The current proposal seeks to improve rates of response to evidence-based psychosocial treatments for childhood disruptive behavior disorders (Oppositional Defiant Disorder and Conduct Disorder) by focusing on the acquisition and utilization of specific skills (parent-management skills and cognitive-behavioral skills) learned during the course of treatment.
Aim 1 is to develop measures and a methodology for assessing skill acquisition and skill utilization during the course of treatment, using performance based assessments and ecological assessment (electronic diary) strategies.
Aim 2 is to assess determinates, correlates, and sequelae of skill acquisition and utilization.
Aim 3 is to develop a pilot protocol for enhancing skill utilization by augmenting existing evidence-based treatments for childhood disruptive behavior disorders through the use of interactive health technologies. The current proposal will also allow the PI to gain additional training in 1) performance based assessment, 2) ecological assessment (electronic diary) approaches, 3) interactive health technologies, and 4) advanced training in treatment outcome research and related statistical analyses. These training goals, together with the specific aims of the research plan, will contribute to the PI's long-term career goal of becoming an independent investigator in applied clinical research and the treatment of children with disruptive behavior disorders in community settings.
The research aims of this proposal are consistent with Strategic Objective 3 of the NIMH Strategic Plan, which is to, "develop new and better interventions for mental disorders that incorporate the diverse needs and circumstances of people with mental illness." Specifically, Strategy 3.1 of the NIMH Strategic Plan is to, "further develop innovative interventions and designs for intervention studies." Strategy 3.4 is to, "identify and systematically study elements of personalized mental health care." The current proposal is consistent with both of these strategies.

Public Health Relevance

The findings from the current proposal will 1) provide the field with measures and methods for assessing skill- specific factors of change during the course of evidence-based psychosocial treatments for disruptive behavior disorders, 2) increase our understanding of the link between skill acquisition/utilization and treatment outcome, and 3) promote the routine use of digital technologies to enhance treatment delivery and optimize treatment outcome. It is expected that this project will have an important and lasting impact on the field of child and adolescent treatment research and that the findings will have wide-reaching applications for skills-based treatments for other mental health disorders.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Research Scientist Development Award - Research & Training (K01)
Project #
5K01MH093508-04
Application #
8620721
Study Section
Interventions Committee for Disorders Involving Children and Their Families (ITVC)
Program Officer
Hill, Lauren D
Project Start
2011-05-01
Project End
2016-02-28
Budget Start
2014-03-01
Budget End
2015-02-28
Support Year
4
Fiscal Year
2014
Total Cost
$136,536
Indirect Cost
$9,969
Name
University of Pittsburgh
Department
Psychiatry
Type
Schools of Medicine
DUNS #
004514360
City
Pittsburgh
State
PA
Country
United States
Zip Code
15213
Lindhiem, Oliver; Yu, Lan; Grasso, Damion J et al. (2015) Adapting the posterior probability of diagnosis index to enhance evidence-based screening: an application to ADHD in primary care. Assessment 22:198-207
Herschell, Amy D; Lindhiem, Oliver J; Kogan, Jane N et al. (2014) Evaluation of an implementation initiative for embedding Dialectical Behavior Therapy in community settings. Eval Program Plann 43:55-63
Lindhiem, Oliver; Bennett, Charles B; Trentacosta, Christopher J et al. (2014) Client preferences affect treatment satisfaction, completion, and clinical outcome: a meta-analysis. Clin Psychol Rev 34:506-17
Lindhiem, Oliver; Higa, Janelle; Trentacosta, Christopher J et al. (2014) Skill acquisition and utilization during evidence-based psychosocial treatments for childhood disruptive behavior problems: a review and meta-analysis. Clin Child Fam Psychol Rev 17:41-66
Beidas, Rinad S; Lindhiem, Oliver; Brodman, Douglas M et al. (2014) A probabilistic and individualized approach for predicting treatment gains: an extension and application to anxiety disordered youth. Behav Ther 45:126-36
Kolko, David J; Lindhiem, Oliver (2014) Introduction to the special series on booster sessions and long-term maintenance of treatment gains. J Abnorm Child Psychol 42:339-42
Lindhiem, Oliver; Shaffer, Anne; Kolko, David J (2014) Quantifying discipline practices using absolute versus relative frequencies: clinical and research implications for child welfare. J Interpers Violence 29:66-81
Grasso, Damion J; Ford, Julian D; Lindhiem, Oliver (2014) A Patient-Centered Decision-Support Tool Informed by History of Interpersonal Violence: "Will This Treatment Work for Me?" J Interpers Violence :
Lindhiem, Oliver; Kolko, David J; Yu, Lan (2013) Quantifying diagnostic uncertainty using item response theory: the Posterior Probability of Diagnosis Index. Psychol Assess 25:456-66
Lindhiem, Oliver; Kolko, David J; Cheng, Yu (2012) Predicting psychotherapy benefit: a probabilistic and individualized approach. Behav Ther 43:381-92