Strongest Families (Formerly Family Help Program):Primary Care Delivery by Telephone for Psychological and Behavioural Problems (Pediatric Disruptive Behaviour Disorder)
Overview
- Phase
- Phase 2
- Intervention
- Not specified
- Conditions
- Pediatric Disruptive Behaviour Disorder
- Sponsor
- IWK Health Centre
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Diagnosis using KSADS at baseline, 120, 240 and 365 day follow-up.
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The purpose of the Strongest Families (formerly Family Help Program)is to evaluate the effectiveness of the Strongest Families distance intervention compared to usual or standard care that is typically provided to children with mild to moderate Disruptive Behaviour symptomology. This is a single-centre trial based at the IWK Health Centre. The primary outcome is change in diagnosis.
Detailed Description
The purpose of the Strongest Families (formerly Family Help Program): is to deliver, primary care mental health services to children and their families in the comfort and privacy of their own home. Approximately 60 children (3-7 years of age)suffering from mild to moderate (but clinically significant) symptoms of pediatric behavior disorder will be randomized. The intervention is delivered from a distance, using educational materials (manuals, video-tapes, audio-tapes) and telephone consultation with a trained paraprofessional "coach" who is supervised by a licensed health care professional. The telephone coach delivers consistent care based on written protocols, with on-going evaluation by a professional team. Fifty percent of the eligible participants will receive Family Help Program telephone-based treatment and 50% will be referred back to their family physician to receive standard care as determined by that physician. Those receiving standard care will be evaluated for outcome results and then compared to the Strongest Families treated participants. It is anticipated that Strongest Families treatment will be proven to be as or more effective than standard care.
Investigators
Eligibility Criteria
Inclusion Criteria
- •child 3 to 7 years of age
- •child had behavioural problems for 6 months or longer
- •access to a telephone in the home
- •speak and write english
- •mild to moderate disruptive behaviour symptomology
Exclusion Criteria
- •severe disruptive behaviour symptomology
- •received similar intervention within past 6 months
- •Autism or Schizophrenia
- •child has intellectual impairment
Outcomes
Primary Outcomes
Diagnosis using KSADS at baseline, 120, 240 and 365 day follow-up.
Time Frame: baseline, 120, 240 and 365 day follow-up
Secondary Outcomes
- Alabama Parenting Questionnaire(baseline, 120, 240 and 365 day follow-up)
- Revised Disruptive Disorder Rating Scale(baseline, 120, 240 and 365 day follow-up)
- Connors rating scale(baseline, 120, 240 and 365 day follow-up)
- Disability Measure;(Weekly during treatment; baseline, 120, 240 and 365 day follow-up)
- Child Health Questionnaire(baseline, 120, 240 and 365 day follow-up)
- Economic Outcome assessment(baseline, 120, 240 and 365 day follow-up)