Oppositional Defiant Disorder Clinical Trial
Official title:
Treatment of Children With Peer Related Aggressive Behavior With the Computer Based Treatment Program ScouT - a Randomized Controlled Trial
The efficacy of the computer based Treatment Program for Children with Aggressive Behaviour (Soziales computerunterstütztes Training für Kinder mit aggressivem Verhalten, ScouT) which is a child focused social competence training delivered in an individual format will be evaluated in a randomized controlled trial with children aged 6 to 12 years with peer-related aggressive behaviour.
The German computer based Treatment Program for Children with Aggressive Behaviour (Soziales
computerunterstütztes Training für Kinder mit aggressivem Verhalten, ScouT) aims at the
therapy of children aged 6 to 12 years with peer-related aggressive behaviour, which results
in a persistent impairment of the relationships to other children. Contrary to other
treatment approaches, this intervention aims at the individual treatment of problem
maintaining and moderating factors of aggressive behaviour. Depending on the individual
problem maintaining factors the treatment aims to modify social cognitive information
processing, social problem solving and behavioral social skills.
Methods: The efficacy will be tested in a randomized control group design with n=140
children. N=70 children will be treated in the first treatment phase (pre- to
post1-assessment) of 16 weekly child-focused sessions with the treatment modules of ScouT.
In the second treatment phase (post1- to post2- assessment) those children with sustained
severe peer related aggressive behavior receive the comprehensive Treatment Program for
Children with Aggressive Behaviour (Therapieprogramm für Kinder mit aggressivem Verhalten,
THAV) which is a social competence training which combines patient- and parent-/teacher and
peer-focused interventions with 16 child sessions and 6 parent-/teacher sessions. Those
children with no severe peer related aggressive behavior receive 2 booster sessions of ScouT
within a 16 week period.
The control group of n=70 children will receive in the first treatment phase (pre- to
post1-assessment) an alternative child-focused intervention with a supportive Treatment
Programm including techniques to activate resources of the child (Supportive Therapie zur
Aktivierung von Ressourcen bei Kindern, STARK) with 16 weekly sessions. In the second
treatment phase (post1- to post2- assessment) those children with sustained severe peer
related aggressive behavior receive 16 weekly child-focused sessions with the treatment
modules of ScouT . Those children with no severe peer related aggressive behavior receive 2
booster sessions of STARK within a 16 week period.
A follow-up assessment is conducted 12 months after post2-assessment. Outcome parameters are
aggressive behaviour und comorbid symptoms as well as problem maintaining factors,
psychosocial functioning, family burden, self-esteem and treatment satisfaction as rated by
clinicians, parents, or teachers. Additionally problem solving is assessed by a newly
developed problem-solving test. Moreover, variables of the treatment process are assessed.
Additionally treatment process parameters are assessed.
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