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Parenting Management Training - The Oregon Model (PMTO)

An Evidence-Based Practice

Description

Parenting Management Training - The Oregon Model (PMTO), formerly known as Parenting Through Change, is a theory-based intervention to prevent internalizing and externalizing conduct behaviors and associated problems and promote healthy child adjustment. PMTO provides recently separated single mothers with 14 weekly group sessions to learn effective parenting practices including skill encouragement, limit-setting, problem-solving, monitoring, and positive involvement. PMTO also includes strategies to help parents decrease coercive exchanges with their children and use contingent positive reinforcements (e.g., praise, incentives) to promote prosocial behavior. Topics are presented in an integrated, step-by-step approach and are typically introduced in one or more sessions, then reviewed and revisited throughout the remainder of the program.

Goal / Mission

The goal of this program is to teach effective parenting practices in order to promote healthy child adjustment.

Impact

Immediate changes for parents include improved positive parenting practices and reduced family coercion. Benefits to these parenting practices, in turn, have been found to result in reductions in child behavior problems and parental depression.

Results / Accomplishments

Based on extensive PMTO research, benefits are expected for parents, focal youth, and the family. Immediate changes for parents include improved positive parenting practices (i.e., skill encouragement, limit setting, monitoring/supervision, family problem solving, and positive involvement) and reduced family coercion. Benefits to these parenting practices, in turn, have been found to impact the following child/youth improvements: teacher ratings of delinquency, externalizing behavior, and positive academic functioning; parent ratings of externalizing and internalizing behaviors; child ratings of their depression and deviant peer association; improved reading and math performance on standardized tests; reduced police arrests; and reduction in use of tobacco, alcohol, and illicit drugs. (DeGarmo, Eddy, Reid, & Fetrow, 2009; Forgatch & DeGarmo, 1999, 2002; Forgatch, Patterson, DeGarmo, & Beldavs, 2009). Reductions in child behavior problems have been found to reduce parental depression (DeGarmo, Patterson, & Forgatch, 2004). Improved parenting practices have been found to lead to 9-year benefits to mothers in terms of reduced police arrests and increased standard of living as assessed by per capita annual income, education, occupation, and financial stress (Patterson, Forgatch & DeGarmo, in press). An RCT of the nationwide PMTO implementation in Norway showed similar positive outcomes for youngsters (Ogden & Amlund-Hagen, 2008).

About this Promising Practice

Organization(s)
Implementation Sciences International, Inc.
Primary Contact
ISII Headquarters
10 Shelton McMurphey Blvd
Eugene OR 97401 USA
(541) 485-2711
annas@oslc.org
http://www.isii.net/
Topics
Community / Social Environment
Health / Mental Health & Mental Disorders
Organization(s)
Implementation Sciences International, Inc.
Source
SAMHSA's National Registry of Evidence-Based Programs and Practices (NREPP)
Date of publication
2010
Location
Eugene, OR
For more details
http://www.isii.net/
http://legacy.nreppadmin.net/ViewIntervention.aspx...
Target Audience
Children, Families

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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