Reducing problem behavior during care-giving in families of preschool-aged children with developmental disabilities
Abstract
This study evaluated two variants of a behavioral parent training program known as Stepping Stones Triple P (SSTP) using 74 preschool-aged children with developmental disabilities. Families were randomly allocated to an enhanced parent training intervention that combined parenting skills and care-giving coping skills (SSTP-E), standard parent training intervention alone (SSTP-S) or waitlist control (WL) condition. At post-intervention, both programs were associated with lower levels of observed negative child behavior, reductions in the number of care-giving settings where children displayed problem behavior, and improved parental competence and satisfaction in the parenting role as compared with the waitlist condition. Gains attained at post-intervention were maintained at 1-year follow-up. Both interventions produced significant reductions in child problem behavior, with 67% of children in the SSTP-E and 77% of children in the SSTP-S showing clinically reliable change from pre-intervention to follow-up. Parents reported a high level of satisfaction with both interventions.
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In the Plant and Sanders randomized trial, adding a coping skills component to a parent behavioural training program was no more effective for child outcomes than parent behavioural training alone, and was slightly less successful.
“Data from the Plant and Sanders randomized trial suggest that adding a coping skills component into a parent behavioural training program was no more effective in terms of child outcomes than parent behavioural training alonein fact the former approach was slightly less successful.”
From Psychological acceptance mediates the impact of the behaviour problems of children with intellectual disability on fathers' psychological adjustment. (2010) · cites this paper as Plant & Sanders 2007
Other studies also reported an increase in parental stress after a 12-month therapist-led training program for parents of children with ASD, IDD and/or CB.
“other studies also reported an increase in parental stress after a 12-month therapist-led training program for parents of children with ASD (70, 71), IDD (72–74) and/or CB (75).”
Previous research on parent training programs for parents of children with ASD or IDD consistently revealed a reduction in CB after the intervention.
“This result is in line with previous research on parent training programs for parents of children with ASD (63, 64, 71) or IDD (66, 67, 74), which consistently revealed a reduction in CB after the intervention.”
The Depression Anxiety Stress Scale stress subscale has shown good levels of internal consistency in a previous study of parents of children with IDD.
“The scale has shown good levels of internal consistency in a previous study of parents of children with IDD (Cronbach's Plant & Sanders, 2007).”
From A mindfulness parent well-being course: evaluation of outcomes for parents of children with autism and related disabilities recruited through special schools (2018) · cites this paper as Plant & Sanders, 2007
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References 78 · Cited by 192
- Authors
- Plant, K. M., & Sanders, M. R.
- Affiliations
- The University of Queensland (AU)
- Corresponding author
- Sanders, Matthew R.
- ORCID
- Sanders, Matthew R.
- Venue
- Research in Developmental Disabilities
- Publisher
- Elsevier BV
- Published
- 2007-07
- Volume
- 28
- Issue
- 4
- Pages
- 362-385
- ISSN
- 0891-4222 (ISSN-L)
- OpenAlex
- W2097508978
- Cited by
- 192
- References
- 78
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 6 · 2023: 5 · 2022: 8 · 2021: 4 · 2020: 10 · 2019: 7 · 2018: 7 · 2017: 10 · 2016: 19 · 2015: 9 · 2014: 12 · 2013: 21 · 2012: 19
- FWCI
- 10.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Research in Developmental Disabilities (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Apex Foundation
- Australian Research Council
- Topics
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- Stepping Stones Triple P, parent training, developmental disabilities, preschool children, child behavior problems, parenting skills, intervention maintenance, family intervention
- MeSH terms
- Adaptation, Psychological, Adult, Behavior Therapy, Child, Child Behavior Disorders, Developmental Disabilities, Child, Preschool, Consumer Behavior, Education, Female, Follow-Up Studies, Humans, Male, Intellectual Disability, Social Environment, Caregivers, Cost of Illness
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