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Personalizing Behavioral Parent Training Interventions to Improve Treatment Engagement and Outcomes for Culturally Diverse Families

Authors McCabe KM, Yeh M, Zerr AA

Received 17 September 2019

Accepted for publication 18 December 2019

Published 10 January 2020 Volume 2020:13 Pages 41—53

DOI https://doi.org/10.2147/PRBM.S230005

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 2

Editor who approved publication: Professor Igor Elman


Kristen M McCabe, 1,2 May Yeh, 2–4 Argero A Zerr 1,5

1Department of Psychological Sciences, University of San Diego, San Diego, CA, USA; 2Child and Adolescent Services Research Center, San Diego, CA, USA; 3Department of Psychology, San Diego State University, San Diego, CA, USA; 4Department of Psychiatry, University of California, San Diego, CA, USA; 5Department of Psychology, California State University Channel Islands, Camarillo, CA, USA

Correspondence: Kristen M McCabe
Department of Psychological Sciences, University of San Diego, 5998 Alcala Park, San Diego, CA 92110, USA
Tel +1 619 260 4001
Email kmccabe@sandiego.edu

Abstract: Behavioral Parent Training (BPT) interventions are efficacious for young children with externalizing behavior problems. However, not all families benefit, and ethnic minority families in particular are less likely to enroll, engage, and improve in BPT. Versions of BPT interventions tailored for specific ethnic groups have been successful at improving engagement and outcomes for ethnic minorities; however, the specificity of these models presents challenges for broad dissemination. This article presents a personalization approach (PersIn) that utilizes cultural assessment results to tailor treatment protocols to the characteristics of individual families. We believe this approach has the potential to maximize cultural sensitivity while preserving generalizability to both minority and non-minority ethnic groups. We further propose that personalization on Parent Explanatory Model (PEM) parameters that have been found to vary across ethnic groups and to impact treatment engagement and/or outcomes is a promising approach to decreasing disparities in BPTs. We describe examples of evidence-supported PEMs that present good targets for personalization and provide examples from MY PCIT to illustrate how PersIn can be applied to Parent-Child Interaction Therapy (PCIT).

Keywords: Behavioral Parent Training, Parent-Child Interaction Therapy, culture, personalization, disruptive behavior disorders


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