Improving Access to a Primary Care Based Positive Parenting Program

NCT03077321 | Completed

• 1 other identifier: 17-0545
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 1

Brief Summary

This is a randomized clinical trial of the impact of incorporating a peer mentor into a primary care based group parenting program on increasing program participation by parents and improving program outcomes.

Conditions

Program Implementation; Child Behavior Problem; Positive Parenting

Outcome Measures

Primary Outcomes (1)

• Program Adoption

  mean number of sessions attended

  6-12 weeks

Secondary Outcomes (3)

• Child Behavior

  0 weeks and 6-12 weeks

• Dysfunctional Parenting Behaviors

  0 weeks and 6-12 weeks

• Dysfunctional Parenting Attitudes

  0 weeks and 6-12 weeks

Study Arms (3)

CARE

ACTIVE COMPARATOR

The parent-child dyads in the CARE arm will receive the standard CARE program.

Behavioral: CARE

CARE plus peer mentor

EXPERIMENTAL

The parent-child dyads in the CARE plus peer mentor arm will receive the CARE program that is delivered with the peer mentor.

Behavioral: CARE plus Peer Mentor

Control

NO INTERVENTION

Wait list control

Interventions

CARE plus Peer Mentor BEHAVIORAL

A parent who has completed the standard CARE program will be recruited to be a peer mentor. The peer mentor will attend the CARE training for group leaders and will also be trained in motivational interviewing. These skills will then be used strategically in weekly phone discussions between the peer mentor and parent about practicing the CARE parenting skills in the home setting and planning for attending the 6 training sessions. The parent mentor will co-facilitate the CARE groups in the peer mentor arm along with 2 additional CARE therapists. The peer mentor will also call the parents in the peer mentor arm before each session to discuss progress on homework, and to address barriers for program attendance.

CARE plus peer mentor

CARE BEHAVIORAL

CARE involves 6 weekly 90-minute sessions administered to 6-10 parents by 2 therapists. The initial phase focuses on developing parenting skills aimed at increasing attention to children's pro-social behaviors while ignoring minor attention seeking misbehaviors. The second phase teaches techniques for giving children effective commands in order to set age-appropriate limits and increase compliance. Children do not attend the training but parents are expected to practice the skills with their children between sessions.

CARE

Eligibility Criteria

• Age: 2 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• year old child at UNC Children's Primary Care Clinic and their parent
• English speaking

You may not qualify if:

• child is developmentally younger than 2 years old
• child is already received mental health services for behavioral problems

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead

Study Sites (1)

University of North Carolina

Chapel Hill, North Carolina, 27514, United States

Location

Related Publications (1)

• Schilling S, Ritter V, Wood JN, Fine J, Zolotor AJ. Child-Adult Relationship Enhancement in Primary Care: A Randomized Trial of a Skill-Based Parent Training with Parent Mentor Adaptation. J Dev Behav Pediatr. 2020 May;41(4):272-280. doi: 10.1097/DBP.0000000000000759.

  PMID: 31809392 DERIVED

Study Officials

• Samantha Schilling, MD, MSHP

  University of North Carolina, Chapel Hill

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: The therapists and the parents will not be blinded to group because they will be providing and receiving the intervention. The investigators who are collecting the data will be blinded to arm.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: RCT 1:1:1

Study Record Dates

• First Submitted: March 2, 2017
• First Posted: March 10, 2017
• Study Start: September 20, 2017
• Primary Completion: June 1, 2019
• Study Completion: June 1, 2019
• Last Updated: October 22, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)