Evaluation of adapted parent training for challenging behaviour in pre-school children with moderate to severe intellectual developmental disabilities: A randomised controlled trial

被引：1

作者：

Royston, Rachel ^{[1
]}

Absoud, Michael ^{[2
,3
]}

Ambler, Gareth ^{[4
]}

Barnes, Jacqueline ^{[5
]}

Hunter, Rachael ^{[6
]}

Kyriakopoulos, Marinos ^{[7
,8
]}

Ondruskova, Tamara ^{[1
]}

Oulton, Kate ^{[9
]}

Paliokosta, Eleni ^{[10
]}

Panca, Monica ^{[6
]}

Sharma, Aditya ^{[11
,12
]}

Slonim, Vicky ^{[2
,3
]}

Summerson, Una ^{[10
]}

Sutcliffe, Alastair ^{[11
]}

Thomas, Megan ^{[13
,14
]}

Qu, Chen ^{[4
]}

Hassiotis, Angela ^{[1
]}

机构：

[1] UCL, Div Psychiat, London, England

[2] St Thomas Hosp, Evelina London Childrens Hosp, London, England

[3] Kings Coll London, London, England

[4] UCL, Dept Stat Sci, London, England

[5] Birkbeck Univ London, Dept Psychol Sci, London, England

[6] Royal Free Med Sch, Res Dept Primary Care & Populat Hlth, London, England

[7] Natl & Kapodistrian Univ Athens, Dept Psychiat 1, Athens, Greece

[8] Kings Coll London, South London & Maudsley NHS Fdn Trust, Dept Child & Adolescent Psychiat, London, England

[9] Great Ormond St Hosp Children NHS Fdn Trust, London, England

[10] Tavistock & Portman NHS Fdn Trust, Kentish Town Hlth Ctr, London, England

[11] Cumbria Northumberland Tyne & Wear NHS Fdn Trust, Newcastle Upon Tyne, England

[12] Newcastle Univ, Walkergate Pk Ctr Neurorehabil & Neuropsychiat, Newcastle Upon Tyne, England

[13] Blackpool Teaching Hosp NHS Fdn Trust, Blackpool, England

[14] Dalhousie Univ, Div Dev Pediat, Halifax, NS, Canada

来源：

PLOS ONE | 2024年 / 19卷 / 08期

基金：

英国医学研究理事会;

关键词：

STONES TRIPLE-P; COST-EFFECTIVENESS; PROGRAM; FAMILIES; THERAPY; CARE;

D O I：

10.1371/journal.pone.0306182

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Objectives There is limited evidence on the effectiveness of parenting interventions to improve disruptive behaviour in children with intellectual developmental disabilities. This clinical trial evaluated whether an adapted group parenting intervention for preschool children with intellectual developmental disabilities who display challenging behaviour is superior to treatment as usual in England.Study design 261 children aged 30-59 months with moderate to severe intellectual developmental disabilities and challenging behaviour were randomised to either the intervention (Stepping Stones Triple P) and treatment as usual or treatment as usual alone. The primary outcome was the parent-rated Child Behaviour Checklist at 52 weeks after randomisation. A health economic evaluation was also completed.Results We found no significant difference between arms on the primary outcome (mean difference -4.23; 95% CI: -9.99 to 1.53; p = 0.147). However, a subgroup analysis suggests the intervention was effective for participants randomised before the COVID-19 pandemic (mean difference -7.12; 95% CI: -13.44 to -0.81; p = 0.046). Furthermore, a complier average causal effects analysis (mean difference -11.53; 95% CI: -26.97 to 3.91; p = 0.143) suggests the intervention requires participants to receive a sufficient intervention dose. The intervention generated statistically significant cost savings (-1,057.88; pound 95% CI -3,218.6 pound to -46.67) pound but the mean point estimate in Quality Adjusted Life Years was similar in both groups.Conclusion This study did not find an effect of the intervention on reducing challenging behaviour, but this may have been influenced by problems with engagement. The intervention could be considered by services as an early intervention if families are supported to attend, especially given its low cost.

引用

页数：19

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