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A Norwegian national implementation strategy aimed to test and conduct a large-scale implementation of The Oregon model of Parent Management Training (PMTO) based on Gerald Patterson's Social Interaction and Learning theory. The program targets children with antisocial behavior and co-occurring problems and their families. A randomized trial demonstrated the effectiveness of the program, and identified central moderators, mediators and predictors. Fidelity to the PMTO model was found to predict child behavioral outcomes better than parent-reported treatment alliance. Several parents seemed to manage with shorter interventions, and the "Early Interventions for Children at Risk" program was designed for implementation in the municipalities. In line with findings from a study of the normative development of aggression, this adapted program targets children from the age of 3 years on. In sum, findings confirmed that PMTO principles and components could be successfully transported from US to real-world settings in Norway with sustained positive outcomes and maintenance of competent adherence. PMTO has been tested with positive outcomes in both individual and group trainings and in high and low dosages of treatment. The Norwegian project may serve as an inspiration for the testing and scaling up of evidence-based parenting programs in other countries, particularly in Europe.
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