Child and Family Outcomes and Consumer Satisfaction for Online vs Staff-Delivered Parenting Intervention

Not Applicable

Completed

• Conditions: Conduct Disorder; Attention Deficit Hyperactivity Disorder; Childhood Disruptive Behavior Disorders; Oppositional Defiant Disorder; Parent-Child Interactions
• Interventions: Behavioral: Triple P--Positive Parenting Program

• Registration Number: NCT02121431
• Lead Sponsor: University of South Carolina

Brief Summary

This trial addresses a serious and all-too-frequent public health problem, namely early-onset disruptive behavior problems in young children. The focus is on testing an online treatment program which empowers parents to help their children to improve their mental health and behavioral functioning. At the conclusion of the study, the investigators will know whether the online-delivered program works as well as an established staff-delivered program, with respect to child disruptive behavior problems, parenting, parent/family stress, consumer satisfaction, and value analysis.

Detailed Description

High-prevalence mental health problems require innovative strategies to broaden reach of evidence-based services. Disruptive behavior problems (DBPs), or conduct problems, in young children represent a major public health challenge that is not only highly prevalent but also, left untreated, heighten risk for adverse mental health and developmental outcomes in adolescence and adulthood. Internet and online technology has considerable potential to help achieve such a goal. Building on parenting interventions that have demonstrated impact on childhood DBPs, this clinical trial compares an online-delivered intervention to a well-validated staff-delivered intervention, holding program content constant. Both interventions are based on the Triple P-Positive Parenting Program. The sample includes families with a 3-7 year old child who has a pronounced level of DBPs. The study makes use of a non-inferiority trial design to determine whether the online-delivered intervention yields as good outcomes as the well-established staff-delivered intervention with respect to childhood DBPs, parenting, and parent/family stress. The study also includes a value analysis comparing the two interventions, accounting for provider and participant expenses as well as pre-implementation and implementation phases. This study is intended to shed light on the impact and potential benefits of a viable online parenting intervention for childhood disruptive behavior problems, but the results from this study are also intended to help the mental health field to better understand more broadly the potential advantages and disadvantages of online interventions over traditionally delivered interventions, particularly in light of expense minimization/effectiveness analysis.

Study Timeline

• Study Start: 2014-04
• Study First Submitted: 2014-04-21
• Study First Submitted QC: 2014-04-22
• Study First Posted: 2014-04-23
• Status Verified: 2019-04
• Primary Completion: 2019-04-01
• Study Completion: 2019-04-01
• Last Update Submitted: 2019-04-16
• Last Update Posted: 2019-04-18

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 334

Inclusion Criteria

• clinically elevated level of child disruptive behavior problems
• parent resides with the child and has primary custody
• parent has access to internet via computer, e-tablet, or smartphone

Exclusion Criteria

• already in a family-based treatment
• child has pervasive developmental disorder
• parent under 20 years of age
• parent has serious mental illness

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Online-Delivered Parenting Intervention	Triple P--Positive Parenting Program	The Online-Delivered Parenting Intervention, which is based on the Triple P--Positive Parenting Program system of interventions, is an interactive website designed to engage and activate the participant through sequenced, personalized, interactive, and video-based content. The intervention emphasizes a self-regulatory process, parent specification of goals, practical and straightforward parenting strategies, modeling, and action activation.
Staff-Delivered Parenting Intervention	Triple P--Positive Parenting Program	The Staff-Delivered Parenting Intervention is based on the Triple P--Positive Parenting Program system and involves 10 face-to-face sessions with each family. This intervention is the well-established Level 4 Standard Triple P program.

Primary Outcome Measures

Name	Time	Method
childhood disruptive behavior problems	up to 12 months	parental report; independent observation; teacher report

Secondary Outcome Measures

Name	Time	Method
parenting behavior	baseline, 4 months (T2), 12 months (T3)	parental report; independent observation
parent and family stress	baseline, 4 months (T2), 12 months (T3)	parenting daily hassles; impact on family quality of life

Trial Locations

Locations (2)

Oregon Research Institute; 🇺🇸 Eugene, Oregon, United States

Parenting & Family Research Center, University of South Carolina; 🇺🇸 Columbia, South Carolina, United States