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

Research output: Contribution to journalArticleScientificpeer-review

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 languageEnglish
Pages (from-to)810-826
JournalResearch on Social Work Practice
Volume28
Issue number7
DOIs
Publication statusPublished - 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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