Therapeut begeleide online behandeling voor gedragsproblemen bij kinderen van gezinnen in landelijke en stedelijke regio’s: twee gerandomiseerde, gecontroleerde studies

Samenvatting

Doel: In twee gerandomiseerde, gecontroleerde studies is onderzoek gedaan naar de effectiviteit van een online- versus face-to-face (FTF) interventie voor ouders van kinderen met gedragsproblemen. Beide interventies zijn erop gericht om de gedragsproblemen bij kinderen te verminderen, en op de verbetering van nog wat andere ouder- en kind uitkomsten. Methode: Voor studie 1 kwamen gezinnen (n = 133) met een kind van tussen de drie en negen jaar met een volledige of subklinische diagnose van oppositioneel opstandige of een gedragsstoornis naar Sidney (Australië). Daar vond een taxatie plaats en een randomisatie voor ofwel AccessEI – een zes tot tien weken durend therapeut begeleid online ouderprogramma – of voor hetzelfde programma, maar dan face-to-face (FTF) van een week. Om te controleren voor onontkoombare verschillen in de behandeldosis van deze twee behandelprogramma’s, is een tweede studie gedaan. Hierin werden stedelijke gezinnen (n = 73) met een kind van tussen de drie en veertien jaar – gezinnen die voldeden aan dezelfde criteria als in studie 1 – willekeurig toegewezen aan de AccessEI- of de FTF-behandeling. Resultaten: Beide studies laten grote effectgroottes zien op de verbetering wat betreft de diagnose van het kind, en op de scores die de moeders in vragenlijsten geven voor het gedrag van hun kind. Dit effect geldt voor beide interventies na de behandeling en bij de follow-up na drie maanden, zonder verschil tussen de twee behandelcondities. Daarnaast zijn middelmatige effectgroottes gevonden voor verbetering van de psychische gezondheid van de ouders, met ook daarin geen verschil tussen de behandelcondities. Conclusie: de effecten van de online therapeut begeleide ouderinterventie – gericht op de behandeling van gedragsproblemen bij kinderen – waren vergelijkbaar met die van een FTF-interventie. Dit impliceert dat de voor landelijk gevestigde gezinnen meer toegankelijke online behandeling evengoed effectief is.

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Correspondence to Mark R. Dadds.

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This material originally appeared in English as Therapist-Assisted Online Treatment for Child Conduct Problems in Rural and Urban Families: Two Randomized Controlled Trials (2019). Journal of Consulting and Clinical Psychology 87 (8), 706–719. Vertaling: Monica Keijsers, Leusden. Copyright 2020 by the American Psychological Association. Translated and reproduced with permission. The American Psychological Association is not responsible for the accuracy of the translation. This translation cannot be reproduced or distributed further without prior written permission from APA. The use of this information does not imply endorsement by the publisher.

De twee gerandomiseerde gecontroleerde studies in dit onderzoek zijn geregistreerd bij de Australian Clinical Trials Registry (ACTR). Studie 1: ACTRN12612000191897 en studie 2: ACTRN12615000914561. Dit onderzoek is ondersteund door een subsidie van de National Health and Medical Research Council. Mark R. Dadds en David J. Hawes hebben financieel voordeel van de verkoop van de handleiding voor behandelaren die is gebruikt bij de controleconditie van dit onderzoek.

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Dadds, M.R., Thai, C., Mendoza Diaz, A. et al. Therapeut begeleide online behandeling voor gedragsproblemen bij kinderen van gezinnen in landelijke en stedelijke regio’s: twee gerandomiseerde, gecontroleerde studies. Gezinstherapie Wereldwijd 32, 99–128 (2021). https://doi.org/10.1007/s12440-021-00139-9

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