With the increase in survival for children with cancer, part of the focus of current research is aimed towards evaluating how these children are adapting psychosocially. Neurocognitive deficits have been well established. However, there are multiple facets encompassing quality of life, including general mental health, lifestyles and health behaviors, and academic and cognitive functioning. The relationship between neurocognitive and psychosocial functioning has yet to be thoroughly evaluated. The purpose of this study was to investigate the relationship between neurocognitive and psychosocial functioning in survivors of brain tumors and acute lymphoblastic leukemia. Data was collected from existing archival database comprised of patients of the at Cook Children's Medical Center in Texas. The sample consisted of 177 patients between the ages of 3 and 12 who were at least two years post-diagnosis. Measures used included the NEPSY and the Behavioral Assessment for Children. Statistical analyses included a several one-way analysis of variances, an independent samples t-test, a univariate analysis of variance, a hierarchical multiple regression, and odds ratio analyses. Results indicated survivors treated with neurosurgery alone appear to be less at risk for developing behavior problems than other treatment modalities. Also, brain tumor survivors demonstrate more problematic behaviors than survivors of acute lymphoblastic leukemia. Visuospatial functioning, diagnosis, and type of treatment were found to be predictive variables of behavior problems. Attention, and perhaps language, deficits may predispose children to more problems in their behavior. It is concluded that there are other factors affecting behavior in this population that were not accounted for in this analysis. It is recommended for future studies to research the individual clinical scales of the Behavior Assessment System for Children, obtain information from multiple informants, study this relationship longitudinally, and research additional factors that may be influencing the relationship between neurocognitive and psychosocial functioning. This provides evidence of risk factors that should be monitored as the child returns home and to school.

The purpose of this study was to determine if parents trained in the Landreth Filial Therapy Model could demonstrate child-centered play therapy skills as effectively as graduate play therapy students who completed an Introduction to Play Therapy course. The participants in both the parent group and the graduate student group were videotaped in play sessions with children pre- and post-training in order to measure change in adult empathic behavior as defined on the Measurement of Empathy in Adult-Child Interaction (MEACI). The specific skills measured in this study were (a) communicating acceptance to the child, (b) allowing the child to direct his or her own play during the play sessions, (c) demonstrating appropriate levels of involvement in the child's play, and (d) demonstrating empathic behavior toward the child. The Landreth Filial Therapy Model is a training system that utilizes both didactic and dynamic means to train parents and other paraprofessionals to be therapeutic agents of change with children. Parents are taught child-centered play therapy skills to use in weekly home play sessions with their children in order to strengthen the emotional bond between parent and child. The Introduction to Play Therapy course is a graduate-level counseling course at the University of North Texas taught by Dr. Garry Landreth. The course focuses on the philosophy, theory, and skills of child-centered play therapy. Students enrolled in this course typically plan to use play therapy in professional settings. The filial-trained parent group (n = 21) consisted of the experimental group of single parents from Bratton and Landreth's (1995) study, Filial Therapy with Single Parents, Effects of Parental Acceptance, Empathy and Stress. The parents met for weekly 2-hour filial therapy sessions over the course of 10 weeks and conducted six or seven 30-minute play sessions at home with their child-of-focus. The graduate student group (n = 13) was enrolled in Dr. Landreth's Introduction to Play Therapy course during fall 2000. The class met over a course of a 15-week semester for three hours per week. During the course of the semester, the students completed two play therapy sessions outside of class and two supervised play therapy sessions during class time. Analysis of covariance revealed that the play therapy-trained graduate students preformed at a statistically significant higher skill level than the filial-trained parents on Total Empathy scores and the Involvement subscale, but that there was no statistically significant difference between the groups' skill level on Communication of Acceptance to the child and Allowing the Child Self-Direction. Although the graduate students' mean post-training scores revealed a higher attainment of skill level, the parents made greater mean change of score on all measures except Involvement. The study supports the use of the Landreth Filial Therapy Model to train parents to use the child-centered play therapy skills, especially those of communicating acceptance and allowing self-direction.

This research study investigated the effectiveness of an intensive format of the traditional Landreth filial therapy training (LFTT) model compared to the traditional LFTT model. Specifically, this study compared the intensive LFTT group and the traditional LFTT group at post-testing in the areas of: (a) reducing stress related to parenting, (b) increasing parental empathic behavior with their children, (c) increasing parental acceptance toward their children, and (d) reducing perceived child behavior problems. The traditional LFTT group consisted of 13 parents in groups of up to six members for 10 90-minute weekly sessions. Traditional LFTT involved didactic instruction, required at-home laboratory playtimes, and supervision. Parents were taught child-centered play therapy skills of responsive listening, recognizing children's emotional needs, therapeutic limit setting, building children's self-esteem, and structuring required weekly playtimes with their children using a kit of specially selected toys. The intensive LFTT group consisted of 13 parents in groups of up to four members who met on four Saturdays for 4 hours each. The traditional LFTT model was modified to teach the same material over fewer sessions. The difference in this delivery was fewer opportunities for parents to have home playtimes and receive feedback from the researcher. To compensate for this difference and attempt to maintain the effectiveness of the traditional model, the researcher had parents bring their children to training. The researcher used the parents' children in live demonstrations of the skills being taught. Parents were able to practice the new skills with their own children under direct supervision from the researcher followed by immediate feedback. This modification provided supervision equivalent to that of the traditional LFTT model. The results of this study were no statistically significant differences between the intensive and traditional groups at post-testing on overall parenting stress, parental acceptance and empathic behaviors with their children, and in reported child behavior problems.

The current study assessed the effectiveness of a training package, delivered in the form of a manual, to teach a parent to increase the variety and amount of food consumed by her son. The participant was a 5-year-old boy with Pervasive Developmental Disorder and limited food consumption. A changing criterion design across two variables, variety of food and quantity of food, was used. Results were that the parent who used the manual, with limited assistance from the experimenter, did succeed in increasing food variety and quantity of target foods.

This paper describes an evaluation of the effectiveness of Behavioral Skills Training (BST) as an individual parent training model. BST effects on parent responses to child behavior, and by extension, child problem behavior was investigated. The parent participants in the study had children under the age of 10 years old with diagnoses such as Attention Deficit Hyperactivity Disorder and Autism Spectrum Disorder. The researcher conducted observations in situ and via video transmission. Implications of the study include the ability to effectively apply an intervention for parents in situations where the therapist cannot physically come to the parent’s home as well as the effectiveness of using BST to teach general problem behavior management to caregivers. The results presented suggest that behavioral skills training as a parent training method is effective for increasing appropriate parent behavior, but results are mixed for its immediate impact on child problem behavior. Keywords: attention deficit disorder, autism spectrum disorder, behavioral skills training, parent training, problem behavior

Research has shown that parents of children with autism report higher stress than parents of children with other developmental disabilities. It has been suggested that parent training programs, specifically naturalistic social-communication training, can reduce parental stress and enhance the quality of the parent-child relationship. Although the development of a multilevel assessment has been suggested, much of the research in this area has relied on measures of parent implementation fidelity and specific child target skills such as vocal communication, eye contact, and joint attention. Few have directly measured the parent-child interaction. The purpose of the current study is to examine the effects of an in-home parent training package for toddlers with autism on parent-child social interactions. Within this package, parents are taught to attend to contextual variables, to arrange the environment to set the occasion for child responding, to respond immediately to targeted child approximations, and to respond in ways that are mutually reinforcing, social, and fun. Data were collected during 5-min video-taped assessments, on the number of parent teaching episodes, child target skills (turn taking and social attending), engagement, and synchronous engagement. Results were evaluated in a multiple baseline design across two parent-child dyads and indicated increases in all measures. This study contributes to the current discussion on toddler parent-training programs and extends it in a way that highlights the benefits of using a multi-level assessment to measure the parent-child interaction.

Families of children with autism spectrum disorder (ASD) in developing countries may not have as much access to needed behavioral services as families living in developed countries. Caregivers of children with ASD in developing countries would benefit from an affordable, efficient parent training to teach them behavior techniques to use with their children. Pyramidal training is a cost-efficient method of training individuals through peers and would be a supportive intervention for families in developing countries. This study used a repeated acquisition design across three variables to examine whether a caregiver could train another caregiver on three behavioral interventions. These interventions were appropriately redirecting repetitive behaviors, using praise, and requesting eye contact. The study also examined if the caregivers could acquire the three skills and the extent caregivers were receptive to this training model based on their comments about the training. The participants were six ethnic Macedonians or Albanians between the ages of 38 and 43 who were caregivers of a child with ASD. The results indicate the caregivers were able to train another caregiver on three skills for working with their child with autism, all the caregivers were able to acquire the three skills, and the training model's goals were socially appropriate based on participants' comments. This implicates professionals such as doctors, social workers, behavioral therapists, or school psychologists could use this form of parent training to share information throughout a family in order to benefit children with disabilities and their families.

Involving parents in school-based learning can be difficult for both schools and parents, and more innovative approaches to involving parents are needed. Internet-based programs have the potential to address barriers to parent participation, but more research is needed to determine the effectiveness and social validity of such programs. This study explored the social validity of WhyTry for Parents, an internet-based program for parents of students enrolled in WhyTry, a school-based social and emotional learning program for students in grades K through 12. Eleven elementary, middle, and high schools across the United States participated in the study by inviting parents of WhyTry students to use the WhyTry for Parents curriculum. Whether or not parents utilized the curriculum, they were invited to take a survey about the importance they placed on the program's goals, procedures, and effects, and to give reasons for their level of participation in the program. A total of 836 parents were invited to take part in the study, and 14 parents made up the final sample. Coordinators (n = 10) of the WhyTry program at each school were invited to participate in interviews focused on their perspectives of parent participation rates and the WhyTry for Parents program. Regardless of whether parents utilized the curriculum, they found a high degree of social validity in WhyTry for Parents; however, they suggested that the curriculum be simplified and made more accessible. WhyTry coordinators suggested that low participation rates were due to parent resistance, and that helping parents to understand WhyTry might help overcome this resistance. Parents and coordinators suggested that the curriculum be available by app to improve accessibility. Future research should explore the social validity of WhyTry for Parents from the perspective of educators, who implement the program at the school level. Studying the costs associated with internet-based parent programs for both schools and parents may also be prudent.

A southeastern elementary school evidenced many students with a consistent decrease in oral reading fluency (ORF) rates as the 2nd grade year progressed, leading to weakness in reading comprehension in the 3rd grade. Reading comprehension is critical for academic success, as students who merely decode words do not gain knowledge from the text. This qualitative case study explored the successful strategies, both inside and outside of the classroom, used by parents and teachers of this southeastern elementary school to positively impact the reading comprehension rates of 2nd grade students. Constructivism and transactional learning served as the conceptual frameworks for this study. Archival data were used to identify 66 students who had exited 1st grade having met expectations on the ORF assessment and who continued to meet expectations throughout 2nd grade. The parents of these students and their 6 teachers comprised the purposeful sample. Three parents and 3 teachers participated in the study, yielding 6 interviews and 1 teacher artifact for analysis. Open coding and thematic analysis were used. The common themes that emerged were daily reading, parental support, clear expectations, access to high interest books, small group instruction, and cooperative learning strategies that positively impacted reading comprehension in 2nd grade. The results of this study led to the development of a series of parent workshops and a series of teacher workshops that focus on reading strategies for use in the home and strategies for teachers to work effectively with parents. Implications for positive social change include providing the local site with research-based findings and a workshop series teaching successful strategies used by parents and teachers to increase student reading comprehension.

Many families, regardless of their ethnic and cultural background, find it challenging to raise a nonverbal child with autism. Parent-implemented behavioral interventions can contribute to positive behavior change related to joint attention, imitation, and communication. However, many parents face barriers that prevent them from implementing behavioral interventions in the home. Very little research has been conducted on fathers of nonverbal children with autism to ascertain their perspectives on these barriers. In this qualitative study, a phenomenological design was used to obtain input from 12 fathers of diverse ethnic and cultural backgrounds residing in New York City regarding barriers to implementing behavioral interventions in the home with their nonverbal child with autism. Behavioral and humanistic theories constituted the theoretical framework. Thematic analysis resulted in the identification of themes and patterns within and across cases. Recommendations for parents and professionals include on-going in-home parent training from preschool to age 21 that focuses on acquiring instructional control over behavior and establishing effective communication with the nonverbal child with autism in the home. Study findings may help psychologists, counselors, parents, advocates, and autism treatment organizations improve parent training and counseling methods with the goal of promoting positive therapeutic outcomes.