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Community Implementation of KEEP: Fidelity and Generalization of Parenting

This study has been completed.
Oregon Social Learning Center
Information provided by (Responsible Party):
Dr. Joseph M. Price, San Diego State University Identifier:
First received: September 18, 2009
Last updated: November 17, 2014
Last verified: November 2014

September 18, 2009
November 17, 2014
September 2009
July 2014   (final data collection date for primary outcome measure)
Reduction in child behavior problems as assessed by the Parent Daily Report (PDR) [ Time Frame: Baseline, 6-months, 12-months, 18-months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00980512 on Archive Site
Placement Disruptions from Foster Placement [ Time Frame: 6-month, 12-month, 18-month ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
Community Implementation of KEEP: Fidelity and Generalization of Parenting
Community Implementation of KEEP: Fidelity and Generalization of Parenting

The primary goal of this study is to examine the fidelity and generalization of parenting effects of the KEEP foster parent training intervention as it is being delivered within a child welfare system of care by a community mental health provider.

The primary goal of this study is to utilize this opportunity as a real-world platform for addressing three key questions that need to be answered prior to wide-scale implementation of the KEEP intervention. First, do the effects of the KEEP parent training generalize (concurrently) to other children currently in foster and kin intervention homes and lead to reductions in overall levels of behavior problems? Second, does the KEEP intervention continue to have effects after the completion of the intervention and generalize (temporally) to new children who enter the homes of these families at a later point in time? Finally, as the KEEP intervention is being implemented by a community agency in a real-world system of care, can the intervention be delivered and maintained in a manner that preserves the goals and quality of the intervention?

Children in foster care, between the ages of 5 and 12, will be randomly assigned to one of two conditions - the KEEP intervention or a "services as usual" condition. In the KEEP intervention condition, foster and kin caregivers will participate in 16 weekly group meetings. Outcomes to be assessed include child problem behavior (of the focal child and other children in the household), child functioning, parental stress, family functioning, use of mental health services, child placement changes (e.g., reunification with biological parents, move to another foster home), and foster parent retention rates. In addition, for a year following the completion of the intervention, new children entering the home of foster/kin caregiver will be included in the assessments, along with the impact of these additional children on parental stress and family functioning. Finally, several dimensions of intervention fidelity (e.g., facilitator adherence and group engagement) will be assessed and examined in relation to child, family, and system outcomes.

Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Behavior Problems
Behavioral: Parent Training
16 weeks of parent training led by trained group facilitator
Other Name: Parent Management Training
  • Experimental: Parent Training
    Parent Training of foster parents
    Intervention: Behavioral: Parent Training
  • No Intervention: Control
    Control group

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
July 2014
July 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Any child between ages 5 and 12 in relative or non-relative foster care

Exclusion Criteria:

  • Only medically fragile children
5 Years to 12 Years
Contact information is only displayed when the study is recruiting subjects
United States
R01 MH060195, R01MH060195, 2R01MH060195-06A1, DSIR 84-CTP
Dr. Joseph M. Price, San Diego State University
San Diego State University
  • National Institute of Mental Health (NIMH)
  • Oregon Social Learning Center
Principal Investigator: Joseph M. Price, Ph.D. San Diego State University & Child and Adolescent Services Research Center
San Diego State University
November 2014

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP