Skip to main content
Log in

Research on parent training: Shortcomings and remedies

  • Published:
Journal of Autism and Developmental Disorders Aims and scope Submit manuscript

Abstract

This paper reviews the research on parent training, identifies shortcomings, and recommends various remedies. We review parent training research along three general dimensions: (1) overall effectiveness, (2) differences in effectiveness attributable to certain features of the program, and (3) durability and generalization. Recommendations include using a model of human behavior that focuses on the functional behavioral repertoire, assessing additional family variables that include the child's role and participation, utilizing control and experimental groups, documenting the process of change and the family's use of community services, and using longitudinal designs that enable investigators to monitor the family's use of training materials and knowledge over a longer period of time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Alexander, J. R., & Parsons, B. V. (1973). Short-term behavioral intervention with delinquent families: Impact on family process and recidivism.Journal of Abnormal Psychology, 81, 219–225.

    PubMed  Google Scholar 

  • Ambrose, S. A., & Baker, B. L. (1979, September), Training parents of developmentally disabled children: Follow-up outcome. In A. Christensen (Chair),Maintenance of treatment effects following behavioral family therapy. Sympsoium presented at the American Psychological Association's Eighty-seventh Annual Convention, New York.

  • Baker, B. L., & Heifetz, L. J. (1976). The READ project: Teaching manuals for parents of retarded children. In T. D. Tjossem (Ed.),Intervention strategies for high-risk infants and young children. Baltimore: University Park Press.

    Google Scholar 

  • Baker, B. L., Heifetz, L. J., & Murphy, D. (1980). Behavioral training for parents of retarded children: One-year follow-up.American Journal of Mental Deficiency, 85, 31–38.

    PubMed  Google Scholar 

  • Bernal, M. E. (1969). Behavioral feedback in the modification of brat behaviors.Journal of Nervous and Mental Disease, 148, 375–385.

    PubMed  Google Scholar 

  • Bernal, M. E., Duryee, J. S., Pruett, H. L., & Burns, B. J. (1968). Behavior modification and the brat syndrome.Journal of Consulting and Clinical Psychology, 32, 447–455.

    PubMed  Google Scholar 

  • Bernard, J., & Christophersen, E. R. (1976).Home-based treatment of the juvenile probationer. Paper presented at the Annual Meeting of the Association for the Advancement of Behavior Therapy.

  • Birenbaum, A. (1971). The mentally retarded child in the home and the family cycle.Journal of Health and Social Behavior, 12, 55–65.

    PubMed  Google Scholar 

  • Boardman, W. K. (1962). Rusty: A brief behavior disorder.Journal of Consulting Psychology, 26, 293–297.

    PubMed  Google Scholar 

  • Brightman, R. P., Baker, B. L., Clark, D. B., & Ambrose, S. A. (1978, April). Effectiveness of alternative parent training formats. In B. L. Baker (Chair),Training parents as teachers for their developmentally disabled children. Invited symposium presented at the Western Psychological Association's Annual Meetings.

  • Bromwich, R. M. (1976). Focus on maternal behavior in infant interaction.American Journal of Orthopsychiatry, 46, 439–446.

    PubMed  Google Scholar 

  • Brutten, M., Richardson, S., & Mangel, C. (1973).Something's wrong with my child. New York: Harcourt Brace Jovanovich.

    Google Scholar 

  • Carrier, J. K. (1970). A program of articulation therapy administered by mothers.Journal of Speech and Hearing Disorders, 35, 344–353.

    Google Scholar 

  • Clarke-Stewart, K. A. (1978). And daddy makes three: The father's impact on mother and young child.Child Development, 49, 466–478.

    Google Scholar 

  • Crain, A. J., Sussman, M. B., & Weil, W. B., Jr. (1966). Effects of a diabetic child on marital integration and related measures of family functioning.Journal of Health and Human Behavior, 7, 122–127.

    PubMed  Google Scholar 

  • Cutler, B. C. (1981).Unraveling the special education maze. Champaign, Illinois: Research Press.

    Google Scholar 

  • Davison, G. C. (1964). A social learning therapy program with an autistic child.Behavior Research and Therapy, 2, 149.

    Google Scholar 

  • DeMyer, M. K. (1979).Parents and children in autism. Washington, D.C.: Winston.

    Google Scholar 

  • Downey, K. J. (1965). Parents' reasons for institutionalizing severely retarded children.Journal of Health and Human Behavior, 6, 147–155.

    PubMed  Google Scholar 

  • Engeln, R., Knutson, R., Laughy, L., & Garlington, W. (1968). Behavior modification techniques applied to a family unit—A case study.Journal of Child Psychology and Psychiatry, 9, 245–252.

    PubMed  Google Scholar 

  • Farber, B. (1959).Effects of a severely mentally retarded child on family interation. Monographs of the Society for Research on Child Development,24(2), Serial No. 71.

  • Farber, B. (1960). Perception of crisis and related variables in the impact of the mentally retarded child on the mother.Journal of Health and Human Behavior, 1, 108–116.

    Google Scholar 

  • Farber, B., Jenne, W., & Toigo, R. (1960).Family crisis: The decision to institutionalize the retarded child. CEC monograph series A, 1.

  • Ferber, H., Keeley, S. M., & Shemberg, K. M. (1974). Training parents in behavior modification: Outcome of and problems encountered in a program after Patterson's work.Behavior Therapy, 5, 415–419.

    Google Scholar 

  • Fleischman, M. J. (1980). Explaining persistence in improvement in social-learning-based child therapy. In S. Salzinger, J. Antrobus, & J. Glick (Eds.),The ecosystem of the “sick” child. New York: Academic Press.

    Google Scholar 

  • Forehand, R., Wells, K. C., & Griest, D. L. (1980). An examination of the social validity of a parent training program.Behavior Therapy, 11, 488–502.

    Google Scholar 

  • Fowle, C. M. (1968). The effect of the severely mentally retarded child on his family.American Journal of Mental Deficiency, 73, 468–473.

    PubMed  Google Scholar 

  • Fudala, J. B., England, G., & Ganoung, L. (1972). Utilization of parents in a speech correction program.Exceptional Children, 407–412.

  • Gambrill, E. (1963). Posthospitalized disabled children.Journal of Health and Human Behavior, 4, 206–210.

    Google Scholar 

  • Gitler, D., & Gordon, R. (1979). Observing and recording young handicapped children's behavior: A comparison among observational methodologies.Exceptional Children, 46(2), 134–135.

    PubMed  Google Scholar 

  • Goldstein, S., & Lanyon, R. I. (1971). Parent-clinicians in the language training of an autistic child.Journal of Speech and Hearing Disorders, 34(4), 552–560.

    Google Scholar 

  • Gordon, N. B., & Kutner, B. (1965). Long-term and fatal illness and the family.Journal of Health and Human Behavior, 4, 190–196.

    Google Scholar 

  • Guess, D., Smith, J. O., & Ensminger, E. E. (1971). The role of non-professional persons in teaching language skills to mentally retarded children.Exceptional Children, 447–453.

  • Hamblin, R. L., Buckholdt, D., Ferritor, D., Kosloff, M., & Blackwell, L. (1971).The humanization processes. New York: Wiley.

    Google Scholar 

  • Hannon, C. (1974).Parents and mentally retarded children. Baltimore: Penguin Books.

    Google Scholar 

  • Harris, S. L., Wolchik, S. A., Milch, R. E., & Thorwarth, C. A. (1982).The efficacy of training parents in groups as teachers for their autistic children. Manuscript submitted for publication.

  • Hartup, W. W. (1980). Peers, play, and pathology. Considerations in the growth of social competence. In T. M. Field, S. Goldberg, D. Stern, and A. M. Sostek (Eds.),High-risk infants and children (pp. 251–256). New York: Academic Press.

    Google Scholar 

  • Hawkins, R. P., Peterson, R. F., Schweid, E., & Bijou, S. (1966). Behavior therapy in the home: Amelioration of problem parent-child relations with the parent in a therapeutic role.Journal of Experimental Child Psychology, 4, 99–107.

    PubMed  Google Scholar 

  • Heifetz, L. J. (1977). Behavioral training for parents of retarded children: Alternative formats based on instructional manuals.American Journal of Mental Deficiency, 82, 194–203.

    PubMed  Google Scholar 

  • Helm, D. T. (1981).Conferring membership: Interacting with “incompetents.” Unpublished doctoral dissertation, Boston University.

  • Helm, D. T. (1984). Some features of verbal prompts. In D. Helm, T. Anderson, J. Meehan, & A. Rawls (Eds.),New directions in the study of social order. New York: Irvington.

    Google Scholar 

  • Hemsley, R., Howlin, P., Berger, M., Hersov, L., Holbrook, D., Rutter, M., & Yule, W. (1978). Treating autistic children in a family context. In M. Rutter & E. Schopler (Eds.),Autism: A reappraisal of concepts and treatment. New York: Plenum.

    Google Scholar 

  • Hobbs, N. (1980). An ecologically-oriented, service-based system for the classification of handicapped children. In S. Salzinger, J. Antrobus, & J. Glick (Eds.),The ecosystem of the “sick” child (pp. 271–290). New York: Academic Press.

    Google Scholar 

  • Holroyd, J., & McArthur, D. (1976). Mental retardation and stress on the parents: A contrast between Down's syndrome and childhood autism.American Journal of Mental Deficiency, 80, 431–436.

    PubMed  Google Scholar 

  • Horejsi, C. R. (1979). Social and psychological factors in family care. In R. H. Bruininks & G. C. Krantz (Eds.),Family care of developmentally disabled members. Minneapolis: University of Minnesota Press.

    Google Scholar 

  • Howard, O. F. (1970).Teaching a class of parents as reinforcement therapists to treat their own children. Paper presented to the Southeastern Psychological Association.

  • Johnson, S. M., & Brown, R. A. (1969). Producing behavior change in parents of disturbed children.Journal of Child Psychology and Psychiatry, 10, 107–121.

    PubMed  Google Scholar 

  • Johnson, S., & Christensen, A. (1975). Multiple criteria follow-up of behavior modification with families.Journal of Abnormal Child Psychology, 3, 135–154.

    PubMed  Google Scholar 

  • Jones, O. H. M. (1980). Prelinguistic communication skills in Down's syndrome and normal infants. In T. M. Fields, S. Goldberg, D. Stern, & A. M. Sostek (Eds.),High-risk infants and children (pp. 205–255). New York: Academic Press.

    Google Scholar 

  • Kaufman, K. F. (1976). Teaching parents to teach their children: The behavior modification approach. In B. Feingold & C. Bank (Eds.),Developmental disabilities of early childhood (pp. 92–120). Springfield, Illinois: Charles C Thomas.

    Google Scholar 

  • Kaufman, K. F., Prinz, R. J., Bakalor, J., Tyson, R., & Paradise, B. (1978, November).Comprehensive training for parents of autistic children: A controlled comparison study. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy.

  • Koegel, R. G., Glahn, T. J., & Nieman, G. S. (1978). Generalization of parent-training results.Journal of Applied Behavior Analysis, 11(1), 95–109.

    Google Scholar 

  • Kogan, K. L., Tylor, N.,& Turner, P. (1974). The process of interpersonal adaptation between mothers and their cerebral palsied children.Developmental Medicine and Child Neurology, 16, 518–527.

    PubMed  Google Scholar 

  • Korkes, L. (1955).The impact of mentally ill children upon their families. Trenton, New Jersey: State Department of Institutions and Agencies.

    Google Scholar 

  • Kovitz, K. E. (1976). Comparing group and individual methods for training parents in child management techniques. In E. J. Mash, L. C. Handy, & L. A. Hamerlynck (Eds.),Behavior Modification Approaches to Parenting. New York: Brunner/Mazel.

    Google Scholar 

  • Kozloff, M. A. (1973).Reaching the autistic child. Champaign, Illinois: Research Press.

    Google Scholar 

  • Kozloff, M. A. (1974).Educating children with learning and behavior problems. New York: Wiley.

    Google Scholar 

  • Kozloff, M. A. (1976). Systems of structured exchange: Changing families of severely deviant children.Sociological Practice, 1, 86–104.

    Google Scholar 

  • Kozloff, M. A. (1977a). A comprehensive behavioral training program for parents of autistic children. In D. Upper (Ed.),Perspectives in behavior therapy Kalamazoo, Michigan: Behaviordelia.

    Google Scholar 

  • Kozloff, M. A. (1977b). Systems of structured exchange: Changing families of severely deviant children. In R. L. Hamblin & J. Kunkel (Eds.),Behavioral therapy in sociology. New York: Transaction Books.

    Google Scholar 

  • Kozloff, M. A. (1979).A program for families of children with learning and behavior problems. New York: Wiley.

    Google Scholar 

  • Kozloff, M. A. (1984a). A training program for families of children with autism: Responding to family needs. In E. Schopler & G. Mesibov (Eds.),Studies in autism (pp. 163–186). New York: Plenum.

    Google Scholar 

  • Kozloff, M. A. (1984b).Making special education work: An evaluation and revision. In preparation.

  • Kozloff, M. A., Helm, D. T., & Cutler, B. C. (1983).Parent training: Working to increase normalization and prevent institutionalization. Paper presented at the Northeast AAMD Conference, Portland, Maine.

  • Lindsley, O. R. (1966). An experiment with parents handling behavior at home.Johnstons Bulletin, 9, 27–36.

    Google Scholar 

  • Martin, B. (1977). Brief family intervention: The effectiveness and importance of including the father.Journal of Consulting and Clinical Psychology, 45, 1002–1010.

    PubMed  Google Scholar 

  • McCroskey, R. M., & Baird, V. G. (1971). Parent education in a public school program of speech therapy.Journal of Speech and Hearing Disorders, 34(4), 499–505.

    Google Scholar 

  • McMahon, R. J., Forehand, R., & Griest, D. L. (1981). Effects of knowledge of social learning principles on enhancing treatment outcome and generalizatoin in a parent training program.Journal of Consulting and Clinical Psychology, 49(4), 526–532.

    PubMed  Google Scholar 

  • Mira, M. (1970). Results of a behavior modification training program for parents and teachers.Behaviour Research and Therapy, 8, 309–311.

    PubMed  Google Scholar 

  • Neisworth, J. T., & Moore, F. (1972). Operant treatment of asthmatic responding with the parent as therapist.Behavior Therapy, 3, 95–99.

    Google Scholar 

  • Nordquist, V. M., & Wahler, R. G. (1973). Naturalistic treatment of an autistic child.Journal of Applied Behavioral Analysis, 6, 79–87.

    Google Scholar 

  • O'Dell, S. (1974). Training parents in behavior modification.Psychological Bulletin, 81, 418–433.

    PubMed  Google Scholar 

  • Patterson, G. R. (1976). The aggressive child: Victim and architect of a coercive system. In E. J. Mash, L. A. Hamerlynck, & L. C. Handy (Eds.),Behavior modification and families (pp. 267–316). New York: Brunner/Mazel.

    Google Scholar 

  • Patterson, G. R., & Brodsky, G. D. (1966). A behaviour modification programme for a boy with multiple problems.Journal of Child Psychology and Psychiatry, 7, 277–295.

    Google Scholar 

  • Patterson, G. R., & Fleischman, M. J. (1979). Maintenance of treatment effects: Some considerations concerning family systems and follow-up data.Behavior Therapy, 10, 168–185.

    Google Scholar 

  • Price-Bonham, S., & Addison, S. (1978). Families of mentally retarded children: Emphasis on the father.Family Coordinator, 27 (3), 221–229.

    Google Scholar 

  • Reid, J. R., Hawkins, N., & Keutzer, C. (1967). A marathon behavior modification of a selectively mute child.Journal of Child Psychology and Psychiatry, 8, 27–30.

    PubMed  Google Scholar 

  • Risley, T. R., & Wolf, M. M. (1966). Experimental manipulation of autistic behavior and generalization into the home. In R. Ulrich, T. Stachnik, & J. Mabry (Eds.),Control of human behavior. Glenview, Illinois: Scott Foresman.

    Google Scholar 

  • Runco, M. A., & Schreibman, L. (1983). Parental judgments of behavior therapy efficacy with autistic children: A social validation.Journal of Autism and Developmental Disabilities, 13, 237–248.

    Google Scholar 

  • Russo, S. (1964). Adaptations of behavioral therapy with children.Behaviour Research and Therapy, 2, 43–47.

    Google Scholar 

  • Schell, R. E., & Adams, W. P. (1975). Training parents of a young child with profound behavior deficits to be teacher-therapists.Journal of Special Education, 2, 439–454.

    Google Scholar 

  • Schopler, E., & Reichler (1971). Parents as cotherapists in the treatment of psychotic children.Journal of Autism and Childhood Schizophrenia, 1, 87–102.

    PubMed  Google Scholar 

  • Schopler, E., & Reichler, R. J. (1972). How well do parents understand their own psychotic child?Journal of Autism and Childhood Schizophrenia, 2, 387–400.

    PubMed  Google Scholar 

  • Simeonsson, R., Cooper, D., & Scheiner, A. P. (1982). A review and analysis of the effectiveness of early intervention programs.Pediatrics, 69 (5), 635–641.

    PubMed  Google Scholar 

  • Stoneman, Z., & Brody, G. H. (1981). Two's company, three makes a difference: An examination of mothers' and fathers' speech to their young children.Child Development, 52, 705–707.

    Google Scholar 

  • Suelzle, M., & Keenan, V. (1981). Changes in family support networks over the life cycle of mentally retarded persons.American Journal of Mental Deficiency, 86 (4), 267–274.

    PubMed  Google Scholar 

  • Sulzbacher, S. I., & Costello, J. M. (1970). A behavioral strategy for language training of a child with autistic behaviors.Journal of Speech and Hearing Disorders, 35, 256–276.

    PubMed  Google Scholar 

  • Tufts, L. C., & Holliday, A. R. (1959). Effectiveness of trained parents as speech therapists.Journal of Speech and Hearing Disorders, 25, 395–401.

    Google Scholar 

  • Voysey, M. (1972). Impression management by parents with disabled children.Journal of Health and Social Behavior, 13, 80–89.

    PubMed  Google Scholar 

  • Wahler, R. G. (1969). Setting generality: Some specific and general affects of child behavior therapy.Journal of Applied Behavior Analysis, 2, 239–246.

    Google Scholar 

  • Wahler, R. G. (1980a). The insular mother: Her problems in parent-child treatment.Journal of Applied Behavior Analysis, 13 (2), 207–219.

    PubMed  Google Scholar 

  • Wahler, R. G. (1980b). Parent insularity as a determinant of generalization success in family treatment. In S. Salzinger, J. Antrobus, & J. Glick (Eds.),The ecosystem of the “sick” child. New York: Academic Press.

    Google Scholar 

  • Wahler, R. G., Winkel, G. H., Peterson, R. F., & Morrison, D. C. (1965). Mothers as behavior therapists for their own children.Behaviour Research and Therapy, 3, 113–124.

    PubMed  Google Scholar 

  • Wolfensberger, W., & Kurtz, R. A. (1971). Measurement of parents' perceptions of their children's development.Genetic Psychology Monographs, 83, 3–92.

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

APT Project (Assisting Parents and Professionals through Training) is a project of Autism Services Association, Inc., Weston, Massachusetts, and is partially funded by a grant of the U. S. Department of Education, National Institute of Handicapped Research. The authors would like to express their appreciation to Barbara C. Cutler for her helpful suggestions on an earlier draft of this material.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Helm, D.T., Kozloff, M.A. Research on parent training: Shortcomings and remedies. J Autism Dev Disord 16, 1–22 (1986). https://doi.org/10.1007/BF01531574

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01531574

Keywords

Navigation