Deborah J. Jones|Rex Forehand|Jessica Cuellar|Justin Parent|Amanda Honeycutt|Olga Khavjou|Michelle A. González|Margaret T. Anton|Greg Newey
Technology-Enhanced Program for Child Disruptive Behavior Disorders: Development and Pilot Randomized Control Trial
University of North Carolina at Chapel Hill|University of Vermont|University of North Carolina at Chapel Hill|University of Vermont|RTI International|RTI International|University of North Carolina at Chapel Hill|University of North Carolina at Chapel Hill|Clinical Research Solutions
abstract early onset disruptive behavior disorders overrepresented lowincome families yet families less likely engage behavioral parent training bpt groups project aimed develop pilot test technologyenhanced version one evidencebased bpt program helping noncompliant child hnc aim increase engagement lowincome families turn child behavior outcomes potential costsavings associated greater treatment efficiency lowincome families 3 8yearold children clinically significant disruptive behaviors randomized completed standard hnc n 8 technologyenhanced hnc tehnc n 7 average caregivers 37 years old 87 female 80 worked least parttime half 53 youth boys average age sample 567 years families received standard hnc program however tehnc also included following smartphone enhancements skills video series b brief daily surveys c text message reminders video recording home practice e midweek video calls tehnc yielded larger effect sizes hnc engagement outcomes groups yielded clinically significant improvements disruptive behavior however findings suggest greater program engagement associated tehnc boosted child treatment outcome evidence boost afforded technology revealed family responses postassessment interviews finally cost analysis suggests tehnc families also required fewer sessions hnc families complete program efficiency compromise family satisfaction tehnc shows promise innovative approach engaging lowincome families bpt potential costsavings therefore merits investigation larger scale acknowledgments funding project provided nimh 1r34mh082956 clinicaltrialsgov identifier nct01367847 acknowledge following individuals instrumental pilot feasibility study joel sherrill program chief child adolescent psychosocial intervention program guidance project clinician advisory panel included april harrisbritt phd ahb psychological associates kathryn j smith msw center child family health jennifer youngstrom phd unc child family clinic sarah stearns phd dartmouthhitchcock psychiatry associates timothy verduin phd nyu child study center review input aspects tehnc program finally thank therapists families participated project time contributions notes note n 15 tehnc n 7 hnc n 8 tehnc technologyenhanced helping noncompliant child note technologyenhanced helping noncompliant child tehnc n 7 hnc n 8 ecbi eyberg child behavior inventory within group effect size postassessment controlling preassessment b 95 confidence interval ci withingroup es calculations c betweengroup es comparing tehnc versus hnc postassessment controlling preassessment 95 ci betweengroup es calculations e reliable change index rci change attributable treatment clinically significant rci 196 f normative comparison posttreatment group mean upperlimit 1 sd within normative range note technologyenhanced helping noncompliant child tehnc n 7 hnc n 8 includes sessions midweek calls session notes supervision review daily surveys tehnc watching home practice video tehnc programrelated activities