Parent-Child Memory Study: Improving Future Thinking Among Mothers From a Traditionally Underserved Community to Reduce Harsh Parenting and Improve Child Outcomes - A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 144
- 试验地点
- 2
- 主要终点
- Change in Monetary Choice Questionnaire
研究概览
简要总结
Parents of children from impoverished communities are disproportionately more likely to engage in harsh physical discipline, which can lead to serious clinical outcomes, including suicidal ideation and attempts. One mechanism linking low resource environments and maladaptive parenting strategies is maternal delay discounting, or the tendency to value smaller, immediate rewards (such as stopping children's misbehavior via physical means) relative to larger, but delayed rewards (like improving the parent-child relationship). This study will examine the efficacy of implementing a low-cost, brief intervention targeting the reduction of maternal delay discounting to inform broader public health efforts aimed at improving adolescent mental health outcomes in traditionally underserved communities.
详细描述
Harsh parenting is associated with serious and costly mental health problems among youth, including substance use, mood disorders, and suicidal ideation and behaviors. Of concern, these parenting practices are most common among families from impoverished communities; however, many behaviorally-based parenting interventions do not take into account the unique mechanisms linking environmental disadvantage to parenting approaches. While the causes of harsh parenting are complex and varied, one such mechanism may be parents' tendencies to prioritize immediate rewards (such as stopping a child's misbehavior via physical punishment like spanking and hitting) relative to larger, but delayed rewards (including improved parent-child relationship quality), known as delay discounting.
The aims of the current study are to conduct a Stage 1 parent-child dyad randomized control trial (RCT) (n = 72) examining the effectiveness of a brief, episodic future thinking (EFT) intervention in a community setting serving low-income mothers and additional implementation data. Participants will be randomized to receive either Episodic Future Thinking (EFT) or Episodic Recent Thinking (ERT) intervention arms. This case series will examine the efficacy of episodic future thinking (EFT) compared to episodic recent thinking (ERT) to target reduction of parenting-related delay discounting. Outcomes will evaluate the effect of EFT on reducing maternal delay discounting and harsh parenting and improving child clinical outcomes.
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
- 5 Years 至 —（Child, Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •A mother and or grandmother from the Flint area with a child/grandchild between the ages of 5-10 who can provide legal consent for that child
- •Self-report that they have consistent contact with the child/grandchild
- •Willing to participate in the study
- •Able to participate in written assessments and an intervention conducted in English
- •Have a working cell phone that can receive and send text messages and be willing to receive/send text messages as part of the study
- •Have a phone or device that's able to use video conferencing software if interested in virtual participation
排除标准
- •Self-disclosed active suicidality/homicidality
- •Self-disclosed current bipolar disorder, schizophrenia, or psychosis
- •Self-reported current and ongoing involvement with child protective services
- •Child Inclusion Criteria:
- •Children must be between the ages of 5-10 and have a mother/grandmother willing to provide consent for their participation
- •Willing to participate in parent-child observation sessions
- •Elementary proficiency in English
- •Willing to participate in study surveys
- •Child Exclusion criteria:
- •Self-disclosed active suicidality/homicidality
- •Self-disclosed current bipolar disorder, schizophrenia, or psychosis
结局指标
主要结局
Change in Monetary Choice Questionnaire
时间窗: Baseline, Intervention, Week 2, Month 3, Month 6, Month 9
The Monetary Choice Questionnaire (MCQ) is a 27-item binary-choice task, which asks participants to select between two hypothetical monetary amounts: a smaller reward available immediately (e.g. $49 today) or a larger reward available after a delay (e.g. $60 in 89 days). The measure is scored to derive a discounting rate k, with larger values reflecting more problematic rates of discounting. Because k distributions are typically skewed, post-hoc natural logarithmic transformations will be performed, which have been shown to approximate normal distributions. The MCQ has been shown to have strong psychometric properties among adults and correlates with real rewards, as well as real-world risk behaviors.
Change in Consideration of Future Consequences Scale Score
时间窗: Baseline, Intervention, Week 2, Month 3, Month 6, Month 9
The Consideration of Future Consequences Scale1 (CFCS-14) is a 14-item self-report questionnaire that assesses active consideration of longer-term implications of an individual's actions. Lower scores on the CFCS-14 are associated with a greater focus on immediate needs and have been found to be associated with less engagement in health behaviors1819 and greater substance use. The measure has been used extensively among adult samples and demonstrates strong reliability and validity. Research suggests modest but significant correlations with the MCQ. Change in CFCS-14 score is measured by comparing scores at the post-intervention assessment timepoints with baseline scores.
次要结局
- Change in Emotion Regulation Checklist(Baseline, Intervention, Week 2, Month 3, Month 6, Month 9)
- Change in Alabama Parenting Questionnaire Score(Baseline, Intervention, Week 2, Month 3, Month 6, Month 9)
研究者
Melissa Maye
Principal Investigator; Associate Scientist
Henry Ford Health System