Improving Access to a Primary Care Based Positive Parenting Program
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|ClinicalTrials.gov Identifier: NCT03077321|
Recruitment Status : Completed
First Posted : March 10, 2017
Last Update Posted : October 22, 2019
|Condition or disease||Intervention/treatment||Phase|
|Program Implementation Child Behavior Problem Positive Parenting||Behavioral: CARE plus Peer Mentor Behavioral: CARE||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||150 participants|
|Intervention Model:||Parallel Assignment|
|Intervention Model Description:||RCT 1:1:1|
|Masking:||Double (Investigator, Outcomes Assessor)|
|Masking Description:||The therapists and the parents will not be blinded to group because they will be providing and receiving the intervention. The investigators who are collecting the data will be blinded to arm.|
|Official Title:||Improving Access to a Primary Care Based Positive Parenting Program|
|Actual Study Start Date :||September 20, 2017|
|Actual Primary Completion Date :||June 1, 2019|
|Actual Study Completion Date :||June 1, 2019|
Active Comparator: CARE
The parent-child dyads in the CARE arm will receive the standard CARE program.
CARE involves 6 weekly 90-minute sessions administered to 6-10 parents by 2 therapists. The initial phase focuses on developing parenting skills aimed at increasing attention to children's pro-social behaviors while ignoring minor attention seeking misbehaviors. The second phase teaches techniques for giving children effective commands in order to set age-appropriate limits and increase compliance. Children do not attend the training but parents are expected to practice the skills with their children between sessions.
Experimental: CARE plus peer mentor
The parent-child dyads in the CARE plus peer mentor arm will receive the CARE program that is delivered with the peer mentor.
Behavioral: CARE plus Peer Mentor
A parent who has completed the standard CARE program will be recruited to be a peer mentor. The peer mentor will attend the CARE training for group leaders and will also be trained in motivational interviewing. These skills will then be used strategically in weekly phone discussions between the peer mentor and parent about practicing the CARE parenting skills in the home setting and planning for attending the 6 training sessions. The parent mentor will co-facilitate the CARE groups in the peer mentor arm along with 2 additional CARE therapists. The peer mentor will also call the parents in the peer mentor arm before each session to discuss progress on homework, and to address barriers for program attendance.
No Intervention: Control
Wait list control
- Program Adoption [ Time Frame: 6-12 weeks ]mean number of sessions attended
- Child Behavior [ Time Frame: 0 weeks and 6-12 weeks ]Child behavior as measured by the Eyberg Child Behavior Inventory. The Eyberg Child Behavior Inventory (ECBI) is a 36 item paper-and-pencil rating scales completed by parents that assesses the severity of conduct problems in children as well as the extent to which parents find the behaviors troublesome. It assesses the frequency of disruptive behaviors occurring in the home setting. It provides an Intensity Raw Score and a Problem Raw Score. The intensity scale (range 36-252) and the problem scale (range 0-36). In both cases higher values indicate more externalizing behaviors.
- Dysfunctional Parenting Behaviors [ Time Frame: 0 weeks and 6-12 weeks ]Dysfunctional parenting Behaviors as measured by the Parenting Scale.The Parenting Scale is a 30-item parent-report instrument that measures dysfunctional parenting practices for parents of young children. Specifically, the Parenting Scale measures laxness (permissive, inconsistent discipline); over-reactivity (harsh, emotional, authoritarian discipline); and hostility (use of verbal or physical force). It provides a total score, and three sub scale scores (laxness, over-reactivity, and hostility), each with a range of 1-7. Higher scores are indicative of more dysfunctional parenting.
- Dysfunctional Parenting Attitudes [ Time Frame: 0 weeks and 6-12 weeks ]Dysfunctional parenting attitudes as measured by the Adult Adolescent Parenting Inventory-2.The AAPI-2 is a 40 item self-report measure. The AAPI-2 assesses parenting attitudes along 5 dimensions: (1) inappropriate expectations of children, (2) parental lack of empathy towards children's needs, (3) strong belief in the use of corporal punishment as a means of discipline, (4) reversing parent-child role responsibilities, and (5) oppressing children's power and independence. Raw scores with a range from 1 to 10 are provided for each dimension and translated into risk categories: high (1-3), medium (4-7), low(8-10).
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 ClinicalTrials.gov identifier (NCT number): NCT03077321
|United States, North Carolina|
|University of North Carolina|
|Chapel Hill, North Carolina, United States, 27514|
|Principal Investigator:||Samantha Schilling, MD, MSHP||University of North Carolina, Chapel Hill|