Step by Step - Pilot Study of an Internet-based Parenting Program for Aggressive, Disruptive Behavior in Children and Adolescents
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 1
- 主要终点
- Mean change from baseline in behavior problems on the Disruptive Behavior Disorder scale (oppositional defiant disorder subscale).
研究概览
简要总结
The goal of this pilot randomized controlled trial is to learn about effects and experiences of an internet-based parenting program for parents of children and adolescents with behavioral problems (e.g., aggressive or defiant behavior).
The main questions the study aims to answer are:
- What are the preliminary effects of the internet-based parenting program?
- What is the level of parents' engagement in the parenting program?
- How do parents perceive the program?
Families will be randomized to a version of an internet-based parenting program with support provided from family guides (psychologists) through chat messages in the program, or to the same internet-based parenting program with additional phone/digital support-meetings. Parents will answer quantitative measurements questions before, during, and after treatment. Parents will also be asked to participate in a qualitative interview after the program. Both within and between group comparisons will be conducted to see if there are trends within each arm and differences between the two types of support.
详细描述
BACKGROUND:
Some children with behavior problems (e.g., aggressive and defiant behaviors) are at elevated risk for continued behavioral problems, and for developing more serious forms of antisocial behaviors as well as difficulties with peers, school and mental health issues. Early and effective interventions are needed to reduce the risk of behavioral problems escalating over time.
Parenting programs can be a first intervention for parents with children under 12 years old with oppositional defiant disorder or conduct disorder, or for parents of teenagers with less severe behavioral problems. Several parenting programs that show effectiveness in addressing behavioral problems are based on social learning theory and Cognitive Behavioral Therapy (CBT). One aim of parenting programs is to reduce negative interactions between parents and children (e.g., inconsistent, strict, and insensitive parenting) and to increase positive interactions (e.g., engagement, showing support, and encouragement). Examples of evaluated parenting programs for behavioral problems include Family Check-Up (FCU), The Incredible Years, and the Swedish parenting program Comet.
Generally, internet-based interventions have become increasingly available as a treatment option for families. These have the advantage of being easily accessible, possible to go through at a convenient time, reaching people in areas where certain interventions are not available, and can be provided at a low cost. The internet-based models often include some form of support from a therapist/family guide who assists the parents. There are several promising internet-based parenting programs for parents of children with behavioral problems. In Sweden, the internet-based parenting support iComet for parents of children aged 3-12 years with behavior problems has been developed, based on the Swedish face-to-face parenting program Comet, as well as the ParentWeb for parents of teenagers, targeting parents of youth with subclinical levels of behavior problems. However, there are few internet-based parenting programs for parents of school-age children and adolescents with early signs of behavior problems.
PURPOSE AND RESEARCH QUESTIONS:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 16 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Parent of a child aged 8-16 years
- •The parent perceives that the child gets angry easily, displays defiant behaviors, or that there are parent-child conflicts at home.
- •The parent is able to access information in Swedish (the program is currently only in Swedish).
排除标准
- •Parent of a child under 8 years or over 16 years of age
- •The child does not currently have angry, aggressive, or defiant behaviors.
- •The child has autism, severe depression, suicidal thoughts, psychosis, or an eating disorders.
- •The parent does not speak Swedish.
结局指标
主要结局
Mean change from baseline in behavior problems on the Disruptive Behavior Disorder scale (oppositional defiant disorder subscale).
时间窗: Pre- and post-intervention (after 7 weeks)
The oppositional defiant disorder subscale of the Disruptive Behavior Disorder scale is used for assessing children's behavioral problems. The subscale includes 8 items, rated on a 4-point scale (0 to 3). The scale sum ranges från 0 to a total maximum sum of 24. A higher score indicates more severe behavior problems.
Mean change from baseline in parenting on the Parenting Children and Adolescents Scale: Impact scale
时间窗: Pre- and post-intervention (after 7 weeks)
Each of the 21 items in the Parenting Children and Adolescents Scale also includes a question whether it is experienced as a problem (yes/no). Total scale sum ranges between 0 and 21, with a higher sum indicating larger problems and impact.
Mean change from baseline in parenting on the Parenting Children and Adolescents Scale
时间窗: Pre- and post-intervention (after 7 weeks)
Subscales: encouragement of positive behaviors, setting limits, proactive parenting behaviors. The 21 items are here scored on a 5-point scale (1 to 5) and the total scale sum ranges from 21 to a maximum of 105, with a higher score indicating more positive parenting.
次要结局
- Mean change from baseline in child wellbeing on the Strengths and Difficulties Questionnaire(Pre- and post-intervention (after 7 weeks))
- Mean change from baseline in emotion regulation on the Difficulties in Emotion Regulation Scale(Pre- and post-intervention (after 7 weeks))
- Mean change from baseline in parental emotion regulation on the Parent Emotion Regulation Scale(Pre- and post-intervention (after 7 weeks))
- Parental experiences of each module in the internet-based parenting program(From baseline to post-intervention (after 7 weeks). Completed once a week after working with a new module.)
- Mean change from baseline in child wellbeing on the KIDSCREEN-10(Pre- and post-intervention (after 7 weeks))
- Mean change in family warmth(Pre- and post-intervention (after 7 weeks))
- Mean change in family conflicts(Pre- and post-intervention (after 7 weeks))
- Mean change in parental satisfaction with the week(From baseline to post-intervention (after 7 weeks). Completed once a week when a new program module is accessed.)
- Parental use of the internet-based parenting program: drop out rate(From baseline to post intervention (measured after 7 weeks))
- Parental experiences of the internet-based parenting program explored through qualitative interviews(Interviews are conducted after the internet-based parenting program is completed, between 7 to 12 weeks after the initiation of the program)
- Parental experiences of the whole internet-based parenting program(Post-intervention (after 7 weeks))
- Parental use of the internet-based parenting program: homework tasks, exercises(From pre- to post-intervention (measured after 7 weeks))
- Parental use of the internet-based parenting program: time spent working with the program(From pre- to post-intervention (measured after 7 weeks))
研究者
Pia Enebrink
Associate professor
Karolinska Institutet