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Several adjustments to the research design and to training and intervention protocols were made in response to organizational constraints, the COVID-19 several waves and families\u2019 needs within this real-world intervention context.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>EBI educators were trained in the PTR-YC program, which they then applied with the parents of a child in their caseload who presented challenging behavior. Parent-practitioner intervention teams were divided in two cohorts according to their readiness to apply the program. Parents evaluated their chid\u2019s challenging behavior, their parenting stress levels, caregiving strain, and sense of competence, as well as their family\u2019s quality of life before and after program application, as well as the acceptability of the program after its application.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Frequency of children\u2019s aggressive behavior, decreased significantly after program application, but not self-injurious, stereotyped or overall challenging behavior. Parents\u2019 feelings of strain and parental stress also decreased after the program, while family quality of life had improved. The program did not change parents\u2019 sense of competence. Parents rated the PTR-YC as generally acceptable.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>As implemented within this real-world context of public EBI services, the PTR-YC program has shown promising results on child, parent, and family outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10803-026-07448-4","type":"journal-article","created":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T08:53:10Z","timestamp":1784883190000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["PTR-YC in Action: Child, Parent, and Family Outcomes of a Challenging Behavior Management Program in Real-World Public Early Intervention Settings"],"prefix":"10.1007","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0578-6818","authenticated-orcid":false,"given":"M\u00e9lina","family":"Rivard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Mello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Lefebvre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diane","family":"Morin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Coulombe","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zakaria","family":"Mestari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacques","family":"Forget","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"7448_CR4","volume-title":"Parenting Stress Index","author":"RR Abidin","year":"1995","unstructured":"Abidin, R. 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