Keeping Parents Involved: Predicting Attrition in a Self-Directed, Online Program for Childhood Conduct Problems

被引:51
作者
Dadds, Mark R. [1 ]
Sicouri, Gemma [1 ]
Piotrowska, Patrycja J. [1 ]
Collins, Daniel A. J. [1 ]
Hawes, David J. [1 ]
Moul, Caroline [1 ]
Lenroot, Rhoshel K. [2 ]
Frick, Paul J. [3 ]
Anderson, Vicki [4 ]
Kimonis, Eva R. [5 ]
Tully, Lucy A. [1 ]
机构
[1] Univ Sydney, Sch Psychol, Sydney, NSW 2006, Australia
[2] Univ New South Wales, Sch Psychiat, Sydney, NSW, Australia
[3] Louisiana State Univ, Dept Psychol, Baton Rouge, LA 70803 USA
[4] Royal Childrens Hosp, Murdoch Childrens Res Inst Psychol, Child Neuropsychol, Parkville, Vic, Australia
[5] Univ New South Wales, Sch Psychol, Sydney, NSW, Australia
关键词
TRIPLE P ONLINE; DISRUPTIVE BEHAVIOR; MENTAL-HEALTH; DIFFICULTIES-QUESTIONNAIRE; PSYCHOSOCIAL TREATMENTS; TRAINING INTERVENTIONS; INTERACTION THERAPY; SCREENING SCALES; YOUNG-CHILDREN; PARTICIPATION;
D O I
10.1080/15374416.2018.1485109
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Positive parenting programs have a strong evidence base for improving parent-child relationships, strengthening families, and reducing childhood behavior disturbances. Their reach is less than optimal however, with only a minority of families in need of help participating. Father involvement is particularly low. Online, self-directed programs have the potential to improve participation rates. This article examines risk factors for dropout/attrition from a free, evidence-based, self-directed, father-inclusive parenting program, Parentworks, which was made available across Australia. Parents (N = 2,967) enrolled in the program and completed preintervention questionnaires. There was a steady and consistent loss of participants through the sequence of core program modules, until a final sample of 218 completed the postintervention questionnaire. A range of demographic and parent and child variables were tested as predictors of 3 subgroups: nonstarters, partial completers, and full completers. Nonstarters (n = 1,625) tended to have older children with fewer behavioral problems and report higher psychopathology and dysfunctional parenting than those who partially (n = 1,124) or fully completed. Contrary to findings from face-to-face research, single parents had the highest completion rates. Coparticipation of partners and interparental conflict had no impact on completion rates. Fathers participated at relatively high levels. Results show that parents with the greatest need tend to engage with online programs, and online programs may be particularly useful for fathers, single parents, and those in conflicted relationships. Directions for future program design and research are discussed.
引用
收藏
页码:881 / 893
页数:13
相关论文
共 67 条
[1]  
Australian Bureau of Statistics, 2016, CENS POP HOUS
[2]   A randomized controlled trial evaluating a low-intensity interactive online parenting intervention, Triple P Online Brief, with parents of children with early onset conduct problems [J].
Baker, Sabine ;
Sanders, Matthew R. ;
Turner, Karen M. T. ;
Morawska, Alina .
BEHAVIOUR RESEARCH AND THERAPY, 2017, 91 :78-90
[3]   Individual and group based parenting programmes for improving psychosocial outcomes for teenage parents and their children [J].
Barlow, J. ;
Smailagic, N. ;
Bennett, C. ;
Huband, N. ;
Jones, H. ;
Coren, E. .
COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2011, (03)
[4]   Digital Parent Training for Children with Disruptive Behaviors: Systematic Review and Meta-Analysis of Randomized Trials [J].
Baumel, Amit ;
Pawar, Aditya ;
Kane, John M. ;
Correll, Christoph U. .
JOURNAL OF CHILD AND ADOLESCENT PSYCHOPHARMACOLOGY, 2016, 26 (08) :740-749
[5]   Parent Training: Implementation Strategies for Adventures in Parenting [J].
Bert, Shannon Carothers ;
Farris, Jaelyn R. ;
Borkowski, John G. .
JOURNAL OF PRIMARY PREVENTION, 2008, 29 (03) :243-261
[6]   State-wide dissemination and implementation of parent-child interaction therapy (PCIT): Application of theory [J].
Beveridge, Ryan M. ;
Fowles, Timothy R. ;
Masse, Joshua J. ;
McGoron, Lucy ;
Smith, Marissa A. ;
Parrish, Brendt P. ;
Circo, Gina ;
Widdoes, Nancy .
CHILDREN AND YOUTH SERVICES REVIEW, 2015, 48 :38-48
[7]   Outcomes of parent-child interaction therapy: A comparison of treatment completers and study dropouts one to three years later [J].
Boggs, SR ;
Eyberg, SM ;
Edwards, DL ;
Rayfield, A ;
Jacobs, J ;
Bagner, D ;
Hood, KK .
CHILD & FAMILY BEHAVIOR THERAPY, 2004, 26 (04) :1-22
[8]   Digital Delivery Methods of Parenting Training Interventions: A Systematic Review [J].
Breitenstein, Susan M. ;
Gross, Deborah ;
Christophersen, Rebecca .
WORLDVIEWS ON EVIDENCE-BASED NURSING, 2014, 11 (03) :168-176
[9]   A comparison between African American and Caucasian children referred for treatment of disruptive behavior disorders [J].
Capage, LC ;
Bennett, GM ;
McNeil, CB .
CHILD & FAMILY BEHAVIOR THERAPY, 2001, 23 (01) :1-14
[10]   Characteristics of Parents of Children with ADHD Who Never Attend, Drop Out, and Complete Behavioral Parent Training [J].
Chacko, Anil ;
Wymbs, Brian T. ;
Rajwan, Estrella ;
Wymbs, Frances ;
Feirsen, Nicole .
JOURNAL OF CHILD AND FAMILY STUDIES, 2017, 26 (03) :950-960