Understanding differential effectiveness of behavioral parent training from a family systems perspective: Families are greater than “some of their parts”
2021
Behavioral parent training (BPT) is a
theory-driven, evidence-based, and widely
used intervention strategy for preventing and
decreasing children’s disruptive behavior
problems, indirectly via improved parenting
behavior. However, not all families benefit
equally from BPT. To date, our knowledge
of who benefits (and who does not) and our
understanding of why some families benefit
more than others is limited. An important challenge for research and practice is finding ways to tailor interventions to the needs of an individual family and increase their effectiveness. We
put forward family systems theory as a tool to
gain more insight into which families (do not)
benefit from BPT and why. We synthesize the
theoretical foundations and empirical support
for the putative mechanisms through which
the functioning of family systems may explain
BPT effectiveness and propose ways in which
family systems theory can help strengthen the
design, implementation, and evaluation of BPT
programs.
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