Evaluation of adapted parent training for challenging behaviour in pre-school children with moderate to severe intellectual developmental disabilities: A randomised controlled trial

There is limited evidence on the effectiveness of parenting interventions to improve disruptive behaviour in children with intellectual developmental disabilities. This clinical trial evaluated whether an adapted group parenting intervention for preschool children with intellectual developmental dis...

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Published in:PloS one Vol. 19; no. 8; p. e0306182
Main Authors: Royston, Rachel, Absoud, Michael, Ambler, Gareth, Barnes, Jacqueline, Hunter, Rachael, Kyriakopoulos, Marinos, Ondruskova, Tamara, Oulton, Kate, Paliokosta, Eleni, Panca, Monica, Sharma, Aditya, Slonim, Vicky, Summerson, Una, Sutcliffe, Alastair, Thomas, Megan, Qu, Chen, Hassiotis, Angela
Format: Journal Article
Language:English
Published: United States Public Library of Science 13.08.2024
Public Library of Science (PLoS)
Subjects:
Analysis
Australia
Behavior
Behavior disorders
Biology and Life Sciences
Caregivers
Child development deviations
Child, Preschool
Children
Children & youth
Clinical trials
Cost analysis
COVID-19
COVID-19 - epidemiology
COVID-19 - psychology
Developmental disabilities
Developmental Disabilities - therapy
Disabilities
Displays
Effectiveness
Elementary school students
England
Epidemics
Families & family life
Female
Humans
Intellectual disabilities
Intellectual Disability - psychology
Intervention
Male
Medicine and Health Sciences
Pandemics
Parenting - psychology
Parents
Parents & parenting
Parents - education
Parents - psychology
Patient compliance
Pediatrics
People and Places
Preschool children
Primary care
Problem Behavior - psychology
Quality of life
Questionnaires
Randomization
Social Sciences
Statistical analysis
Subgroups
Therapists
United Kingdom
England
Australia
United Kingdom
United Kingdom > UK
ISSN:1932-6203, 1932-6203
Online Access:Get full text
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Description
Summary:There is limited evidence on the effectiveness of parenting interventions to improve disruptive behaviour in children with intellectual developmental disabilities. This clinical trial evaluated whether an adapted group parenting intervention for preschool children with intellectual developmental disabilities who display challenging behaviour is superior to treatment as usual in England. 261 children aged 30-59 months with moderate to severe intellectual developmental disabilities and challenging behaviour were randomised to either the intervention (Stepping Stones Triple P) and treatment as usual or treatment as usual alone. The primary outcome was the parent-rated Child Behaviour Checklist at 52 weeks after randomisation. A health economic evaluation was also completed. We found no significant difference between arms on the primary outcome (mean difference -4.23; 95% CI: -9.99 to 1.53; p = 0.147). However, a subgroup analysis suggests the intervention was effective for participants randomised before the COVID-19 pandemic (mean difference -7.12; 95% CI: -13.44 to -0.81; p = 0.046). Furthermore, a complier average causal effects analysis (mean difference -11.53; 95% CI: -26.97 to 3.91; p = 0.143) suggests the intervention requires participants to receive a sufficient intervention dose. The intervention generated statistically significant cost savings (-£1,057.88; 95% CI -£3,218.6 to -£46.67) but the mean point estimate in Quality Adjusted Life Years was similar in both groups. This study did not find an effect of the intervention on reducing challenging behaviour, but this may have been influenced by problems with engagement. The intervention could be considered by services as an early intervention if families are supported to attend, especially given its low cost.
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Current address: Division of Developmental Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0306182