Development of DBT/Parent Training Group Intervention

Not Applicable

Completed

• Conditions: Emotional Distress; Parenting
• Interventions: Behavioral: Dialectical Behavioral Therapy Skills + Parent Training

• Registration Number: NCT04740138
• Lead Sponsor: University of Oregon

Brief Summary

This treatment development study is aimed at developing and pilot testing a 24-week remotely delivered group intervention that integrates three evidence-based treatments: 1) Dialectical Behavior Therapy (DBT) Skills - targeting adult emotion dysregulation, 2) Parent Management Training (PMT) - targeting parenting behaviors linked to child behavioral dysregulation, and 3) Emotion Coaching (EC) - targeting parental emotion socialization practices linked to child emotion dysregulation.

The aims of the study are to:

1. Evaluate the feasibility of the intervention, specifically with respect to its acceptability and its implementation with 4 families in which a parent has elevated levels of emotion dysregulation and their child has elevated levels of emotion or behavioral dysregulation.

2. Examine change patterns in parent and child mental health and parenting quality using a Single Case Experimental Design (SCED) to evaluate both pre-post and weekly changes in these outcomes.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-01-24
• Study First Submitted: 2021-01-07
• Study First Submitted QC: 2021-02-01
• Study First Posted: 2021-02-05
• Primary Completion: 2021-02-24
• Study Completion: 2021-02-24
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-14
• Last Update Posted: 2021-09-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 3

Inclusion Criteria

• parent must be 18+ years of age
• parent must have at least partial custody of a 3-6 year old child
• neither parent nor child may have any known developmental disability
• parent must be proficient in English
• parent must endorse elevated emotion dysregulation and report their child meets a cutoff for emotional and/or behavioral difficulties.
• parent must have access to the internet and Zoom software

Exclusion Criteria

• parent with developmental disability
• psychotic disorder
• actively suicidal with an active plan

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
DBT Skills + Parent Training	Dialectical Behavioral Therapy Skills + Parent Training	-

Primary Outcome Measures

Name	Time	Method
Change in parental emotion dysregulation	Baseline up to 24 weeks	Difficulties with Emotion Regulation Scale (DERS). A 36-item self report measure used to assess adult emotion dysregulation. Items are rated on a scale of 1 to 5, with higher scores indicating higher levels of dysregulation. The measure is comprised of six subscales: lack of emotional awareness, lack of emotional clarity, limited emotion regulation strategies, difficulties with impulse control, difficulties engaging in goal-directed behavior, and nonacceptance of emotional responses.
Change in parenting Quality	Baseline up to 24 weeks	Parenting Scale (PS). A 30-item self-report questionnaire, in which parents are asked to describe (on a Likert scale of 1-7) how they respond to a variety of child misbehaviors. The measure yields three subscales: laxness, over-reactivity and hostile parenting. Higher scores indicate more dysfunctional parenting behaviors.
Change in child behavior	Baseline up to 24 weeks	Strengths and Difficulties Questionnaire (SDQ). A 25-item parent-report measure in which parents rate (on a Likert scale of 0-2) how characteristic of their child are emotional and behavioral strengths and difficulties. The measure yields a total difficulties score as well as subscales for emotional symptoms, conduct problems, hyperactivity, peer problems and prosocial behavior. Internalizing and Externalizing sub scales can also be generated. Higher scores indicate greater difficulties.

Trial Locations

Locations (1)

University of Oregon; 🇺🇸 Eugene, Oregon, United States