Group-based Parenting Program "Incredible Years" to Reduce Child Conduct Disorder Symptoms in Families With Child Protection and Other Family Support Services in Finland
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 101
- 主要终点
- Change in ECBI (Eyberg Child Behavior Checklist)
研究概览
简要总结
According to studies, approximately 20% of children having contact with child protection services have conduct disorder. Negative parenting can make this problem even worse. Research has shown Incredible Years Program to be one of the most effective programs to prevent and reduce child conduct problems. This study is an randomized controlled trial, which evaluates the suitability and effectiveness of group-based Incredible Years program in child protection and family support services. The aim of this study is to find out whether this intervention reduces children's psychiatric symptoms, especially conduct symptoms, increases positive parenting and positive interaction between parents and children, and reduces children's and parent's stress and increase well-being. The study will be carried out in 2015-2018. Overall 101 children and 120 parents participate in the study.
详细描述
- Introduction Parenting skills and home environment play a major role in children's development and safety, especially in early childhood. Studies have shown that maltreating parents have poor child management techniques, high levels of hostile feelings, reduced emotional responsiveness and escalated verbal aggression. It is apparent that large number of parents receiving child protection services are engaged in parental behaviors that do not decrease child's problems, but instead may be harmful to their children. Since over 80 000 of the children receiving support from child protection services in Finland remain in their homes, the need of effective methods to support parenting is evident.
Several randomized trials have shown that parent management training programs, which are based primarily on social learning theory, cognitive-behavioral theory, and attachment theory, effectively improve parenting skills, parents' mental health and child conduct problems. These programs build on social learning theory according to which parents model the appropriate behavior to their children. Behavioristic principles, however, include methods of prompting children's positive behavior. Ideas based on cognitive theory help parents change their conceptions of the child and his/her problematic behavior and coaches them to use problem solving and anger management skills. The basis of attachment theory is that when a sensitive and safe attachment has developed between the child and the caretaker, it helps a child feel safe and builds his/her positive perception of different situations.
Incredible Years Parent Training Program(IY) is one of the most researched programs and has been found to be effective in different countries and contexts, for example among high-risk, disadvantaged, and maltreating families and also among foster carers . However, only a few studies have been made in the context of child protection services or with maltreated children.
The IY program is group-based, focuses on building support networks and decreasing isolation, and has a format designed to reduce stigma, and increase parental participation and engagement. It emphasizes individual goal-setting and a self-reflective learning style, as well as intensive behavior practice and rehearsal methods with other parents and a positive, collaborative relationship between group leaders and parents. For the previous reasons it may be particularly relevant to families with child protection services contact and should be thoroughly researched. 2. Aims
The main study question is:
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 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parents of the child are evaluated by child protection services to benefit from parenting support, or who receive special support for parenting
- •Child is between the ages 3-7 when entering the program
- •The child is living at home
- •Child has behavioral problems
- •Parents have the motivation to attend the groups
- •There is no unresolved acute child protection issue (child's basic needs and safety are not fulfilled).
排除标准
- •Parents have a mental health or substance abuse problem that prevents attending the group.
结局指标
主要结局
Change in ECBI (Eyberg Child Behavior Checklist)
时间窗: Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.
Change of problem behavior measured by ECBI
Change in CBCL (Child Behaviour Checklist) Externalizing scale
时间窗: Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.
Change of problem behavior measured by CBCL Externalizing scale
Long term change in ECBI
时间窗: Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.
Long term change of problem behavior measured by ECBI
Long term change in CBCL Externalizing scale
时间窗: Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.
Long term change of problem behavior measured by CBCL, Externalizing scale
次要结局
- Change in measure of executive functions (measured by KESKY questionnaire)(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Change in child's risk taking behavior in a gambling task(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished .)
- Change in CBCL total scores(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Change in Dyadic Parent-Child Interaction measured by Dyadic Parent-Child Interaction Coding System(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Change in PPI, Parenting Practices Interview(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Long term change in Dyadic Parent-Child Interaction measured by Dyadic Parent-Child Interaction Coding System(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Change in PSI-4-SF, Parenting Stress Inventory, short version(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Change in the Marshmallow test(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Change in Dictator game for children(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Long term change in measure of executive functions (measured by KESKY questionnaire)(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Change in child's trust to another child(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.)
- Long term change in CBCL total scores(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in PPI, Parenting Practices Interview(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in PSI-4-SF, Parenting Stress Inventory, short version(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in the Marshmallow test(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in child's risk taking behavior in a gambling task(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in child's trust to another child(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
- Long term change in Dictator game for children(Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.)
研究者
Piia Karjalainen
Senior Researcher
Finnish Institute for Health and Welfare