This clinical trial provides preliminary empirical support
for the feasibility and potential effectiveness of a BFT
protocol to help Chinese families with disruptive preschool
children. Chinese families in Shanghai, China were willing
to participate in a BFT protocol, a culturally accommodated
version of HNC (McMahon and Forehand 2003). At
post-treatment, caregivers reported significant reduction in
child disruptive behaviors. Observational data showed that
children significantly increased compliance to caregiver
instructions during a clinic clean-up task context. Caregivers
increased positive parenting and decreased intrusive
comments during a clinic play context. Chinese parents
cooperated with the home BRC recording system, including
tracking play and TOs in the home setting. Using BRC
data, Chinese children demonstrated the expected reduction
in TO escape efforts when experiencing a modified room
TO backup system, designed in response to the Yu et al.
(2011) study to address cultural concerns. Finally, high
consumer satisfaction ratings were in support of the social
validity of the BFT protocol in mainland China. Nevertheless,
these findings are qualified by several specific
limitations (see Limitations and Implications for Future
Research below).