Parent Training to Promote Early Identification and Treatment of Childhood Behavioral Disorders
- Conditions
- Attention Deficit Disorder With HyperactivityAttention Deficit and Disruptive Behavior Disorders
- Interventions
- Behavioral: Incredible Years Program
- Registration Number
- NCT00402857
- Lead Sponsor
- Tufts Medical Center
- Brief Summary
This study will evaluate the effectiveness of a parent training program in improving parenting skills and reducing behavioral symptoms in young children who are at risk for developing childhood behavior disorders.
- Detailed Description
Attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) are common childhood behavior disorders. Children with ADHD experience hyperactivity, distractibility, poor concentration, and impulsivity. If left untreated, ADHD can continue into adulthood, and can cause problems in family, social, and work environments. Children with ODD exhibit an ongoing pattern of uncooperative, defiant, and hostile behavior toward authority figures. Symptoms of ODD, including frequent temper tantrums, anger, resentment, and vindictiveness, may interfere with a child's everyday functioning. The Incredible Years parent training program has been shown to be effective in multiple settings at training parents to manage their child's behavior. This study will evaluate the effectiveness of the Incredible Years training program within a pediatric office setting at improving parenting skills and reducing behavioral symptoms in young children who are at risk for developing childhood behavior disorders.
Participants in this open-label study will be randomly assigned to the Incredible Years training program or a waitlist condition, in which they will begin the program after a 1-year waiting period. Parent training sessions will take place once per week for 10 weeks, and will last approximately 2 hours each. Sessions will focus on teaching positive parenting skills, such as appropriate play and use of praise and rewards, as well as limit-setting techniques, such as ignoring, allowing children to experience the natural consequences of their actions, and assigning time-outs. Self-report assessments and phone interviews will be used to assess outcomes. Additionally, follow-up visits will occur immediately post-intervention and 6 and 12 months post-intervention. Children will attend one visit before the program begins, as well as the follow-ups held immediately post-intervention and 12 months post-intervention. These visits will include videotaped observations of children and their primary caregivers.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 345
Parent or primary caregiver of a child who fits the following criteria:
- Receives a positive result on behavioral screening
Parent or primary caregiver of a child who fits the following criteria:
- Diagnosis of pervasive developmental disorder or global developmental delay
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 1 Incredible Years Program Participants will receive the Incredible Years Program, a group parenting intervention 2 Incredible Years Program Participants assigned to the waitlist condition will receive the Incredible Years Program after a 1-year waiting period
- Primary Outcome Measures
Name Time Method Parenting behavior Measured post-intervention and at 6- and 12-month follow-ups Child disruptive behaviors Measured post-intervention and at 6- and 12-month follow-ups
- Secondary Outcome Measures
Name Time Method Parenting stress Measured post-intervention and at 6- and 12-month follow-ups Family functioning Measured post-intervention and at 6- and 12-month follow-ups Consumer perspectives Measured post-intervention and at 6- and 12-month follow-ups Child and parent functional status/impairment Measured post-intervention and at 6- and 12-month follow-ups Cost of services Measured post-intervention and at 6- and 12-month follow-ups Barriers to treatment Measured post-intervention and at 6- and 12-month follow-ups
Trial Locations
- Locations (9)
MGH Chelsea Healthcare Center
🇺🇸Chelsea, Massachusetts, United States
Codman Square Health Center
🇺🇸Dorchester, Massachusetts, United States
Martha Eliot Health Center
🇺🇸Jamaica Plain, Massachusetts, United States
Pediatrics West
🇺🇸Westford, Massachusetts, United States
Southboro Medical Group
🇺🇸Southboro, Massachusetts, United States
Wilmington Pediatrics
🇺🇸Wilmington, Massachusetts, United States
Woburn Pediatric Associates
🇺🇸Woburn, Massachusetts, United States
Westwood-Mansfield Pediatric Associates
🇺🇸Westwood, Massachusetts, United States
Medical Associates Pediatrics
🇺🇸Leominster, Massachusetts, United States