Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families

Kristen M McCabe, 1,2 May Yeh, 2–4 Argero A Zerr 1,5 1Department of Psychological Sciences, University of San Diego, San Diego, CA, USA; 2Child and Adolescent Services Research Center, San Diego, CA, USA; 3Department of Psychology, San Diego State University, San Diego, CA, USA; 4Depar...

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Main Authors: McCabe KM, Yeh M, Zerr AA
Format: Article
Language:English
Published: Dove Medical Press 2020-01-01
Series:Psychology Research and Behavior Management
Subjects:
Online Access:https://www.dovepress.com/personalizing-behavioral-parent-training-interventions-to-improve-trea-peer-reviewed-article-PRBM
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author McCabe KM
Yeh M
Zerr AA
author_facet McCabe KM
Yeh M
Zerr AA
author_sort McCabe KM
collection DOAJ
description Kristen M McCabe, 1,2 May Yeh, 2–4 Argero A Zerr 1,5 1Department of Psychological Sciences, University of San Diego, San Diego, CA, USA; 2Child and Adolescent Services Research Center, San Diego, CA, USA; 3Department of Psychology, San Diego State University, San Diego, CA, USA; 4Department of Psychiatry, University of California, San Diego, CA, USA; 5Department of Psychology, California State University Channel Islands, Camarillo, CA, USACorrespondence: Kristen M McCabeDepartment of Psychological Sciences, University of San Diego, 5998 Alcala Park, San Diego, CA 92110, USATel +1 619 260 4001Email kmccabe@sandiego.eduAbstract: Behavioral Parent Training (BPT) interventions are efficacious for young children with externalizing behavior problems. However, not all families benefit, and ethnic minority families in particular are less likely to enroll, engage, and improve in BPT. Versions of BPT interventions tailored for specific ethnic groups have been successful at improving engagement and outcomes for ethnic minorities; however, the specificity of these models presents challenges for broad dissemination. This article presents a personalization approach (PersIn) that utilizes cultural assessment results to tailor treatment protocols to the characteristics of individual families. We believe this approach has the potential to maximize cultural sensitivity while preserving generalizability to both minority and non-minority ethnic groups. We further propose that personalization on Parent Explanatory Model (PEM) parameters that have been found to vary across ethnic groups and to impact treatment engagement and/or outcomes is a promising approach to decreasing disparities in BPTs. We describe examples of evidence-supported PEMs that present good targets for personalization and provide examples from MY PCIT to illustrate how PersIn can be applied to Parent-Child Interaction Therapy (PCIT).Keywords: Behavioral Parent Training, Parent-Child Interaction Therapy, culture, personalization, disruptive behavior disorders
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spelling doaj.art-06790d022f9a4f9daca3bc7e85d510902022-12-22T01:46:23ZengDove Medical PressPsychology Research and Behavior Management1179-15782020-01-01Volume 13415351034Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse FamiliesMcCabe KMYeh MZerr AAKristen M McCabe, 1,2 May Yeh, 2–4 Argero A Zerr 1,5 1Department of Psychological Sciences, University of San Diego, San Diego, CA, USA; 2Child and Adolescent Services Research Center, San Diego, CA, USA; 3Department of Psychology, San Diego State University, San Diego, CA, USA; 4Department of Psychiatry, University of California, San Diego, CA, USA; 5Department of Psychology, California State University Channel Islands, Camarillo, CA, USACorrespondence: Kristen M McCabeDepartment of Psychological Sciences, University of San Diego, 5998 Alcala Park, San Diego, CA 92110, USATel +1 619 260 4001Email kmccabe@sandiego.eduAbstract: Behavioral Parent Training (BPT) interventions are efficacious for young children with externalizing behavior problems. However, not all families benefit, and ethnic minority families in particular are less likely to enroll, engage, and improve in BPT. Versions of BPT interventions tailored for specific ethnic groups have been successful at improving engagement and outcomes for ethnic minorities; however, the specificity of these models presents challenges for broad dissemination. This article presents a personalization approach (PersIn) that utilizes cultural assessment results to tailor treatment protocols to the characteristics of individual families. We believe this approach has the potential to maximize cultural sensitivity while preserving generalizability to both minority and non-minority ethnic groups. We further propose that personalization on Parent Explanatory Model (PEM) parameters that have been found to vary across ethnic groups and to impact treatment engagement and/or outcomes is a promising approach to decreasing disparities in BPTs. We describe examples of evidence-supported PEMs that present good targets for personalization and provide examples from MY PCIT to illustrate how PersIn can be applied to Parent-Child Interaction Therapy (PCIT).Keywords: Behavioral Parent Training, Parent-Child Interaction Therapy, culture, personalization, disruptive behavior disordershttps://www.dovepress.com/personalizing-behavioral-parent-training-interventions-to-improve-trea-peer-reviewed-article-PRBMbehavioral parent trainingparent child interaction therapyculturepersonalizationdisruptive behavior disorders
spellingShingle McCabe KM
Yeh M
Zerr AA
Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
Psychology Research and Behavior Management
behavioral parent training
parent child interaction therapy
culture
personalization
disruptive behavior disorders
title Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
title_full Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
title_fullStr Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
title_full_unstemmed Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
title_short Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families
title_sort personalizing behavioral parent training interventions to improve treatment engagement and outcomes for culturally diverse families
topic behavioral parent training
parent child interaction therapy
culture
personalization
disruptive behavior disorders
url https://www.dovepress.com/personalizing-behavioral-parent-training-interventions-to-improve-trea-peer-reviewed-article-PRBM
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