Treating oppositional defiant disorder in primary care: A comparison of three models

John V. Lavigne; Susan A. LeBailly; Karen R. Gouze; Colleen Cicchetti; Jonathan Pochyly; Richard Arend; Bryn W. Jessup; Helen J. Binns

doi:10.1093/jpepsy/jsm074

Treating oppositional defiant disorder in primary care: A comparison of three models

John V. Lavigne^*, Susan A. LeBailly, Karen R. Gouze, Colleen Cicchetti, Jonathan Pochyly, Richard Arend, Bryn W. Jessup, Helen J. Binns

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

91 Scopus citations

Abstract

Objective: To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods: Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program. Results: There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale. Conclusions: There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.

Original language	English (US)
Pages (from-to)	449-461
Number of pages	13
Journal	Journal of pediatric psychology
Volume	33
Issue number	5
DOIs	https://doi.org/10.1093/jpepsy/jsm074
State	Published - Jun 2008

Funding

This study was supported by NIMH RO1 MH59462, Principal Investigator, John V. Lavigne. We wish to thank the participating practices from the Pediatric Practice Research Group and particularly the individuals specified in the Appendix, who worked closely with the research team to make this study possible.

Keywords

Oppositional defiant disorder
Parent training
Primary care

ASJC Scopus subject areas

Developmental and Educational Psychology
Pediatrics, Perinatology, and Child Health

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10.1093/jpepsy/jsm074

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title = "Treating oppositional defiant disorder in primary care: A comparison of three models",

abstract = "Objective: To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods: Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program. Results: There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale. Conclusions: There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.",

keywords = "Oppositional defiant disorder, Parent training, Primary care",

author = "Lavigne, {John V.} and LeBailly, {Susan A.} and Gouze, {Karen R.} and Colleen Cicchetti and Jonathan Pochyly and Richard Arend and Jessup, {Bryn W.} and Binns, {Helen J.}",

note = "Funding Information: This study was supported by NIMH RO1 MH59462, Principal Investigator, John V. Lavigne. We wish to thank the participating practices from the Pediatric Practice Research Group and particularly the individuals specified in the Appendix, who worked closely with the research team to make this study possible.",

year = "2008",

month = jun,

doi = "10.1093/jpepsy/jsm074",

language = "English (US)",

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AU - Lavigne, John V.

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AU - Gouze, Karen R.

AU - Cicchetti, Colleen

AU - Pochyly, Jonathan

AU - Arend, Richard

AU - Jessup, Bryn W.

AU - Binns, Helen J.

N1 - Funding Information: This study was supported by NIMH RO1 MH59462, Principal Investigator, John V. Lavigne. We wish to thank the participating practices from the Pediatric Practice Research Group and particularly the individuals specified in the Appendix, who worked closely with the research team to make this study possible.

PY - 2008/6

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N2 - Objective: To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods: Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program. Results: There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale. Conclusions: There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.

AB - Objective: To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods: Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program. Results: There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale. Conclusions: There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.

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Treating oppositional defiant disorder in primary care: A comparison of three models

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