Drott Catherine E, Elkins Sara R, Kritikos Tessa K
University of Houston Clear Lake, Houston, TX, USA.
University of Houston, Tilman J. Fertitta Family College of Medicine, Houston, TX, USA.
Child Psychiatry Hum Dev. 2024 Aug 16. doi: 10.1007/s10578-024-01748-5.
In child disruptive behavior treatment, successful parent management training (PMT) outcomes are dependent on parents' use of strategies outside of sessions. This study aimed to identify the influence of parental locus of control (PLOC) on a key treatment acceptability variable: parents' willingness to implement PMT strategies. We sought to investigate this relationship for individual strategies within PMT, given the composite nature of the intervention. In this study, 109 parents of children (ages 2-12) with disruptive behavior watched brief videos detailing three proactive PMT strategies (child-directed interaction, effective commands, positive attention) and three reactive PMT strategies (ignoring, time out, and removal of privileges) and rated their willingness to implement each strategy. Internal PLOC predicted greater overall willingness to use PMT strategies, above and beyond the influence of child age, child gender, and disruptive behavior severity. Notably, the relationship between willingness and PLOC differed across individual strategies. PLOC predicted willingness to implement proactive PMT strategies to a greater degree than willingness to implement reactive strategies. External PLOC may be a greater barrier to use of proactive strategies because of these strategies' misalignment with external PLOC-related beliefs. Results have implications for the personalization of PMT based on parent cognitions, as well as for the separate analysis of individual components of PMT in future research.
在儿童破坏性行为治疗中，成功的家长管理培训（PMT）结果取决于家长在治疗课程之外对策略的运用。本研究旨在确定父母控制点（PLOC）对一个关键的治疗可接受性变量的影响：家长实施PMT策略的意愿。鉴于该干预措施的综合性，我们试图针对PMT中的个别策略来研究这种关系。在本研究中，109名患有破坏性行为的儿童（年龄在2至12岁之间）的家长观看了简短视频，这些视频详细介绍了三种主动PMT策略（以儿童为导向的互动、有效指令、积极关注）和三种被动PMT策略（忽视、暂停、剥夺特权），并对他们实施每种策略的意愿进行了评分。除了儿童年龄、儿童性别和破坏性行为严重程度的影响之外，内控型PLOC预示着使用PMT策略的总体意愿更高。值得注意的是，意愿与PLOC之间的关系因个别策略而异。与实施被动策略的意愿相比，PLOC对实施主动PMT策略意愿的预测程度更高。由于这些策略与外控型PLOC相关信念不一致，外控型PLOC可能是使用主动策略的更大障碍。研究结果对基于家长认知的PMT个性化以及未来研究中对PMT各个组成部分的单独分析具有启示意义。
