Evaluation of a Home-based Parenting Support Program: Parenting Young Children

Not Applicable

Recruiting

• Conditions: Attention Deficit Hyperactivity Disorder; Intellectual Disability; Autism Spectrum Disorder
• Interventions: Behavioral: Parenting Young Children; Behavioral: Treatment as Usual

• Registration Number: NCT05935722
• Lead Sponsor: Örebro University, Sweden

Brief Summary

Background: Parents with intellectual and developmental disabilities (IDDs) have a tendency to provide insufficient caregiving and often need parenting support to prevent neglect and child removal. However, parents with IDDs are not provided with appropriate support, and there is a lack of evidence-based programmes tailored to these parents' needs. Parenting Young Children (PYC) is a home-based parenting programme developed for parents with IDDs. PYC has shown promising clinical results in interview-based studies, but there is no evidence of its effectiveness. The purpose of the proposed study is to evaluate the PYC programme for improving parenting in parents with IDDs where there is risk of child neglect. The study will include a quantitative evaluation, a process evaluation, and a qualitative evaluation of the children's and parents' perspectives on participating in PYC.

Methods: The quantitative evaluation will have a multi-centre, non-randomised, comparative study design. Eligible for participation are parents with IDDs who have children aged 0-9 years living at home and who are assessed as needing tailored parenting support. Thirty parents receiving PYC and thirty parents receiving treatment as usual (TAU) will be recruited from Swedish municipal social services. Outcome variables will be examined before and after the intervention, with a follow-up 6 months after completing the intervention. The primary outcome will be goal-attainment in parenting skills, and secondary outcomes will be parental self-efficacy and children's wellbeing. Interview methods will be used to explore the perspectives of parents and children in the PYC group.

Discussion: This study is motivated by the need for evidence-based support for parents with IDDs, and it focuses on upholding the centrality of child-caregiver relationships and family preservation, as well as children's rights and the rights of people with disabilities. Social services have expressed ethical concerns with employing a randomized design for this vulnerable group, and this study will therefore evaluate PYC in a non-randomized comparative study.

Detailed Description

Not available

Study Timeline

• Study Start: 2022-09-08
• Status Verified: 2023-06
• Study First Submitted: 2023-06-29
• Study First Submitted QC: 2023-06-29
• Last Update Submitted: 2023-06-29
• Study First Posted: 2023-07-07
• Last Update Posted: 2023-07-07
• Primary Completion: 2024-12-31
• Study Completion: 2025-06-30

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Parents with IDDs, including ID and other cognitive disabilities (e.g., ADHD and ASD). Parents must have children aged 0-9 years living at home and be assessed by the social services to be eligible for tailored parenting support.

Exclusion Criteria

• Ongoing substance abuse, ongoing child abuse, and/or mental illness of such nature and degree that it may affect parent management training.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Parenting Young Children	Parenting Young Children	Home based parenting programme for supporting parent with IDDs. 3-6 months of structured coaching sessions.
Treatment as Usual	Treatment as Usual	Variety of interventions as usually provided by the social services.

Primary Outcome Measures

Name	Time	Method
Change in Canadian Occupational Performance Measure, performance sub-scale.	Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)	1 Item, reported as 1-10 points.
Change in Canadian Occupational Performance Measure, satisfaction sub-scale.	Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)	1 Item, reported as 1-10 points.

Secondary Outcome Measures

Name	Time	Method
Strengths and Difficulties Questionnaire.	Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)	25 items, reported as 0-50 points.
Change in Parental Sense of Competence Scale.	Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)	15 items, reported as 15-90 points.

Trial Locations

Locations (1)

Social Welfare Office; 🇸🇪 Uppsala, Sweden