Interventions for children and young ppl Flashcards
(28 cards)
What is meant by “treatment fidelity”?
The extent to which an intervention is delivered as it was intended or designed.
Name three major factors that can affect intervention outcomes.
- Parent factors
- Child factors
- Therapist factors
Why is it important to consider treatment setting and who delivers the intervention?
Because these factors influence fidelity and how well the intervention works in practice.
How can parental ADHD affect intervention outcomes?
- It can reduce consistency in parenting
- lower adherence to the programme
- and worsen child outcomes.
How does low socioeconomic status (SES) influence parenting programme success?
- Families with low SES may face more practical barriers
- and experience poorer long-term outcomes (Leijten et al., 2013).
What did Chronis-Tuscano et al. (2011) find about parents with ADHD?
- Their ADHD symptoms predicted less positive parenting
- and poorer treatment outcomes for their children.
Name four components of parental engagement.
- Attendance
- Adherence
- Beliefs about the intervention
- Overcoming practical barriers
How can digital tools improve access to parenting support?
Online or self-guided formats reduce the need for travel and allow flexible participation (Tarver et al., 2014).
What does “comorbidity” mean in the context of child mental health?
Having more than one mental health condition at the same time.
According to Lecavalier et al. (2017), which children showed the most benefit from parenting interventions?
Those with lower ADHD and anxiety scores.
What is one reason CBT may work better with older children?
Older children have more developed cognitive and emotional skills to engage in CBT strategies.
What did McCart et al. (2006) find regarding age and CBT outcomes?
CBT becomes more effective as children get older.
How might higher symptom severity in behaviour problems lead to better intervention outcomes?
Parents may be more motivated to engage when problems are severe (Menting et al., 2013).
How does symptom severity affect outcomes in anxiety interventions?
Higher severity may lead to poorer response to CBT (Kunas et al., 2021).
What is the therapeutic alliance?
- The working relationship between therapist and client
- Built on trust
- Agreement on goals
- And collaboration.
According to Bordin (1976), what three elements make up a strong alliance?
- Bond
- Agreement on goals
- Agreement on tasks.
How does the parent-therapist alliance affect treatment outcomes?
A strong alliance leads to better parent behaviour and fewer child problems (Kazdin et al., 2005).
Why is the child-therapist relationship important in CBT for anxiety?
It increases trust and engagement, leading to better outcomes (Shirk & Russell, 1996).
What did Chiu et al. (2009) find about the timing of a strong alliance?
A good alliance early in therapy predicted fewer symptoms later on.
How can therapists check they’re maintaining treatment fidelity?
- Through supervision
- Session recordings
- Using manuals/checklists.
What did Eames et al. (2009) find about observed fidelity?
Higher fidelity predicted better parenting outcomes.
According to Hukkelberg & Ogden (2013), what is the link between fidelity and outcomes?
Higher fidelity was associated with improved treatment outcomes.
What happened when Sonuga-Barke et al. (2004) had nurses deliver parenting support instead of specialists?
The intervention was less effective, showing the importance of trained professionals.
Why might low fidelity reduce treatment success?
The intervention may not include all the active ingredients needed for change.
