Triple P With Pediatric Residents

NCT01946958 | Completed

• 1 other identifier: SCH-13683
• Study Type: interventional
• Target: 155
• Locations: 0 countries
• Sites: N/A

Brief Summary

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims. Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems. Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:

1. 1.increased skill levels,
2. 2.increased confidence, and
3. 3.increased satisfaction in dealing with and managing psychosocial issues
4. 4.greater reduction in targeted child behavior problems,
5. 5.greater reduction in dysfunctional parenting practices,
6. 6.increased use of appropriate discipline and positive parenting strategies, and
7. 7.greater confidence in parenting ability.

Conditions

Psychosocial Problem; Problematic Behavior in Children; Parenting

Keywords

Triple P

Outcome Measures

Primary Outcomes (1)

• Change in pediatric resident skills and confidence in conducting parent consultations about child behavior

  Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.

  One year

Secondary Outcomes (1)

• Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior

  One year

Study Arms (2)

Trained in Primary Care (PC) Triple P

EXPERIMENTAL

This group received standardized training in Primary Care (PC) Triple P.

Behavioral: Training in PC Triple P

Care as Usal

EXPERIMENTAL

This group provided care as usual. This group was not trained in PC Triple P interventions.

Other: Care As Usual

Interventions

Training in PC Triple P BEHAVIORAL

PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.

Trained in Primary Care (PC) Triple P

Care As Usual OTHER

Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.

Care as Usal

Eligibility Criteria

• Age: 18 Months - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Assigned to a participating continuity clinic

You may not qualify if:

• Not assigned to a participating continuity clinic
• Parent of an eligible child.
• Speaks English
• A parent of an ineligible child
• Non-English speaking
• Treated by a participating resident
• Between 18 months and 12 years old
• Does not have any mental health diagnosis
• Is not receiving medication or therapy from a professional
• Not treated by a participating resident
• Age falls outside of eligible range
• Has a mental health diagnosis
• Currently receiving medication or therapy from a professional

Sponsors & Collaborators

• Seattle Children's Hospital: lead
• Doris Duke Charitable Foundation: collaborator

Study Officials

• Frederick P Rivara, MD, MPH

  Seattle Children's Research Institute, Seattle Children's Hospital, University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 6, 2013
• First Posted: September 20, 2013
• Study Start: July 1, 2011
• Primary Completion: June 1, 2012
• Study Completion: December 1, 2012
• Last Updated: September 20, 2013

Record last verified: 2013-09