Randomized Control Study of the Impact of Primary Care Triple P on Pediatric Residents and Their Patients
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 155
- 主要终点
- Change in pediatric resident skills and confidence in conducting parent consultations about child behavior
研究概览
简要总结
The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.
Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.
Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:
- increased skill levels,
- increased confidence, and
- increased satisfaction in dealing with and managing psychosocial issues
Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.
Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:
- greater reduction in targeted child behavior problems,
- greater reduction in dysfunctional parenting practices,
- increased use of appropriate discipline and positive parenting strategies, and
- greater confidence in parenting ability.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Health Services Research
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 18 Months 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •for Pediatric Resident:
- •Assigned to a participating continuity clinic
排除标准
- •for Pediatric Resident:
- •Not assigned to a participating continuity clinic
- •Inclusion Criteria for Parent:
- •Parent of an eligible child.
- •Speaks English
- •Exclusion Criteria for Parent:
- •A parent of an ineligible child
- •Non-English speaking
- •Inclusion Criteria for Child:
- •Treated by a participating resident
- •Between 18 months and 12 years old
- •Does not have any mental health diagnosis
- •Is not receiving medication or therapy from a professional
- •Exclusion Criteria for Child:
- •Not treated by a participating resident
- •Age falls outside of eligible range
- •Has a mental health diagnosis
- •Currently receiving medication or therapy from a professional
研究组 & 干预措施
Trained in Primary Care (PC) Triple P
This group received standardized training in Primary Care (PC) Triple P.
干预措施: Training in PC Triple P (Behavioral)
Care as Usal
This group provided care as usual. This group was not trained in PC Triple P interventions.
干预措施: Care As Usual (Other)
结局指标
主要结局
Change in pediatric resident skills and confidence in conducting parent consultations about child behavior
时间窗: One year
Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.
次要结局
- Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior(One year)
研究者
Fred Rivara
Principal Investigator
Seattle Children's Hospital