The Incredible Years® Blog


Leave a comment

Parenting Program Researched as a Home Visit Intervention

banner_graphic

IMG_2323 - Version 2Renda Dionne (certified group leader) and her colleagues have completed a randomized control group study using the home based Incredible Years (IY) parent program (Basic Preschool) with American Indian families with children (ages 3-10 years). Their approach involved a motivational phase, which set a historical context for parents’ current difficulties, and an intervention phase, which linked the IY principles and skills within cultural traditions, beliefs and values.

The program was delivered in 11 home visits, each lasting approximately 90 minutes. The home visiting coaches used the IY collaborative approach (without modification) including watching video vignettes, role play practices and homework assignments. With every skill taught, culturally based stories were offered to create a stronger connection to the skill.

B1-2-FF

The Incredible Years Parent Program being implemented as a Home Visit model

For example, child-directed play was linked to respect for others, praise was linked to honoring others, limit setting linked to historical trauma, and prevention to ceremony.  Preliminary evidence looks promising with significant improvements in observations of parenting and child behavior in the intervention condition compared with the delayed-intervention group.

The majority of participants reported high levels of satisfaction with the program.  Given that historically few American Indians have taken part in research studies, we are excited about these findings and the potential for implementing the program with the American Indian population. It is particularly innovative they way researchers integrated a cultural approach as an adjunct to the Incredible Years program.

Click here to read the article!
Dionne, R., Davis, B., Sheeber, L., and Madrigal, L. 2009. 
Initial Evaluation of a Cultural Approach to Implementation of Evidence-based Parenting Interventions in American Indian Communities  Journal of Community Psychology, V.37.7. 911-921. DOI: 10.1002/jcop.20336

Want to learn more about implementing the Incredible Years Programs as a Home Visiting Model? Click here!


Leave a comment

The Incredible Years® in Pediatric Settings

Evaluation of a parenting program for treating children’s early disruptive behavior problems delivered in a pediatric setting. 

In well child visits pediatricians frequently see parents who are asking about their children’s hyperactivity, aggression and defiant behaviors. Such behaviors are a developmentally normal phase for toddlers because they lack the language and self-regulation skills to control their impulses.  However, toddlers and preschoolers who exhibit these behaviors at high intensity and frequency are at risk for continuing this disruptive behavior pattern in later childhood and many parents and caregivers do not have the parenting tools to respond effectively.  These early onset behavior problems are associated with academic underachievement, and confer risk for later life psychopathology including criminality and substance abuse (Tremblay, Nagin, & Seguin, 2004).  Effective early intervention is crucial.

Image

Unfortunately even though numerous clinical trials, meta-analyses, and consensus guidelines recommend that psychosocial interventions should constitute the first-line approach for treatment of early disruptive behavior problems, the proportion of children receiving evidence-based programs is decreasing (Comer, Chow, Chan, Cooper-Vince, & Wilson, 2013). Children are more likely to receive psychotropic medications, even though controlled trials of the efficacy of this approach for this age group have not been conducted.

Primary care physicians, who see families frequently during a child’s early years, are strategically placed to help parents prevent the development of serious disruptive behavior problems and to expand the availability and accessibility of services by offering evidence-based parent training programs.

A newly published randomized control group trial has tested the efficacy of using the Incredible Years® (IY) toddler parent program in 11 diverse primary care rural and urban pediatric practices (Perrin, Sheldrick, McMenamy, Henson, & Carter, 2014).

Ellen PerrinThis study was conducted by Dr. Ellen Perrin, a developmental-behavioral pediatrician who is Director of Research at the Center for Children with Special Needs and  Professor at Tufts University School of Medicine in Boston Massachusetts.

This particular evidence-based program was chosen because of its extensive research and ease of delivery. A recent meta-analyses of  50 studies utilizing the IY program reported its success in improving child behavior in a diverse range of families (Menting, Orobio de Castro, & Matthys, 2013).

toddlers_pic

Study Method

Parents were selected for this program based on behavioral screening above the 80th percentile on the Infant-Toddler Social-Emotional Assessment Scale. The study sample is characterized as high risk or borderline clinical because children were selected based on elevated symptoms of behavior problems.  A total of 150 parents were randomly assigned to either the IY 10-week, 2-hour parent program or a waiting list control group.  An additional 123 parents were assigned to the parent intervention without a randomly selected comparison group. The parent program was offered primarily by psychologists or social workers in conjunction with a member of the pediatric office staff.  Among the 3 study groups, 54% to 73% completed at least  7 group sessions.

Positive results

Results showed that parents who participated in the IY program reported more change in self-reported parent and toddler outcomes at post treatment than did parents in the waiting list control condition. Analyses of independent videotaped observations of parent-toddler interactions showed that negative parenting, child disruptive behaviors and negative child-parent interactions were lower at post treatment and at 12-month follow-up compared with baseline observations for parents who received the program.  No differences were found for the waiting list control parents at post condition compared with baseline.

The findings are very promising and suggest that offering the IY program as a group model in pediatric settings is a cost effective way of reducing children’s behavior problems and providing secondary preventive intervention (Stein, 2014). (Stein, 2014). The next step is to convince practitioners, who typically see these families in individual treatment sessions, of the value of the group learning model for providing behavioral training for parents of young children and building support networks for their families.

Please don’t hesitate to contact us for more information about the Incredible Years® Programs and/or this recent research!

Click this link to read the full article!

If you are interested in learning more about The Incredible Years programs, click this link to go to our website.

References:

Comer, J. S., Chow, C., Chan, P. T., Cooper-Vince, C., & Wilson, L. A. (2013). Psychosocial treament efficacy for disruptive behavior problems in very young children: A meta-analytic examination Journal of American Academy of Child and Adolescent Psychiatry, 52(1), 26-36.

Menting, A. T. A., Orobio de Castro, B., & Matthys, W. (2013). Effectiveness of the Incredible Years Parent Training to Modify Disruptive and Prosocial Child Behavior:A Meta-Analytic Review. Clinical Psychology Review, 33, 901-913.

Perrin, E. C., Sheldrick, R. C., McMenamy, J. M., Henson, B. S., & Carter, A. S. (2014). Improving parenting skills for families of young children in pediatric settings: a randomized clinical trial. Journal of American Medical Association Pediatrics, 168(1), 16-24.

Stein, M. T. (2014). Group-Based Parenting-Skills training in primary care offices:Are we ready for the challenge? Journal of American Medical Association, 168(1), 7-9.

Tremblay, R., Nagin, D., & Seguin, J. (2004). Physical aggression during early childhood: trajectories and predictors. Pediatrics, 114, 43-50.


Leave a comment

Helping Teachers Develop Successful Classroom Management Strategies

As many of you know, teachers find themselves spending increasing amounts of time attending to students’ aggressive, hyperactive and non-compliant behaviors in the classroom. Not only does this cause stress and put pressure on teachers, it can create a negative environment for students and eventually lead to serious problems in school, as well as antisocial behavior. We believe it is vitally important to equip teachers with the necessary tools and resources so they feel empowered and supported to work in the school setting and manage difficult behaviors.

The Incredible Years Teacher Classroom Management Program aims to provide early preschool and kindergarten teachers with the skills to effectively manage their classroom and promote children’s social, emotional, and academic competence. This particular program is led by a group leader who provides 6 full day workshops to teachers, providing them with information and tools to practice in the classroom. During these  workshop days, teachers learn about the following:

  • Building positive relationships with students
  • Providing attention, coaching, encouragement and praise
  • Motivating students through incentives
  • Decreasing inappropriate behavior
  • Emotional regulation, social skills and problem-solving training

tcmprogram
Group leaders offer a collaborative and experiential approach, focusing on teacher goals and tailoring the groups for special needs and situations.

The Incredible Years is hosting a Group Leader training for those interested in leading these teacher groups, April 2-4, in Seattle, WA. This accredited training will be led by an experienced Incredible Years Certified Trainer and will provide group leaders with the understanding and skills to begin to implement the Teacher Classroom Management Program. School Counselors and Psychologists, Teachers, and other School Coordinators may be interested in attending this training in order to learn how to lead these teacher workshops.

tcm_graphic

We would love to have you attend this training! For more information, click this link to view our workshop schedule or e-mail/call the Incredible Years (incredibleyears@incredibleyears.com or 888-506-3562). You can also view more information by clicking here.

We look forward to hearing from you!

For those interested in learning more about this program, we would recommend you take a look at some of our informational videos available online. These videos show teacher, group leader, and trainer perspectives regarding the Teacher Classroom Management program. View the videos by clicking on this link. You may also be interested in reading this article regarding Teacher Program Content, Methods and Process, here!

We hope you will share this information with teachers and other colleagues who may be interested. Our goal is to provide as much support and assistance as possible to all of the wonderful teachers out there!