Tantrum Tamers 2.0: The Role of Emotion

Child Behavior Clinical Trial

Official title:

The Role of Emotion Regulation and Socialization in Behavioral Parent Training (BPT) Efficiency and Outcomes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03597789
• Other study ID #: 18-1040
• Secondary ID: 1R21MH113887-01A
• Status: Completed
• Phase: N/A
• Start date: November 1, 2018
• Est. completion date: November 2, 2020

Study information

• Verified date: July 2021
• Source: University of North Carolina, Chapel Hill
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study aims to better understand how to best help parents of young children with problem behavior. Problem behaviors vary between and within children, but can include inattention/hyperactivity, tantrums, and/or noncompliance.

Description:

If eligible and choose to participate, this study includes: A baseline assessment which will include asking a series of questions about parent, child and family, as well as parent-child observations. If eligible for treatment, sessions occur once per week for approximately 8 to 12 weeks. Sessions include new information and lots of practice and discussion about how to make the skills work best for specific families. After finishing treatment a post-assessment (similar to BL) conducted. All of the assessments (i.e., video-and audio-recorded), as well as the sessions with a therapist will be recorded (i.e., video recorded).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: November 2, 2020
• Est. primary completion date: November 2, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 3 Years to 8 Years

Eligibility

Inclusion Criteria:

• Clinically significant child problem behavior

Exclusion Criteria:

• Current severe symptoms in parent or child that would prohibit participation (e.g., parent current psychotic or substance use disorder)

Related Conditions & MeSH terms

• Attention Deficit and Disruptive Behavior Disorders
• Child Behavior
• Mental Disorders
• Problem Behavior

Intervention

Behavioral:
• Helping the Noncompliant Child (HNC)
HNC is a mastery-based, family-focused, clinic-based treatment for young children aged 3-8 years with problem behavior.

Locations

Country	Name	City	State
United States	UNC Department of Psychology & Neuroscience	Chapel Hill	North Carolina

Sponsors (2)

Lead Sponsor	Collaborator
University of North Carolina, Chapel Hill	National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Eyberg Child Behavior Inventory (ECBI) Score-Intensity	The ECBI is a 36 item parent-report scale. For each item, parents rate the intensity of the behavior (0 = never to 7 = always) and whether they consider each behavior to be a problem (0 = no; 1 = yes). Clinically significant symptoms are defined by scores more than 2 standard deviations above the normed mean for the Intensity Subscale (clinical cutoff = 127) and/or Problem Subscale (clinical cutoff = 11) Scales. Intensity scores range from 36 to 252. A mean score decrease indicates a reduction in parent perception of the intensity of the problem behavior.	Baseline, study completion, approximately 10 weeks total
Primary	Change in Eyberg Child Behavior Inventory (ECBI) Score-Problem	The ECBI is a 36 item parent-report scale. For each item, parents rate the intensity of the behavior (0 = never to 7 = always) and whether they consider each behavior to be a problem (0 = no; 1 = yes). Clinically significant symptoms are defined by scores more than 2 standard deviations above the normed mean for the Intensity Subscale (clinical cutoff = 127) and/or Problem Subscale (clinical cutoff = 11) Scales. The number of "yes" responses are counted and averaged. Problem scores range from 0 to 36. A mean score decrease indicates a reduction in parent perception of the number of the problem behaviors.	Baseline, study completion, approximately 10 weeks total
Secondary	Change in Difficulties With Emotion Regulation Scale (DERS) Score	The Difficulties in Emotion Regulation Scale (DERS) will be used as the measure of caregiver's emotion dysregulation. The 36-item DERS yields a composite total score as well as scores for the following subscales: 1) Nonacceptance Subscale, non-acceptance of negative emotions; 2) Goal Subscale, difficulties in engaging in goal-directed behaviors when experiencing negative emotions, 3) Impulse Subscale, impulse control difficulties; 4) Strategies Subscale, limited access to emotion regulation strategies; 5) Awareness Subscale, lack of emotional awareness; and 6) Clarity Subscale, lack of emotional clarity. DERS total scores range from 36 to 180. The composite total is reported for this small sample size. A mean score decrease indicates a reduction in parent difficulties with emotion regulation.	Baseline, study completion, approximately 10 weeks total
Secondary	Change in Coping With Children's Negative Emotions Scale Score	The Coping with Children's Negative Emotions Scale (CCNES) assesses the ways that parents cope with their children's distress and negative emotions. Participants use a 7-point Likert scale where 7 indicates high levels of specific parenting behavior (i.e. supportive and non-supportive parenting behavior). Scores are reported condensing 6 categories into 2 broader domains (supportive/non-supportive) with scores ranging from 1 to 21. Assessed at Baseline and end of study. A mean score decrease in non-supportive scores reflects an improvement in parents' non-supportive strategies and a mean score increase in the supportive score indicates improvement in parents' supportive strategies.	Baseline, study completion, approximately 10 weeks total