Connecting and Reflecting Experience (CARE) Mentalizing-Focused Parenting Group Treatment Outcomes Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Montefiore Medical Center
- Enrollment
- 78
- Locations
- 2
- Primary Endpoint
- Change in parenting stress
Study Overview
Brief Summary
The primary objective of this clinical trial is to evaluate the 12-week mentalizing-focused group parenting intervention, Connecting and Reflecting Experience (CARE), relative to a treatment as usual (TAU) group in an outpatient child mental health clinic.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 12 Years to 99 Years (Child, Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Parents/caregivers of child receiving mental health services at community child outpatient clinic
- •English- or Spanish-speaking
Exclusion Criteria
- •Parent has severe mental illness or significant cognitive impairment
- •Child has significant developmental delay
Outcomes
Primary Outcomes
Change in parenting stress
Time Frame: Baseline to post-intervention (12 weeks)
Change in parenting stress as measured by parent/caregiver report on the Parenting Stress Index. Responses are reported on a 5-point Likert scale from 1 to 5. Total scores for the Parenting Stress Index (PSI-SF-4) range from 36 to 180, with lower scores indicating better outcomes.
Change in parental reflective functioning
Time Frame: Baseline to post-intervention (12 weeks)
Change in parental reflective functioning as measured by parent/caregiver report on the Parental Reflective Functioning Questionnaire. Responses are reported on a 7-point Likert scale from 1 to 7. Total scores for the three sub-scales (Pre-Mentalizing Modes, Certainty about Mental States, and Interest and Curiosity) range from 6 to 42. Lower scores on Pre-Mentalizing Modes, moderate scores on Certainty about Mental States, and higher scores on Interest and Curiosity indicate better outcomes.
Secondary Outcomes
- Change in parent psychiatric distress(Baseline to post-intervention (12 weeks))
- Change in child social-emotional impairment(Baseline to post-intervention (12 weeks))
- Change in parent-child relationship(Baseline to post-intervention (12 weeks))
- Change in reported exposure to adverse childhood experiences (ACEs)(Baseline and post-intervention (12 weeks))
- Change in family functioning(Baseline to post-intervention (12 weeks))
- Change in parent emotion regulation(Baseline to post-intervention (12 weeks))
- Change in parent experiences of racism and discrimination(Baseline and post-intervention (12 weeks))
- Change in parent perceptions of social support(Baseline to post-intervention (12 weeks))
- Change in parent perceptions of belongingness(Baseline to post-intervention (12 weeks))