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Journal of Attention Disorders
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A Pilot Study of the Feasibility and Efficacy of the Strategies to Enhance Positive Parenting (STEPP) Program for Single Mothers of Children With ADHD

Anil Chacko

Mount Sinai School of Medicine, anil.chacko{at}mssm.edu

Brian T. Wymbs

Lehigh University

Lizette M. Flammer-Rivera

Lehigh University

William E. Pelham

University of Nebraska-Lincoln

Kathryn S. Walker

University of Nebraska-Lincoln

Fran W. Arnold

University of Nebraska-Lincoln

Hema Visweswaraiah

University of Nebraska-Lincoln

Michelle Swanger-Gagne

University of Nebraska-Lincoln

Erin L. Girio

Ohio University

Lauma L. Pirvics

State University of New York at Buffalo

Laura Herbst

State University of New York at Buffalo

Objective: The Strategies to Enhance Positive Parenting (STEPP) program was developed to address putative factors related to poor engagement in and outcomes following traditional behavioral parent training (BPT) for single mothers of children diagnosed with ADHD. Method: Twelve single mothers of children with ADHD were enrolled in an initial investigation of the feasibility and preliminary efficacy of the 9-week STEPP program. Results: Results indicated that the STEPP program was effective in reducing problematic child behavior and improving parental stress and psychopathology at posttreatment. The STEPP program resulted in high rates of treatment attendance and completion and consumer satisfaction with the program. However, results also indicated that the STEPP program did not improve childrens' overall psychosocial impairment and resulted in small effect size findings across measures. Conclusion: The results of the pilot study are encouraging but indicate a need to improve the potency and delivery of certain aspects of the STEPP program. (J. of Att. Dis. 2008; 12(3) 270-280)

Key Words: behavioral parent training • ADHD • single mothers • treatment • enhancement

This version was published on November 1, 2008

Journal of Attention Disorders, Vol. 12, No. 3, 270-280 (2008)
DOI: 10.1177/1087054707306119
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