Utilizing Smart Speaker Technology to Deliver Parenting Education Support to Parents of Young Children
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 184
- 试验地点
- 1
- 主要终点
- Short-Form Children's Sleep Habits Questionnaire (SF-CSHQ)
研究概览
简要总结
The goal of this clinical trial is to learn whether Talk Parenting, a voice-based program delivered through an Amazon Echo Dot (Alexa), can help parents and caregivers of children ages 3-5 years improve challenging bedtime and morning routines. The main questions it aims to answer are:
Does using Talk Parenting improve families' bedtime and morning experiences and children's sleep/wake habits?
Does using Talk Parenting improve parents' routine-related parenting practices and confidence, strengthen the parent-child relationship, and reduce children's behavior problems and parents' stress?
Researchers will compare families who receive Talk Parenting right away to families who wait 6 weeks to receive the program (a waitlist control group receiving usual services during the wait).
Participants will:
Complete online questionnaires at the start of the study and again about 6 weeks later (and a follow-up questionnaire later in the study).
Receive a pre-configured Amazon Echo Dot (to keep) and instructions to use Talk Parenting routines at home, including a bedtime routine, a brief calming routine, and a morning routine (enabled after the first 2 weeks).
详细描述
I. Study overview and rationale.
This study is a two-arm randomized controlled trial designed to evaluate the efficacy, acceptability, and usability of Talk Parenting, a voice-delivered (Alexa-enabled) parenting support program intended to improve families' bedtime and morning routines for children ages 3-5 years. The trial will evaluate whether access to Talk Parenting leads to improvements in routine functioning (bedtime and morning experience), children's sleep/wake habits, parents' engagement in targeted parenting practices, parents' self-efficacy for handling routines and challenging child behavior, and the parent-child relationship, as well as reductions in children's behavior problems and parents' stress.
II. Design.
A total of 184 families (primary parent/caregiver and one child age 3-5 years who presents the most bedtime/morning challenges) will be enrolled and randomized after completing the baseline assessment (T1) to either:
Immediate Talk Parenting (Tx): receive Talk Parenting immediately, or
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
- 3 Years 至 90 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Referred by a participating agency
- •Child 3-5 years old who lives with the parent at least half time
- •The primary parent in the home (typically the mother but not always)
- •Speaks English
- •Has access to a computer, tablet, or mobile phone at home
- •Access to high-speed internet at home is desired but not required.
- •The project will cover internet costs for a small number of participants if needed. The participating agencies all serve families who are low-income and/or experiencing economic hardship, stressful family relationships, children's behavior problems, or household instability; thus referred families will be experiencing one or more of these risk factors for an at-risk family environment.
排除标准
- •Families of target-age children with a developmental disability severe enough that the child cannot speak or follow simple directions will be excluded
- •Families of target-age children whose needs are beyond the scope of Talk Parenting will be excluded
研究组 & 干预措施
Talk Parenting Program
In a 6-week session, families will use at home the Talk Parenting program, a smart speaker app designed to provide parents with in situ experiential support for building positive family bedtime and morning routines. The Bedtime Routine, Morning Routine, and Calming Down Mini-Routine modules of Talk Parenting will guide families in creating healthy bedtime and morning routines to foster healthy sleep/wake habits, provide experiential practice in self-regulation skills, and promote a positive parent-child relationship.
干预措施: The Talk Parenting Program (Behavioral)
Waitlist Control
Families will receive access to the intervention after the T2 assessment (6 weeks after the baseline T1 assessment).
干预措施: The Talk Parenting Program (Behavioral)
结局指标
主要结局
Short-Form Children's Sleep Habits Questionnaire (SF-CSHQ)
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
Children's bedtime/sleep problems will be measured with the Short-Form Children's Sleep Habits Questionnaire (SF-CSHQ), a 23-item version of the widely used CSHQ. Respondents answer on a 5-point scale (1=never; 5=always-7x/week); a mean score will be computed and can range from 1 to 5, with higher scores indicating worse outcomes.
Child Adjustment & Parent Self-Efficacy Scale (CAPES) : Behavioral Problems Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The Child Adjustment and Parent Efficacy Scale (CAPES) measures children's behaviors and emotional adjustment. The Behavior Problems subscale consists of 16 problematic and 8 reverse-coded positive behaviors. Respondents answer on a 4-point scale (0=Not at all; 3=Very much); the summed scores range from 0 to 72, with higher scores indicating worse outcomes.
Child Adjustment & Parent Self-Efficacy Scale (CAPES) : Emotional Maladjustment Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The Child Adjustment and Parent Efficacy Scale (CAPES) measures children's behaviors and emotional adjustment. The Emotional Maladjustment subscale has 3 items. Respondents answer on a 4-point scale (0=Not at all; 3=Very much); the summed scores range from 0 to 9, with higher scores indicating worse outcomes.
Child Adjustment & Parent Self-Efficacy Scale (CAPES) : Parent Self-Efficacy Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The Child Adjustment and Parent Efficacy Scale (CAPES) measures children's behaviors and emotional adjustment. The CAPES is also used to measure parents' self-efficacy; parents rate their confidence that they can successfully deal with each of the 19 negative behaviors/emotions on the CAPES. Respondents answer on a 10-point scale (1=Certain I can't do it; 10=Certain I can do it); the summed scores range from 19-190, with higher scores indicating better outcomes.
Self-Efficacy for Parenting Tasks Index - Toddler Scale (SEPTI-TS): Discipline Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The Self-Efficacy for Parenting Tasks Index - Toddler Scale - Short Form (SEPTI-TS-SF) is used to measure parents' self-efficacy for discipline- and routines-related parenting tasks. The Discipline subscale is measured with 6 items. Respondents answer on a 6-point scale (1=Disagree strongly; 6=Agree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Self-Efficacy for Parenting Tasks Index - Toddler Scale (SEPTI-TS): Routines Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The Self-Efficacy for Parenting Tasks Index - Toddler Scale - Short Form (SEPTI-TS-SF) is used to measure parents' self-efficacy for a discipline- and routines-related parenting tasks. The Routines subscales are measured with 6 items each. Respondents answer on a 6-point scale (1=Disagree strongly; 6=Agree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Engagement in Program-Targeted Parenting Practices (PTPP) - Parent's Self Efficacy Scale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
Parents' self-efficacy for engaging in the parenting practices targeted by the intervention is measured via the Engagement in Target Activities with Child measure, Parents' Self-Efficacy subscale. Created for this study, these number of items will be determined and will items ask parents to rate how confident they are that they know how to do a series of parenting practices targeted by the program, on a scale of 1 to 10 (1 = Not at all confident; 10 = Highly confident). Average scores range from 1 to 10, with higher scores indicating greater parental self-efficacy (better outcome).
Engagement in Program-Targeted Parenting Practices (PTPP) - Frequency Subscale
时间窗: T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist)
The frequency of parents' engagement in the parenting practices targeted by the intervention is measured via the Engagement in Target Activities with Child measure, Frequency subscale. Created for this study, the number of items will be determined and will ask parents to report the frequency with which they have engaged in target parenting practices in the past 4 weeks. Parents report their frequency on a 6-point scale (0 = "Never in the past month" to 5 = "Every day in past month:). Averaged scores range from 0 to 5, with higher scores indicating more frequent parental engagement in the target activities (better outcome).
次要结局
- Parental Stress Scale(T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist))
- Child-Parent Relationship Scale - Short Form: Conflicts Subscale(T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist))
- Child-Parent Relationship Scale - Short Form: Positive Aspects/Closeness Subscale(T1 (baseline), T2 (6 weeks after T1), T3 (3 months after T2 for Experimental, 6 weeks after T2 for Waitlist))