Helping the Noncompliant Child
Helping the Noncompliant Child (HNC) is for parents who are having difficulties managing the behaviour of a child between the ages of three and eight years.
The parent and child attend between five and 12 individual sessions where they learn how to manage unwanted child behaviour.
EIF Programme Assessment
Child outcomes
This programme can affect outcomes for children in Active and healthy, physical and mental wellbeing.
According to the best available evidence for this programme's impact, it can achieve the following positive outcomes for children:
Preventing crime, violence and antisocial behaviour
Reduced symptoms of ADHD
based on study 1
- Statement: 5.93-point improvement on the ADHD Rating Scale-IV
- Score: 49
- Timeframe: Immediately after the intervention
Reduced defiant symptoms
based on study 1
- Statement: 0.35-point improvement on the New York Parent Rating Scale
- Score: 25
- Timeframe: Immediately after the intervention
Reduced physical aggression
based on study 1
- Statement: 0.24-point improvement on the New York Parent Rating Scales
- Score: 14
Reduced inattention and hyperactivity
based on study 1
- Statement: 13.82-point improvement on the Conners Parent Rating Scale
- Score: 39
- Timeframe: Immediately after the intervention
This programme also has evidence of supporting positive outcomes for couples, parents or families that may be relevant to a commissioning decision. Please see About the evidence for more detail.
Who is it for?
The best available evidence for this programme relates to the following age-groups:
Preschool
How is it delivered?
The best available evidence for this programme relates to implementation through these delivery models:
- Individual
Where is it delivered?
The best available evidence for this programme relates to its implementation in these settings:
- Home
- Out-patient health setting
How is it targeted?
The best available evidence for this programme relates to its implementation as:
- Targeted indicated
Where has it been implemented?
- United Kingdom
- United States
Ireland provision
Ireland evaluation
About the programme
What happens during the delivery?
How is it delivered?
- HNC is delivered in up to 12 sessions of approximately one hour by a psychologist, counsellor or social worker with a QCF-Level 6 (or higher) qualification. The practitioner works individually with parents and their child.
What happens during the intervention?
- Sessions take the form of learning specific skills through practice and practitioner feedback.
- The child participates in all treatment sessions.
- Parents also complete homework exercises and monitoring sheets to track their progress through the programme.
What are the implementation requirements?
Who can deliver it?
- The practitioner who delivers this programme is a psychologist, counsellor or social worker with a NFQ-level 7/8 (or higher) qualification and 32 hours of programme training.
What are the training requirements?
- Practitioners have 32 hours of programme training. Booster training of practitioners is recommended.
How are the practitioners supervised?
- Supervision is provided by two host-agency supervisors. Both have NFQ-9/10 level qualifications and 32 hours of programme training. In addition, it is recommended that practitioners are supervised by one programme developer supervisor also with NFQ-9/10 qualifications.
What are the systems for maintaining fidelity?
- Telephone consultations
- Onsite supervision
- Fidelity checklists
- Ongoing consultations
- If practitioners are having difficulty delivering programme, an HNC consultant provides onsite booster sessions until proficient
Is there a licensing requirement?
There is no licence required to run this programme.
How does it work? (Theory of Change)
How does it work?
- HNC assumes that child behavioural problems are the result of coercive interactions between the parent and child that inadvertently reinforce the child’s noncompliant behaviour.
- HNC provides parents with a repertoire of effective strategies for managing noncompliant child behaviour.
- In the short term, the child should be able to better regulate his or her behaviour, and the parents should experience less stress.
- In the longer term, children will get along better with others, do better at school and be less likely to engage in antisocial behaviour.
Intended outcomes
Contact details
Robert McMahon
Programme Developer (Canada)
Simon Fraser University
robert_mcmahon@sfu.ca
About the evidence
Helping the Noncompliant Child’s most rigorous evidence comes from an RCT which was conducted in the US.
This study identified statistically significant positive impact on a number of child and parent outcomes.
This programme is underpinned by one study with a Level 3, hence the programme receives a Level 3 rating overall.
Study 1
| Citation: | Abikoff et al (2015) |
| Design: | RCT |
| Country: | United States |
| Sample: | 164 children with ADHD symptoms living in New York City |
| Timing: | Post-test; two-year follow-up |
| Child outcomes: |
|
| Other outcomes: |
|
| Study rating: | 3 |
Abikoff, H. B., Thompson, M., Laver-Bradbury, C., Long, N., Forehand, R.L., Miller Brotman, L., Klein, R.G., Reiss, P., Huo, L., & Sonuga-Barke, E., (2015). Parent training for preschool ADHD: a randomized controlled trial of specialized and generic programs. Journal of Child Psychology and Psychiatry, 56, 618-631.
Available at
http://onlinelibrary.wiley.com/doi/10.1111/jcpp.12346/full
Study design and sample
The first study is a rigorously conducted RCT.
This study involved random assignment of children to an HNC treatment group and a wait-list control group.
This study was conducted in the US, with a sample of 164 preschool children (aged three to five). The majority of children were male (73.8%) and Caucasian (69.2%).
Measures
Child ADHD symptoms were measured using the ADHD ratings on the Conners scales (parent report) (teacher report) and the ADHD-Rating Scale-IV (diagnostic interview). Child levels of sustained and focused attention and activity were measured using coded observation (expert observation of behaviour). Child oppositional and defiant symptoms were measured using the New York Teacher and Parent Rating Scales (parent report) (teacher report). Child delay of gratification was measured using the Delay of Gratification-Cookies Delay Task (direct assessment).
Parenting behaviours were measured using the Parenting Practice Interview (parent report). Observed parenting was measured using the Global Impressions of Parent Child Interactions-Revised (GIPCI-R) (parent report). Parenting stress was measured using the Parenting Stress Index-Short Form (PSI-R) (parent report).
Findings
This study identified statistically significant positive impact on a number of child and parent outcomes.
Child outcomes include:
- Reduced symptoms of ADHD
- Reduced defiant symptoms
- Reduced physical aggression
- Reduced inattention and hyperactivity