Effectiveness and Cost-effectiveness of Coaching Models to Promote Implementation of an Evidence-based Parenting Program

NCT01791777 | Completed

• 1 other identifier: 1R18CE001733
• Study Type: interventional
• Target: 147
• Locations: 1 country
• Sites: 10

Brief Summary

The proposed study will compare purveyor coaching (conducted by National SafeCare Training and Research Center (NSTRC)) to local coaching that is supported by the purveyor (NSTRC). The outcomes of interest are home visitor fidelity and competence with the SafeCare model, and family engagement and skill acquisition. The study will also include a rigorous cost effectiveness analysis, and will examine individual and organizational factors that may affect implementation.

Conditions

Child Maltreatment

Keywords

fidelity; implementation science; competence; training; coaching

Outcome Measures

Primary Outcomes (2)

• Change in provider fidelity on the Home Visitor Fidelity Checklist.

  As consistent with typical SafeCare implementation, the Home Visitors who provide the parent-training curriculum, SafeCare, to their clients will be monitored by a supervisor, their Coach, monthly to ensure fidelity to the SafeCare model is met. The Coach will listen to an audio recording the Home Visitor records of a session they have implementing SafeCare with their client and will grade the Home Visitor's performance using the Home Visitor Fidelity Checklist. The audio recording of the SafeCare session, the Coach's graded checklist of the session, as well as an audio recording the Coach captures of their feedback to the Home Visitor of the session and their checklist score will be captured every month.

  Home Visitors will be monitored for the duration it takes up to five of their clients, who are also consented to participate in the study, to complete the SafeCare parent-training curriculum, an expected average of 6 months.

• Change in provider competency on the Home Visitor Competency Scale.

  As consistent with typical SafeCare implementation, the Home Visitors who provide the parent-training curriculum, SafeCare, to their clients will be monitored by a supervisor, their Coach, monthly to ensure fidelity to the SafeCare model is met. The Coach will listen to an audio recording the Home Visitor records of a session they have implementing SafeCare with their client and will grade the Home Visitor's performance using the Home Visitor Fidelity Checklist. The audio recording of the SafeCare session, the Coach's graded checklist of the session, as well as an audio recording the Coach captures of their feedback to the Home Visitor of the session and their checklist score will be captured every month for purposes of fidelity monitoring. Blind coders will listen to the SafeCare sessions captured each month and score them using the Home Visitor Competency Scale.

  Home Visitors will be monitored for the duration it takes up to five of their clients, who are also consented to participate in the study, to complete the SafeCare parent-training curriculum, an expected average of 6 months.

Secondary Outcomes (2)

• Time spent performing SafeCare coaching duties as recorded on the Time Diary form.

  Coaches will record their time spent performing SafeCare coaching for the duration it takes up to five of their Home Visitor's clients to complete the SafeCare parent-training curriculum, an expected average of 6 months.

• Change in performance of parenting skills taught in the SafeCare parent-training program.

  Time it takes SafeCare clients to complete the SafeCare parenting-training curriculum, approximately 4-6 months.

Study Arms (2)

Purveyor

EXPERIMENTAL

The "purveyor" arm will include SafeCare Coaching that is conducted by a Training Specialists from the National SafeCare Training and Research Center (NSTRC), a GSU (Georgia State University)-Center that conducts training and research on the SafeCare model.

Behavioral: SafeCare Coaching

Local

EXPERIMENTAL

The the "local" are will receive SafeCare Coaching that is provided by a staff member who works for the local social service agency.

Behavioral: SafeCare Coaching

Interventions

SafeCare Coaching BEHAVIORAL

This study involves a comparison of different coaching models for providers who are newly trained to conduct an evidence-based parent training program (SafeCare). As part of all SafeCare trainings, all providers receive workshop training plus ongoing coaching to promote adherence to the intervention model. This research is aimed at understanding the coaching aspect of the training and dissemination processes, with the goal of implementing the most effective and efficient dissemination processes. One group of home visitors will be coached directly by NSTRC trainers, who work for NSTRC. The other group of home visitors will receive coaching that is provided by a staff member who works for the local social service agency.

Local; Purveyor

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Providers administering SafeCare (Home Visitors and Coaches).
• Parents receiving SafeCare services from a Home Visitor how is also participating in the study.

You may not qualify if:

• Individuals under the age of 18.

Sponsors & Collaborators

• Georgia State University: lead
• Centers for Disease Control and Prevention: collaborator
• University of Georgia: collaborator

Study Sites (10)

Parent Aid Child Abuse Prevention Center

Tucson, Arizona, 85713, United States

Location

County of Humboldt - Department of Health and Human Services

Eureka, California, 95501, United States

Location

Family Support Services of North Florida Inc.

Jacksonville, Florida, 32207, United States

Location

Georiga State University

Atlanta, Georgia, 30303, United States

Location

The Listening Ear

Conyers, Georgia, 30013, United States

Location

Pathways Transitions Programs

Decatur, Georgia, 30030, United States

Location

Children's Center of Surry, Inc.

Dobson, North Carolina, 27017, United States

Location

Exchange Club of Durham North Carolina

Durham, North Carolina, 27707, United States

Location

Buckner Children & Family Services, Inc.

Amarillo, Texas, 79117, United States

Location

Children's Connections, Inc.

Lubbock, Texas, 79423, United States

Location

Study Officials

• Daniel J Whitaker, PhD

  Georgia State Univeristy

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director, National SafeCare Training and Research Center

Study Record Dates

• First Submitted: January 15, 2013
• First Posted: February 15, 2013
• Study Start: September 1, 2010
• Primary Completion: August 1, 2013
• Study Completion: August 1, 2013
• Last Updated: February 25, 2019

Record last verified: 2019-02

Data Sharing

• IPD Sharing: Will not share

Locations

US (10)