Archive for the 'The Total Transformation – Pediatrician’s Analysis' Category

Quality Of Total Transformation Materials

What is the quality of the materials?

Overall, the TTP is extremely well organized and structured. Materials are presented using a step-by-step approach.

Once the child’s behavior is understood, scripts are provided to empower the parent’s response. The Parent Workbook is very well done and provides checklists to help the parent determine what skills need to be worked on at that time (target behaviors) and provides excellent explanations of why a child acts in a certain way.

The Total Transformation Program was also found to have several features not found in other programs. This includes Parenting Style self-assessments that allow parents to look at their role in the interactive process.

I especially liked the age appropriate consequences and rewards charts, as I find this is a particularly difficult concept for many parents. In addition to providing tools for acute behavior management, the TTP also focuses on teaching parents exactly how to have a problem-solving discussion with their child utilizing an interview format thus placing the parent in a coaching role.

Multimodal Treatment For Children With ADHD

How can TTP meet the need of providing a multimodal treatment program to these children and teens with ADHD and disruptive behavior disorders?

[Somone Else’s Kids Editor’s Note: TTP stands for Total Transformation Program.]

While most pediatricians can say that they understand the need for a multimodal program for the treatment of children with ADHD and coexisting conditions, they are at a loss of how to assist parents in acquiring the skills necessary to carry out such a program.

The behavior management component of the MTA program has been shown to be an ideal program for obtaining positive outcomes for children with ADHD and coexisting behavioral disorders, but few communities offer the support received in this program to parents and their children with ADHD.

Most parents must then “go it alone” or seek out expensive mental health support within the community knowing the majority of these services are not covered by health insurance.

Given the limited time available to clinicians to interact with patients and their parents, how can professionals teach parents to more effectively deal with their children with ADHD and ODD/CD and provide these services in a way that is both cost and time effective?

An “at home” training program like the TTP program seems ideal. Through a series of compact disks, DVDs and an interactive parent workbook, the TTP can be used by parents and professionals to decode a child’s behavior and understand why a child or teen is acting in a dysfunctional way.

The main focus of this non-judgmental structured program is on teaching parents exactly how to react to and better understand their children or teens with behavior disorders such as ODD/CD and then effectively empower
them to change.

Is The Total Transformation Program Effective

What is the scientific evidence for the effectiveness of such a program?

The current findings regarding the outcomes of ADHD and disruptive behavior disorders indicate that all children presenting with symptoms of ADHD and ODD/CD need to be assessed and treated with a view of targeting both the ADHD and the disruptive behaviors.

The link between behavioral disorders and poorer psychosocial outcomes only reinforces the need to treat these disorders aggressively with both psychosocial and pharmacologic interventions. In addition, these children are difficult to live with and parents need to understand that they do not need to deal with their ADHD and ODD/CD child alone.

Programs that teach parents acute, simple behavior management strategies (Parent Training) and those that help build and reinforce cognitive, problem-solving skills (Collaborative Problem-Solving) have both been shown to be effective.

[Someone Else’s Kids Editor’s Note: When the author says “such a program,” she is referring to the Total Transformation Program, which is the subject of her analysis.]

Parent Training

Parent Training (PT) has been shown to be effective for treating oppositional and defiant behaviors.

Standardized parent training programs are short-term interventions that teach parents specialized strategies-including positive attending, ignoring, the effective use of rewards and punishments, token economies, and time-out to address clinically significant behavior problems. (Farley et al., 2005)

The long-term maintenance of changes following parent-child interaction therapy (PCIT) for young children with oppositional defiant disorder (ODD) and associated ADHD has been shown to be good.

Three to 6 years after treatment, the mothers of children with these disorders indicated that the significant changes found in their children’s behavior and their own feelings of control at the end of treatment were maintained at long-term follow-up.

Child behavior reported at the post-treatment assessment and the length of time since treatment were strong predictors of long-term outcome. Mothers’ reports of disruptive behavior decreased with time after treatment. (Hood & Eyberg, 2003)

[Someone Else’s Kids Editor’s Note: The author is discussing parent training as an effective treatment for children’s ADHD and ODD as found in The Total Transformation Program.]