Randomized study of PMTO in foster care: Six-month parent outcomes

Becci A. Akin; K.M. Lang; Thomas P. McDonald; Yueqi Yan; Todd Little

doi:10.1177/1049731517703746

Randomized study of PMTO in foster care: Six-month parent outcomes

Becci A. Akin^*, K.M. Lang, Thomas P. McDonald, Yueqi Yan, Todd Little

^*Corresponding author for this work

Methodology and Statistics

Research output: Contribution to journal › Article › Scientific › peer-review

9 Citations (Scopus)

Abstract

Objective:

This study examined the effects of Parent Management Training, Oregon (PMTO) model on parenting effectiveness and caregiver functioning.

Method:

Children in foster care with emotional and behavioral problems were randomized to PMTO (n = 461) or services as usual (n = 457) in a nonblinded study design. Using an intent-to-treat approach, analysis of covariance models tested the intervention's overall effect and time interactions for parenting and caregiver functioning. Additional analyses were conducted to identify significant predictors of outcomes.

Results:

PMTO did not significantly affect parenting practices; however, positive effects were observed on caregiver functioning in mental health (odds ratio [OR] = 2.01), substance use (OR = 1.67), social supports (OR = 2.37), and readiness for reunification (OR = 1.64). While no time interactions were detected, several child, parent, and case characteristics were associated with improvements in 6-month outcomes.

Conclusion:

This study extends evidence on PMTO to biological families of children in foster care, including those with older youth.

Original language	English
Pages (from-to)	810-826
Journal	Research on Social Work Practice
Volume	28
Issue number	7
DOIs	https://doi.org/10.1177/1049731517703746
Publication status	Published - 2018

Keywords

parent training intervention
evidence-based intervention
randomized trial
foster care
social-emotional well-being
EVIDENCE-BASED INTERVENTION
MENTAL-HEALTH-SERVICES
CHILD INTERACTION THERAPY
BEHAVIOR PROBLEMS
FORMATIVE EVALUATION
TRAINING-PROGRAMS
CONDUCT PROBLEMS
INCREDIBLE YEARS
CONTROLLED-TRIAL
PLACEMENT

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@article{2573a9825fb041d6a0018e0127dc9ca0,

title = "Randomized study of PMTO in foster care: Six-month parent outcomes",

abstract = "Objective: This study examined the effects of Parent Management Training, Oregon (PMTO) model on parenting effectiveness and caregiver functioning.Method: Children in foster care with emotional and behavioral problems were randomized to PMTO (n = 461) or services as usual (n = 457) in a nonblinded study design. Using an intent-to-treat approach, analysis of covariance models tested the intervention's overall effect and time interactions for parenting and caregiver functioning. Additional analyses were conducted to identify significant predictors of outcomes.Results: PMTO did not significantly affect parenting practices; however, positive effects were observed on caregiver functioning in mental health (odds ratio [OR] = 2.01), substance use (OR = 1.67), social supports (OR = 2.37), and readiness for reunification (OR = 1.64). While no time interactions were detected, several child, parent, and case characteristics were associated with improvements in 6-month outcomes.Conclusion: This study extends evidence on PMTO to biological families of children in foster care, including those with older youth.",

keywords = "parent training intervention, evidence-based intervention, randomized trial, foster care, social-emotional well-being, EVIDENCE-BASED INTERVENTION, MENTAL-HEALTH-SERVICES, CHILD INTERACTION THERAPY, BEHAVIOR PROBLEMS, FORMATIVE EVALUATION, TRAINING-PROGRAMS, CONDUCT PROBLEMS, INCREDIBLE YEARS, CONTROLLED-TRIAL, PLACEMENT",

author = "Akin, {Becci A.} and K.M. Lang and McDonald, {Thomas P.} and Yueqi Yan and Todd Little",

year = "2018",

doi = "10.1177/1049731517703746",

language = "English",

volume = "28",

pages = "810--826",

journal = "Research on Social Work Practice",

issn = "1049-7315",

publisher = "SAGE Publications Inc.",

number = "7",

}

TY - JOUR

T1 - Randomized study of PMTO in foster care

T2 - Six-month parent outcomes

AU - Akin, Becci A.

AU - Lang, K.M.

AU - McDonald, Thomas P.

AU - Yan, Yueqi

AU - Little, Todd

PY - 2018

Y1 - 2018

N2 - Objective: This study examined the effects of Parent Management Training, Oregon (PMTO) model on parenting effectiveness and caregiver functioning.Method: Children in foster care with emotional and behavioral problems were randomized to PMTO (n = 461) or services as usual (n = 457) in a nonblinded study design. Using an intent-to-treat approach, analysis of covariance models tested the intervention's overall effect and time interactions for parenting and caregiver functioning. Additional analyses were conducted to identify significant predictors of outcomes.Results: PMTO did not significantly affect parenting practices; however, positive effects were observed on caregiver functioning in mental health (odds ratio [OR] = 2.01), substance use (OR = 1.67), social supports (OR = 2.37), and readiness for reunification (OR = 1.64). While no time interactions were detected, several child, parent, and case characteristics were associated with improvements in 6-month outcomes.Conclusion: This study extends evidence on PMTO to biological families of children in foster care, including those with older youth.

AB - Objective: This study examined the effects of Parent Management Training, Oregon (PMTO) model on parenting effectiveness and caregiver functioning.Method: Children in foster care with emotional and behavioral problems were randomized to PMTO (n = 461) or services as usual (n = 457) in a nonblinded study design. Using an intent-to-treat approach, analysis of covariance models tested the intervention's overall effect and time interactions for parenting and caregiver functioning. Additional analyses were conducted to identify significant predictors of outcomes.Results: PMTO did not significantly affect parenting practices; however, positive effects were observed on caregiver functioning in mental health (odds ratio [OR] = 2.01), substance use (OR = 1.67), social supports (OR = 2.37), and readiness for reunification (OR = 1.64). While no time interactions were detected, several child, parent, and case characteristics were associated with improvements in 6-month outcomes.Conclusion: This study extends evidence on PMTO to biological families of children in foster care, including those with older youth.

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KW - social-emotional well-being

KW - EVIDENCE-BASED INTERVENTION

KW - MENTAL-HEALTH-SERVICES

KW - CHILD INTERACTION THERAPY

KW - BEHAVIOR PROBLEMS

KW - FORMATIVE EVALUATION

KW - TRAINING-PROGRAMS

KW - CONDUCT PROBLEMS

KW - INCREDIBLE YEARS

KW - CONTROLLED-TRIAL

KW - PLACEMENT

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DO - 10.1177/1049731517703746

M3 - Article

SN - 1049-7315

VL - 28

SP - 810

EP - 826

JO - Research on Social Work Practice

JF - Research on Social Work Practice

IS - 7

ER -

Randomized study of PMTO in foster care: Six-month parent outcomes

Abstract

Keywords

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