PubMed:23924046 JSONTXT

{"target":"https://pubannotation.org/docs/sourcedb/PubMed/sourceid/23924046","sourcedb":"PubMed","sourceid":"23924046","source_url":"http://www.ncbi.nlm.nih.gov/pubmed/23924046","text":"Technology-enhanced program for child disruptive behavior disorders: development and pilot randomized control trial.\nEarly onset disruptive behavior disorders are overrepresented in low-income families; yet these families are less likely to engage in behavioral parent training (BPT) than other groups. This project aimed to develop and pilot test a technology-enhanced version of one evidence-based BPT program, Helping the Noncompliant Child (HNC). The aim was to increase engagement of low-income families and, in turn, child behavior outcomes, with potential cost-savings associated with greater treatment efficiency. Low-income families of 3- to 8-year-old children with clinically significant disruptive behaviors were randomized to and completed standard HNC (n = 8) or Technology-Enhanced HNC (TE-HNC; n = 7). On average, caregivers were 37 years old; 87% were female, and 80% worked at least part-time. More than half (53%) of the youth were boys; the average age of the sample was 5.67 years. All families received the standard HNC program; however, TE-HNC also included the following smartphone enhancements: (a) skills video series, (b) brief daily surveys, (c) text message reminders, (d) video recording home practice, and (e) midweek video calls. TE-HNC yielded larger effect sizes than HNC for all engagement outcomes. Both groups yielded clinically significant improvements in disruptive behavior; however, findings suggest that the greater program engagement associated with TE-HNC boosted child treatment outcome. Further evidence for the boost afforded by the technology is revealed in family responses to postassessment interviews. Finally, cost analysis suggests that TE-HNC families also required fewer sessions than HNC families to complete the program, an efficiency that did not compromise family satisfaction. TE-HNC shows promise as an innovative approach to engaging low-income families in BPT with potential cost-savings and, therefore, merits further investigation on a larger scale.","tracks":[{"project":"Allie","denotations":[{"id":"SS1_23924046_1_0","span":{"begin":251,"end":277},"obj":"expanded"},{"id":"SS2_23924046_1_0","span":{"begin":279,"end":282},"obj":"abbr"},{"id":"SS1_23924046_2_0","span":{"begin":413,"end":443},"obj":"expanded"},{"id":"SS2_23924046_2_0","span":{"begin":445,"end":448},"obj":"abbr"},{"id":"SS1_23924046_4_0","span":{"begin":777,"end":800},"obj":"expanded"},{"id":"SS2_23924046_4_0","span":{"begin":802,"end":808},"obj":"abbr"}],"relations":[{"id":"AE1_23924046_1_0","pred":"abbreviatedTo","subj":"SS1_23924046_1_0","obj":"SS2_23924046_1_0"},{"id":"AE1_23924046_2_0","pred":"abbreviatedTo","subj":"SS1_23924046_2_0","obj":"SS2_23924046_2_0"},{"id":"AE1_23924046_4_0","pred":"abbreviatedTo","subj":"SS1_23924046_4_0","obj":"SS2_23924046_4_0"}],"attributes":[{"subj":"SS1_23924046_1_0","pred":"source","obj":"Allie"},{"subj":"SS2_23924046_1_0","pred":"source","obj":"Allie"},{"subj":"SS1_23924046_2_0","pred":"source","obj":"Allie"},{"subj":"SS2_23924046_2_0","pred":"source","obj":"Allie"},{"subj":"SS1_23924046_4_0","pred":"source","obj":"Allie"},{"subj":"SS2_23924046_4_0","pred":"source","obj":"Allie"}]},{"project":"PubmedHPO","denotations":[{"id":"T1","span":{"begin":140,"end":158},"obj":"HP_0000708"}],"attributes":[{"subj":"T1","pred":"source","obj":"PubmedHPO"}]}],"config":{"attribute types":[{"pred":"source","value type":"selection","values":[{"id":"Allie","color":"#ecc793","default":true},{"id":"PubmedHPO","color":"#ad93ec"}]}]}}