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The proposed research will focus on the development of a brief emotion-coaching (EC) parenting program (which directly targets child emotion awareness/recognition and affective empathy), that will be combined with a well-established parent management training program (Helping the Noncompliant Child; HNC) for treating oppositional defiant disorder (ODD) in children who also have limited prosocial emotions (e.g., lack of guilt and empathy, callous use of others).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parent Training plus Emotion Coaching | Experimental | This intervention will combine a parent management training program called Helping the Noncompliant Child with elements of an Emotion Coaching parenting intervention. |
|
| Parent Training Only | Active Comparator | This intervention will consist of a parent management training program called Helping the Noncompliant Child. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parent Training plus Emotion Coaching | Behavioral | This intervention will combine a parent management training program called Helping the Noncompliant Child with elements of an Emotion Coaching parenting program. |
| Measure | Description | Time Frame |
|---|---|---|
| Eyberg Child Behavior Inventory - intensity score | Child conduct problems at baseline, mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Early Childhood Inventory-4 ODD scale | Change in child conduct problems for children ages 3-5 at baseline, mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Child Symptom Inventory-IV | Child conduct problems for children ages 6-7 at baseline, mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Behavioral Coding System - percent child inappropriate behaviors | Child inappropriate behaviors at baseline, mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Behavioral Coding System percent child compliance | Child compliance at baseline, mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Inventory of Callous-Unemotional Traits - preschool version - total score | Callous-unemotional traits at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| A Developmental Neuropsychological Assessment (NEPSY-II) Affect Recognition Task - fear recognition |
| Measure | Description | Time Frame |
|---|---|---|
| Difficulties with Emotion Regulation Scale - lack of awareness and limited access to emotion regulation strategies | Maternal emotion regulation abilities at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Beck Depression Inventory II |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Lynn F Katz, Ph.D. | University of Washington | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Washington | Seattle | Washington | 98195 | United States |
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| ID | Term |
|---|---|
| D000096865 | Oppositional Defiant Disorder |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| Parent Training only | Behavioral | This intervention will consist of a parent management training program called Helping the Noncompliant Child. |
|
Affect recognition at baseline, mid-treatment and post-treatment |
| Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| NEPSY-II Affect Recognition Task - sadness recognition | Affect recognition in baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Griffith Empathy Measure - empathy score | Empathy at baseline and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Behavioral coding of Zahn-Waxler empathy paradigm - amount of attention, affective response congruent with examiner, concern for others, disregard for others | Empathy at baseline and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Behavioral Coding System - positive attention rate per minute | Parenting behavior - positive attention at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Behavioral Coding System - total commands rate per minute | Change in parenting behavior - commands at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Parenting scale - overactivity | Parenting at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Parenting scale - laxness | Parenting at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Parent Meta-Emotion Interview emotion coaching scale | Emotion coaching at baseline and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Parenting Sense of Competence satisfaction scale | Parenting satisfaction at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
| Parenting Sense of Competence efficacy scale | Parenting efficacy at baseline mid-treatment and post-treatment | Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |
Maternal depression at baseline and post-treatment |
| Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks |