Evaluating an Online Parenting Support System Disseminated by Pediatric Practices

Related Clinical Trial
Monitoring of Sleep and Behavior of Children 3-7 Years Old Receiving Parent-Child Interaction Therapy With the Help of Artificial Intelligence Symptoms and Mechanisms of Child Psychiatric Disorders Transdiagnostic, Cognitive and Behavioral Intervention for in School-aged Children With Emotional and Behavioral Disturbances Randomized Feasibility Trial of Mind My Mind Metabolic Effects of Antipsychotics in Children Trial to Assess the Pharmacokinetics, Safety, Tolerability of Oral Brexpiprazole in Children (6 to Collaborative Care for Children’s Mental Health Problems Manville Moves: an Exercise Intervention for Behavioral Regulation Among Children With Behavioral Health Challenges Addressing Depression and Positive Parenting Techniques (ADAPT) Child and Family Outcomes and Consumer Satisfaction for Online vs Staff-Delivered Parenting Intervention Phone-Delivered Psychological Intervention (t-CETA) for Mental Health Problems in 8-17 Year-Old Syrian Refugee Children Mindful Parenting and Parent Training Program Study Intuniv vs Placebo in the Treatment of Childhood Intermittent Explosive Disorder Enhanced Support for Behavioral Barriers to Learning: An Evaluation of the SCHOOL STARS Program Medication Strategies for Treating Aggressive Behavior in Youth With Attention Deficit Hyperactivity Disorder Correlating Real and Virtual World Behavioral Fluctuations in Adolescence Evaluating an Online Parenting Support System Disseminated by Pediatric Practices Study of Cognition and Control in Youths Treatment of Conduct Problems and Depression The Effectiveness of Parent-Child Interaction Therapy (PCIT) School-Based Mental Health Services for Urban Children A Study of the Safety and Effectiveness of Risperidone for the Treatment of Conduct Disorder and Other Disruptive Behavior Disorders in Children Ages 5 to 12 With Mild, Moderate, or Borderline Mental Retardation Investigation of Psychophysiological Response to Aversive Stimuli Over Time With Omega-3 Investigation of Psychophysiological Correlation of Aggression and Response to Aversive Stimuli Behavioral Sleep Intervention in Children With Disruptive Behaviors Arousal-Biofeedback for the Treatment of Aggressive Behavior in Children and Adolescents Strongest Families Ontario (Formerly the Family Help Program) On-line Treatment for Conduct Problems Behavioral Treatment for Children With Conduct Problems and Callous-Unemotional Traits A Study of the Safety and Effectiveness of Risperidone Versus Placebo for the Treatment of Conduct Disorder in Children With Mild, Moderate, or Borderline Mental Retardation Supplements and Social Skills Intervention Study Evaluating the Feasibility of Internet-delivered PCIT Resources to Enhance the Adjustment of Children (REACH) Ziprasidone for Severe Conduct and Other Disruptive Behavior Disorders Treatment of Children With Peer Related Aggressive Behavior (ScouT) Prevention of Oppositional Defiant and Conduct Disorders in Preschool Children Preschool First Step to Success: An Efficacy Replication Study Home Based Treatment for Drug Use in Early Adolescents Methylphenidate vs. Risperidone for the Treatment of Children and Adolescents With ADHD and Disruptive Disorders Mindfulness-based Program for Children With Disruptive Behavior Disorder Guided Self-Help for Parents of Children With Externalizing Problem Behavior Randomized Controlled Trial of Comet Via the Internet or in Group Format. An Italian Study of the Efficacy of Atomoxetine in the Treatment of Children and Adolescents With Attention-Deficit/Hyperactivity Disorder (ADHD) and Comorbid Oppositional Defiant Disorder (ODD). Comparison of Atomoxetine Versus Placebo in Children and Adolescents With ADHD and Comorbid ODD in Germany Comparison of Two Psychosocial Therapies for Treating Children With Oppositional-Defiant Disorder Evaluation of Regulation Focused Psychotherapy for Children Comparison of Atomoxetine and Placebo in Children and Adolescents With ADHD and ODD Parent Training and Emotion Coaching for Children With Limited Prosocial Emotions Multi-Family Group Therapy for Reducing Behavioral Difficulties in Youth Treatment of Children With Peer Related Aggressive Behavior

Brief Title

Evaluating an Online Parenting Support System Disseminated by Pediatric Practices

Official Title

Evaluating an Online Parenting Support System Disseminated by Pediatric Practices

Brief Summary

      This study will experimentally evaluate an internet-based version of the Triple P Positive
      Parenting Program, the Triple P Online System (TPOS), which presents the Triple P content in
      an interactive, video-enriched, and personalized format with 3-levels of flexible dosage, and
      will compare it against usual community services. Thirty pediatric clinics involving 100
      practitioners in 9 counties across western Washington will be recruited and randomized to
      receive (a) access for their patients to the Triple P Online System and training in how to
      effectively promote TPOS and advise parents on their children's behavior problems or (b)
      Usual Care Community-Waitlist Control, in which parents will be assisted with an appropriate
      referral for services in the community.
    

Detailed Description

      Disruptive behavior problems are among the most prevalent mental health conditions for young
      children, and they carry significant risks for later socioemotional, conduct, and academic
      problems, such as substance abuse, delinquency, and school failure. How parents handle these
      challenging behaviors strongly influences their children's long-term trajectory.
      Evidence-based parenting programs have shown much value in reducing early-onset disruptive
      behavior problems, thereby reducing risks for later substance abuse and other behavioral
      health problems. The reach of parenting programs is limited, however, by significant
      challenges in recruiting, engaging, and retaining parents, such that most parents who could
      benefit from parenting assistance never receive it. A public health approach for improving
      parenting practices that makes evidence-based parenting programs widely available and
      accessible in a range of formats could reduce the prevalence of disruptive behavior problems,
      and thus the population-level risk for substance abuse and other adverse outcomes.
      Internet-based intervention offers significant potential as part of a population-wide
      strategy for bringing evidence-based parenting practices to a broad range of parents
      experiencing challenges in raising their children. Furthermore, pediatricians could be a
      natural touchpoint for reaching families with evidence-based parenting supports. The field
      knows little, however, about the potential of the internet to strengthen parenting practices,
      or about how pediatric practitioners might be engaged in improving the reach of an online
      parenting program. This study will experimentally evaluate an internet-based version of the
      Triple P Positive Parenting Program, the Triple P Online System (TPOS), which presents the
      Triple P content in an interactive, video-enriched, and personalized format with 3-levels of
      flexible dosage, and will compare it against usual community services. Thirty pediatric
      clinics involving 100 practitioners in 9 counties across western Washington will be recruited
      and randomized to receive (a) access for their patients to the Triple P Online System and
      training in how to effectively promote TPOS and advise parents on their children's behavior
      problems or (b) Usual Care Community-Waitlist Control, in which parents will be assisted with
      an appropriate referral for services in the community. Practitioners will recruit into their
      respective conditions 400 families of 3-8 year-old children with elevated behavior problems.
      Measures of parents' parenting practices, family functioning, children's disruptive behavior
      problems, and practitioners' protocols for advising on behavior problems will be obtained at
      baseline, post-intervention, and 1-year follow-up. The efficacy of the Triple P Online System
      in improving these outcomes will be examined, as well as dosage-response relationships. This
      study will further our understanding of the potential value of promoting internet-based
      parenting programs through pediatric practitioners. Maximizing the reach of evidence-based
      parenting programs has the potential to reduce the prevalence of children's behavior
      problems, and thus reduce risks for later problems such as substance abuse.
    


Study Type

Interventional


Primary Outcome

Change from Baseline at T2 and T3 on Parenting and Family Adjustment Scale (Sanders & Morawska, 2010)

Secondary Outcome

 Child Adjustment and Parent Efficacy Scale (Morawska & Sanders, 2010)

Condition

Child Disruptive Behavior Disorders

Intervention

Triple P Online System

Study Arms / Comparison Groups

 Triple P Online System
Description:  The Triple P Online System (TPOS) is an interactive, video-driven online parenting support website, delivered with 3 different levels of intensity, depending on severity of children's behavior problems. In this arm, pediatric clinics are randomized to receive training in child disruptive behavior disorders, Triple P principles and target parenting strategies, the Triple P Online System, effectively referring eligible families to TPOS, and supporting their use of the program. Referred parents in this condition receive access to TPOS immediately.

Publications

* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.

Recruitment Information


Recruitment Status

Other

Estimated Enrollment

600

Start Date

May 2014

Completion Date

March 2019

Primary Completion Date

March 2017

Eligibility Criteria

        Inclusion Criteria:

          -  Pediatric practitioners at participating clinics in western Washington.

          -  Families of children 3-8 years old referred by participating pediatric practitioners.
             Eligible families will: (a) have a child 3-8 years old, (b) have at least half-time
             custody of the child, (c) care for the child at least 16 waking hours per week, (d)
             express concern to their practitioner about difficulties with the child's behavior,
             (e) score .80 standard deviation or more above the normed mean on the Eyberg Child
             Behavior Inventory, (f) speak English, and (g) have regular access to high-speed
             internet.

        Exclusion Criteria:

          -  None.
      

Gender

All

Ages

3 Years - N/A

Accepts Healthy Volunteers

No

Contacts

Carol W Metzler, PhD, , 

Location Countries

United States

Location Countries

United States

Administrative Informations


NCT ID

NCT02064452

Organization ID

DA021307-06A1

Secondary IDs

2R01DA021307-06A1

Responsible Party

Sponsor

Study Sponsor

Oregon Research Institute

Collaborators

 National Institute on Drug Abuse (NIDA)

Study Sponsor

Carol W Metzler, PhD, Principal Investigator, Oregon Research Institute


Verification Date

April 2019