Pilot Randomized Trial of a Family Management Efficacy Intervention for Caregivers of African American Adolescents with Disruptive Behaviors

Ukamaka Oruche, Sheri Robb, Claire Draucker, Matthew Aalsma, Bernice Pescosolido, Anil Chacko, Susan Ofner, Giorgos Bakoyannis, Brittany Brown-Podgorski

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents’ care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent behavioral health outcomes. Objective: To examine feasibility/acceptability of Family Management Efficacy (FAME) intervention content, structure, delivery, and appropriateness of selected measures for caregivers of African American adolescents with ODD/CD. Secondary aim was to explore changes in FAME caregivers’ interaction self-efficacy, stress, quality of life, and family functioning scores relative to caregivers receiving treatment as usual (TAU). Method: A pilot two-group randomized trial was conducted with caregivers of African American adolescents (ages 12–18 years) diagnosed with ODD/CD receiving FAME (n = 11) or TAU (n = 9). Feasibility outcomes of enrollment/attrition, measurement completion, session attendance, and homework completion were assessed using tracking logs and field notes, and acceptability through caregiver satisfaction scores and interviews. Preliminary outcomes were assessed at baseline, post- and 2-months post intervention. Results: FAME was highly acceptable and met a priori thresholds for feasibility in enrollment (56%), attrition (35%), caregiver attendance (55%), and homework completion (50%), with lower than anticipated kin attendance (42%) and measurement completion (55%). Preliminary outcomes suggest FAME may benefit caregivers in areas of family communication, cohesion, and quality of life, but lacked observed benefit for self-efficacy and problem solving indicating need for refinement. Conclusion: Results inform changes to FAME content, measurement, and delivery schedule in preparation for a fully powered randomized controlled trial.

Original languageEnglish (US)
Pages (from-to)1-25
Number of pages25
JournalChild and Youth Care Forum
DOIs
StateAccepted/In press - Jun 20 2018

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caregiver
adolescent
management
homework
self-efficacy
quality of life
American
interaction
group cohesion
communication
interview
health
experience
Group

Keywords

  • Adolescent(s)
  • Caregiver and child service system interactions
  • Family Management Efficacy Intervention
  • Multiple Family Group
  • Oppositional Defiant and Conduct Disorder

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)
  • Life-span and Life-course Studies

Cite this

@article{426bcd5ca10144678a78370c07f05f1e,
title = "Pilot Randomized Trial of a Family Management Efficacy Intervention for Caregivers of African American Adolescents with Disruptive Behaviors",
abstract = "Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents’ care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent behavioral health outcomes. Objective: To examine feasibility/acceptability of Family Management Efficacy (FAME) intervention content, structure, delivery, and appropriateness of selected measures for caregivers of African American adolescents with ODD/CD. Secondary aim was to explore changes in FAME caregivers’ interaction self-efficacy, stress, quality of life, and family functioning scores relative to caregivers receiving treatment as usual (TAU). Method: A pilot two-group randomized trial was conducted with caregivers of African American adolescents (ages 12–18 years) diagnosed with ODD/CD receiving FAME (n = 11) or TAU (n = 9). Feasibility outcomes of enrollment/attrition, measurement completion, session attendance, and homework completion were assessed using tracking logs and field notes, and acceptability through caregiver satisfaction scores and interviews. Preliminary outcomes were assessed at baseline, post- and 2-months post intervention. Results: FAME was highly acceptable and met a priori thresholds for feasibility in enrollment (56{\%}), attrition (35{\%}), caregiver attendance (55{\%}), and homework completion (50{\%}), with lower than anticipated kin attendance (42{\%}) and measurement completion (55{\%}). Preliminary outcomes suggest FAME may benefit caregivers in areas of family communication, cohesion, and quality of life, but lacked observed benefit for self-efficacy and problem solving indicating need for refinement. Conclusion: Results inform changes to FAME content, measurement, and delivery schedule in preparation for a fully powered randomized controlled trial.",
keywords = "Adolescent(s), Caregiver and child service system interactions, Family Management Efficacy Intervention, Multiple Family Group, Oppositional Defiant and Conduct Disorder",
author = "Ukamaka Oruche and Sheri Robb and Claire Draucker and Matthew Aalsma and Bernice Pescosolido and Anil Chacko and Susan Ofner and Giorgos Bakoyannis and Brittany Brown-Podgorski",
year = "2018",
month = "6",
day = "20",
doi = "10.1007/s10566-018-9462-1",
language = "English (US)",
pages = "1--25",
journal = "Child & Youth Care Quarterly",
issn = "0893-0848",
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T1 - Pilot Randomized Trial of a Family Management Efficacy Intervention for Caregivers of African American Adolescents with Disruptive Behaviors

AU - Oruche, Ukamaka

AU - Robb, Sheri

AU - Draucker, Claire

AU - Aalsma, Matthew

AU - Pescosolido, Bernice

AU - Chacko, Anil

AU - Ofner, Susan

AU - Bakoyannis, Giorgos

AU - Brown-Podgorski, Brittany

PY - 2018/6/20

Y1 - 2018/6/20

N2 - Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents’ care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent behavioral health outcomes. Objective: To examine feasibility/acceptability of Family Management Efficacy (FAME) intervention content, structure, delivery, and appropriateness of selected measures for caregivers of African American adolescents with ODD/CD. Secondary aim was to explore changes in FAME caregivers’ interaction self-efficacy, stress, quality of life, and family functioning scores relative to caregivers receiving treatment as usual (TAU). Method: A pilot two-group randomized trial was conducted with caregivers of African American adolescents (ages 12–18 years) diagnosed with ODD/CD receiving FAME (n = 11) or TAU (n = 9). Feasibility outcomes of enrollment/attrition, measurement completion, session attendance, and homework completion were assessed using tracking logs and field notes, and acceptability through caregiver satisfaction scores and interviews. Preliminary outcomes were assessed at baseline, post- and 2-months post intervention. Results: FAME was highly acceptable and met a priori thresholds for feasibility in enrollment (56%), attrition (35%), caregiver attendance (55%), and homework completion (50%), with lower than anticipated kin attendance (42%) and measurement completion (55%). Preliminary outcomes suggest FAME may benefit caregivers in areas of family communication, cohesion, and quality of life, but lacked observed benefit for self-efficacy and problem solving indicating need for refinement. Conclusion: Results inform changes to FAME content, measurement, and delivery schedule in preparation for a fully powered randomized controlled trial.

AB - Background: Caregivers of adolescents diagnosed with Oppositional Defiant Disorder and/or Conduct Disorder (ODD/CD) experience unique challenges when interacting with child service systems involved in their adolescents’ care. Absent from the literature are interventions to improve these interactions, which in the long term may improve adolescent behavioral health outcomes. Objective: To examine feasibility/acceptability of Family Management Efficacy (FAME) intervention content, structure, delivery, and appropriateness of selected measures for caregivers of African American adolescents with ODD/CD. Secondary aim was to explore changes in FAME caregivers’ interaction self-efficacy, stress, quality of life, and family functioning scores relative to caregivers receiving treatment as usual (TAU). Method: A pilot two-group randomized trial was conducted with caregivers of African American adolescents (ages 12–18 years) diagnosed with ODD/CD receiving FAME (n = 11) or TAU (n = 9). Feasibility outcomes of enrollment/attrition, measurement completion, session attendance, and homework completion were assessed using tracking logs and field notes, and acceptability through caregiver satisfaction scores and interviews. Preliminary outcomes were assessed at baseline, post- and 2-months post intervention. Results: FAME was highly acceptable and met a priori thresholds for feasibility in enrollment (56%), attrition (35%), caregiver attendance (55%), and homework completion (50%), with lower than anticipated kin attendance (42%) and measurement completion (55%). Preliminary outcomes suggest FAME may benefit caregivers in areas of family communication, cohesion, and quality of life, but lacked observed benefit for self-efficacy and problem solving indicating need for refinement. Conclusion: Results inform changes to FAME content, measurement, and delivery schedule in preparation for a fully powered randomized controlled trial.

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KW - Family Management Efficacy Intervention

KW - Multiple Family Group

KW - Oppositional Defiant and Conduct Disorder

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