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A nonrandomized trial of a behavioral parent training intervention for parents with children with challenging behaviors: In-person versus internet-HOT DOCS
Clinical Child Psychology and Psychiatry ( IF 1.8 ) Pub Date : 2021-06-22 , DOI: 10.1177/13591045211027559
Heather Agazzi 1 , Holland Hayford 2 , Nicholas Thomas 3 , Cristina Ortiz 2 , Abraham Salinas-Miranda 4
Affiliation  

Behavioral parent training (BPT) programs are the first-line interventions for childhood disruptive behaviors. In light of the COVID-19 pandemic, adapting these programs to telehealth modalities is necessary to ensure continued services to children and families. This study evaluates the use of telehealth versus in-person modality to deliver the Helping Our Toddlers, Developing Our Children’s Skills (HOT DOCS) BPT. The study design was quasi-experimental with two nonequivalent groups: in-person HOT DOCS (n = 152) and internet-HOT DOCS (n = 46). Participants were caregivers of children ages 2–5 exhibiting disruptive behaviors. Pre- and post-intervention outcome measures were collected for child disruptive behavior and parenting stress and post-test only for consumer satisfaction. Multiple linear and Poisson regression models were performed to assess the effect of class modality on the outcomes. Child disruptive behavior and parenting stress post-test scores for in-person and telehealth groups were not significantly different, even after adjusting for baseline characteristics. Consumer satisfaction scores were significantly more positive for the in-person group. The results of this study provide preliminary evidence for the i-HOT DOCS modality as being as effective as the in-person program. Study findings may be beneficial to practitioners utilizing telehealth interventions during the COVID-19 pandemic and onward.



中文翻译:

针对有挑战性行为的孩子的父母进行行为父母培训干预的非随机试验:面对面与互联网热文档

行为父母培训 (BPT) 计划是儿童破坏性行为的一线干预措施。鉴于 COVID-19 大流行,有必要使这些计划适应远程医疗模式,以确保为儿童和家庭提供持续服务。本研究评估了远程医疗与面对面方式的使用,以提供帮助我们的幼儿,发展我们孩子的技能 (HOT DOCS) BPT。研究设计是对两个非等效组的准实验:面对面的 HOT DOCS ( n = 152) 和 Internet-HOT DOCS ( n= 46)。参与者是表现出破坏性行为的 2-5 岁儿童的看护人。收集干预前和干预后结果的措施,用于衡量儿童的破坏性行为和养育压力,并仅针对消费者满意度进行后测。执行多元线性和泊松回归模型以评估班级模式对结果的影响。面对面和远程医疗组的儿童破坏行为和育儿压力测试后的分数没有显着差异,即使在调整了基线特征之后也是如此。面对面组的消费者满意度得分明显更积极。这项研究的结果为 i-HOT DOCS 模式与面对面计划一样有效提供了初步证据。

更新日期:2021-06-23
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