Parent Web - Support for Families With Young People

Not Applicable

Recruiting

• Conditions: Family Conflict; Family Relations; Family Dysfunction
• Interventions: Behavioral: Parent Web

• Registration Number: NCT06533735
• Lead Sponsor: Stockholm University

Brief Summary

To test an online parent training program. Relative to a randomized wait-list control group, those in the Parent Web (PW) will show benefits on well-being, parenting, stress, youth mental health.

Detailed Description

Parent-Web (PW) is internet delivered parent education that is created and developed by researchers at Karolinska Institute's Department of Clinical Neuroscience, namely Kajsa Lönn-Rhodin, Martin Forster, and Pia Enebrink. An effectiveness trial of the universal edition of the Parent Web is made possible through a research collaboration with Pia Enebrink. PW is derived from social learning and coercion theory. PW aims to support parenting practices and parent-child interactions encourage prosocial behaviour and emotion regulation, reduce coercive parenting, improve communication, problem solving, and warmth within families. PW has a universal and selective edition. Universal PW has 5 basic modules (1 module per week, 6-8 weeks) and bonus modules. Basic modules contain information, exercises, and videos of actors showing parenting practices. A family guide supports PW participants through PW modules. This study will test the effects of universal PW with a general population derived sample of parents living in Region Stockholm. All PW trial participants are parents to at least one adolescent child who is aged 11-13 years old.

Study Timeline

• Study First Submitted: 2024-07-30
• Study First Submitted QC: 2024-07-30
• Study First Posted: 2024-08-01
• Status Verified: 2024-11
• Study Start: 2024-11-14
• Last Update Submitted: 2024-11-26
• Last Update Posted: 2024-11-27
• Primary Completion: 2025-04-29
• Study Completion: 2025-04-29

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 400

Inclusion Criteria

1. Participants have to be parents and/or legal guardians of at least one 11 to 13 year old child.
2. Participants must live in Region Stockholm.

Exclusion Criterion:

1. The target child (the 11 to 13-year-old) is presently receiving mental health treatment.

Exclusion Criteria

Not provided

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental: Immediate Intervention Group	Parent Web	The immediate intervention group will take part in the online parent training program called the Parent Web (PW), with pre and post testing (before and after intervention).
Wait-List Control Group	Parent Web	This is a group of parents who are in a wait-list control group and will receive the Parent Web, after pre and post testing.

Primary Outcome Measures

Name	Time	Method
Change from baseline in parent rated view of their child's behavioral problems/defiant behavior	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent view of their child's behavioral problems/defiant behavior as measured by the Oppositional Defiant Scale of the Disruptive Disorder Rating Scale (DBD) which consists of 7 items rated on a 4-point scale ranging from 1 (not at all) to 4 (very much). Higher scores indicate a worse outcome.
Change from baseline in parent rating of child's emotional problems, conduct problems, hyperactivity, peer problems and prosocial behavior	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rating of their child's emotional problems, conduct problems, hyperactivity, peer problems and prosocial behavior as indexed by the Strengths and Difficulties Questionnaire (SDQ).; The SDQ consists of 25 items rated on a 3-point Likert scale with response options that range from 0 = not true, 1 = somewhat true, 2 = certainly true. Higher scores indicate a worse outcome on the emotional problems, conduct problems, hyperactivity, peer problems scale scores. Higher scores on the prosocial behavior scale indicate a better outcome.
Change from baseline in parent rated family warmth and conflict	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated warmth and conflict. Warmth and conflict are indexed by eight items rated on a five-point scale from 1 (never) to 5 (more than 7 times). Five items measure parent-child warmth and three items measure parent-child conflicts. Higher scores on parental warmth scale indicate a better outcome. Higher scores on the parent-child conflicts scale score indicate a worse outcome.

Secondary Outcome Measures

Name	Time	Method
Change from baseline in parent rated encouragement of positive behaviors, setting limits, and proactive parenting behaviors	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated encouragement of positive behaviors, setting limits, and proactive parenting behaviors as indexed by the Parenting Children and Adolescents Scale (PARCA). The PARCA has 19 items rated on a five-point scale 1 = never to 5 = Very Often. The scale has three subscales on encouragement of positive behaviors, setting limits, and proactive parenting behaviors. Higher scores indicate a better outcome.
Change from baseline in parent rated parents validation of their child's emotions when expressed	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated affective style as measured by the tolerating subscale of the Affective Style Questionnaire (ASQ). The ASQ consists of five items (rated on a 3 point Likert scale,; 1 = Completely Agree to 3 = Completely Disagree) that examine how parents view their own validation of their child's emotions when expressed. Higher scores indicate a worse outcome.
Change from baseline in parent rated stress	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated stress as measured by the Perceived Stress Scale (PSS). PSS consists of 10 questions about perceived stress during the last month rated on a 5-point Likert scale (0 = Never to 4 = Very Often). The scale measures the extent to which situations in one's life are assessed and perceived as stressful and current stress levels. Higher scores indicate a worse outcome.
Change from baseline in parent rated health	[Time Frame: Immediate PW group pretest in Fall/Winter 2024. Post test up to 10 months after pretest. Wait-list group pretest in Fall/Winter 2024. Post test 1 up to 10 months after pretest. Post test 2 for wait-list up to 10 months after post test 1]	Change from baseline up to 10 months later (immediate intervention group, two time points) and up to 20 months later (wait-list comparison group, three time points) in parent rated health as measured by the Hospital Anxiety and Depression Scale (HAD). HAD consists of two scales (a total of 14 items), one for anxiety and one for depression with seven questions each. Items are rated on a 4-point Likert scale. Higher scores indicate a worse outcome.

Trial Locations

Locations (1)

Stockholm University; 🇸🇪 Stockholm, Sweden