Preventing Behavior and Health Problems in Foster Teens

Parent Management Training Clinical Trial

— KEEP2  

Official title:

Preventing Behavior and Health Problems in Foster Teens

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01549561
• Other study ID #: KEEP2020172
• Secondary ID: R01DA020172
• Status: Completed
• Phase: N/A
• First received: March 6, 2012
• Last updated: April 7, 2014
• Start date: November 2006
• Est. completion date: October 2013

Study information

• Verified date: April 2014
• Source: Oregon Social Learning Center
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Federal Government
• Study type: Interventional

Clinical Trial Summary

The primary goal of this study is to test the efficacy of two levels of the KEEP intervention with adolescents and their foster and kin parents in the San Diego Child Welfare System.

Description:

The cost of child welfare services in the U.S. has been estimated at $20 billion per year. During the past decade, the number of teenagers in foster care has nearly doubled. Numerous studies have documented that these adolescents are at high-risk for developing serious problems, including substance use, participation in health-risking sexual behaviors, involvement in the juvenile justice system, serious educational problems and school drop-out, failed placements/foster care "drift" and homelessness. Yet, there is little research on the characteristics of interventions that can be used to guide the improvement of services for this vulnerable population of youngsters. The proposed study extends our previous research with adolescents referred for serious behavioral and emotional problems and research with elementary-aged children in foster care to a test of the efficacy of a preventive intervention for adolescents placed with foster and kin care providers in the San Diego County Child Welfare System. Two hundred and forty adolescents and their foster/kin care providers will participate (i.e., 60 in a foster/kin parent training only condition, 60 in a parent training plus youth skill training condition, and 120 in a casework "as usual" control condition). In addition to testing the efficacy of the two levels of intervention, the investigators propose to examine the effects of the intervention on a set of youth behavioral and health-related outcomes. Parenting mediators to be tested include positive parenting, parental supervision, and non-harsh discipline. Youth mediators are social competence, commitment to school, and knowledge about norms related to health-risking behaviors including substance use and high-risk sexual behavior. In addition, theoretical hypotheses about the effects of early risk/adversity factors to youth outcomes will be examined, and an economic analysis will be conducted to examine the relative benefits and costs associated with the two levels of intervention.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 259
• Est. completion date: October 2013
• Est. primary completion date: October 2013
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 12 Years to 16 Years

Eligibility

Inclusion Criteria:

• Any child between ages 12 and 16 years in relative or non-relative foster care

Exclusion Criteria:

• Only medically fragile children

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Investigator, Outcomes Assessor), Primary Purpose: Prevention

Related Conditions & MeSH terms

• Parent Management Training

Intervention

Behavioral:
• Parent Training
16 weeks of parent training led by a trained group facilitator
• Youth Skills Training
16 weeks of one-on-one sessions with a trained youth skills coach

Locations

Country	Name	City	State
United States	Oregon Social Learning Center	Eugene	Oregon
United States	Child and Adolescent Services Research Center	San Diego	California

Sponsors (2)

Lead Sponsor	Collaborator
Oregon Social Learning Center	National Institute on Drug Abuse (NIDA)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Reduction in child behavior problems as assessed by the Parent Daily Report (PDR)		Baseline, 6 Months, 12 Months, 18 Months	No
Secondary	Placement Disruptions from Foster Placement		6 Months, 12 Months, 18 Months	No