Carol W. Metzler's research while affiliated with Oregon Research Institute and other places

Publications (33)

Article
Full-text available
Background Parenting strategies such as communicating clear expectations, providing calm directions, and teaching specific skills can strengthen young children’s social-emotional development. Parenting programs for children with disruptive behavior often emphasize gaining compliance via effective directives, and less on how to facilitate child skil...
Article
Full-text available
Background High-prevalence childhood mental health problems like early-onset disruptive behavior problems (DBPs) pose a significant public health challenge and necessitate interventions with adequate population reach. The treatment approach of choice for childhood DBPs, namely evidence-based parenting intervention, has not been sufficiently dissemi...
Preprint
BACKGROUND High-prevalence childhood mental health problems like early-onset disruptive behavior problems (DBPs) pose a significant public health challenge and necessitate interventions with adequate population reach. The treatment approach of choice for childhood DBPs, namely evidence-based parenting intervention, has not been sufficiently dissemi...
Article
Full-text available
Background This study evaluated whether an evidence‐based parenting intervention, when delivered online, could effectively address disruptive behavior problems in young children and yield outcomes comparable to in‐person delivery of the same intervention. Methods Families (n = 334) of children (3–7 years; 63% White, 22% African American, 15% other...
Article
Full-text available
An individual’s capacity to self-regulate their cognitions, emotions and actions is an important life skill and emergent developmental competency for both children and parents. Individuals with better self-regulation achieve more positive life course outcomes and are less likely to develop significant mental health, social, and relationship problem...
Chapter
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Primary care providers such as family doctors, pediatricians, and community child health nurses are a trusted first port of call for parents seeking advice on parenting issues, and routine well-child visits provide multiple opportunities for screening, support, and intervention. Pediatric practices and family-centered health settings are an ideal,...
Chapter
Mass media communication approaches have considerable potential for promoting positive parenting at a population level through their wide reach and powerful messaging. A media strategy can promote engagement in parenting programs, destigmatize parenting assistance, affect community norms, and directly impart parenting information to those who might...
Article
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Family-focused prevention programs have been shown to effectively reduce a range of negative behavioral health outcomes but have had limited reach. Three key barriers must be overcome to expand the reach of family-focused prevention programs and thereby achieve a significant public health impact. These barriers are (1) current social norms and perc...
Article
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Play tasks that use standardized procedures and materials are a practical way to assess parenting skills, child behaviors, and the ways in which parents and children interact. We describe a systematic process for developing the parent-child play task (PCPT) to assess mother-child interactions for a randomized controlled trial of a video-based paren...
Conference Paper
A critical strategy in a public health approach to improving parenting is to ensure that interventions are widely accessible through existing delivery mechanisms. Primary care clinics are an ideal setting for the early detection of child behavior and parenting problems and for disseminating parenting interventions. Pediatricians are typically the f...
Chapter
Close relationships play vital roles in the development and maintenance of the physical and psychological health and illness of children and adults (Beach et al., 2006). Of particular importance are enduring relationships within families, including intimate relationships between adults and caregiving relationships among children, their parents, and...
Chapter
The goal of a public health approach to improving parenting is to increase the prevalence of effective parenting practices in a population. Achieving this goal requires that a large proportion of the population be reached with a spectrum of effective parenting supports, widely accessible in the community, and delivered in a variety of formats, thro...
Conference Paper
Reaching vulnerable parents with effective parenting programs is a formidable challenge. Despite the demonstrated effectiveness of evidence-based parenting programs, relatively few parents access them. Aside from logistical obstacles, the stigma surrounding a child’s behavioral or emotional disorders constitutes a meaningful barrier to participatio...
Conference Paper
Media-based parenting programs show significant promise for improving parenting practices and child behavior across a broad population of families. Media-based approaches can decrease the stigma and cost associated with participation in parenting programs and can dramatically increase program reach to parents who might not otherwise be reached. But...
Article
Full-text available
11 focus groups (N = 160) of high-risk parents in Los Angeles County were asked to assess the value of social media to deliver an evidence-based parenting program, Triple P-Positive Parenting Program, to reduce child maltreatment. For feasibility, (N = 238) parents were surveyed regarding their internet use. Parents responded enthusiastically to th...
Article
Within a public health approach to improving parenting, the mass media offer a potentially more efficient and affordable format for directly reaching a large number of parents with evidence-based parenting information than do traditional approaches to parenting interventions that require delivery by a practitioner. Little is known, however, about f...
Article
Concurrent and predictive relationships between peer harassment and problem behavior were examined for middle and high school students as well as gender differences in these relationships. Students recruited in fifth through seventh grades (n = 223) and their parents provided quarterly questionnaire data and were followed up into high school. As hy...
Article
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This paper describes the evaluation of a consultative approach to assisting middle schools in implementing empirically based school-wide behavior management practices. The Effective Behavior Support program involved working with school staff to clarify rules, teach appropriate social behavior, increase positive reinforcement for positive behavior,...
Article
A five-session behavioral intervention to reduce risky sexual behavior was evaluated in a randomized controlled trial, in which 339 adolescents, ages 15 to 19 years, were recruited in public sexually transmitted disease clinics and randomly assigned to receive the intervention or usual care. The intervention targeted (a) decision-making about safer...
Article
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This study provides evidence of the effectiveness of behaviorally based parenting skills classes provided by carefully trained and supervised group leaders who were not mental health clinicians. A program for parents of at-risk middle school students was evaluated in a randomized controlled trial in 8 small Oregon communities. Parents (N = 303) wer...
Article
Full-text available
This study provides evidence of the effectiveness of behaviorally based parenting skills classes provided by carefully trained and supervised group leaders who were not mental health clinicians. A program for parents of at-risk middle school students was evaluated in a randomized controlled trial in 8 small Oregon communities. Parents (N = 303) wer...
Article
Full-text available
The developmental model of adolescent antisocial behavior advanced by Patterson and colleagues (e.g., Patterson, Reid, & Dishion, 1992) appears to generalize the development of a diverse set of problem behaviors. Structural equation modeling methods were applied to 18-month longitudinal data from 523 adolescents. The problem behavior construct incl...
Article
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The stability and validity of early adolescents' reports of 6 parenting constructs were examined: parent–child conflict, positive family relations, parental monitoring, parents' rule making, consistent enforcement of rules, and use of positive reinforcement. Hierarchical confirmatory factor analysis (CFA; H. W. Marsh & D. Hocevar, 1988) on question...
Article
Between 1989 and 1992, large numbers of volunteers were trained to lead parenting skills workshops tor parents of elementary and middle school children in communities in Oregon. The authors surveyed the volunteer-leaders to examine the latter's perceptions of the benefits of and barriers to leading the workshops and how those factors related to the...
Article
Sexual coercion and its relationship to high-risk sexual behavior were examined in five samples of young women. Sample 1 (N = 22) consisted of sexually active adolescents aged 15 to 19. Samples 2 (N = 206) and 3 (N = 70) were recruited from among patients at three sexually transmitted disease clinics. Sample 4 (N = 51) consisted of young homeless w...
Article
This paper makes a case for research on community interventions on child rearing. Sufficient evidence has accumulated about the development of children's problem behavior to justify evaluating efforts to reduce the prevalence of these problems in whole communities. The contextual risk factors for diverse child behavior problems are well understood,...
Article
Full-text available
This study supports a model of adolescents' risky sexual behavior in which this behavior is seen as a product of the same peer and family factors which influence a wide range of problem behaviors. The Patterson et al. (1992) model of peer and parental factors associated with adolescents' sexual risk-taking behavior was tested on three independent s...
Article
The abstract for this document is available on CSA Illumina.To view the Abstract, click the Abstract button above the document title.
Article
The potential spread of HIV infection into the adolescent population underscores the need for valid measures of high-risk sexual behavior in adolescents. This article reports on the development and construct validation of two measures of high-risk sexual behavior for heterosexual adolescents. Based on evidence that diverse problem behaviors are int...
Article
Full-text available
Relationships among risky sexual behaviors, other problem behaviors, and the family and peer context were examined for two samples of adolescents. Many adolescents reported behaviors (e.g., promiscuity or nonuse of condoms) which risked HIV or other sexually transmitted disease infection. Such risky behaviors were significantly intercorrelated. Con...

Citations

... Findings from our study in the context of other research on the FCU position the FCU as an efficient approach that aligns with existing school frameworks (Sugai & Horner, 2002). Findings also suggest that when schools use the FCU (Irvine, Biglan, Smolkowski, Metzler, & Ary, 1999;Smolkowski et al., 2017), there is good potential for substantial return as they invest in this ecological, family-centered approach at kindergarten entry (Crowley, Jones, Greenberg, Feinberg, & Spoth, 2012). ...
... There is a growing body of research that supports the effectiveness of online parenting interventions (Baker et al., 2017;Day & Sanders, 2018;Ingels et al., 2022). However, there is limited research on evidence-based group parenting interventions delivered online through videoconferencing formats. ...
... There were two studies done pointing to how parents adapt strategies to deal with the demands of the times. One pre-pandemic study revealed how the parents' capacity to match their parenting strategies to the context where they are at as well as the capacity to proactively consider task demands can facilitate the social-emotional development of the child (Rusby, et al.,2022). On a different note, Menter et al.'s (2022) study during the pandemic period examined the parenting practices that emerged and revealed that the parents' ability to adapt to changes in the way they set limits and support good behavior were dependent on the child's oppositional and anxiety symptoms. ...
... Over 13 studies have recently been conducted demonstrating that online BPT can improve child behavioral outcomes. Importantly, a recently published trial compared Triple P Online (TPO; an evidencebased, commercially available, self-directed online BPT) to a faceto-face (F2F) therapist-delivered Triple P for preschool children with disruptive behavior problems [118]. This large randomized controlled trial found that TPO was non-inferior to F2F Triple P on observed and parent-reported child behavior, with clinically meaningful effect sizes. ...
... Delivering parenting programs through self-administered approaches (e.g., interactive online programs, mobile phone-or tablet-based apps, DVD or streamed videos, podcasts) allow parents more control and flexibility, greatly increase the potential reach of parenting interventions, and reduce delivery costs, logistical barriers to program access, and potential stigma associated with in-person delivery. Parents can tailor program intensity to match their needs, concentrate on areas of interest, work through the materials in private, and control the time, place, and pace of learning (Bennett and Glasgow 2009;Metzler and Rusby 2017;Ritterband et al. 2009). Although some families need the more intensive supports of a face-to-face intervention, self-directed and technology-based interventions can be a valuable option as part of a larger system of supports, provide a supplement to intensive programs, reach those who might not otherwise be reached, and provide sufficient dosage for many (Metzler and Rusby 2017). ...
... A parent's ability to self-regulate is likely to be reflected in their parenting practices and is one of the most powerful mechanisms for intergenerational transmission of self-regulation (Baker & Brooks-Gunn, 2020;Bridgett et al., 2015). Parents' ability to control thoughts, emotions, and behaviors is important for appropriate parenting practices (Rutherford et al., 2015;Sanders et al., 2019;Sanders & Mazzucchelli, 2013;Sanders & Morawska, 2018). Well-regulated parents are likely to experience more confidence in their ability to parent and are more likely to be supportive and sensitive to their child's needs (Distefano et al., 2018;Sanders et al., 2019;Shaffer & Obradović, 2017). ...
... led to the development of a range of parenting interventions designed to increase parents' knowledge and skills, improve parenting practices, and manage parental stress to mitigate child behavioral and emotional problems (Leslie et al., 2016). Three different intervention models are described: (a) indicated, for parents with children having early signs of problems where the intervention intends to prevent the onset of more severe problems; (b) selective, for subgroups of parents with risk factors that may increase the risk for certain outcomes; and (c) universal, which is open to all parents in the general population (Leslie et al., 2016;. ...
... Impulsivity and emotion dysregulation may also interfere with the ability to integrate and apply knowledge and beliefs related to the consequences of HIV, and methods to prevent acquiring HIV (Chen et al., 2020;Hulvershorn et al., 2015;Sutarso et al., 2016). Education on consequences of HIV and prevention methods are key elements typically targeted in prevention programs (Downs et al., 2015;Hosek & Pettifor, 2019;Metzler et al., 2000, Rotheram-Borus et al., 2000Tolou-Shams et al., 2010;Villarruel et al., 2006;Wingood et al., 2006). However, not all youth can readily apply the knowledge gained during typical prevention programs. ...
... Regarding the school setting, the witnessing of couples fighting in friendship contexts and the use of alcohol were included in the study, as peer influence may play an important role in the experience of dating violence as well as other risk-taking behaviour which may be related to violent behaviour (Jordaan, 1999). For instance, local and international research has pointed to the use of alcohol and its association with violent behaviour in intimate relationships among young people (Noell et al., 1993;NPPHCN, 1996). Although no differences have been reported for religious affiliation, there is evidence to suggest that religious participation may serve as a protective factor (Sugarman and Hotaling, 1989), and therefore the attendance of religious services was also included in the study. ...
... Although systematic observation allows a fine-grained examination of behavioral and emotional interactions during different situational contexts, integration of parental report (e.g., of parenting, child behavior, and parent-child interactions) can nonetheless also add to understanding situational contexts. Having multiple types of measurement, including microsocial observations, questionnaires, population-level surveys, and implementation indices, can contribute to improving parenting and child outcomes (Metzler et al., 2013). Each type of measurement method has unique advantages and disadvantages. ...