The Impact of Parent Training on the Child's Health Services

NCT03704974 | Terminated

• 2 other identifiers: CHLA-17-00001UL1TR001855
• Study Type: observational
• Target: 7
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to determine whether parent training with the Incredible Years Parent Program delivered in pediatric primary care decreases usage of healthcare services for the next year when compared to annual healthcare service use during the two years prior to the parents participating in program.

Conditions

Parenting; Child Rearing; Child Behavior Problem

Keywords

Child Health Services; Pediatric Health Service Utilization; Incredible Years

Outcome Measures

Primary Outcomes (1)

• Change in Annual Pediatric Health Services Utilization from 24 months prior to IY Parent Group Participation to 12 months following IY Parent Group Participation

  (1) all-cause Emergency Department (ED) visits (yes/no) and number; (2) ED visits for mental health conditions (yes/no) and number; (3) in-patient hospitalizations (yes/no) and number, and length of stay in days; (4) authorizations for specialist referrals from AltaMed (yes/no) and number; (5) number of AltaMed primary care visits; (6) AltaMed acute care visits (yes/no) and number; (7) AltaMed mental health visits (yes/no) and number; (8) Children's Hospital Los Angeles (CHLA) specialty mental health visits (yes/no) and number.

  Utilization for 24 months prior to intervention and 12 months following intervention

Secondary Outcomes (3)

• Eyberg Child Behavior Inventory

  During week before or after starting group; and during week before or after ending group, up to 20 weeks

• Youth Outcome Questionnaire (Parent Report)

  During week before or after starting group; and during week before or after ending group, up to 20 weeks

• Pediatric Symptom Checklist

  During week before or after starting group; and during week before or after ending group, up to 20 weeks

Study Arms (1)

Children of Parents Receiving IY

Children ages 3 to 6 years at start of group with behavior concerns whose parents are referred by their pediatricians for participation in a video-based parent training program from 2014 through 2018.

Behavioral: Video-Based Parent Training Program

Interventions

Video-Based Parent Training Program BEHAVIORAL

An18-20 week evidence-based social cognitive theory-based parenting program where parents see brief video vignettes of effective and less effective parenting and develop concepts to modify their child's behavior.

Also known as: Incredible Years® Preschool BASIC Parenting Program, Incredible Years® Early Childhood BASIC Parenting Program

Children of Parents Receiving IY

Eligibility Criteria

• Age: 36 Months - 83 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children participating in the study will be referred from the AltaMed Federally Qualified Health Center, which manages the primary pediatric care at Children's Hospital Los Angeles for 20,000 children who generate 85,000 outpatient visits per year. The population reflects the diversity of Los Angeles County and is predominantly Latino.

You may qualify if:

• Children receiving primary care at CHLA AltaMed with parent-reported behavioral concerns whose parents are referred by their pediatricians for participation in the Incredible Years Parenting Program.
• Continuous enrollment in AltaMed Medicaid funded health services during the 24 months prior to participation in IY and 12 months following participation in IY with lapses in coverage of no more than 90 days in length.
• Parents are English or Spanish-speaking or willing to use interpretation if they speak another language.

You may not qualify if:

• Private (commercial non-Medicaid) insurance coverage for greater than 90 days during the 24 months prior to participation in IY and 12 months following participation in IY.

Sponsors & Collaborators

• Children's Hospital Los Angeles: lead
• AltaMed Health Services Corporation: collaborator
• National Center for Advancing Translational Sciences (NCATS): collaborator

Study Sites (1)

Children's Hospital Los Angeles

Los Angeles, California, 90027, United States

Location

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Related Links

• Link to REDCap Database

Study Officials

• DEAN M COFFEY, PsyD, MS

  University of Southern California; Children's Hospital Los Angeles

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 2, 2018
• First Posted: October 15, 2018
• Study Start: August 16, 2018
• Primary Completion: June 22, 2022
• Study Completion: June 22, 2022
• Last Updated: November 7, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)