Group-based Parenting Program to Reduce Child Conduct Disorder Symptoms in Finland

NCT03239990 | Completed

• 1 other identifier: THL/1059/6.02.01/2015
• Study Type: interventional
• Target: 101
• Locations: 0 countries
• Sites: N/A

Brief Summary

According to studies, approximately 20% of children having contact with child protection services have conduct disorder. Negative parenting can make this problem even worse. Research has shown Incredible Years Program to be one of the most effective programs to prevent and reduce child conduct problems. This study is an randomized controlled trial, which evaluates the suitability and effectiveness of group-based Incredible Years program in child protection and family support services. The aim of this study is to find out whether this intervention reduces children's psychiatric symptoms, especially conduct symptoms, increases positive parenting and positive interaction between parents and children, and reduces children's and parent's stress and increase well-being. The study will be carried out in 2015-2018. Overall 101 children and 120 parents participate in the study.

Conditions

Conduct Disorders in Children

Keywords

Children's mental health; Conduct disorders; Conduct problems; Externalizing problems; Parental Intervention; Groups based intervention; Finland; Social learning theory; Cognitive-behavioral theory

Outcome Measures

Primary Outcomes (4)

• Change in ECBI (Eyberg Child Behavior Checklist)

  Change of problem behavior measured by ECBI

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in CBCL (Child Behaviour Checklist) Externalizing scale

  Change of problem behavior measured by CBCL Externalizing scale

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Long term change in ECBI

  Long term change of problem behavior measured by ECBI

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.

• Long term change in CBCL Externalizing scale

  Long term change of problem behavior measured by CBCL, Externalizing scale

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 12-15 months after the intervention is finished.

Secondary Outcomes (18)

• Change in measure of executive functions (measured by KESKY questionnaire)

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in CBCL total scores

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in Dyadic Parent-Child Interaction measured by Dyadic Parent-Child Interaction Coding System

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in PPI, Parenting Practices Interview

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in PSI-4-SF, Parenting Stress Inventory, short version

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

Other Outcomes (6)

• Change in GHQ, General Health Questionnaire, for parent

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in SWEMWBS (Short version of Warwick-Edinburgh Mental Well-being Scale), Positive mental health questionnaire

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

• Change in Heart rate during rest

  Baseline measure is conducted 0-4 months before starting the intervention and postintervention measure is measured 0-3 months after the intervention is finished.

Study Arms (2)

Incredible Years, Parent support

EXPERIMENTAL

Incredible Years, Parent group supported by home visiting includes the Incredible Years Parent Training Program, Preschool Basic version, with 18-20 group meetings. Four home visits are added to the program to support parents in practicing new skills and to provide individual practical consultation.

Behavioral: Incredible Years, Parent group supported by home visiting

Treatment as usual

NO INTERVENTION

The control group will receive treatment as usual

Interventions

Incredible Years, Parent group supported by home visiting BEHAVIORAL

Parents are taught to use positive and consistent strategies in reducing child misbehavior

Incredible Years, Parent support

Eligibility Criteria

• Age: 3 Years - 7 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Parents of the child are evaluated by child protection services to benefit from parenting support, or who receive special support for parenting
• Child is between the ages 3-7 when entering the program
• The child is living at home
• Child has behavioral problems
• Parents have the motivation to attend the groups
• There is no unresolved acute child protection issue (child's basic needs and safety are not fulfilled).

You may not qualify if:

• Parents have a mental health or substance abuse problem that prevents attending the group.

Sponsors & Collaborators

• Finnish Institute for Health and Welfare: lead
• University of Helsinki: collaborator

Related Publications (1)

• Karjalainen P, Santalahti P, Aronen ET, Kiviruusu O. Parent- and teacher-reported long-term effects of parent training on child conduct problems in families with child protection and other support services: a randomized controlled trial. Child Adolesc Psychiatry Ment Health. 2021 Feb 11;15(1):7. doi: 10.1186/s13034-021-00358-6.

  PMID: 33573694 DERIVED

MeSH Terms

Conditions

Conduct Disorder

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Piia Karjalainen, M.ED

  Finnish Institute for Health and Welfare

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Senior Researcher

Model Details: Randomize Controlled Trial with intervention and control groups (TAU)

Study Record Dates

• First Submitted: June 15, 2017
• First Posted: August 4, 2017
• Study Start: June 1, 2016
• Primary Completion: August 31, 2018
• Study Completion: August 31, 2018
• Last Updated: December 13, 2021

Record last verified: 2021-11

Data Sharing

• IPD Sharing: Will not share