Clinical Home Visitation for Children With Externalizing Disorders: A Randomized Study

ABSTRACT

Clinical home visitation (CHV) was empirically tested in a randomized study to determine if it could reduce a child's externalizing behaviors while alleviating parental stress. Clinic-referred waitlisted young children (n = 33) with symptoms suggesting an externalizing disorder were randomly offered a CHV intervention composed of a developmentally guided dyadic-centered syllabus. Families were recruited to participate in an experimental (n = 21) or control group (n = 12). Mothers completed the Parenting Stress Index (PSI) and the Child Behavior Checklist. Results of paired-samples t-tests indicated that postintervention aggression scores were significantly different from the pretest scores for the entire sample. The Difficult Child domain was the only significant PSI subscale. The results did not support definitive conclusions about CHV as an effective intervention to reduce an externalizing disorder or to alleviate parenting stress. Future research should include larger numbers of children with externalizing disorders pooled from the clinic-referred and community samples. To address the complexities involved in treating externalizing disorders, CHV could be offered as part of a multimodal intervention (e.g., CHV combined with parent and family education).

KEYWORDS:

• Externalizing disorder
• clinical home visiting
• parenting stress
• randomized trial

ACKNOWLEDGEMENTS

The Clinical Home Visitation Project was funded by BC Children's Hospital Foundation. The authors would like to thank Patrick Lussier for his helpful advice on this project.

Notes

1. This study was registered at ClinicalTrials.gov, identifier number NCT01483521.