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Technology-Enhanced BPT for Early-Onset Behavior Disorders: Improved Outcomes for Children With Co-Occurring

Justin Parent1,2, April Highlander3, Raelyn Loiselle3

  • 1Warren Alpert Medical School, Brown University.

Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
|July 26, 2023
PubMed

Insights

Technology-enhanced parent training improved child behavior and parenting for children with internalizing symptoms. This approach may offer personalized support for complex cases, enhancing outcomes beyond standard behavioral parent training (BPT).

Area of Science:

  • Child Psychology
  • Behavioral Interventions
  • Clinical Research

Background:

  • Early-onset behavior disorders (BDs) are prevalent and costly, with Behavioral Parent Training (BPT) as the standard early intervention.
  • Internalizing symptoms are common comorbidities in young children with BDs, and their impact on BPT outcomes is not well understood.
  • Low-income families are disproportionately affected by early-onset BDs.

Purpose of the Study:

  • To investigate the efficacy of technology-enhanced Behavioral Parent Training (TE-BPT) compared to standard BPT.
  • To examine the impact of TE-BPT on observed parenting and child behavior outcomes in families with clinically significant problem behavior.
  • To assess the effectiveness of TE-BPT for children with higher levels of internalizing symptoms.

Main Methods:

  • A randomized controlled trial involving 101 low-income families with children aged 3-8 years with clinically significant problem behavior.
  • Families were assigned to either standard BPT (Helping the Noncompliant Child - HNC) or Technology-Enhanced HNC (TE-HNC).
  • Child behavior and parenting skills were assessed at posttreatment and follow-up.

Main Results:

  • Both groups showed improvement in internalizing symptoms posttreatment.
  • TE-HNC demonstrated greater improvements in positive parenting and child compliance at posttreatment and follow-up compared to standard HNC.
  • These benefits were most pronounced for children with higher baseline internalizing symptoms.

Conclusions:

  • Technology-enhanced BPT (TE-HNC) is effective in improving parenting and child behavior outcomes, particularly for children with elevated internalizing symptoms.
  • TE-HNC may enhance treatment personalization, potentially boosting parent skill utilization in complex cases.
  • Future research should formally test the mediation of these added benefits.
Abstract

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