Technology-Enhanced Helping the Noncompliant Child

Not Applicable

Completed

• Conditions: Child Externalizing Behavior
• Interventions: Behavioral: Technology-Enhanced Helping the Noncompliant Child (TE-HNC); Behavioral: Helping the Noncompliant Child (HNC)

• Registration Number: NCT01367847
• Lead Sponsor: University of North Carolina, Chapel Hill

Brief Summary

This study aimed to examine if technology could enhance the treatment engagement and outcomes of low income parents of 3 to 8 children with externalizing problems.

Detailed Description

The aim of this pilot study is to determine whether a technology-enhanced version of an established behavioral treatment protocol, Helping the Noncompliant Child (HNC; McMahon \& Forehand), enhances the engagement and treatment outcomes of lower income parents of 3 to 8 children with externalizing problems in treatment. It is predicted that families in both the HNC and technology-enhanced HNC (TE-HNC) programs will evidence significant improvement in parenting behavior and child externalizing problems; however, it is predicted that parent-child dyads in the TE-HNC program will require fewer sessions, will be more likely to be retained in the program, will be more likely to remain engaged in the program (e.g., practicing skills between sessions etc.), and will be more likely to have active involvement from their coparenting partners (i.e., other adults and family members who participate in childrearing).In turn, it is expected that the TE-HNC program will boost treatment outcomes.

Study Timeline

• Study Start: 2010-09
• Study First Submitted: 2011-06-01
• Study First Submitted QC: 2011-06-06
• Study First Posted: 2011-06-07
• Primary Completion: 2012-10
• Study Completion: 2013-05
• Results First Submitted: 2018-05-23
• Results First Submitted QC: 2018-08-17
• Results First Posted: 2018-09-14
• Status Verified: 2019-09
• Last Update Submitted: 2019-09-09
• Last Update Posted: 2019-09-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• Lower income
• caregiver/parent is legal guardian
• 3 to 8 year old child
• child meets criteria for externalizing disorder or significant externalizing symptoms

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Exclusion Criteria

• Prior report of child abuse or neglect
• current substance abuse/dependence
• legal guardian reading level less than 8th grade
• child has developmental disability that precludes caregiver utilizing the skills

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Technology-Enhanced HNC (TE-HNC)	Technology-Enhanced Helping the Noncompliant Child (TE-HNC)	Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.
Helping the Noncompliant Child (HNC)	Helping the Noncompliant Child (HNC)	Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.

Primary Outcome Measures

Name	Time	Method
Retention	Baseline to Post-Intervention (average 8 to 12 weeks)	Retention assesses whether or not the family completed the full treatment program.
Mean % Sessions Attended as Scheduled	Baseline to Post-Intervention (average 8 to 12 weeks)	Participation in each weekly session as scheduled was recorded for each family. Mean attendance of scheduled sessions was computed for each parent-child dyad and then for each group. For example, if a parent-child dyad required 8 sessions to master the program skills and attended all 8 sessions as scheduled they would have 100%. If instead, another parent-child dyad also required 8 sessions to complete the program, but half of those were rescheduled at least once. Then the overall average attendance is calculated across the parent-child dyads in each group. Greater scheduled attendance = optimal outcome.

Secondary Outcome Measures

Name	Time	Method
Mean Consumer Satisfaction	Post-Intervention (Average 8 to 12 weeks)	Average parent-reported satisfaction with the treatment program on a project-developed consumer satisfaction scale (Possible range = 11 -77; Higher score = greater satisfaction).
Mean Sessions for Complete Treatment	Baseline to Post-Intervention (Average 8 to 12 weeks)	Mean number of sessions that parent-child dyads in each group required to master the program skills and complete treatment (Fewer sessions to complete treatment considered more cost-effective as parent-child dyads learning skills more efficiently).
Mean Post-treatment Score Eyberg Child Behavior Inventory (ECBI)	Baseline to Post-Intervention (average 8 to 12 weeks)	The ECBI is a 36 item measure frequently used in treatment outcome research with young children, as it it reflects problem behavior in this age range and is sensitive to change. Parents rate the frequency of each problem behavior as occurring 0 = never to 7 = always. Scores can range from 0 to 252 with higher scores reflecting greater problem behaviors.

Trial Locations

Locations (1)

UNC Chapel Hill; 🇺🇸 Chapel Hill, North Carolina, United States