2-039 - Internet-delivered Parent Management Training: Enhancing Access to Effective Treatments for Childhood Disruptive Behavior Problems

Session Type: Paper Symposium

Integrative Statement

Disruptive behaviour disorders (DBDs) are among the most common childhood mental health disorders. When left untreated, DBDs exhibit considerable stability across time and are associated with significant risk for poor outcomes in later life. Despite robust support for the efficacy of Parent Management Training (PMT) in reducing symptoms of DBDs in young children, there is a lag in the dissemination and implementation of these evidence-supported treatments in community settings. In an attempt to overcome the barriers that contribute to this research-to-practice gap (e.g., geographical distance from services), several PMT programs have been adapted to online delivery formats. There is accumulating evidence to support the feasibility, efficacy and acceptability of online PMT programs delivered via informational websites, online discussion forums, self-guided modules, video modeling, email, and/or video teleconferencing. This diversity in mode of delivery lends potential to the integration of online services in a stepped-care model of service provision, with intensity of intervention determined by the needs of individual children and families. For example, complex presentations of DBDs may be more likely to benefit from treatment delivered via teleconference with individual therapist contact, relative to self-guided treatment delivered via prescribed online modules. This symposium will present examples of Internet-delivered PMT programs delivered in the United States, Sweden and Australia, and consider outcomes of interest when these programs are compared to face-to-face interventions. Given the limited accessibility of evidence-supported PMT programs in community settings, this line of research is vital to enhancing community utilization of and benefit from these treatments.

Sub Unit

• Developmental Psychopathology

Chair

• Georgette Esme Fleming, University of New South Wales

Discussant

• Robert McMahon, Simon Fraser University

Individual Presentations

• Two-year follow-up of an Internet-based Parent Management Training Program (iComet) and a Family-based treatment (the FCU) - Presenting Author: Pia Enebrink, Karolinska Institutet, Department of Clinical Neuroscience; Christina Kadesjö, Gothenburgh University; Annika Björnsdotter, Gothenburgh University; Ata Ghaderi, Karolinska Institutet

• Internet-delivered PCIT (I-PCIT) for Early Disruptive Behavior Problems: Results from a Randomized Controlled Trial - Presenting Author: Jonathan S. Comer, Florida International University; Jami M Furr, Florida International University; Mariah L. DeSerisy, Fordham University; Elizabeth Miguel, Florida International University

• A Case Study of Internet-delivered PCIT (I-PCIT) - Presenting Author: Georgette Esme Fleming, University of New South Wales; Eva Kimonis, University of New South Wales; Amy Datyner, University of New South Wales