Technology-Enhanced Helping the Noncompliant Child (TE-HNC)
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Purpose
The aim of this pilot study is to determine whether a technology-enhanced version of an established behavioral treatment protocol, Helping the Noncompliant Child (HNC; McMahon & Forehand), enhances the engagement and retention of lower income parents of 3 to 8 children with externalizing problems in treatment. It is predicted that families in both the HNC and technology-enhanced HNC (TE-HNC) programs will evidence significant improvement in parenting behavior and child externalizing problems; however, it is predicted that parent-child dyads in the TE-HNC program will require fewer sessions, will be more likely to be retained in the program, will be more likely to remain engaged in the program (e.g., practicing skills between sessions etc.), and will be more likely to have active involvement from their coparenting partners (i.e., other adults and family members who participate in childrearing).
| Condition | Intervention | Phase |
|---|---|---|
|
Child Behavior Parenting Behavior |
Behavioral: Helping the Noncompliant Child (HNC) Behavioral: Technology-Enhanced Helping the Noncompliant Child (TE-HNC) |
Phase 1 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Technology Enhanced Delivery of Treatment for Early Conduct Problems |
- Number of Sessions [ Time Frame: Baseline to Post-intervention (average 8 - 12 weeks) ] [ Designated as safety issue: No ]Number of sessions to complete the HNC or TE-HNC program
- Retention [ Time Frame: Baseline to Post-Intervention (average 8 to 12 weeks) ] [ Designated as safety issue: No ]Completion of the HNC or TE-HNC program
- Engagement [ Time Frame: Baseline to Post-Intervention (average 8 to 12 weeks) ] [ Designated as safety issue: No ]Participation in in-and out-of-session HNC and TE-HNC program skills, including out-of-session practice, etc.
- Parenting Behavior [ Time Frame: Baseline to Follow-Up (3 months Post-Intervention) ] [ Designated as safety issue: No ]Improvement in parenting behaviors
- Child Externalizing Disorders [ Time Frame: Baseline to Follow-Up (3 months Post-Intervention) ] [ Designated as safety issue: No ]Child no longer meeting criteria for an externalizing diagnosis or reduction in externalizing symptoms
- Cost-Effectiveness [ Time Frame: Baseline to Follow-Up (3 months Post-Intervention) ] [ Designated as safety issue: No ]Cost of HNC and TE-HNC program, value added by technology-enhancements
| Enrollment: | 24 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | October 2012 |
| Estimated Primary Completion Date: | October 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: HNC
Helping the Noncompliant Child (McMahon & Forehand), a well-established behavioral parent training program for parents of 3 to 8 year old children with externalizing problems
|
Behavioral: Helping the Noncompliant Child (HNC)
Well-established behavioral parent training program (McMahon & Forehand) for parents of 3 to 8 y.o. children with externalizing problems
Other Name: HNC
|
|
Experimental: TE-HNC
Standard HNC Program plus Technology-Enhancement (iPhones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice & child behavior, reminders re: practice & sessions.
|
Behavioral: Technology-Enhanced Helping the Noncompliant Child (TE-HNC)
Standard HNC program plus technology-enhancements (see description under Arm)
Other Name: TE-HNC
|
Eligibility| Ages Eligible for Study: | 3 Years to 8 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Lower income
- caregiver/parent is legal guardian
- 3 to 8 year old child
- child meets criteria for externalizing disorder or significant externalizing symptoms
Exclusion Criteria:
- Prior report of child abuse or neglect
- current substance abuse/dependence
- legal guardian reading level less than 8th grade
- child has developmental disability that precludes caregiver utilizing the skills
Contacts and Locations| United States, North Carolina | |
| UNC Chapel Hill | |
| Chapel Hill, North Carolina, United States, 27599 | |
| Principal Investigator: | Deborah J Jones, PhD | UNC Chapel Hill |
More Information
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Deborah Jones, Associate Professor, University of North Carolina, Chapel Hill |
| ClinicalTrials.gov Identifier: | NCT01367847 History of Changes |
| Other Study ID Numbers: | 10-0740, 1R34MH082956-01A2 |
| Study First Received: | June 1, 2011 |
| Last Updated: | September 6, 2012 |
| Health Authority: | United States: Institutional Review Board United States: Federal Government |
Keywords provided by University of North Carolina, Chapel Hill:
|
Parenting Parent-Child Relations Child Behavior |
ClinicalTrials.gov processed this record on May 16, 2013