Rajwan Estrella, Chacko Anil, Wymbs Brian T, Wymbs Frances A
Department of Psychology, The Graduate School and University Center, City University of New York (CUNY), 65-30 Kissena Blvd, Flushing, NY, 11367, USA,
J Abnorm Child Psychol. 2014 Nov;42(8):1407-12. doi: 10.1007/s10802-014-9877-6.
The Strategies to Enhance Positive Parenting (STEPP) program, an enhanced behavioral parent training (BPT) intervention, was developed to improve engagement in and outcomes following treatment for single-mother families of school-age youth with attention-deficit/hyperactivity disorder (ADHD). A previous randomized clinical trial of the STEPP program demonstrated that the intervention resulted in statistically significant improvements at the group-level in child oppositional behavior, various areas of child impairment, parental stress, and parenting behavior, relative to a wait-list control condition and a traditional BPT group. Despite benefits at the group-level, little is known about outcomes at the individual-level of enhanced BPT relative to traditional BPT for various child- and parent-level outcomes. The current study compares the extent to which traditional BPT and the STEPP program result in reliable change and recovery across various child- and parent-level outcomes in a sample of 80, 5-12 year old youth with ADHD (70 % male). Analyses demonstrated the benefit of participating in either BPT treatment; and participation in the STEPP program compared to traditional BPT was associated with only minimal incremental clinical benefit. Results, as well as clinical and research implications for assessment and treatment of high-risk families of youth with ADHD enrolled in BPT are discussed.
增强积极育儿策略（STEPP）项目是一种强化的行为家长培训（BPT）干预措施，旨在提高患有注意力缺陷多动障碍（ADHD）的学龄儿童单亲家庭参与治疗的程度及治疗效果。先前对STEPP项目进行的一项随机临床试验表明，与等待名单对照条件和传统BPT组相比，该干预措施在儿童对立行为、儿童功能损害的各个方面、父母压力和育儿行为等方面在组水平上产生了具有统计学意义的改善。尽管在组水平上有好处，但相对于传统BPT，强化BPT在个体水平上对各种儿童和父母层面结果的影响知之甚少。本研究比较了传统BPT和STEPP项目在80名5至12岁患有ADHD的青少年（70%为男性）样本中，在各种儿童和父母层面结果上导致可靠变化和康复的程度。分析表明参与任何一种BPT治疗都有好处；与传统BPT相比，参与STEPP项目仅带来最小的临床增量益处。本文讨论了研究结果以及对参加BPT的ADHD青少年高危家庭进行评估和治疗的临床及研究意义。
