Improving Access to a Primary Care Based Positive Parenting Program

Not Applicable

Completed

• Conditions: Program Implementation; Positive Parenting; Child Behavior Problem
• Interventions: Behavioral: CARE; Behavioral: CARE plus Peer Mentor

• Registration Number: NCT03077321
• Lead Sponsor: University of North Carolina, Chapel Hill

Brief Summary

This is a randomized clinical trial of the impact of incorporating a peer mentor into a primary care based group parenting program on increasing program participation by parents and improving program outcomes.

Detailed Description

The investigators will perform a randomized controlled trial of the impact of Child Adult Relationship Enhancement (CARE) plus peer mentor on increasing program adoption, acceptability, and appropriateness among 2-6 year old children and their parents at UNC Children's Primary Care Clinic. The investigators will also examine the effectiveness of CARE plus peer mentor on dysfunctional parenting and child behavior problems. Participants will be randomized to CARE plus peer mentor or standard CARE. Program attendance, acceptability, and appropriateness will be measured upon completion of the 6-week program. Dysfunctional parenting and child behavior will be measured at baseline and 6 weeks. The investigators will conduct semi-structured interviews among a sample of parents (\~20-30) in order to understand the impact of the peer mentors on program implementation, as well as barriers and facilitators to program initiation and long-term participation.

Study Timeline

• Study First Submitted: 2017-03-02
• Study First Submitted QC: 2017-03-06
• Study First Posted: 2017-03-10
• Study Start: 2017-09-20
• Primary Completion: 2019-06-01
• Study Completion: 2019-06-01
• Status Verified: 2019-10
• Last Update Submitted: 2019-10-18
• Last Update Posted: 2019-10-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

• 2-6 year old child at UNC Children's Primary Care Clinic and their parent
• English speaking

Exclusion Criteria

• child is developmentally younger than 2 years old
• child is already received mental health services for behavioral problems

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
CARE	CARE	The parent-child dyads in the CARE arm will receive the standard CARE program.
CARE plus peer mentor	CARE plus Peer Mentor	The parent-child dyads in the CARE plus peer mentor arm will receive the CARE program that is delivered with the peer mentor.

Primary Outcome Measures

Name	Time	Method
Program Adoption	6-12 weeks	mean number of sessions attended

Secondary Outcome Measures

Name	Time	Method
Dysfunctional Parenting Attitudes	0 weeks and 6-12 weeks	Dysfunctional parenting attitudes as measured by the Adult Adolescent Parenting Inventory-2.The AAPI-2 is a 40 item self-report measure. The AAPI-2 assesses parenting attitudes along 5 dimensions: (1) inappropriate expectations of children, (2) parental lack of empathy towards children's needs, (3) strong belief in the use of corporal punishment as a means of discipline, (4) reversing parent-child role responsibilities, and (5) oppressing children's power and independence. Raw scores with a range from 1 to 10 are provided for each dimension and translated into risk categories: high (1-3), medium (4-7), low(8-10).
Dysfunctional Parenting Behaviors	0 weeks and 6-12 weeks	Dysfunctional parenting Behaviors as measured by the Parenting Scale.The Parenting Scale is a 30-item parent-report instrument that measures dysfunctional parenting practices for parents of young children. Specifically, the Parenting Scale measures laxness (permissive, inconsistent discipline); over-reactivity (harsh, emotional, authoritarian discipline); and hostility (use of verbal or physical force). It provides a total score, and three sub scale scores (laxness, over-reactivity, and hostility), each with a range of 1-7. Higher scores are indicative of more dysfunctional parenting.
Child Behavior	0 weeks and 6-12 weeks	Child behavior as measured by the Eyberg Child Behavior Inventory. The Eyberg Child Behavior Inventory (ECBI) is a 36 item paper-and-pencil rating scales completed by parents that assesses the severity of conduct problems in children as well as the extent to which parents find the behaviors troublesome. It assesses the frequency of disruptive behaviors occurring in the home setting. It provides an Intensity Raw Score and a Problem Raw Score. The intensity scale (range 36-252) and the problem scale (range 0-36). In both cases higher values indicate more externalizing behaviors.

Trial Locations

Locations (1)

University of North Carolina; 🇺🇸 Chapel Hill, North Carolina, United States