Early Intervention For Families Experiencing Homelessness: A Randomized Trial Comparing Two Parenting Programs
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 144
- Locations
- 1
- Primary Endpoint
- Parenting Stress Index Short Form 4th edition (PSI-SF)
Study Overview
Brief Summary
This study aims to compare the efficacy in delivering two evidence-based parenting programs to families and young children experiencing homelessness. Outcomes evaluated include feasibility, treatment completion, treatment satisfaction of delivery of interventions as well as child outcomes (e.g., behavior problems, trauma symptoms) and parenting outcomes (parenting stress and parenting skills).
Detailed Description
The number of homeless families in the U.S. has increased since the 1980s to over half a million as of 2018. Most troubling, in 2013 (the most recent year for which census data is available) one in every 30 children in the U.S., or 2.5 million, experienced homelessness. In addition to having disproportionally higher rates of unmet health needs (e.g., acute health problems, trauma-related injuries), children experiencing homelessness have staggering mental health needs such that 78% suffer from at least one mental health issue (e.g., depression, behavior problems) along with academic/developmental delays. Given that over half of all homeless children in the US are under the age of 6, it is particularly important to investigate the effectiveness of evidence-based parenting programs within a homeless population. This study aims to compare the efficacy in delivering two evidence-based parenting programs to families and young children experiencing homelessness.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Investigator, Outcomes Assessor)
Masking Description
Investigator and outcomes assessor are masked to the treatment group
Eligibility Criteria
- Ages
- 2 Years to 5 Years (Child)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Any child between the ages of 2 and 5 and his/her mother who is currently homeless and living in the Lotus House shelter.
Exclusion Criteria
- •Family is already involved in a parenting program or does not speak English or Spanish.
Arms & Interventions
Parent Child Interaction Therapy
Parents and children will receive 12 weekly sessions of PCIT.
Intervention: Parent Child Interaction Therapy (Behavioral)
Child Parent Psychotherapy
Parents and children will receive 12 weekly sessions of CPP
Intervention: Child Parent Psychotherapy (Behavioral)
Outcomes
Primary Outcomes
Parenting Stress Index Short Form 4th edition (PSI-SF)
Time Frame: 16 weeks after start of intervention
Change in overall level of parenting stress
The Dyadic Parent-Child Interaction Coding System
Time Frame: 16 weeks after start of intervention
Change in positive and negative parenting skills observed during 5 minute child led play session
Eyberg Child Behavior Inventory (ECBI)
Time Frame: 16 weeks after start of intervention
Change in overall externalizing behavior problems
Child and Adolescent Trauma Screener (CATS)
Time Frame: 16 weeks after start of intervention
Change in overall PTSD symptom severity
Secondary Outcomes
- Treatment Attendance(16 weeks after start of intervention)
- Therapy Attitude Inventory(16 weeks after start of intervention)
Investigators
Paulo A. Graziano, PhD
Associate Professor
Florida International University