Evaluating Stress Management Strategies Within the School Readiness Parenting Program
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Parenting
- Sponsor
- Florida International University
- Enrollment
- 120
- Locations
- 1
- Primary Endpoint
- Parent Stress Index (PSI)
- Status
- Active, not recruiting
- Last Updated
- 6 months ago
Overview
Brief Summary
The goal of this randomized study is to learn if adding three additional parent training sessions (focused on alleviating parental stress) to an already well-established treatment (School Readiness Parenting Program [SRPP]) in improving outcomes up to 6- and 12-months later for families of children with disruptive behavior disorders. The main questions it aims to answer are:
The primary objective of this protocol is to evaluate the effects of three additional cognitive behavioral therapy (CBT) based parent training sessions to the SRPP to reduce parent stress and improve parent-child interactions.
The secondary objective of this protocol is to evaluate the behavioral, emotional, and physical health-based functioning among young children with ADHD.
Researchers will compare families who receive the SRPP alone to families who receive the SRPP + the three additional CBT focused sessions.
Parents will be sent surveys to complete prior to the baseline assessment via REDCap (online). Parent and child participants will undergo 2 hours of baseline assessments evaluating behavioral, cognitive, and academic functioning as well as parent-child interactions. Parents will provide contact information for their child's teacher and the teacher will sent three surveys to complete online via REDCap.
Detailed Description
A total of 120 families will all receive a 7-week behavioral treatment (Summer Treatment Program) for children going into kindergarten or first grade with a disruptive behavior disorder. They will also be randomized to receive either a well-established school readiness parenting program (8 sessions) alone or the same parent training program with three additional parent training sessions (11 sessions). The three additional parent training sessions will include information on parental stress tolerance and cognitive-behavioral skills to improve parent's self-efficacy and sense of competence that are not included in the original school readiness parenting program. Parents will complete questionnaires and lab tasks with their child at baseline, 6-month follow up, and 12-month follow up. Lab tasks include a 15-minute parent-child play-like situation, and a 10-minute "difficult puzzle" task. The results of this research study may improve our understanding of child behavior and early school success and have important implications on parenting programs.
Investigators
Paulo A. Graziano, PhD
Professor
Florida International University
Eligibility Criteria
Inclusion Criteria
- •At-risk clinical range on the BASC-Preschool Version (per parent and teacher report) or clinical diagnosis of Attention-Deficit/Hyperactivity Disorder and/or Oppositional Defiant Disorder based on the Disruptive Behavior Disorders Scale or the Diagnostic Interview Schedule for Children
- •Parent and teacher report of significant levels of impairment at home and at school on the Impairment Rating Scale
Exclusion Criteria
- •Significant sensory impairments (e.g. deafness, blindness)
- •Significant motor difficulties that impair mobility (e.g., cerebral palsy)
- •Families with current Department of Children and Family (DCYF) involvement
- •Any family meeting exclusionary criteria will be referred to appropriate intervention services in Miami-Dade County. Children will not be excluded on the basis of race/ethnicity, sex, or socioeconomic status.
Outcomes
Primary Outcomes
Parent Stress Index (PSI)
Time Frame: Baseline, between 4 to 6 months after baseline (post treatment), and 12-months
A 36-item self-report instrument for parents of children ages 1 month to 12 years containing three subscales (Parent Distress, Parent-Child Dysfunctional Interaction, Difficult Child). Total scores range between 36 to 180, with higher scores indicating higher levels of perceived parenting stress.
Dyadic Parent-Child Interaction Coding System
Time Frame: Baseline, between 4 to 6 months after baseline (post treatment), and 12-months
A Behavioral coding system that measures the quality of parent-child interactions during three 5-minutes standard situations that vary in the degree of parental control (i.e., parent reading to child, child-led play, parent-led play, and clean-up). Parent verbalizations are coded for positive and negative communication patterns and are totaled at the end of each 5-minute situation.
Difficult Puzzle Lab Task - Early Parenting Coding System (EPCS)
Time Frame: Baseline, between 4 to 6 months after baseline (post treatment), and 12-months
Co-operative goal-directed interactions between mothers and children will be coded from a video of mother-child interactions in a laboratory task intended to be moderately stressful for the dyad. The EPCS captures a range of parenting behaviors that are typically exhibited in interactions with young children. This coding system consists of nine global ratings. Behaviors are rated on a Likert scale, with scores ranging from low to high (i.e.,1 to 7), with higher scores indicating more positive parenting behaviors.
Cognitive Behavioral Therapy Parent Quiz
Time Frame: Baseline, between 4 to 6 months after baseline (post treatment), and 12-months
Parents will complete a 25-item multiple choice quiz on cognitive behavioral therapy skills. Scores range from 0% to 100%, with higher percentages indicating greater knowledge of session material.
Secondary Outcomes
- Behavior Assessment System for Children(Baseline, post treatment, 12-months)
- Disruptive Behavior Disorders Rating Scale(Baseline, post treatment, 12-months)
- Treatment Satisfaction Survey(Post treatment)
- SRPP activities practice(During/Post-treatment)
- Difficult Puzzle Lab Task - Early Parenting Coding System (EPCS)(Baseline, post treatment, 12-months)