Large group community-based parenting programs for families of preschoolers at risk for disruptive behaviour disorders : utilization, cost effectiveness, and outcome.
A significant percentage of children with disruptive behaviour disorders do not receive mental health assistance.
Utilization is lowest among groups whose children are at greatest risk.
To increase the availability, accessibility, and cost efficacy of parent training programs, this prospective randomized trial compared a large group community-based parent training program to a clinic-based individual parent training (PT) program.
All families of junior kindergartners in the Hamilton public and separate school boards were sent a checklist regarding problems at home.
Those returning questionnaires above the 90th percentile were block randomly assigned to : (1) a 12-week clinic-based individual parent training (Clinic/Individual), (2) a 12-week community-based large group parent training (Community/Group), or (3) a waiting list control condition.
Immigrant families, those using English as a second language, and parents of children with severe behaviour problems were significantly more liklely to enrol in Community/Groups than Clinic/Individual PT.
Parents in Community/Groups reported greater improvements in behaviour problems at home and better maintenance of these gains at 6-month follow-up.
A cost analysis showed that, with groups of 18 families, Community/Groups are more than six times as cost effective as Clinic/Individual programs.
Mots-clés Pascal : Trouble comportement social, Programme éducatif, Relation parent enfant, Analyse coût efficacité, Utilisation, Efficacité traitement, Programme thérapeutique, Interaction sociale, Enfant, Homme
Mots-clés Pascal anglais : Social behavior disorder, Educational schedule, Parent child relation, Cost efficiency analysis, Use, Treatment efficiency, Therapeutic schedule, Social interaction, Child, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0568097
Code Inist : 002B18H05B. Création : 01/03/1996.