DOCC ( versus EUC ) was associated with higher rates of treatment initiation ( 99.4 % vs 54.2 % ; P < .001 ) and completion ( 76.6 % vs 11.6 % , P < .001 ) , improvement in behavior problems , hyperactivity , and internalizing problems ( P < .05 to .01 ) , and parental stress ( P < .05 -.001 ) , remission in behavior and internalizing problems ( P < .01 , .05 ) , goal improvement ( P < .05 to .001 ) , treatment response ( P < .05 ) , and consumer satisfaction ( P < .05 ) .