Advanced Parenting Education in Pediatrics: The APEP Project
Overview
- Phase
- Phase 3
- Intervention
- Not specified
- Conditions
- Attention Deficit Disorder With Hyperactivity
- Sponsor
- Tufts Medical Center
- Enrollment
- 345
- Locations
- 9
- Primary Endpoint
- Parenting behavior
- Status
- Completed
- Last Updated
- 13 years ago
Overview
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.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Parent or primary caregiver of a child who fits the following criteria:
- •Receives a positive result on behavioral screening
Exclusion Criteria
- •Parent or primary caregiver of a child who fits the following criteria:
- •Diagnosis of pervasive developmental disorder or global developmental delay
Outcomes
Primary Outcomes
Parenting behavior
Time Frame: Measured post-intervention and at 6- and 12-month follow-ups
Child disruptive behaviors
Time Frame: Measured post-intervention and at 6- and 12-month follow-ups
Secondary Outcomes
- Child and parent functional status/impairment(Measured post-intervention and at 6- and 12-month follow-ups)
- 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)
- 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)