跳至主要内容
临床试验/NCT06329336
NCT06329336已完成不适用

Parenting Support for Justice Involved Families

University of Washington1 个研究点 分布在 1 个国家目标入组 13 人开始时间: 2024年6月1日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
13
试验地点
1
主要终点
Self-Compassion Scale - Short Form

研究概览

简要总结

Together with the Community Care Team of King County Community Partnership for Transition Solutions (KCCPTS), the investigators propose to collaborate in adapting parenting intervention(s) to support the well-being and effective parenting of parents re-entering the community, as well as that of their children's primary caregiver. The aim is promoting the well-being of the parents/caregivers and their children, fostering positive child development, and ultimately, preventing the intergenerational transmission of adversity. The KCCPTS Community Care Team includes re-entry navigators who have lived experience of adversity and incarceration, bringing their unique insights regarding the re-entry experience, from both personal and professional experiences. This study will evaluate a task-sharing approach to offering formerly incarcerated parents and their families a parenting support intervention. That is, re-entry navigators will be trained to deliver evidence-based parenting interventions. This increases the feasibility and accessibility of the program, particularly because facilitators have shared experiences and trusted connections with their clients. This project proposes four main activities: 1) conduct focus groups with parents re-entering the community to better understand their parenting needs, 2) work with KCCPTS re-entry navigators to incorporate information from their experience and the focus group to adapt a parenting intervention, 3) train re-entry navigators to deliver the program, and 4) conduct a preliminary evaluation of the impact of the program on parents' well-being and parenting when the program is delivered by KCCPTS re-entry navigators. If this preliminary evaluation shows promise in supporting parent well-being and parenting effectiveness, the investigators will seek funding to conduct a larger, more rigorous evaluation.

详细描述

Research Plan: The incarceration of a parent is associated with a higher likelihood of children living in poverty, increased likelihood of needing mental health services and involvement in child protective service, increases in teen crime, and significant decreases in educational attainment and adult employment. Incarceration disproportionately affects families of color and those living in poverty, and impacts children's long-term ability to emerge from poverty in adulthood, increasing the rate of intergenerational transmission of adversity and incarceration. Thus, it is critical to support families experiencing the incarceration of a parent. It is equally important to provide parents returning home from prison with programs that equip them with parenting strategies and techniques to buffer the potentially adverse outcomes of parental incarceration on their children's socioemotional development. It may be the case that parenting programs post release may in fact serve to reduce recidivism.

The proposed project arises out of a request from KCCPTS, stemming from their recognition of the parenting needs of their clients and the desire to break the cycle of intergenerational transmission of adversity and incarceration. Parents returning to their families after incarceration have unique experiences and needs as they work to strengthen their relationships with their children. In addition to potential challenges connecting with and parenting their children, they often experience mental health issues related to their adverse childhood experiences (ACEs) and incarceration. This may contribute to the intergenerational transmission of adversity and incarceration. While parenting interventions exist, they do not specifically address the unique needs of formerly incarcerated parents. Additionally, they are expensive or hard to access, and do not explicitly address the mental and emotional well-being of the parent to support more effective parenting. Caregivers for the children while the parent was incarcerated, usually the other parent or a grandparent, also experience adversity and challenges with parenting, and may benefit from support as they surrender the parenting role or co-parent with the formerly incarcerated parent. The proposed project would equip staff with tools to more effectively support the well-being of parents, children and caregivers through a task-sharing approach.

A task-sharing model for prevention is a promising approach to addressing the need for interventions in low-resource settings with a limited workforce to meet the need. In task-sharing, staff currently working with community organizations serving children and families are trained to deliver prevention programs. These staff often have developed trusting relationships with the families they serve, and thus interventions can be incorporated into regular services at little additional cost to the organization. Finally, after staff are trained, the tools and resources remain with the community. Such an approach holds tremendous promise for making preventive parenting interventions more accessible in communities that often do not have access to evidence-based interventions due to resource, language, or time barriers. Research evaluating such approaches provides knowledge about innovative ways to improve mental health in low-resource communities, and a task-sharing approach, if shown to be effective, offers a generalizable and scalable approach to improving community mental health over time.

Project Aims: The investigators aim to evaluate a task-sharing approach to offering formerly incarcerated parents and their families a parenting support intervention. That is, re-entry navigators will be trained to deliver evidence-based behavioral parenting intervention(s) that promote children's social-emotional and behavioral well-being. This will include cognitive-behavioral and mindfulness practices for supporting parent well-being. The task-sharing approach increases the feasibility and accessibility of the program, particularly because facilitators have shared experiences and trusted connections with their clients. This project proposes four main activities: 1) conduct focus groups with parents re-entering the community to better understand their parenting needs and challenges, 2) work with KCCPTS re-entry navigators to incorporate information from their experience and the focus group to adapt an existing parenting intervention, 3) train re-entry navigators to deliver the program, and 4) conduct a preliminary evaluation of the impact of the program on parents' well-being and parenting when the program is delivered by KCCPTS re-entry navigators.

Research Plan: Preliminary studies. The Center for Child and Family Well-being (CCFW) has convened a multidisciplinary group of collaborators to conduct research on supporting families experiencing the incarceration of a parent. The goal is to evaluate approaches to supporting the whole family experiencing a parent's incarceration. Collectively, the researchers have developed and implemented interventions for parents who are currently or formerly incarcerated (Charles, Pace) as well as a parenting program for parents living in poverty or who are experiencing homelessness (Lengua). The proposed study would add to this body of evidence that a task-sharing approach can address accessibility and feasibility of prevention programs.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Prevention
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Formerly Incarcerated
  • Parent with child between the ages of 2 and 12 years

排除标准

  • Does not have reasonable proficiency in English
  • Diagnosed cognitive disability that would limit ability to complete assessments

研究组 & 干预措施

Preventive Behavioral Parenting Program

Experimental

This preventive parenting intervention combines behavioral parenting and mindfulness-based well-being practices to support effective parenting.

干预措施: Social Emotional Competence for Children and Parents (Behavioral)

结局指标

主要结局

Self-Compassion Scale - Short Form

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring well-being - mindfulness and self-compassion, scores range from 12 to 60, higher scores indicate greater self-compassion.

Parenting Behavior Inventory - Very short Form

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring parental warmth and consistency, scores range from 0 to 4, high scores reflect higher warmth and consistency.

PHQ-9 Depressive Symptoms

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring mental health - Depressive symptoms, scores range from 0 to 27, higher scores indicate a greater number or severity of depressive symptoms

GAD-7 Anxiety Symptoms

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring mental health - Anxiety Symptoms, scores range from 0 to 21, higher scores indicated a greater number of severity of anxiety symptoms

Brief Resilience Scale

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring well-being - Resilience, scores range from 6 to 30, higher scores indicating greater resilience

Strengths and Difficulties Questionnaire

时间窗: From enrollment to the end of treatment at 6 weeks

Questionnaire measuring child social-emotional and behavioral adjustment, scores range from 0 to 50, higher scores indicate great emotional and behavioral difficulties

Parenting Behavior Inventory - Very Short Form

时间窗: Pretest assessments were conducted 2-3 weeks prior to the start of the 6-week program, and posttest assessments were conducted within 2-3 weeks of completion of the program.

Questionnaire measuring parental warmth and consistency, scores range from 0 to 4, high scores reflect higher warmth and consistency.

PHQ-9 Depressive Symptoms

时间窗: Pretest assessments were conducted 2-3 weeks prior to the start of the 6-week program, and posttest assessments were conducted within 2-3 weeks of completion of the program.

Questionnaire measuring mental health - Depressive symptoms, scores range from 0 to 27, higher scores indicate a greater number or severity of depressive symptoms

GAD-7 Anxiety Symptoms

时间窗: Pretest assessments were conducted 2-3 weeks prior to the start of the 6-week program, and posttest assessments were conducted within 2-3 weeks of completion of the program.

Questionnaire measuring mental health - Anxiety Symptoms, scores range from 0 to 21, higher scores indicated a greater number of severity of anxiety symptoms

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Liliana Lengua

Professor: Psychology

University of Washington

研究点 (1)

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