The effects of parent management training on outcomes of children with a developmental disability and parents: A meta-analysis
Skotarczak, Laura M.
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Parent management training (PMT) has been researched and developed in the treatment of conduct related problems in children for over four decades (Kazdin, 1997). The application of PMT to the treatment of disruptive behaviors in children with a developmental disability (DD) is more recent (Sanders et al., 2004). The purpose of this study was to determine the effect of PMT on child behavior and parent outcomes when the child has a DD through a systematic review and meta-analysis. Screening and coding of potential papers resulted in eight papers meeting inclusion criteria with a total of 413 parent participants (211 receiving PMT; 197 control) and 416 child participants (214 in treatment; 197 in control). The effect of PMT on disruptive child behavior was significant and moderate ( g = 0.434) and the effect on number of behaviors and behavior intensity was significant and moderate ( g = 0.570). The effect on parent well-being was significant and small ( g = 0.283); the effect on parenting practices was significant and large ( g = 0.721). The effect of PMT on specific parent outcomes of psychopathology ( g = 0.325); parent and family relationship quality ( g = 0.351); parenting style ( g = 0.860); ability of parents to work as a team ( g = 0.448); and ability to manage problem behaviors ( g = 0.544) were all significant. The effect of PMT on parent stress and parenting satisfaction and efficacy were not significant. No moderator effects were examined as the test for heterogeneity was not significant for child or parent outcomes. Comparisons to findings from other meta-analyses and empirical studies as well as a qualitative comparison of the three main effects are discussed, including implications for research and clinicians.