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Parent training in foster families with children with behavior problems: Follow-up results from a randomized controlled trial

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  • Maaskant, Anne M.
  • van Rooij, Floor B.
  • Overbeek, Geertjan J.
  • Oort, Frans J.
  • Hermanns, Jo M.A.

Abstract

The present randomized controlled trial examined the four months follow-up effectiveness of Parent Management Training Oregon (PMTO) for parents with foster children (aged 4–12) with severe externalizing behavior problems in long-term foster care arrangements. The aim of PMTO, a relative long and intensive (6–9months, with weekly sessions) parent management training is to reduce children's problem behavior through improvement of parenting practices. We specifically investigated whether PMTO is effective to reduce foster parenting stress. It was expected that PMTO would reduce parenting stress in foster parents, improve the quality of parenting practices, and reduce children's problem behavior. Multi-informant (foster mothers, foster fathers, and teachers) data were used from 86 families. Multilevel analyses based on the intention to treat principle (retention rate 73%) showed that PMTO, compared to care as usual, had no significant direct, nor indirect or sleeper effects at follow-up on parenting stress, parenting behavior and child behavior problems. Earlier reported immediate effects of PMTO on reduced parenting stress at posttest disappeared at follow-up. Additional analyses on the role of non-specific intervention factors in PMTO effects showed that higher therapist fidelity scores resulted in stronger effects of PMTO on parenting responsiveness, parental explaining and autonomy granting. Unexpectedly, higher fidelity scores also predicted less decrease of parenting stress at follow-up.

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  • Maaskant, Anne M. & van Rooij, Floor B. & Overbeek, Geertjan J. & Oort, Frans J. & Hermanns, Jo M.A., 2016. "Parent training in foster families with children with behavior problems: Follow-up results from a randomized controlled trial," Children and Youth Services Review, Elsevier, vol. 70(C), pages 84-94.
    • Handle: RePEc:eee:cysrev:v:70:y:2016:i:c:p:84-94
    DOI: 10.1016/j.childyouth.2016.09.005
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    References listed on IDEAS

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    1. Oosterman, Mirjam & Schuengel, Carlo & Wim Slot, N. & Bullens, Ruud A.R. & Doreleijers, Theo A.H., 2007. "Disruptions in foster care: A review and meta-analysis," Children and Youth Services Review, Elsevier, vol. 29(1), pages 53-76, January.
    2. Maaskant, Anne M. & van Rooij, Floor B. & Hermanns, Jo M.A., 2014. "Mental health and associated risk factors of Dutch school aged foster children placed in long-term foster care," Children and Youth Services Review, Elsevier, vol. 44(C), pages 207-216.
    3. Dorsey, Shannon & Farmer, Elizabeth M.Z. & Barth, Richard P. & Greene, Kaylin M. & Reid, John & Landsverk, John, 2008. "Current status and evidence base of training for foster and treatment foster parents," Children and Youth Services Review, Elsevier, vol. 30(12), pages 1403-1416, December.
    4. Van Holen, Frank & Vanderfaeillie, Johan & De Maeyer, Skrallan & Gypen, Laura, 2015. "Does allocation to a control condition in a Randomized Controlled Trial affect the routine care foster parents receive?," Children and Youth Services Review, Elsevier, vol. 49(C), pages 48-53.
    5. van Rooij, Floor & Maaskant, Anne & Weijers, Irene & Weijers, Desiree & Hermanns, Jo, 2015. "Planned and unplanned terminations of foster care placements in the Netherlands: Relationships with characteristics of foster children and foster placements," Children and Youth Services Review, Elsevier, vol. 53(C), pages 130-136.
    6. Hermanns, Jo M.A. & Asscher, Jessica J. & Zijlstra, Bonne J.H. & Hoffenaar, Peter J. & Dekovič, Maja, 2013. "Long-term changes in parenting and child behavior after the Home-Start family support program," Children and Youth Services Review, Elsevier, vol. 35(4), pages 678-684.
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    Cited by:

    1. Goemans, Anouk & van Geel, Mitch & Wilderjans, Tom F. & van Ginkel, Joost R. & Vedder, Paul, 2018. "Predictors of school engagement in foster children: A longitudinal study," Children and Youth Services Review, Elsevier, vol. 88(C), pages 33-43.
    2. van Rooij, F.B. & van der Put, C. & Maaskant, A.M. & Folkeringa, D. & Hermanns, J.M.A., 2019. "Risk assessment for foster placement breakdown: The predictive value of the strengths and difficulties questionnaire and foster child and foster family characteristics," Children and Youth Services Review, Elsevier, vol. 100(C), pages 353-361.

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