Conduct Disorder, Oppositional Defiant Disorder
Conditions
Keywords
Online treatment, Treatment of conduct problems, Parent training
Brief summary
The research evaluates the use of online versions of delivering an effective psychological treatment for children clinically referred for serious oppositional, aggressive, and antisocial behavior. The goal is to develop models of delivery that reach families in need that are not being served by in-person treatment. The project has immediate implications for the treatment of children but more generally addresses several issues critical to treatments that are based on Internet, telepsychiatry, and related technologies.
Interventions
BEHAVIORALOnline Parent Management Training (Interactive)
BEHAVIORALOnline Parent Management Training (Recorded)
Sponsors
Yale University
National Institute of Mental Health (NIMH)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis of Conduct Disorder of Oppositional Defiant Disorder (for the child) * Residence in the state of CT * Access to a computer and high-speed Internet access * English fluency (at least one parent) * No history of significant developmental delay (for the child) * Parental consent
Exclusion criteria
* Participation in another form of psychotherapy or counseling that is directed toward the reduction of social, emotional, or behavioral problems * Evidence of recent suicidality (for the child) * Current or lifetime diagnosis of a Pervasive Developmental Disorder * Primary diagnoses of a mood or anxiety disorder * Acute family crisis * Parent or guardian who can participate in treatment shows current psychosis or an uncontrolled medical condition
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child Behavior Checklist | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Internalizing and externalizing behavior problems in children |
| Child Global Assessment Scale | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Therapist-rated measure of overall child impairment and functioning |
| Interview for Antisocial Behavior | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Presence of a broad range of overt and covert antisocial behaviors in children |
| Research Diagnostic Interview | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Clinical symptoms and diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parent-Therapist Relationship Scale (Therapist version) | Midtreatment (Week 4 of treatment) | Characteristics of the therapeutic relationship according to therapist report |
| Parent-Therapist Relationship Scale (Parent version) | Midtreatment (Week 4 of treatment) | Characteristics of the therapeutic relationship according to parent report |
| Barriers to Participation in Treatment (Therapist version) | Midtreatment (Week 4 of treatment) | Stressors and obstacles that interfere with treatment |
| Barriers to Participation in Treatment (Parent version) | Midtreatment (Week 4 of treatment) | Stressors and obstacles that interfere with treatment |
| Weekly Participation in Treatment | Weekly (during treatment) | Attendance and participation in treatment sessions |
| Parenting Stress Index | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Sources of stress for the parent |
| Beck Depression Inventory | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Parental symptoms of depression |
| Management of Child Behavior Scale | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | Parenting practices |
| Treatment Adherence Inventory (Therapist version) | Midtreatment (Week 4 of treatment) | Parental compliance with specific treatment techniques |
| Acceptability of Treatment Modality | Midtreatment (Week 4 of treatment) | Parent-report measure rating the acceptability of online treatment and barriers that may affect participants receiving online treatment specifically |
| Treatment Adherence Inventory (Parent version) | Midtreatment (Week 4 of treatment) | Parental compliance with specific treatment techniques |
| Therapist Evaluation Inventory | Midtreatment (Week 4 of treatment) | Acceptability of treatment based on therapist report |
| Parent Evaluation Inventory | Midtreatment (Week 4 of treatment) | Acceptability of treatment based on parent report |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORAlan E. Kazdin, Ph.D.
Yale University
Outcome results
None listed