Dataset Information

Recruitment in an indicated prevention program for externalizing behavior - parental participation decisions.

ABSTRACT:

Background

Parents are the ones who decide whether or not to participate in parent focused prevention trials. Their decisions may be affected by internal factors (e.g., personality, attitudes, sociodemographic characteristics) or external barriers. Some of these barriers are study-related and others are intervention-related. Internal as well as external barriers are especially important at the screening stage, which aims to identify children and families at risk and for whom the indicated prevention programs are designed. Few studies have reported their screening procedure in detail or analyzed differences between participants and dropouts or predictors of dropout. Rates of participation in prevention programs are also of interest and are an important contributor to the efficacy of a prevention procedure.

Methods

In this study, we analyzed the process of parent recruitment within an efficacy study of the indicated Prevention Program for Externalizing Problem behavior (PEP). We determined the retention rate at each step of the study, and examined differences between participants and dropouts/decliners. Predictors of dropout at each step were identified using logistic regression.

Results

Retention rates at the different steps during the course of the trial from screening to participation in the training ranged from 63.8% (pre-test) to 81.1% (participation in more than 50% of the training sessions). Parents who dropped out of the study were characterized by having a child with lower symptom intensity by parent rating but higher ratings by teachers in most cases. Low socioeconomic status and related variables were also identified as predictors of dropout in the screening (first step) and for training intensity (last step).

Conclusions

Special attention should be paid to families at increased risk for non-participation when implementing the prevention program in routine care settings.

Trial registration

ISRCTN12686222.

SUBMITTER: Plueck J

PROVIDER: S-EPMC2897776 | biostudies-literature | 2010 May

REPOSITORIES: biostudies-literature

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Publications

Recruitment in an indicated prevention program for externalizing behavior - parental participation decisions.

Plueck Julia J Freund-Braier Inez I Hautmann Christopher C Beckers Gabriele G Wieczorrek Elke E Doepfner Manfred M

Child and adolescent psychiatry and mental health 20100528

<h4>Background</h4>Parents are the ones who decide whether or not to participate in parent focused prevention trials. Their decisions may be affected by internal factors (e.g., personality, attitudes, sociodemographic characteristics) or external barriers. Some of these barriers are study-related and others are intervention-related. Internal as well as external barriers are especially important at the screening stage, which aims to identify children and families at risk and for whom the indicate ...[more]

PMID: 20509920

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Project description:ContextAs we identify genes involved in psychiatric disorders, the next step will be to study how the risk associated with susceptibility genes manifests across development and in conjunction with the environment. We describe analyses aimed at characterizing the pathway of risk associated with GABRA2, a gene previously associated with adult alcohol dependence, in a community sample of children followed longitudinally from childhood through young adulthood.ObjectiveTo test for an association between GABRA2 and trajectories of externalizing behavior from adolescence to young adulthood and for moderation of genetic effects by parental monitoring.DesignData were analyzed from the Child Development Project, with yearly assessments conducted since that time. A saliva sample was collected for DNA at the 2006 follow-up, with a 93% response rate in the target sample. Growth mixture modeling was conducted using Mplus to identify trajectories of externalizing behavior and to test for effects of GABRA2 sequence variants and parental monitoring.SettingNashville and Knoxville, Tennessee, and Bloomington, Indiana.ParticipantsA community-based sample of families enrolled at 3 sites as children entered kindergarten in 1987 and 1988. Analyses for the white subset of the sample (n = 378) are reported here.Main outcome measuresParental monitoring measured at 11 years of age; Child Behavior Checklist youth reports of externalizing behavior at ages 12, 14, 15, 16, 17, 19, 20, 21, and 22 years.ResultsTwo classes of externalizing behavior emerged: a stable high externalizing class and a moderate decreasing externalizing behavior class. The GABRA2 gene was associated with class membership, with subjects who showed persistent elevated trajectories of externalizing behavior more likely to carry the genotype previously associated with increased risk of adult alcohol dependence. A significant interaction with parental monitoring emerged; the association of GABRA2 with externalizing trajectories diminished with high levels of parental monitoring.ConclusionsThese analyses underscore the importance of studying genetic effects across development and of identifying environmental factors that moderate risk.

Project description:Adolescents' reports of parental differential treatment have been linked to increased externalizing behaviors. The current study investigated whether adolescent self-esteem and sibling relationship characteristics (age-spacing and sibling relationship quality) moderated associations between parental differential treatment and later externalizing behavior. Data was gathered at two assessments from 708 sibling pairs (94% White; 51% male; same-gender pairs <4 years apart in age). Older/younger siblings were aged MAssessment1?=?13.5/12.1 and MAssessment2?=?16.2/14.7 years. We found that higher levels of maternal differential treatment predicted greater residualized gains in externalizing behavior among older siblings who were (a) the same age as their sibling or near-to and had low self-esteem or (b) three years older than their sibling and had higher self-esteem. Higher levels of paternal differential treatment predicted greater residual gains in externalizing for older siblings with wider age ranges (regardless of self-esteem), and among older siblings with high levels of self-esteem (regardless of age difference). Surprisingly, maternal differential treatment was protective in one case: for adolescents with low self-esteem who were at least three years older than their siblings, maternal differential treatment predicted reduced externalizing behaviors. Paternal differential treatment was protective for more youth than maternal differential treatment: older siblings with low self-esteem who experienced paternal differential treatment exhibited decreased externalizing behaviors across adolescence, regardless of age difference. The findings highlight the importance of self-esteem and sibling age-spacing as particularly salient contextual influences in older siblings' perceptions of maternal and paternal differential treatment, and that maternal and especially paternal differential treatment does not always serve as a risk factor for externalizing problems.

Dataset Information

Recruitment in an indicated prevention program for externalizing behavior - parental participation decisions.

Background

Methods

Results

Conclusions

Trial registration

Publications

Recruitment in an indicated prevention program for externalizing behavior - parental participation decisions.

Similar Datasets

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