Systematically Adapted Delivery of the Family Check-Up

Not Applicable

Completed

• Conditions: Parenting, Child Behavior, Implementation
• Interventions: Behavioral: behavioral parent training; Behavioral: interventionist training

• Registration Number: NCT02709291
• Lead Sponsor: Christina Studts

Brief Summary

Early childhood disruptive behavior problems lead to significant costs to families and society, but can be reduced with behavioral parent training interventions. To increase the public health impact of these interventions, their feasibility, accessibility, and acceptability in high-need, underserved communities must be ensured. This pilot project will systematically adapt and pilot-test the delivery model of an existing effective parent training intervention for implementation in rural Appalachia, a region with many documented health disparities, high levels of poverty, and shortages of mental health providers. Community health workers in 5 rural Appalachian counties will be trained to deliver a behavioral parent training intervention. Each worker will deliver the intervention to 4 parent-child dyads.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2016-03-08
• Study First Submitted QC: 2016-03-10
• Study First Posted: 2016-03-16
• Study Start: 2017-02-20
• Primary Completion: 2018-05-16
• Study Completion: 2018-06-26
• Status Verified: 2019-03
• Last Update Submitted: 2019-03-31
• Last Update Posted: 2019-04-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 51

Inclusion Criteria

• Parents: aged 18+ years, custodial guardian of child, can speak/read/understand English
• Children: ages 3-5 years, lives full time in custodial guardian's home
• Community health workers: aged 18+ years, currently employed at a partnering health department, able to speak/read/understand English

Exclusion Criteria

• Parents: has already accessed behavioral health services for the child, reports suicidal ideation or intent to harm self or others, participated in formative research for this study
• Children: diagnosed with a severe developmental condition (i.e., significant developmental delay, autism, debilitating neurological condition)
• Community health workers: none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Parent-Child Dyads	behavioral parent training	Parents and children will receive a behavioral parent training intervention delivered by community health workers.
Community Health Workers	interventionist training	Community health workers will complete a 5-day interventionist training to deliver a behavioral parent training intervention.

Primary Outcome Measures

Name	Time	Method
Feasibility: Enrollment	2 weeks after final parent-child dyad completes the study	Percentage of invited parents who enroll in the study (obtained from process records)

Secondary Outcome Measures

Name	Time	Method
Interventionist self-efficacy	2 weeks after final parent-child dyad completes study	Counselor Activity Self-Efficacy Scale (completed by community health workers)
Interventionist satisfaction	2 weeks after final parent-child dyad completes study	Therapist Satisfaction Index (completed by community health workers)
Interventionist evidence-based practice attitudes	2 weeks after final parent-child dyad completes study	Evidence-Based Practice Attitude Scale-50 (completed by community health workers)
Feasibility: Number of sessions completed	2 weeks after final parent-child dyad completes the study	Number of sessions completed by each parent-child dyad (obtained from process records)
Feasibility: Interventionist-reported fidelity	following each behavioral parent training intervention session	Fidelity Checklist (completed by community health workers)
Feasibility: Parent satisfaction	10 weeks after parent baseline	European Parent Satisfaction Scale about Early Intervention (EPASSEI) (completed by parents)

Trial Locations

Locations (1)

University of Kentuckyi; 🇺🇸 Lexington, Kentucky, United States