Abstract
We conducted a study in which referred children with disruptive behavior disorders were randomly assigned either to a combination of parent management training and social problem-solving skills training-i.e., the Utrecht Coping Power Program (UCPP), given by clinically inexperienced, but specifically trained, therapists-or to care as usual (C), given by experienced clinicians. From pretreatment to 6-month follow-up, the costs per family were twice as high in the C-condition as in the UCPP-condition. From pretreatment to 6-month follow-up, the mean costs per mean standard deviation improvement were 42% lower in the UCPP-condition than in the C-condition. No influence of therapist experience on treatment effect was found. The number of switches in treatment method was lower in the UCPP-condition than in the C-condition. The number of treatments that ended without the mutual consent of therapist and family was lower in the UCPP-condition than in the C-condition. We conclude that for the treatment of children with disruptive behavior disorders in everyday clinical practice, manualized behavior therapy is preferable to care as usual.
| Original language | English |
|---|---|
| Pages (from-to) | 421-436 |
| Number of pages | 16 |
| Journal | Behavior Therapy |
| Volume | 34 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - 1 Jan 2003 |
Cite this
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Application of the Utrecht Coping Power Program and care as usual to children with disruptive behavior disorders in outpatient clinics : A comparative study of cost and course of treatment. / Van De Wiel, Nicolle M.H.; Matthys, Walter; Cohen-Kettenis, Peggy; Van Engeland, Herman.
In: Behavior Therapy, Vol. 34, No. 4, 01.01.2003, p. 421-436.Research output: Contribution to journal › Article › Academic › peer-review
TY - JOUR
T1 - Application of the Utrecht Coping Power Program and care as usual to children with disruptive behavior disorders in outpatient clinics
T2 - A comparative study of cost and course of treatment
AU - Van De Wiel, Nicolle M.H.
AU - Matthys, Walter
AU - Cohen-Kettenis, Peggy
AU - Van Engeland, Herman
PY - 2003/1/1
Y1 - 2003/1/1
N2 - We conducted a study in which referred children with disruptive behavior disorders were randomly assigned either to a combination of parent management training and social problem-solving skills training-i.e., the Utrecht Coping Power Program (UCPP), given by clinically inexperienced, but specifically trained, therapists-or to care as usual (C), given by experienced clinicians. From pretreatment to 6-month follow-up, the costs per family were twice as high in the C-condition as in the UCPP-condition. From pretreatment to 6-month follow-up, the mean costs per mean standard deviation improvement were 42% lower in the UCPP-condition than in the C-condition. No influence of therapist experience on treatment effect was found. The number of switches in treatment method was lower in the UCPP-condition than in the C-condition. The number of treatments that ended without the mutual consent of therapist and family was lower in the UCPP-condition than in the C-condition. We conclude that for the treatment of children with disruptive behavior disorders in everyday clinical practice, manualized behavior therapy is preferable to care as usual.
AB - We conducted a study in which referred children with disruptive behavior disorders were randomly assigned either to a combination of parent management training and social problem-solving skills training-i.e., the Utrecht Coping Power Program (UCPP), given by clinically inexperienced, but specifically trained, therapists-or to care as usual (C), given by experienced clinicians. From pretreatment to 6-month follow-up, the costs per family were twice as high in the C-condition as in the UCPP-condition. From pretreatment to 6-month follow-up, the mean costs per mean standard deviation improvement were 42% lower in the UCPP-condition than in the C-condition. No influence of therapist experience on treatment effect was found. The number of switches in treatment method was lower in the UCPP-condition than in the C-condition. The number of treatments that ended without the mutual consent of therapist and family was lower in the UCPP-condition than in the C-condition. We conclude that for the treatment of children with disruptive behavior disorders in everyday clinical practice, manualized behavior therapy is preferable to care as usual.
UR - http://www.scopus.com/inward/record.url?scp=3042555004&partnerID=8YFLogxK
U2 - 10.1016/S0005-7894(03)80028-X
DO - 10.1016/S0005-7894(03)80028-X
M3 - Article
VL - 34
SP - 421
EP - 436
JO - Behavior Therapy
JF - Behavior Therapy
SN - 0005-7894
IS - 4
ER -