Triple P With Pediatric Residents

Parenting Clinical Trial

Official title:

Randomized Control Study of the Impact of Primary Care Triple P on Pediatric Residents and Their Patients

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01946958
• Other study ID #: SCH-13683
• Status: Completed
• Phase: N/A
• First received: September 6, 2013
• Last updated: September 17, 2013
• Start date: July 2011
• Est. completion date: December 2012

Study information

• Verified date: September 2013
• Source: Seattle Children's Hospital
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.

Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.

Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:

1. increased skill levels,

2. increased confidence, and

3. increased satisfaction in dealing with and managing psychosocial issues

Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.

Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:

1. greater reduction in targeted child behavior problems,

2. greater reduction in dysfunctional parenting practices,

3. increased use of appropriate discipline and positive parenting strategies, and

4. greater confidence in parenting ability.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 155
• Est. completion date: December 2012
• Est. primary completion date: June 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Months to 12 Years

Eligibility

Inclusion Criteria for Pediatric Resident:

• Assigned to a participating continuity clinic

Exclusion Criteria for Pediatric Resident:

• Not assigned to a participating continuity clinic

Inclusion Criteria for Parent:

• Parent of an eligible child.

• Speaks English

Exclusion Criteria for Parent:

• A parent of an ineligible child

• Non-English speaking

Inclusion Criteria for Child:

• Treated by a participating resident

• Between 18 months and 12 years old

• Does not have any mental health diagnosis

• Is not receiving medication or therapy from a professional

Exclusion Criteria for Child:

• Not treated by a participating resident

• Age falls outside of eligible range

• Has a mental health diagnosis

• Currently receiving medication or therapy from a professional

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Parenting
• Problematic Behavior in Children
• Psychosocial Problem

Intervention

Behavioral:
• Training in PC Triple P
PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.

Other:
• Care As Usual
Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Seattle Children's Hospital	Doris Duke Charitable Foundation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in pediatric resident skills and confidence in conducting parent consultations about child behavior	Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.	One year	No
Secondary	Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior	Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up.	One year	No