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Randomized Controlled Trial
. 2015 Jul;43(5):971-83.
doi: 10.1007/s10802-014-9952-z.

Test of "Facilitation" vs. "Proximal Process" Moderator Models for the Effects of Multisystemic Therapy on Adolescents with Severe Conduct Problem

Bahr Weiss  1 , Susan S Han, Nam T Tran, Robert Gallop, Victoria K Ngo
Affiliations
Randomized Controlled Trial

Test of "Facilitation" vs. "Proximal Process" Moderator Models for the Effects of Multisystemic Therapy on Adolescents with Severe Conduct Problem

Bahr Weiss et al. J Abnorm Child Psychol. 2015 Jul.

Abstract

The present study identified moderators of Multisystemic Therapy's (MST) effects on adolescent conduct problems, considering facilitation and proximal process moderation models. The sample included 164 adolescents (mean age = 14.6 years; 83% male) randomly assigned to receive MST or services as usual; parent, youth, and teacher reports of adolescent functioning were obtained. A number of significant moderators were identified. Proximal process moderation patterns were identified (e.g., families with parents with lower levels of adaptive child discipline skills gained more from MST), but the majority of significant interactions showed a facilitation moderation pattern with, for instance, higher levels of adaptive functioning in families and parents appearing to facilitate MST (i.e., greater benefits from MST were found for these families). This facilitation pattern may reflect such families being more capable of and/or more motivated to use the resources provided by MST. It is suggested that factors consistently identified as facilitation moderators may serve as useful foci for MST's strength-based levers of change approach. Other implications of these findings for individualized treatment also are discussed.

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Figures

Figure 1
Figure 1
Moderator effects of Positive Parent-Child Relationship factor on CBCL, YSR, and TRF externalizing psychopathology
Figure 2
Figure 2
Moderator effects of parenting factors on CBCL, YSR, and TRF externalizing psychopathology (a) Moderator effect of Negative Parenting on TRF Externalizing Problems scale; (b) Moderator effect of PAQ Authoritative Parenting on CBCL Externalizing Problems scale; (c) Moderator effect of CRPBI Mother Warmth on CBCL Externalizing Problems scale; (d, e) Moderator effect of CRPBI Mother Firmness on CBCL and TRF Externalizing Problems scales.
Figure 2
Figure 2
Moderator effects of parenting factors on CBCL, YSR, and TRF externalizing psychopathology (a) Moderator effect of Negative Parenting on TRF Externalizing Problems scale; (b) Moderator effect of PAQ Authoritative Parenting on CBCL Externalizing Problems scale; (c) Moderator effect of CRPBI Mother Warmth on CBCL Externalizing Problems scale; (d, e) Moderator effect of CRPBI Mother Firmness on CBCL and TRF Externalizing Problems scales.
Figure 3
Figure 3
Moderator effects of PAI Parent Psychopathology on YSR externalizing problems
See this image and copyright information in PMC

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