Brief report: Follow-up outcomes of multisystemic therapy for adolescents with an intellectual disability and the relation with parental intellectual disability.
Annemarieke Blankestein, Aurelie Lange, Rachel van der Rijken and 3 others
PMID 31883357WHAT IT FOUND
After accounting for missing follow-up data, gains at treatment end in living at home, school or work and no police contact were not maintained at 18 months.
Parents reported less rule-breaking than at start, but no control group limits claims.
Key findings
01After accounting for missing follow-up data, successes at treatment end in living at home, school or work and no police contact were not maintained at 18 months.
02Using estimated data, rule-breaking behaviour was lower at treatment end, 12 months and 18 months than at start.
03Outcomes did not differ significantly between parents with and without intellectual disability.
STILL TO COME
How it was doneWhat they foundWhat it means for OTs
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What it does not show
There was no control group, so changes over time cannot be ascribed to MST-ID. Only 40 of 55 parents completed the 6-month interview, 33 completed the 12-month interview and 27 completed the 18-month interview. Families with complete follow-up had more parenting stress at baseline than families with missing follow-up data. Estimated data produced smaller effect sizes and less positive outcomes than original data, and yes/no outcomes could not be statistically tested over time. Only one parent per family was screened for intellectual disability, so another caregiver's disability may have been missed. Adolescents with mild intellectual disability and borderline intellectual functioning were combined, so findings may not apply to each group separately. The sample was small, with 32 parents with intellectual disability and 23 parents without.
The easy way to misread this
Do not conclude that MST-ID caused the reductions. The study had no control group, so outcomes cannot be ascribed to the treatment condition. Only 27 of 55 parents completed the 18-month interview, and estimated-data results were less positive than original data.