Behavioral Child-Management Cost-Effectiveness: A Comparison of Individual In-Office, Individual In-Home, and Group Delivery Systems

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Abstract

This experiment contrasted the effectiveness and cost of three systems for trainingparents to use social learning techniques for child-management.Thirty self-referred parentofproblem children were assigned randomly to either:(1)individual in-office,(2)individl in-home,(3)group in-office, or(4)measurement and contact control delivery systems. Two weeks ofbaseline data recording preceded five weeks of training and continued data collection and a four-month follow-up. From the parent perspective,effectiveness was measured by observationof target children's problem behavior frequencies, the number and in tensity of parent-child issues,and follow-up ratings. From the therapist's perspective,effectiveness was assessed by ratings of parenting improvement and adherence to training procedures.The value of resources used by each delivery system was assessed from operations,opportunity,and client costing perspectives.All experimental delivery systems produced strongly significantimprovements over the control system: a mean 86% reduction in proble behavior frequencies comparedto a mean 38% reduction in the control condition. The three experimental delivery systems did not differ in effectiveness on any measure.Non-behavioral measures showed nosignificant differences between the experimental and control delivery ystems.Although operations costs favored group delivery, the more comprehensive opportunityand client costs favored individual in-home delivery. © 1980, SAGE Publications. All rights reserved.

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Siegert, F. E., & Yates, B. T. (1980). Behavioral Child-Management Cost-Effectiveness: A Comparison of Individual In-Office, Individual In-Home, and Group Delivery Systems. Evaluation & the Health Professions, 3(2), 123–152. https://doi.org/10.1177/016327878000300201

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