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One-Year Follow-up of a Parent Management Training for Children with Externalizing Behaviour Problems in the Real World

Published online by Cambridge University Press:  21 July 2009

Christopher Hautmann
Affiliation:
University of Cologne, Germany
Herbert Hoijtink
Affiliation:
University of Utrecht, The Netherlands
Ilka Eichelberger
Affiliation:
University of Cologne, Germany
Charlotte Hanisch
Affiliation:
University of Applied Sciences Düsseldorf, Germany
Julia Plück
Affiliation:
University of Cologne, Germany
Daniel Walter
Affiliation:
University of Cologne, Germany
Manfred Döpfner*
Affiliation:
University of Cologne, Germany
*
Reprint requests to Manfred Döpfner, Department of Child and Adolescent Psychiatry and Psychotherapy, University of Cologne, Robert-Koch-Str. 10, 50931 Cologne, Germany. E-mail: manfred.doepfner@uk-koeln.de

Abstract

Background: The long-term effectiveness of parent training for children with externalizing behaviour problems under routine care within the German health care system is unclear. We report the 1-year follow-up results of the parent training component of the Prevention Program for Externalizing Problem Behaviour (PEP) for 270 children aged 3–10 years with externalizing behaviour problems. Method: Outcome measures included child behaviour problems (externalizing behaviour problems, Attention-Deficit/Hyperactivity Disorder symptoms and Oppositional Defiant Disorder symptoms) and parenting (self efficacy of parenting and perceived ability to solve difficult parenting situations). Data were analysed using multilevel modelling. Results: Comparison of the changes during the 3-month waiting and treatment periods revealed significantly stronger treatment effects on all outcome measures, indicating a substantial decrease in child behaviour problems and a significant increase in parenting due to treatment. At 1-year follow-up, initial treatment effects on child behaviour problems were maintained, while parenting continued to improve. Conclusions: Families whose children exhibited externalizing problem behaviour profit from PEP and improvements are maintained for at least one year.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2009

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