Child Maltreatment Clinical Trial
Official title:
Preventing Child Maltreatment Through A Cellular-Phone Technology-Based Parenting Program
The goal of this project is to examine the effects of the use of cellular-phone technology in conjunction with a parenting program entitled "Planned Activities Training (PAT)" on participant enrollment, engagement, and motivation for the PAT intervention, as well as on parent and child outcomes.
The current project will employ a 3-group experimental design with random assignment of
parents to one of three groups: Planned Activities Training as usual (PAT); Cellular Phone
Enhanced PAT (CPAT), or a no-intervention control group. Two cohorts of high-risk
mother-child dyads (low education or mother adolescent at time of birth) will be recruited.
In years 1 and 2, the first cohort of participants will be recruited in Kansas City, MO and
South Bend, IN from an ongoing longitudinal descriptive study of child neglect, which has
tracked risk and protective factors since the child's birth (n=180). During years 3 and 4, a
second cohort of matched high risk mothers (operationally defined the same as for cohort 1)
will be recruited from Head Start programs within the same two communities (n=180). Families
in both cohorts will be enrolled when the first family child is between the ages of 4 and 6
years.
Participants assigned to the intervention groups will receive intervention services in the
home setting and will be assessed prior to the intervention, as well as at 1-, 6-, and 12-
month post-intervention time points. The control group participants will complete
assessments at similar time points to the intervention groups. Several outcomes will be
examined in order to measure intervention effects, including child maltreatment risk and
occurrences, parent behaviors, and child behaviors. These outcomes will be collected
utilizing a multi-method approach that will involve parent interview, parent-report and
self-report measures, mother-child observation, and review of local CPS system records. For
those parents participating in an intervention group, data will also be collected on
maternal engagement, retention, fidelity, and dosage with regard to the intervention.
Lastly, program and participant costs will be examined to determine the cost-effectiveness
of including a technological component with this existing parenting program. It is expected
that the knowledge generated through this study will aid in the improvement of parenting
interventions targeting the prevention of child maltreatment.
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Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention
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