Risk factors for attrition from an evidence-based parenting program: Findings from the Netherlands

Mariëlle E. Abrahamse, Larissa N. Niec, Marianne Junger, Frits Boer and Ramón J.L. Lindauer

Children and Youth Services Review, 2016, vol. 64, issue C, 42-50

Abstract: Parent management training programs for the treatment of childhood conduct problems are increasingly being transported from their country of origin to international settings. Family interactions, however, may be influenced by different cultural expectations and children's mental health problems may be addressed within different systems. Demonstrating reductions in symptoms within the new population is insufficient to support the wide-scale transport of a treatment model. Implementation outcomes such as the rates of treatment retention and factors related to treatment attrition must also be considered. We explored predictors of attrition in families from the Netherlands referred to the evidence-based parenting program Parent–Child Interaction Therapy (PCIT). Participants included 40 children with conduct problems (2–7years; 68% boys) and their caregivers. Attrition (40%) was somewhat lower than findings with similar community samples in the US. Significant predictors of attrition were child age and maternal levels of internalizing symptoms. Low parental demandingness and high child compliance before start of treatment were related to early attrition within twelve treatment sessions. Meeting the needs of families at risk for attrition is an important goal for parent management training programs within and outside the US if families in need of services are to benefit from them.

Keywords: Treatment attrition; Childhood conduct problems; Parent–child interaction therapy; Parent management training; International dissemination (search for similar items in EconPapers)
Date: 2016
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Citations: View citations in EconPapers (4)

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Persistent link: https://EconPapers.repec.org/RePEc:eee:cysrev:v:64:y:2016:i:c:p:42-50

DOI: 10.1016/j.childyouth.2016.02.025

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