Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Psychological Interventions Module > Interventions for children and young people in the 'real-world' > Flashcards

Interventions for children and young people in the 'real-world' Flashcards

1
Q

A number of factors can influence wether…?

A

Interventions = effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What changes what works for whp?

A

Comorbidity, motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Moderators of treatment outcome help us understand what?

A

What works for whom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Do RCT’s reflect what happens in the real world? - Three factors

A

Parental - mental health/ conditions, timimg, availability
Child - Co - occuring cond
Therapist - Motivation and skill level

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Parent ADHD

A

ADHD = genetic basis = parents of children w ADHD will give ADHD trails = strong genetic link

SO

Parent ADHD affects outcomes from Parent Interv in ADHD = More difficulty implementing some strategies within these interventions to support their children e.g. structuring of a token econ

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

does parental adhd impact effectiveness of the new forest parenting programme? - ollow on study

A

f→ 83 families completed 8 week programme and was split into 3 groups - HIGH, MED, LOW PARENT ADHD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

When parent ADHD = HIGH, did childs ADHD symptoms imporve?

A

NO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

When parent ADHD = LOW , did childs ADHD symptoms imporve?

A

YES

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Reasons why the improvement / lack of, may have occured?

A

Parents w ADHD = less likely to take on board new parental strat during the intervs = overall the intervs = less effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SES = a factor influencing treatment outcome in parent interv e.g parental M.H = -vly affected due to …

A

Less access to social support systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Research = shows at post-interv - low SES fam = benefit less overall = only when initial beh =

A

less severe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Wjen ppl come from LOW SES fam but behav = more severe = more benefit, why?

A

More motivation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

After one year of intervs - what is a preedictor of treatment outcomes?

A

SES - regardless of severity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

PARENTAL ENGAGEMENT = can affect outcome of intervention e.g…

A

Cognitions
Practical Constraints
Attendance
Adherence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Parental Cog will affect outcome of interv - how?

A

Beliefs ab interv - ‘interv will not work for me’ ‘therapist cant help me’

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Practical Constrains will affect outcome of interv - how?

A

Can parents engage in the first place? or is it child only?
Work commitments - can they get out of work?
Transport / are they able to provide childcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Attendance will affect outvome of interv - how?

A

DO parents attend all sessions?
DO they complete treatment?
DO practical constraints affecr their attendence

18
Q

Aderence will affect outcome of interv - how?

A

is there active engagment?
hwk tasks = completed?
inconsistency = impact outcomes

19
Q

Self - Directed interventions? what are they?

A

Can be done online, books, apps = good way to oversome issues e.g aadhereance and attendance

20
Q

IN SUMMARY WHAT AFFECTS TREATMENT OUTCOMES?

A

Family SES
Parent m.h/cond
Parental cog
Parental constraints

21
Q

Child factors that = associated w treatment outcome - 3 factors?

A

Comorbidity - is there more than one cond
Child Age - earlier the better
Sympt Severity - At start of treatment

22
Q

Study on Comorbidity - done by ?

A

Lecavlier et al

23
Q

What did Lecavlier et al find?

A
  • # looked at parent intervention for disruptive behaviour in young children with autism compared to a psycho-education control group
  • explored which child variables including IQ, severity of autism, adhd, odd, and anxiety influenced treatment outcomes for parent intervention
  • children with lower adhd scores and lower anxiety scores more likely to benefit from parent intervention
24
Q

Factors associated w cbt response for anx in children
- KUNAS ET AL - META ANALYSIS - does pre-treatment severity impact treatment outcome?

A

more severe the symp = associated w worse treatment response / outcome

25
Q

Severity of prob at the start of treatment? - for disrup beh - better effect sizes = associated w more severe child beh at pre-intervention says who?

A

Menting et al 2013

26
Q

Menting et al:
- severe group = big diff in pre and post interv score
- less severe group = not much diff between the two
why?

A

Due to parents = more motivated therefore likely to engage in sessions

27
Q

Child age - McCart et al used meta abalytical techdo what

A

to identify moderators of parent interventions and CBT for young ppl w beh problems

28
Q

BPT (behav paren training) = more effective as …

A

parents = can engage more for their child who is young

29
Q

CBT = more effective for who?

A

older children - can benefit from this engagement

30
Q

No evidenvce that earlier interv provides better outcomes for beh parenting interv in young children 2 - 11

A

Gardner et al

31
Q

Therapist factors = important = Parent - therapist alliance. The r/s between parent and therapisr during interv = 3 factors

A
  1. Agreement on what outcomes should be
  2. Agreement on what therapy should involve
  3. +ve trusting r/s
32
Q

Research studies found that good parent-therapist alliance associated w…

A

Improved parenting beh
Reduc in externalising child beh
Increased acceptability of interv

= if rs = non existent = detrimental to outcome

33
Q

Who developed theraputic alliance scale fofr children

A

Shirk & Russel

34
Q

What is theraputic alliance scale?

A

Child got to rate how they feel ab therapy
e.g - i feel the therapist = my side
- i like psending time w my therapist

35
Q

If child = doesn’t like therapist what happens?

A

Wont engage well in intervention

36
Q

child-therapist alliance in cbt for child anxiety - used indep rating of alliance btw child and therapist during CBT & Fam focused CT - how?

A

An indep coder watches therapy tapes & ocdes elements of child therapist rs, recorded early in treatment, mid & post

37
Q

When child alliance = assessed early in treatment , associated w what =?

A

Reduced internalsing symp at mid treatment
Parent = reported treatment satisfac at post interv

38
Q

Treatment fidelity - the extent to which the interv is delivereed sohuld be:?

A
  1. accurate
  2. consistent
  3. all components
39
Q

Staff expertise and treatment setting - is interv effective when del by nurse in community settings rather than specialised nurses? - sonuga barke et al

A

health visitors delivered N.F.P.P on their caseload –> nfpp wasnt associated w reduc in adhd symp or improvements in maternal well being - nfpp = worked better w experienced nurses

40
Q

IN SUMMARY what?

A

Number of factors = can affect treatment outcomes of interv
Not all interv = for everyine
Identifying factors associtaed w treatment effectivness = can help inform dev of better interv

Psychological Interventions Module (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions