NCT01367847

Brief Summary

This study aimed to examine if technology could enhance the treatment engagement and outcomes of low income parents of 3 to 8 children with externalizing problems.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
22

participants targeted

Target at below P25 for not_applicable

Timeline
Completed

Started Sep 2010

Typical duration for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 1, 2010

Completed
9 months until next milestone

First Submitted

Initial submission to the registry

June 1, 2011

Completed
6 days until next milestone

First Posted

Study publicly available on registry

June 7, 2011

Completed
1.3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 1, 2012

Completed
7 months until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2013

Completed
5.4 years until next milestone

Results Posted

Study results publicly available

September 14, 2018

Completed
Last Updated

September 11, 2019

Status Verified

September 1, 2019

Enrollment Period

2.1 years

First QC Date

June 1, 2011

Results QC Date

May 23, 2018

Last Update Submit

September 9, 2019

Conditions

Keywords

ParentingParent-Child RelationsChild Behavior

Outcome Measures

Primary Outcomes (2)

  • Retention

    Retention assesses whether or not the family completed the full treatment program.

    Baseline to Post-Intervention (average 8 to 12 weeks)

  • Mean % Sessions Attended as Scheduled

    Participation in each weekly session as scheduled was recorded for each family. Mean attendance of scheduled sessions was computed for each parent-child dyad and then for each group. For example, if a parent-child dyad required 8 sessions to master the program skills and attended all 8 sessions as scheduled they would have 100%. If instead, another parent-child dyad also required 8 sessions to complete the program, but half of those were rescheduled at least once. Then the overall average attendance is calculated across the parent-child dyads in each group. Greater scheduled attendance = optimal outcome.

    Baseline to Post-Intervention (average 8 to 12 weeks)

Secondary Outcomes (3)

  • Mean Post-treatment Score Eyberg Child Behavior Inventory (ECBI)

    Baseline to Post-Intervention (average 8 to 12 weeks)

  • Mean Sessions for Complete Treatment

    Baseline to Post-Intervention (Average 8 to 12 weeks)

  • Mean Consumer Satisfaction

    Post-Intervention (Average 8 to 12 weeks)

Study Arms (2)

Helping the Noncompliant Child (HNC)

ACTIVE COMPARATOR

Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.

Behavioral: Helping the Noncompliant Child (HNC)

Technology-Enhanced HNC (TE-HNC)

EXPERIMENTAL

Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.

Behavioral: Technology-Enhanced Helping the Noncompliant Child (TE-HNC)

Interventions

Well-established behavioral parent training program (McMahon \& Forehand) for parents of 3 to 8 y.o. children with externalizing problems

Also known as: HNC
Helping the Noncompliant Child (HNC)

Standard HNC program plus technology-enhancements (see description under Arm)

Also known as: TE-HNC
Technology-Enhanced HNC (TE-HNC)

Eligibility Criteria

Age3 Years - 8 Years
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Lower income
  • caregiver/parent is legal guardian
  • to 8 year old child
  • child meets criteria for externalizing disorder or significant externalizing symptoms

You may not qualify if:

  • Prior report of child abuse or neglect
  • current substance abuse/dependence
  • legal guardian reading level less than 8th grade
  • child has developmental disability that precludes caregiver utilizing the skills

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UNC Chapel Hill

Chapel Hill, North Carolina, 27599, United States

Location

Related Publications (10)

  • Jones DJ, Forehand R, McKee LG, Cuellar J, Kincaid C. Behavioral Parent Training: Is There an "App" for That? Behav Ther (N Y N Y). 2010 Apr;33(4):72-77. No abstract available.

    PMID: 22199418BACKGROUND
  • Jones DJ, Forehand R, Cuellar J, Kincaid C, Parent J, Fenton N, Goodrum N. Harnessing innovative technologies to advance children's mental health: behavioral parent training as an example. Clin Psychol Rev. 2013 Mar;33(2):241-52. doi: 10.1016/j.cpr.2012.11.003. Epub 2012 Dec 4.

    PMID: 23313761BACKGROUND
  • Forehand R, Jones DJ, Parent J. Behavioral parenting interventions for child disruptive behaviors and anxiety: what's different and what's the same. Clin Psychol Rev. 2013 Feb;33(1):133-45. doi: 10.1016/j.cpr.2012.10.010. Epub 2012 Nov 6.

    PMID: 23178234BACKGROUND
  • Jones DJ. Future directions in the design, development, and investigation of technology as a service delivery vehicle. J Clin Child Adolesc Psychol. 2014;43(1):128-42. doi: 10.1080/15374416.2013.859082.

    PMID: 24400723BACKGROUND
  • Jones DJ, Forehand R, Cuellar J, Parent J, Honeycutt A, Khavjou O, Gonzalez M, Anton M, Newey GA. Technology-enhanced program for child disruptive behavior disorders: development and pilot randomized control trial. J Clin Child Adolesc Psychol. 2014;43(1):88-101. doi: 10.1080/15374416.2013.822308. Epub 2013 Aug 7.

  • Loiselle R, Parent J, Georgeson AR, Thissen D, Jones DJ, Forehand R. Validation of the Multidimensional Assessment of Parenting: An application of item response theory. Psychol Assess. 2021 Sep;33(9):803-815. doi: 10.1037/pas0001019. Epub 2021 Apr 26.

  • Jones DJ, Loiselle R, Zachary C, Georgeson AR, Highlander A, Turner P, Youngstrom JK, Khavjou O, Anton MT, Gonzalez M, Bresland NL, Forehand R. Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model. Behav Ther. 2021 Mar;52(2):508-521. doi: 10.1016/j.beth.2020.07.001. Epub 2020 Jul 15.

  • Zachary C, Jones DJ, McKee LG, Baucom DH, Forehand RL. The Role of Emotion Regulation and Socialization in Behavioral Parent Training: A Proof-of-Concept Study. Behav Modif. 2019 Jan;43(1):3-25. doi: 10.1177/0145445517735492. Epub 2017 Oct 13.

  • Anton MT, Jones DJ, Youngstrom EA. Socioeconomic status, parenting, and externalizing problems in African American single-mother homes: A person-oriented approach. J Fam Psychol. 2015 Jun;29(3):405-415. doi: 10.1037/fam0000086.

  • Parent J, Jones DJ, Forehand R, Cuellar J, Shoulberg EK. The role of coparents in African American single-mother families: the indirect effect of coparent identity on youth psychosocial adjustment. J Fam Psychol. 2013 Apr;27(2):252-62. doi: 10.1037/a0031477. Epub 2013 Feb 11.

MeSH Terms

Conditions

Child Behavior

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

This is a preliminary randomized control trial with a small sample size and limited statistical power and, thus, findings should be interpreted with caution.

Results Point of Contact

Title
Deborah Jones, PhD
Organization
University of North Carolina at Chapel Hill

Study Officials

  • Deborah J Jones, PhD

    UNC Chapel Hill

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes
Restrictive Agreement
No

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 1, 2011

First Posted

June 7, 2011

Study Start

September 1, 2010

Primary Completion

October 1, 2012

Study Completion

May 1, 2013

Last Updated

September 11, 2019

Results First Posted

September 14, 2018

Record last verified: 2019-09

Locations