“…Externalizing behavior problems are considerably more prevalent among children with developmental delay (Dekker, Koot, van der Ende, & Verhulst, 2002; Emerson, Robertson, & Wood, 2005), and parents of children with developmental delay also display higher rates of parenting stress than parents of children without developmental delays (Baker, Blacher, Crnic, & Edelbrock, 2002; Baker et al, 2003). In addition, children with developmental delay are more likely than their nondelayed peers to experience a variety of other risk factors, including low maternal education (Sonnander & Claesson, 1999), poverty (Msall, Bier, LaGasse, Tremont, & Lester, 1998), and single-parent status (Koskentausta, Iivanainen, & Almqvist, 2007). Therefore, families of children with developmental delay represent an ideal population to examine the role of cumulative risk on parent training.…”