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.

National Institute of Health (NIH)
National Institute of Mental Health (NIMH)
Research Scientist Development Award - Research & Training (K01)
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Study Section
Interventions Committee for Disorders Involving Children and Their Families (ITVC)
Program Officer
Hill, Lauren D
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University of Pittsburgh
Schools of Medicine
United States
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Lindhiem, Oliver; Shaffer, Anne (2017) Introduction to the Special Series: Current Directions for Measuring Parenting Constructs to Inform Prevention Science. Prev Sci 18:253-256
Chen, Kehui; Cheng, Yu; Berkout, Olga et al. (2017) Analyzing Proportion Scores as Outcomes for Prevention Trials: a Statistical Primer. Prev Sci 18:312-321
Grasso, Damion J; Ford, Julian D; Lindhiem, Oliver (2016) A Patient-Centered Decision-Support Tool Informed by History of Interpersonal Violence: ""Will This Treatment Work for Me?"". J Interpers Violence 31:465-80
Lindhiem, Oliver; Bennett, Charles B; Orimoto, Trina E et al. (2016) A Meta-Analysis of Personalized Treatment Goals in Psychotherapy: A Preliminary Report and Call for More Studies. Clin Psychol (New York) 23:165-176
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
Lindhiem, Oliver; Bennett, Charles B; Hipwell, Alison E et al. (2015) Beyond Symptom Counts for Diagnosing Oppositional Defiant Disorder and Conduct Disorder? J Abnorm Child Psychol 43:1379-87
Lindhiem, Oliver; Bennett, Charles B; Rosen, Dana et al. (2015) Mobile technology boosts the effectiveness of psychotherapy and behavioral interventions: a meta-analysis. Behav Modif 39:785-804
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
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
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

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