Related Experiment Video
Updated: May 14, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Early initiatives for children at risk--development of a program for the prevention and treatment of behavior
Roar Solholm1, John Kjøbli, Terje Christiansen
1Department of Clinical Psychology, University of Bergen, Bergen, Norway, Roar.Solholm@psykp.uib.no.
Insights
Norway scaled up evidence-based programs for child conduct problems, implementing Parent Management Training-Oregon Model (PMTO) and developing the Early Initiatives for Children at Risk (TIBIR) program for early intervention in primary care.
Area of Science:
- Child Psychology
- Public Health Interventions
- Evidence-Based Practice
Background:
- Norwegian initiatives to scale up evidence-based programs for child conduct problems.
- Implementation of Parent Management Training-Oregon Model (PMTO) in specialist services.
- Need for early identification and intervention in primary care settings.
Purpose of the Study:
- To present the design of the Early Initiatives for Children at Risk (TIBIR) program.
- To outline the theoretical rationale and practical considerations for TIBIR.
- To discuss challenges and future research directions for TIBIR.
Main Methods:
- Development of the TIBIR program, integrating early identification and tailored interventions.
- Delivery of TIBIR within ordinary primary services at the municipal level.
- Ongoing research activities to evaluate program effectiveness and implementation.
Main Results:
- TIBIR program designed for early identification and tailored interventions for children at risk.
- PMTO implemented in specialist services to enhance treatment competence.
- Research activities initiated to assess TIBIR's reach and impact.
Conclusions:
- TIBIR aims to provide early, tailored interventions through primary services.
- Challenges in reaching diverse risk groups and ensuring quality assurance/fidelity exist.
- Future research is needed to address implementation challenges and optimize program outcomes.
Abstract:
During the past decade, Norwegian authorities have initiated and funded a project to scale up the use of evidence-based programs for the prevention and treatment of conduct problems in children. The first step in this process was to increase treatment competence by implementing the Parent Management Training-Oregon Model (PMTO) in specialist services for children. The second step was to develop the program Early Initiatives for Children at Risk (Norwegian acronym, TIBIR), designed to identify children with possible conduct problems as early as possible and to offer tailored interventions as part of the ordinary primary services for children in individual municipalities. The theoretical rationale and practical considerations leading to the design of TIBIR are presented, together with the program modules and current research activities. Some of the challenges concerning the program's ability to reach various risk groups are discussed, as are the challenges encountered regarding quality assurance and fidelity maintenance. Finally, some future research questions are presented and discussed.
Related Concept Videos
Preventive Healthcare Services
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
Behavior Modification
A real-world application of operant conditioning principles is applied...
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Levels of Health Promotion and Illness Prevention
In primary prevention, actions taken before disease onset prevent the disease from...
Autism Spectrum Disorder
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.

