On-line Treatment for Conduct Problems

Not Applicable

Completed

• Conditions: Oppositional Defiant Disorder; Conduct Disorder
• Interventions: Behavioral: Online Parent Management Training (Recorded); Behavioral: Online Parent Management Training (Interactive)

• Registration Number: NCT01822392
• Lead Sponsor: Yale University

Brief Summary

The research evaluates the use of online versions of delivering an effective psychological treatment for children clinically referred for serious oppositional, aggressive, and antisocial behavior. The goal is to develop models of delivery that reach families in need that are not being served by in-person treatment. The project has immediate implications for the treatment of children but more generally addresses several issues critical to treatments that are based on Internet, telepsychiatry, and related technologies.

Detailed Description

Not available

Study Timeline

• Study Start: 2012-11
• Study First Submitted: 2013-03-22
• Study First Submitted QC: 2013-03-27
• Study First Posted: 2013-04-02
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2015-02
• Last Update Submitted: 2015-02-04
• Last Update Posted: 2015-02-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 86

Inclusion Criteria

• Diagnosis of Conduct Disorder of Oppositional Defiant Disorder (for the child)
• Residence in the state of CT
• Access to a computer and high-speed Internet access
• English fluency (at least one parent)
• No history of significant developmental delay (for the child)
• Parental consent

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Exclusion Criteria

• Participation in another form of psychotherapy or counseling that is directed toward the reduction of social, emotional, or behavioral problems
• Evidence of recent suicidality (for the child)
• Current or lifetime diagnosis of a Pervasive Developmental Disorder
• Primary diagnoses of a mood or anxiety disorder
• Acute family crisis
• Parent or guardian who can participate in treatment shows current psychosis or an uncontrolled medical condition

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Online treatment, Low therapist contact	Online Parent Management Training (Recorded)	Participants receive online Parent Management Training (recorded).
Online treatment, High therapist contact	Online Parent Management Training (Interactive)	Participants receive online Parent Management Training (interactive).

Primary Outcome Measures

Name	Time	Method
Child Behavior Checklist	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Internalizing and externalizing behavior problems in children
Child Global Assessment Scale	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Therapist-rated measure of overall child impairment and functioning
Interview for Antisocial Behavior	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Presence of a broad range of overt and covert antisocial behaviors in children
Research Diagnostic Interview	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Clinical symptoms and diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria

Secondary Outcome Measures

Name	Time	Method
Barriers to Participation in Treatment (Therapist version)	Posttreatment (immediately after treatment is completed; Week 8)	Stressors and obstacles that interfere with treatment
Weekly Participation in Treatment	Weekly (during treatment)	Attendance and participation in treatment sessions
Treatment Adherence Inventory (Therapist version)	Posttreatment (immediately after treatment is completed; Week 8)	Parental compliance with specific treatment techniques
Parenting Stress Index	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Sources of stress for the parent
Management of Child Behavior Scale	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Parenting practices
Parent-Therapist Relationship Scale (Therapist version)	Posttreatment (immediately after treatment is completed; Week 8)	Characteristics of the therapeutic relationship according to therapist report
Barriers to Participation in Treatment (Parent version)	Posttreatment (immediately after treatment is completed; Week 8)	Stressors and obstacles that interfere with treatment
Beck Depression Inventory	Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8)	Parental symptoms of depression
Treatment Adherence Inventory (Parent version)	Posttreatment (immediately after treatment is completed; Week 8)	Parental compliance with specific treatment techniques
Parent Evaluation Inventory	Posttreatment (immediately after treatment is completed; Week 8)	Acceptability of treatment based on parent report
Parent-Therapist Relationship Scale (Parent version)	Posttreatment (immediately after treatment is completed; Week 8)	Characteristics of the therapeutic relationship according to parent report
Therapist Evaluation Inventory	Posttreatment (immediately after treatment is completed; Week 8)	Acceptability of treatment based on therapist report
Acceptability of Treatment Modality	Posttreatment (immediately after treatment is completed; Week 8)	Parent-report measure rating the acceptability of online treatment and barriers that may affect participants receiving online treatment specifically

Trial Locations

Locations (1)

Yale Parenting Center; 🇺🇸 New Haven, Connecticut, United States