Parent-child Problem, Problematic Behavior in Children
Conditions
Brief summary
The hypothesis of the study is that the intervention leads to a reduction in foster children's externalizing problems and foster parents' parenting stress and that this in turn leads to a reduction in the number of breakdowns of foster placements.
Interventions
parent management training for foster parents, consisting of 10 individual home visits and 3 group sessions. Duration is four months
Sponsors
Study design
Eligibility
Inclusion criteria
* foster child has a borderline or clinical score on one of the small-band externalizing scales or the broad-band externalizing scale of the Child Behavior Checklist (CBCL)
Exclusion criteria
foster child: * has a mental retardation, * autism, * uses psychotropic medication in an inconsistent way, * behavioral problems are the result of medical problems or medication, foster parents: * have insufficient knowledge of Dutch, * have low cognitive abilities, * are already receiving professional support for the foster child's externalizing problems, * are divorcing. Moreover, foster placements were excluded if at least two of the following criteria were present: * foster parents considered terminating the foster placement during the past two months * were experiencing psychological distress (measured with the General Health Questionnaire (GHQ; Koeter & Ormel, 1991) and defined as a score ≥ 2), * their foster child had a sum score above 3 (for children \< 6 years) or 5 (for children ≥ 6 years) on the critical CBCL-items.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in foster child's externalizing problems from baseline to post-intervention (3.5 months later) | Assessed at two time points: at baseline (before the start of the intervention) en post-intervention (immediately after the intervention has ended, which is on average 3.5 months after the baseline measurement) | T-score for the externalizing subscale of the Child Behavior Checklist (CBCL) |
| Change in foster child's externalizing problems from post-intervention to follow-up (3 months later) | Assessed at post-interventio (immediately after the intervention has ended, which is about 3.5 months after the baseline measurement) and at follow-up (which is thee months later than the post-intervention measurement). | The T-score of the Externalizing scale of the Child Behavior Checklist (CBCL) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in foster parent's parenting stress from baseline to post-intervention (3.5 months later) | Assessed at two time points: at baseline (before the start of the intervention) en post-intervention (immediately after the intervention has ended, which is on average 3.5 months after the baseline measurement) | Nijmegen Questionnaire for the Parenting Situation |
| Change in foster mother's parenting stress from post-intervention to follow-up (3 months later) | Assessed at post-interventio (immediately after the intervention has ended, which is about 3.5 months after the baseline measurement) and at follow-up (which is thee months later than the post-intervention measurement). | The Nijmegen Questionnaire for the parenting situation |
| Client satisfaction | At post-intervention (immediately after the intervention has ended, which is on average 3.5 months later than the baseline measurment | Dutch Questionaire for client satisfaction and effect |
| Change in foster mother's parenting behavior from baseline to post-intervention (3.5 months later) | Assessed at two time points: at baseline (before the start of the intervention) en post-intervention (immediately after the intervention has ended, which is on average 3.5 months after the baseline measurement) | The Ghent Parenting Behavior Scale |
Countries
Belgium