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Adoption-specific Treatment Prevention Pilot Trial (ADAPT)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01744951
Recruitment Status : Unknown
Verified August 2018 by Dr. Jeanne Miranda, University of California, Los Angeles.
Recruitment status was:  Active, not recruiting
First Posted : December 7, 2012
Last Update Posted : August 31, 2018
Center for Adoption Support and Education
Information provided by (Responsible Party):
Dr. Jeanne Miranda, University of California, Los Angeles

Brief Summary:

This study seeks to pilot a manualized adoption-specific intervention aimed at providing a preventive intervention for families adopting children ages 5-14 years where family reunification has been terminated and the family is moving toward adoption or who have adopted children from foster care in the last three years. This work will fill a major gap in services to children and families and is developed to improve mental health and family functioning of children adopted from foster care, as well as decrease adoption disruptions. President Clinton's 1997 adoption initiative, The Adoption and Safe Families ACT (ASFA), along with subsequent Congressional initiatives, have provided incentives to States and subsidies for adopting older children with a resultant increase in rates of adoption from foster care from 26,000 in 1995 to 53,000 (stabilized annual rate) beginning in 2002. The mean age at adoption from foster care is now 6 years old. These older children have histories of physical and sexual abuse, neglect, and multiple placements, all factors that predict behavior problems over time. To address this gap in our knowledge of providing care for this vulnerable group, we have developed a manualized adoption-specific intervention for families adopting children from foster care. Because adoptive children generally enter homes with stable, well-functioning parents, interventions may be particularly effective in helping the children adjust and their parents learn to understand and manage children with difficult past histories.

The aim of this current pilot trial is to test this intervention designed to improve the outcomes for children adopted from foster care through a randomized trial. Our hypothesis is that this manualized adoption-specific intervention will be more effective than care as usual in improving child mental health and family functioning outcomes; specifically, families and children who have been randomized to the manualized adoption-specific intervention will show better outcomes on the post-treatment measures and the 3 month follow-up than on the pre-treatment measures than the care as usual families and children.

Condition or disease Intervention/treatment Phase
Prevent Disorders in Children Adopted From Foster Care Behavioral: ADAPT Not Applicable

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Evaluate the Adoption-specific Prevention Treatment Program (ADAPT)
Actual Study Start Date : October 2012
Actual Primary Completion Date : September 2017
Estimated Study Completion Date : December 2018

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Adoption

Arm Intervention/treatment
Experimental: ADAPT
ADAPT is a manualized intervention with eight treatment modules designed as an early intervention for children, ages 5-14, who are being adopted from foster care and their adoptive parent/s.
Behavioral: ADAPT

ADAPT consists of the following modules/sessions:

Module 1: Trust, positive coping strategies, and behavior management; Module 2: Developmental understanding of adoption experience; Module 3: Substance abuse prevention; Module 4: Loss and grief issues about birth family and foster care; Module 5: Attachment/joining with adoptive family; Module 6: Search for identity/self -esteem; Module 7: Adoption and the outside world; Module 8: Trauma Treatment (if appropriate)

No Intervention: Care as usual
Children, ages 5-14, and their adoptive parent/s will receive care as usual in the treatment setting.

Primary Outcome Measures :
  1. Parent Weekly Report [ Time Frame: Participants will be followed for the duration of the therapeutic intervention, an expected average of 24 weeks. ]
    The Parent Weekly Report consists of two measures: Brief Problem Checklist (Chorpita et al., 2010 and Parent Daily Report (Chamberlain & Reid, 1987).

Secondary Outcome Measures :
  1. Number of child participants whose internalizing and externalizing behaviors improve [ Time Frame: 0 weeks, 24 weeks, 36 weeks ]
    Child participants' internalizing and externalizing behaviors will be measured at the three distinct times by using both child and parent measures: 1. Emotional Distress and Functioning:Children's Depression Inventory, Screen for Childhood Anxiety Related Emotional Disorders (SCARED),Child PTSD Symptom Scale (CPSS),Achenbach Child Behavior Checklists and Teacher Report Forms (CBCL),Children's Global Assessment Scale (CGAS) 2.Targeted Resilience Factors: Emotion Regulation Checklist (ER Checklist),Kidcope 3.Understanding of Adoption: Adoption Dynamics Questionnaire (ADQ),Children's Beliefs about Adoption Scale (CBAAS) 4.Family Environment and Parental Distress,Family Environment Scale (FES),Brief Symptom Inventory (BSI) 5.Attachment and Parenting: Inventory of Parent and Peer Attachment (IPPA) 6.Trauma Exposure: Modified Life Events Scale (LES) 7.Process Variables: Therapeutic Alliance Scale for Children (TASC),Working Alliance Inventory (WAI),Consumer Satisfaction Questionnaire

Information from the National Library of Medicine

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Ages Eligible for Study:   5 Years to 14 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Children being adopted from foster care, ages 5-14
  • Children (within above age range) who have been adopted in the last three years
  • Family reunification services have been terminated

Exclusion Criteria:

  • Children with the following Diagnostic and Statistical Manual psychiatric disorders will be excluded from study participation: Pervasive Developmental Disorders (e.g. Asperger's, autism, mental retardation, or psychotic disorder as known to the parents
  • Children will be excluded if the child has a major neurological disorder or a major medical illness that would interfere with participation in the study
  • Children who pose a significant risk for dangerousness to self or others that makes participating inadvisable
  • Children and/or parents who are non-English speaking and unable to complete treatment without a translator will not be included

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01744951

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United States, California
Children's Bureau of Southern California
Los Angeles, California, United States, 90007
UCLA TIES for Familes
Los Angeles, California, United States, 90095
UCLA TIES for Families South Bay
Torrance, California, United States, 90502
United States, Maryland
Center for Adoption Support and Education
Burtonsville, Maryland, United States, 20866
United States, North Carolina
Children's Home Society North Carolina
Greensboro, North Carolina, United States, 27405
Sponsors and Collaborators
University of California, Los Angeles
Center for Adoption Support and Education
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Principal Investigator: Jeanne Miranda, Ph.D. University of California, Los Angeles
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Responsible Party: Dr. Jeanne Miranda, Professor in Residence, University of California, Los Angeles Identifier: NCT01744951    
Other Study ID Numbers: ADAPT-02
UCLA IRB/IRB# 12-001024 ( Other Grant/Funding Number: Annie E Casey Foundation/212.0023 )
First Posted: December 7, 2012    Key Record Dates
Last Update Posted: August 31, 2018
Last Verified: August 2018
Keywords provided by Dr. Jeanne Miranda, University of California, Los Angeles:
Foster care
Substance abuse
Older children
Mental health