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Parent training plus contingency management for substance abusing families: a Complier Average Causal Effects (CACE)
Catherine Stanger1, Stacy R Ryan, Hongyun Fu
1University of Arkansas for Medical Sciences, Center for Addiction Research, 4301 West Markham St. #843, Little Rock, AR 72205, USA. cstanger@uams.edu
Drug and Alcohol Dependence
|April 7, 2011
Summary
Adding incentives to parent training improved outcomes for children of substance-abusing mothers. The parent training plus incentives (PTI) group showed greater reductions in child externalizing problems and other benefits.
Area of Science:
- Child Psychology
- Addiction Research
- Behavioral Interventions
Background:
- Children of substance-abusing parents face increased risks for behavioral and emotional issues.
- An intervention was developed integrating contingency management (CM) with parent training to improve child outcomes.
- CM incentivized daily monitoring, assignment completion, and attendance to enhance parent training compliance.
Purpose of the Study:
- To test the efficacy of a parent training intervention enhanced with a novel contingency management (CM) program.
- To evaluate the impact of incentives on parent compliance and child behavioral/emotional outcomes.
Main Methods:
- Forty-seven mothers with substance abuse/dependence were randomized to parent training plus incentives (PTI) or parent training (PT) alone.
- Children's ages ranged from 2-7 years, with 55% being male.
- Intervention outcomes were assessed using various analytical models.
Main Results:
- While homework and attendance did not differ, PTI mothers showed higher daily monitoring rates.
- Children in the PTI group exhibited greater reductions in externalizing problems.
- Complier Average Causal Effects (CACE) analyses indicated additional PTI benefits for internalizing problems, parent issues, and parenting.
Conclusions:
- The integrated incentive program (CM) shows promise for enhancing outcomes in children of substance-abusing parents.
- Contingency management may be an effective strategy to boost the effectiveness of parent training interventions.
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