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Development Of A Barriers Scale To Predict Early Treatment Success For Young Children In Poverty With Behavior Problems, Brittany Lynn Gresl, Robert A. Fox, Lauryn A. Besasie
Development Of A Barriers Scale To Predict Early Treatment Success For Young Children In Poverty With Behavior Problems, Brittany Lynn Gresl, Robert A. Fox, Lauryn A. Besasie
College of Education Faculty Research and Publications
Research has demonstrated that participation in parent and child therapy (PCT) programs significantly reduces problematic behaviors while increasing positive behaviors in the child. However, PCT programs report rates of early termination as high as 60% among families in poverty. Research to reduce these early termination rates has historically focused on barriers to treatment including logistical conflicts, socioeconomic status, child age, and symptom severity. Despite attempts to address these variables and reduce early termination rates, progress has been slow in advancing the research in this area. In addition, few measures have been designed to accurately assess how barriers to treatment impact …
Predicting Treatment Success In Child And Parent Therapy Among Families In Poverty, Ryan Mattek, Robert A. Fox, Sara E. Harris
Predicting Treatment Success In Child And Parent Therapy Among Families In Poverty, Ryan Mattek, Robert A. Fox, Sara E. Harris
College of Education Faculty Research and Publications
Behavior problems are prevalent in young children and those living in poverty are at increased risk for stable, high-intensity behavioral problems. Research has demonstrated that participation in child and parent therapy (CPT) programs significantly reduces problematic child behaviors while increasing positive behaviors. However, CPT programs, particularly those implemented with low-income populations, frequently report high rates of attrition (over 50%). Parental attributional style has shown some promise as a contributing factor to treatment attendance and termination in previous research. The authors examined if parental attributional style could predict treatment success in a CPT program, specifically targeting low-income urban children with behavior …
Early Pathways Therapy For Young Children In Poverty: A Randomized Controlled Trial, Sara E. Harris, Robert A. Fox, Joanna R. Love
Early Pathways Therapy For Young Children In Poverty: A Randomized Controlled Trial, Sara E. Harris, Robert A. Fox, Joanna R. Love
College of Education Faculty Research and Publications
Early Pathways is a home-based, parent and child therapy program for the treatment of disruptive behaviors among young children living in poverty. In this study, 199 clinically referred children were randomly assigned to an immediate treatment (IT) or wait-list control (WL) conditions. Results indicated that parents in the IT condition reported significant improvements in their child’s disruptive and prosocial behaviors and increased nurturing and decreased use of corporal and verbal punishment by their parents compared to the WL families. Gains were maintained for children in both the IT and WL conditions at 3-month follow-up.
Incidence Of Behavior Problems In Toddlers And Preschool Children From Families Living In Poverty, Casey A. Holtz, Robert A. Fox, John R. Meurer
Incidence Of Behavior Problems In Toddlers And Preschool Children From Families Living In Poverty, Casey A. Holtz, Robert A. Fox, John R. Meurer
College of Education Faculty Research and Publications
Few studies have examined the incidence of behavior problems in toddlers and preschool children from families living in poverty. The available research suggests behavior problems occur at higher rates in children living in poverty and may have long-term negative outcomes if not identified and properly treated. This study included an ethnically representative sample of 357 children, five years of age and younger, from a diverse, low-income, urban area. All families’ incomes met the federal threshold for living in poverty. Behavior problems were assessed by parent report through a questionnaire specifically designed for low-income families. Boys and younger children were reported …
Treatment Outcomes For At-Risk Young Children With Behavior Problems: Toward A New Definition Of Success, Michael P. Fung, Robert A. Fox, Sara E. Harris
Treatment Outcomes For At-Risk Young Children With Behavior Problems: Toward A New Definition Of Success, Michael P. Fung, Robert A. Fox, Sara E. Harris
College of Education Faculty Research and Publications
This study examined the outcomes of Early Pathways (EP), an in-home parent–child therapy program with 447 at-risk children younger than 5 years of age who were referred for severe behavior and emotional problems, such as aggression, oppositional behavior, and separation anxiety. EP emphasized parent-directed training of child behavior strategies including psychoeducation regarding child development, child-led play, and cognitive-behavioral techniques. Outcomes were assessed using a unique 2-dimensional definition of treatment completion, which consisted of treatment duration and an assessment of reliable change for the primary outcome measure of child behavior problems. Results showed that the majority of children (63.4%) met or …
Home-Based Parent-Child Therapy In Low-Income African American, Caucasian, And Latino Families: A Comparative Examination Of Treatment Outcomes, Brittany L. Gresl, Robert A. Fox, Alicia Fleischmann
Home-Based Parent-Child Therapy In Low-Income African American, Caucasian, And Latino Families: A Comparative Examination Of Treatment Outcomes, Brittany L. Gresl, Robert A. Fox, Alicia Fleischmann
College of Education Faculty Research and Publications
This study examined parent and child treatment outcomes for a home-based Parent-Child Therapy (PCT) program for 66 children from families living in poverty. African American, Caucasian, and Latino families were examined to determine if an evidence-based program would produce similar results across different ethnic groups. The results showed that caregivers across the three ethnic groups reported improved child challenging behavior, increased positive parent-child interactions, improved parental expectations, higher levels of nurturing, and less reliance on verbal and corporal punishment as a form of discipline. Practical implications for these results are discussed.
Behavior Problems In Toddlers With And Without Developmental Delays: Comparison Of Treatment Outcomes, Casey A. Holtz, Jennifer M. Carrasco, Ryan Mattek, Robert A. Fox
Behavior Problems In Toddlers With And Without Developmental Delays: Comparison Of Treatment Outcomes, Casey A. Holtz, Jennifer M. Carrasco, Ryan Mattek, Robert A. Fox
College of Education Faculty Research and Publications
The purpose of this study is to examine the effectiveness of an in-home parent management program for toddlers with behavior problems and developmental delays by comparing outcomes for a group of toddlers with developmental delays (n = 27) and a group of toddlers without developmental delays (n = 27). The majority of children lived in single parent, low-income homes. Results suggest that the parent management program is equally effective for children with and without developmental delays. Parents from both groups reported clinically significant improvement in their children's behavior and parenting practices. Clinical implications regarding the importance of these …
Toddlers With Developmental Delays And Challenging Behaviors, Kathryn M. Keller, Robert A. Fox
Toddlers With Developmental Delays And Challenging Behaviors, Kathryn M. Keller, Robert A. Fox
College of Education Faculty Research and Publications
Behavior problems and parental expectations and practices were studied in a sample of 58 toddlers with developmental disabilities who were consecutively referred to a mental health clinic. The majority of children (70.7%) exceeded the clinical cut-off score for significant behavior problems including tantrums, aggression, defiance, and hyperactivity, and 77.6% met the DSM-IV criteria for a psychiatric diagnosis with oppositional defiant disorder being the most common. Consistent with previous research, child behavior problems were related to parental use of verbal and corporal punishment and were detrimental to the quality of the parent-child relationship. A new finding was that parental expectations also …