Parents Make the Difference II: A Randomized Experiment of a Parent Training Program for Caregivers of Young Children Designed to Reduce the Use of Harsh Punishment and Improve Child-caregiver Relationships
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 201
- 试验地点
- 1
- 主要终点
- Caregiver use of harsh discipline practices; assessed using Discipline Interview, Locally-derived items
研究概览
简要总结
Multisite randomized trial of a parenting intervention in Liberia for caregivers of young children. Two main objectives of the "Parents Make the Difference" program are to teach parents (a) skills for decreasing harsh punishments and replacing those with positive ways to manage children's behavior and (b) skills for having more positive interactions with their children, including interactions that encourage learning. As a result of positive changes in parenting, the investigators expect that, over time, children's behavioral and cognitive well-being will improve and that future abuse and poor developmental outcomes will be prevented in the long-term.
详细描述
This is a multisite randomized trial of a parenting intervention in Liberia for caregivers of young children. The "Parents Make the Difference" program is designed to teach parents (a) skills for decreasing harsh punishments and replacing those with positive ways to manage children's behavior and (b) skills for having more positive interactions with their children. As a result of positive changes in parenting, the investigators expect that, over time, children's behavioral and cognitive well-being will improve and that the intervention will prevent future abuse and poor developmental outcomes in the long-term. This study will randomize 816 caregivers of children ages 3 or 4 years to 1 of 3 study arms: standard group program, group program plus home visits, waitlist control.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •caregiver of child ages 3 or 4
- •live within catchment area of each study site
- •caregiver is at least 18 years old
排除标准
- •does not live with child
结局指标
主要结局
Caregiver use of harsh discipline practices; assessed using Discipline Interview, Locally-derived items
时间窗: 1 month post treatment
Extent to which caregivers engage in harsh discipline practices
Parent-Child Interactions (Parental Acceptance-Rejection Questionnaire; Locally-derived items assessing positive interactions)
时间窗: 1 month post treatment
Quality of parent-child relationships and interactions
次要结局
- Caregiver use of harsh discipline practices; assessed using Discipline Interview, Locally-derived items(12 months post treatment)
- Parent-Child Interactions (Parental Acceptance-Rejection Questionnaire; Locally-derived items assessing positive interactions)(12 months post treatment)
- Child social-emotional development and functioning: Ages and Stages Questionnaire; Strengths and Difficulties Questionnaire: emotion problems and peer problems subscales(1 and 12 months post treatment)
- Child behavior: Locally-derived measure of disruptive/non-compliant behaviors; Strengths and Difficulties Questionnaire (conduct problems subscale)(1 and 12 months post treatment)
- Parental Stress: Parental Stress Scale(1 and 12 months post treatment)
- Caregiver mental health: General Health Questionnaire (subscale A), Patient Health Questionnaire-9(1 and 12 months post treatment)
- Parental knowledge of child development: Locally-derived scale(1 and 12 months post treatment)
- Marital relationship quality: selected items from Conflict Tactics Scale and locally-derived scale of marital relationship quality(1 and 12 months post treatment)
- Handwashing Behavior Indicators (e.g., access to hand washing station)(1 and 12 months post treatment)
- Child cognitive skills (verbal ability); assessed with a story comprehension task and instruction-following task(1 and 12 months post treatment)