Comparing Web, Group, and Telehealth Formats of a Military Parenting Program

Parenting Clinical Trial

Official title:

Comparing Web, Group, and Telehealth Formats of a Military Parenting Program

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT02973906
• Other study ID #: 1407S52001
• Status: Completed
• Phase: N/A
• Start date: June 1, 2014
• Est. completion date: August 30, 2020

Study information

• Verified date: May 2021
• Source: University of Minnesota
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The PI will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Description:

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The investigators will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 244
• Est. completion date: August 30, 2020
• Est. primary completion date: May 30, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 100 Years

Eligibility

Inclusion Criteria:

Inclusion criteria are:

• one parent has returned from deployment to OIF or OEF

• at least one child ages 5-12 in their custody and living with parent(s) in the home

• high speed internet access at home We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother)

Exclusion Criteria:

• active psychosis

• an open child protection case for abuse or neglect in the family

• a serious child mental health diagnosis

• families who piloted material or participated in or are currently participating in the original ADAPT RCT.

Related Conditions & MeSH terms

• Parenting

Intervention

Other:
• ADAPT Self Directed web
In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum
• ADAPT individualized web-facilitated
This condition comprises access to the full ADAPT web program as described above, with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).
• Group-based ADAPT
Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics:

Locations

Country	Name	City	State
United States	Institute for Translational Research in Children's Mental Health	Minneapolis	Minnesota

Sponsors (1)

Lead Sponsor	Collaborator
University of Minnesota

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in parenting practices and parent/child interactions	Observed parenting is coded using FIT (Family Interaction Task) and self-report of parenting using the APQ (Alabama parenting Questionnaire),	Change from Baseline, 6 months, 12 months, 24 months
Secondary	Change in child adjustment and substance use	Child adjustment assessed using BASC-2 (teacher, parent, and child self-report); Child intentions and use of substances assess using the Alcohol Use Intentions and Behavior Scale; Child distress measured by CDI (Children's Depression Inventory); Child peer adjustment is measured by 16-item scale assessing loneliness and dissatisfaction with peer relations; Deviant peer association measured using "Describing Friends"	Change from Baseline, 6 months, 12 months, 24 months
Secondary	Change in parenting stress and support	Parenting Stress Index-Short Form	Change from Baseline, 6 months, 12 months, 24 months
Secondary	Participant report of satisfaction with intervention	Two 10-item measures: (1) group satisfaction and (2) online satisfaction	Change from Baseline, 6 months, 12 months, 24 months