Coaching Alternative Parenting Strategies (CAPS) Study

NCT02684903 | Completed Results DMC

• 1 other identifier: 1R01DA036533-01A1
• Study Type: interventional
• Target: 408
• Locations: 1 country
• Sites: 1

Brief Summary

This is a randomized, controlled trial (RCT) of Parent-Child Interaction Therapy (PCIT) designed to test the effects of PCIT on self-regulation and behavior in child maltreating (CM) parents and their elementary-school children. Two hundred-fifty (250) maltreating mothers and their children (age 5-8 years) will be drawn from Child Protective Services and randomized to the PCIT intervention or a control condition (services as usual). Key contextual risk factors will be assessed, including cumulative risk, parent mental health, and parent substance use. A multirater, multimethod approach to assessment will include measures of self-regulation, parenting skills and children's behavior outcomes. Families will be followed to 1 year for CM recidivism. Findings from this proposed study are expected to have significant implications for optimizing CM parenting interventions by (a) determining the sensitivity of CM parent and child neurobehavioral self-regulation systems to intervention, and (b) identifying individual differences in self-regulation that mediate and moderate response to intervention and long-term maintenance of gains.

Conditions

Child Abuse; Self-control; Parenting

Keywords

Child Abuse; Parent Child Interaction Therapy (PCIT); Evidenced Based Intervention; Self-control

Outcome Measures

Primary Outcomes (3)

• DPICS-IV Observed Parenting Skills (During Child-Led Play)

  Dyadic Parent-Child Interaction Coding System (DPICS) coded positive "PRIDE" parenting skills and negative "Don't skills" parenting behaviors during the DPICS Child-Led Play task. Scores reflect behavioral counts during the 5-minute task, with higher scores reflecting more behaviors. Higher positive parenting scores reflect better outcomes, whereas higher negative parenting scores reflect worse outcomes.

  Pre- and Post-intervention (8 months)

• DPICS-IV Observational Coding During Clean Up Situation Task

  DPICS-Coded Positive "PRIDE" Parenting skills, Effective Parent Commands, and Child Compliance behaviors during the DPICS Clean Up Situation task. Positive parenting scores reflect the percentage of total coded behaviors during the task that are positive "PRIDE" skills. Effective (direct) parent commands reflect the percentage of all commands that were direct, compliable commands. Child compliance scores reflected the percentage of effective, direct commands that child complied with in the immediately following behavioral turn. High scores on all three scales reflect better outcomes.

  Pre- and Post-intervention (8 months)

• Stop Signal Task: Increased Parent Inhibitory Control

  The Stop Signal Response Time (SSRT) was used to assess the efficiency of parent inhibitory control process or time in milliseconds needed to engage an inhibitory response. Lower SSRT scores reflect faster reaction times and better inhibitory control.

  pre- and post-intervention (8 months)

Secondary Outcomes (1)

• Reduced Child Maltreatment (CM) Recidivism

  up to 1 year posttreatment

Other Outcomes (8)

• BRIEF-A: Emotional Control Scale (Increased Parent Emotion Regulation)

  pre- and post-intervention (8 months)

• BRIEF (Behavioral Rating Inventory of Executive Function) Children's Outcomes

  pre- and post-intervention

• Parent Physiological Regulation

  pre- and post-intervention

Study Arms (2)

Services As Usual (SAU)

NO INTERVENTION

Participants receive all the usual services provided by Department of Human Services (DHS) Children's Services.

Parent Child Interaction Therapy (PCIT)

EXPERIMENTAL

Participants receive Parent Child Interaction Therapy (PCIT). PCIT is designed to improve child functioning by interrupting patterns of harsh, coercive interaction and enhancing parents' warm, positive parenting, autonomy support, and competent child management skills. .

Behavioral: Parent Child Interaction Therapy

Interventions

Parent Child Interaction Therapy BEHAVIORAL

PCIT is a 16-20 session live-coaching parenting intervention. PCIT for Child Welfare families is delivered in two sequential treatment phases following a motivational enhancement training: Phase 1, Child-Directed Interaction (CDI) to enhance positive parenting and interrupt harsh aversive parenting, and Phase 2, Parent-Directed Interaction (PDI) to coach effective parent commands and a consistent time-out protocol when child disobeys.

Also known as: PCIT

Parent Child Interaction Therapy (PCIT)

Eligibility Criteria

• Age: 3 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Resident of Lane County
• Parent is 18 or older
• Biological or custodial mother of a child between age 3 and 7 years at baseline
• Resides in the same home setting with the child
• Must be fluent in English
• Mom and child must be physically able to complete the assessment
• Family has an open case with Lane County Dept. Health Services.

You may not qualify if:

• Child sexual abuse in the family

Sponsors & Collaborators

• University of Oregon: lead

Study Sites (1)

University of Oregon

Eugene, Oregon, 97403, United States

Location

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• Nekkanti AK, Jeffries R, Scholtes CM, Shimomaeda L, DeBow K, Norman Wells J, Lyons ER, Giuliano RJ, Gutierrez FJ, Woodlee KX, Funderburk BW, Skowron EA. Study Protocol: The Coaching Alternative Parenting Strategies (CAPS) Study of Parent-Child Interaction Therapy in Child Welfare Families. Front Psychiatry. 2020 Sep 2;11:839. doi: 10.3389/fpsyt.2020.00839. eCollection 2020.

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MeSH Terms

Conditions

Self-Control

Condition Hierarchy (Ancestors)

Social Behavior; Behavior

Results Point of Contact

• Title: Dr. Elizabeth Skowron
• Organization: University of Oregon

eskowron@uoregon.edu

541-346-9329

Study Officials

• Elizabeth A Skowron, PhD

  University of Oregon

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Department of Psychology

Study Record Dates

• First Submitted: February 2, 2016
• First Posted: February 18, 2016
• Study Start: February 1, 2016
• Primary Completion: June 1, 2020
• Study Completion: April 1, 2022
• Last Updated: November 2, 2023
• Results First Posted: November 2, 2023

Record last verified: 2023-10

Locations

US (1)