Guided Self-Help for Parents of Children With Externalizing Problem Behavior

NCT01350986 | Unknown

• 2 other identifiers: DO 620/5-1Köln Fortune
• Study Type: interventional
• Target: 146
• Locations: 1 country
• Sites: 1

Brief Summary

The efficacy of cognitive-behavioral based guided self-help for parents of children with externalizing problem behavior is tested in a randomized clinical trial. Parents work through cognitive-behavioral self-help booklets and additionally receive counseling telephone calls every two weeks. In the control condition parents are provided non-directive self-help booklets and additionally receive counseling telephone calls. It is hypothesized that the cognitive-behavioral treatment is superior.

Conditions

Oppositional Defiant Disorder; Attention Deficit Hyperactivity Disorders; Attention Deficit and Disruptive Behavior Disorders

Keywords

Controlled Clinical Trials, Randomized

Outcome Measures

Primary Outcomes (4)

• Change Oppositional Defiant Disorder subscale score of the Symptom Checklist Disruptive Behavior Disorder (SCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)

  Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ODD. Informant is participating parent.

  pre, intermediate, post, 6-month FU, 12-month FU

• Change total score of the Symptom Checklist Attention-Deficit/Hyperactivity Disorder (SCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)

  Questionnaire considers the diagnostic criteria of DSM-IV and ICD-10 for ADHD. Informant is participating parent.

  pre, intermediate, post, 6-month FU, 12-month FU

• Change Oppositional Defiant Disorder subscale score of the Diagnostic Checklist Disruptive Behavior Disorder (DCL-ODD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)

  Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ODD. Informant is mental health worker.

  pre, intermediate, post, 6-month FU, 12-month FU

• Change total score of the Diagnostic Checklist Attention-Deficit/Hyperactivity Disorder (DCL-ADHD; Döpfner, Görtz-Dorten, & Lehmkuhl, 2008)

  Diagnostic interview considers the criteria of DSM-IV and ICD-10 for ADHD. Informant is mental health worker.

  pre, intermediate, post, 6-month FU, 12-month FU

Study Arms (2)

Directive

EXPERIMENTAL

Behavioral: Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls

Non-Directive

ACTIVE COMPARATOR

Behavioral: Non-Directive Self-Help Workbook + Counseling Telephone Calls

Interventions

Cognitive-Behavioral Self-help Workbook + Counseling Telephone Calls BEHAVIORAL

In intervention period of 5 months parents work through 8 cognitive-behavioral self-help booklets (FLOH) and additionally receive 10 counseling telephone calls. Primary purpose of telephone calls is to clarify content of the booklets and support parents in managing their homework assignments accompanied with each booklet. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on the therapy manual "Treatment program for children with hyperactive and oppositional problem behavior (THOP)" (Döpfner, Schürmann, \& Frölich, 2007) and the parent self-help book "Wackelpeter and Trotzkopf: Help for parents of children with hyperkinetic and oppositional behavior" (Döpfner, Schürmann, \& Lehmkuhl, 2006).

Also known as: FLOH

Directive

Non-Directive Self-Help Workbook + Counseling Telephone Calls BEHAVIORAL

In intervention period of 5 months parents are provided 8 non-directive self-help booklets and additionally receive 10 non-directive counseling telephone calls. If the telephone calls are used to clarify content of the booklets or to discuss other child and parenting related topics is at the parents' discretion. Main focus for counselor is to be congruent, empathic and to have unconditional positive regard toward the parents. 3 and 6 months after intervention period has ended, two additional booster telephone calls are provided. The booklets are based on "Parent effectiveness training" (Gordon, 1970) and "Teaching children self-discipline at home and at school" (Gordon, 1989).

Also known as: "Parent effectiveness training"; "Teaching children self-discipline at home and at school"

Non-Directive

Eligibility Criteria

• Age: 4 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Child diagnosis of ODD and/or ADHD based on DCL-ODD and DCL-ADHD respectively

You may not qualify if:

• Child IQ is below 80
• Child has diagnosis of pervasive developmental disorder (PDD)
• Indication for inpatient/intensive treatment for child
• Parent training while intervention period
• Planed start, change or discontinuation of psychopharmacological treatment for child while intervention period
• No parental adherence or willingness for randomisation process
• Language or reading difficulties of participating parent

Sponsors & Collaborators

• German Research Foundation: lead

Study Sites (1)

Department of Child and Adolescent Psychiatry and Psychotherapy at the University of Cologne

Cologne, North Rhine-Westphalia, 50931, Germany

RECRUITING

Related Publications (4)

• Hautmann C, Dose C, Hellmich M, Scholz K, Katzmann J, Pinior J, Gebauer S, Nordmann L, Wolff Metternich-Kaizman T, Schurmann S, Dopfner M. Behavioural and nondirective parent training for children with externalising disorders: First steps towards personalised treatment recommendations. Behav Res Ther. 2023 Apr;163:104271. doi: 10.1016/j.brat.2023.104271. Epub 2023 Feb 1.

  PMID: 36931110 DERIVED

• Treier AK, Hautmann C, Dose C, Nordmann L, Katzmann J, Pinior J, Scholz KK, Dopfner M. Process Mechanisms in Behavioral Versus Nondirective Guided Self-help for Parents of Children with Externalizing Behavior. Child Psychiatry Hum Dev. 2024 Apr;55(2):453-466. doi: 10.1007/s10578-022-01400-0. Epub 2022 Sep 6.

  PMID: 36064990 DERIVED

• Treier AK, Hautmann C, Katzmann J, Nordmann L, Pinior J, Scholz KK, Dopfner M. Treatment components in behavioral versus nondirective telephone-assisted self-help interventions for parents of children with externalizing behavior problems. J Clin Psychol. 2022 May;78(5):735-746. doi: 10.1002/jclp.23255. Epub 2021 Sep 24.

  PMID: 34560813 DERIVED

• Del Giudice T, Tervoort J, Hautmann C, Walter D, Dopfner M. Cross-Cultural Validity of the Child and Adolescent Dispositions Model in a Clinical Sample of Children With Externalizing Behavior Problems. Front Psychol. 2020 Apr 8;11:641. doi: 10.3389/fpsyg.2020.00641. eCollection 2020.

  PMID: 32322227 DERIVED

MeSH Terms

Conditions

Oppositional Defiant Disorder; Attention Deficit Disorder with Hyperactivity; Attention Deficit and Disruptive Behavior Disorders

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Manfred Döpfner, PhD

  University of Cologne

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Manfred Döpfner, PhD

CONTACT

+49 221 4786105; manfred.doepfner@uk-koeln.de

Christopher Hautmann, PhD

CONTACT

+49 177 641 65 44; christopher.hautmann@googlemail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: May 6, 2011
• First Posted: May 10, 2011
• Study Start: May 1, 2011
• Primary Completion: March 1, 2013
• Study Completion: March 1, 2013
• Last Updated: May 10, 2011

Record last verified: 2011-05

Locations

DE (1)