Low-income youth are overrepresented in the statistics on early onset oppositional defiant disorder (ODD) and conduct disorder (CD);however, low-income parents are least likely to engage in or be retained in the evidence-based behavioral parent training programs, which have proven to disrupt the escalation of ODD and CD behaviors. Consistent with Program Announcement (PAR-06-248), """"""""From Intervention Development to Services: Exploratory Research Grants,"""""""" this R34 project aims to develop and pilot-test use of Smartphone technology to enhance the engagement and retention of low-income parents of children (3 to 8 years old) with ODD and early CD behaviors in one evidence-based parent training program, Helping the Noncompliant Child (HNC;McMahon &Forehand, 2003). The Smartphone-enhanced HNC treatment program will be developed, and then tested in a pilot controlled trial in order to examine feasibility, cost-effectiveness, and consumer satisfaction, as well as trends in engagement and retention of parents and changes in parent and child behavior. Given that the early onset of ODD and CD behavior is the single most important predictor of delinquency, substance abuse, and violence for boys and girls in adolescence, the development of novel approaches to engage and retain low-income parents in evidence-based parent training programs is of critical public health importance.

Public Health Relevance

Low-income youth are overrepresented in the statistics on early onset oppositional defiant disorder (ODD) and conduct disorder (CD);however, low-income parents are least likely to engage in or be retained in evidence-based behavioral parent training programs proven to disrupt the escalation ODD and CD behaviors in early onset youth. Consistent with Program Announcement (PAR-06-248), From Intervention Development to Services: Exploratory Research Grants, this R34 aims to enhance the engagement and retention of low income parents of children (3 to 8 y.o.) with ODD and early CD behaviors in one evidence-based parent training program, Helping the Noncompliant Child (HNC;McMahon &Forehand, 2003) through the use of Smartphone technology. Given that the early onset of ODD and CD behavior is the single most important predictor of delinquency, substance abuse, and violence for boys and girls in adolescence, the development of approaches to engage and retain low-income parents in evidence-based parent training programs is of critical public health importance.

Agency
National Institute of Health (NIH)
Institute
National Institute of Mental Health (NIMH)
Type
Planning Grant (R34)
Project #
5R34MH082956-02
Application #
7892359
Study Section
Interventions Committee for Disorders Involving Children and Their Families (ITVC)
Program Officer
Sherrill, Joel
Project Start
2009-07-15
Project End
2012-05-31
Budget Start
2010-06-01
Budget End
2011-05-31
Support Year
2
Fiscal Year
2010
Total Cost
$222,509
Indirect Cost
Name
University of North Carolina Chapel Hill
Department
Psychology
Type
Schools of Arts and Sciences
DUNS #
608195277
City
Chapel Hill
State
NC
Country
United States
Zip Code
27599
Anton, Margaret T; Jones, Deborah J (2018) Parent-therapist alliance and technology use in behavioral parent training: A brief report. Psychol Serv :
Anton, Margaret T; Jones, Deborah J; Cuellar, Jessica et al. (2016) Caregiver Use of the Core Components of Technology-Enhanced Helping the Noncompliant Child: A Case Series Analysis of Low-Income Families. Cogn Behav Pract 23:194-204
Honeycutt, Amanda A; Khavjou, Olga A; Jones, Deborah J et al. (2015) Helping the Noncompliant Child: An Assessment of Program Costs and Cost-Effectiveness. J Child Fam Stud 24:499-504
Anton, Margaret T; Jones, Deborah J; Youngstrom, Eric A (2015) Socioeconomic status, parenting, and externalizing problems in African American single-mother homes: A person-oriented approach. J Fam Psychol 29:405-415
Jones, Deborah J; Anton, Margaret; Gonzalez, Michelle et al. (2015) Incorporating Mobile Phone Technologies to Expand Evidence-Based Care. Cogn Behav Pract 22:281-290
Cuellar, Jessica; Jones, Deborah J; Sterrett, Emma (2015) Examining Parenting in the Neighborhood Context: A Review. J Child Fam Stud 24:195-219
Jones, Deborah J (2014) Future directions in the design, development, and investigation of technology as a service delivery vehicle. J Clin Child Adolesc Psychol 43:128-42
Jones, Deborah J; Forehand, Rex; Cuellar, Jessica et al. (2014) Technology-enhanced program for child disruptive behavior disorders: development and pilot randomized control trial. J Clin Child Adolesc Psychol 43:88-101
Forehand, Rex; Jones, Deborah J; Parent, Justin (2013) Behavioral parenting interventions for child disruptive behaviors and anxiety: what's different and what's the same. Clin Psychol Rev 33:133-45
Jones, Deborah J; Forehand, Rex; Cuellar, Jessica et al. (2013) Harnessing innovative technologies to advance children's mental health: behavioral parent training as an example. Clin Psychol Rev 33:241-52

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