associates.Google Scholar
- Muthén, L. K., & Muthén, B. O. (1998–2015). Mplus: Statistical analysis with latent variables: user’s guide (7th ed.). Los Angeles: StatModel.Google Scholar
- National Center for Veterans Analysis and Statistics. (2016). Profile of Post-911 Veterans: 2014. Department of Veteran’s Affairs, Office of Policy and Planning. Retrieved from http://www.va.gov/vetdata/docs/SpecialReports/Post_911_Veterans_Profile_2014.pdf.
- Patterson, G. R. (1982). Coercive family process. Eugene: Castalia.Google Scholar
- Patterson, G. R. (2005). Next generation of PMTO models. Behavior Therapist, 28, 25–32.Google Scholar
- Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment scale for children. Bloomington: Pearson Assessments.Google Scholar
- Wolchik, S. A., Sandler, I. N., Tein, J.-Y., Mahrer, N. E., Millsap, R. E., Winslow, E., et al. (2013). Fifteen-year follow-up of a randomized trial of a preventive intervention for divorced families: Effects on mental health and substance use outcomes in young adulthood. Journal of Consulting and Clinical Psychology, 81, 660–673.CrossRefPubMedPubMedCentralGoogle Scholar