Evid Based Mental Health 15:52 doi:10.1136/ebmental-2011-100475
  • Therapeutics

The Strongest Families intervention is more effective than usual care in children with mild or moderate oppositional, attention or anxiety disorders



Is a family-centred distance intervention delivered by non-professionals effective in children with mild or moderate oppositional-defiant (ODD), attention deficit hyperactivity (ADHD) or anxiety disorders?


243 children with a mild or moderate diagnosis of ODD, ADHD or an anxiety disorder based on the Schedule for Affective Disorders and Schizophrenia-Present and Lifetime Versions parental interview (K-SADS-PL); with impairment in ≥2 domains, symptoms for ≥6 months, and stable medication in the month before baseline. Of the participants, 80 children (3–7 years old) had a primary diagnosis of ODD; 72 children (8–12 years old) had ADHD; and 91 children (6–12 years old) had an anxiety disorder.


Home settings, Nova Scotia, Canada; from May 2003 to September 2007.


The Strongest Families intervention or usual care alone. The intervention consisted of evidence-based handbooks and videos promoting skill-focused learning, and weekly telephone coaching sessions with the parent and/or child delivered by trained non-professionals. The anxiety group received 11-weekly telephone sessions and the ODD and ADHD groups received …