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ERIC Number: EJ966614
Record Type: Journal
Publication Date: 2012-Apr
Pages: 11
Abstractor: As Provided
Reference Count: N/A
ISBN: N/A
ISSN: ISSN-0890-8567
Promoting Self-Regulation and Cooperation in Pre-Kindergarten Children with Conduct Problems: A Randomized Controlled Trial
Somech, Lior Y.; Elizur, Yoel
Journal of the American Academy of Child & Adolescent Psychiatry, v51 n4 p412-422 Apr 2012
Objective: To evaluate the effectiveness and mechanisms of "Hitkashrut", a "common elements" co-parent training (PT) program for early intervention with preschoolers (3-5 years of age) at risk for conduct problems (CP). Method: A randomized controlled trial with 140 participants in PT and 69 in a minimal intervention control group. The primary outcome (presence of CP) was assessed at pre-intervention, post-intervention, and 1-year follow-up. Callous-unemotional traits, effortful control, parental distress, negative/inconsistent parenting, and couple relationship quality were assessed at pre- and post-intervention, whereas callous-unemotional traits and effortful control were also assessed in the PT group at follow-up. Retention was 87.1% at post-intervention and 60% at follow-up. "Hitkashrut" incorporated evidence-based components of established PT programs into a culturally adapted protocol. The facilitators were trained and supervised psychologists working in Israel's Educational Psychology Services. Results: Intervention effect (Cohen's d) was large at post-intervention (ES = 0.76, p less than 0.001), and an additional medium effect was found at follow-up (ES = 0.63, p less than 0.001). Parallel post-intervention and follow-up intervention effects were also found in the degree of clinically significant improvements. Effects of the intervention on callous-unemotional traits (ES = 0.85, p less than 0.001) and effortful control (ES = 0.47, p less than 0.001) were maintained at follow-up. Follow-up improvement in CP was mediated by improvements in parental practices and distress. Conclusions: "Hitkashrut"'s implementation and subsequent dissemination in real-world settings demonstrates the potential effectiveness of common elements programs to promote innovations within service-delivery systems. Improvements in dispositional variables and the mediated follow-up effect support theoretical cascade models that emphasize early developmental malleability and the growing preventive effects of PT's facilitated parental changes on disruptive developmental trajectories. Clinical trial registration information--The effect of a "common elements" co-parent training program (called "Hitkashrut") on conduct in preschoolers at risk for conduct problems; http://www.anzctr.org.au; ACTRN12612000148875. (Contains 4 tables and 1 figure.)
Elsevier. 6277 Sea Harbor Drive, Orlando, FL 32887-4800. Tel: 877-839-7126; Tel: 407-345-4020; Fax: 407-363-1354; e-mail: usjcs@elsevier.com; Web site: http://www.elsevier.com
Publication Type: Journal Articles; Reports - Research
Education Level: Early Childhood Education; Preschool Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Israel