Positive Parenting Program in Foster Care

NCT03910491 | Recruiting

• 1 other identifier: 18-015677
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to evaluate early implementation outcomes of a positive parenting program, Child Adult Relationship Enhancement in Primary Care (PriCARE), in the foster care setting and to assess the efficacy of PriCARE in promoting positive parenting and increasing empathy among foster caregivers.

Conditions

Child Behavior Problem; Child Behavior Disorders; Parenting; Foster Care

Outcome Measures

Primary Outcomes (3)

• Number of participants enrolled in PriCARE intervention

  Foster caregiver enrollment in the intervention will be measured

  follow-up (6 wks post-intervention)

• Rate of participant attendance to PriCARE training sessions

  Attendance to number of sessions will be measured

  follow-up (6 wks post-intervention)

• Retention rate of participants in PriCARE

  Retention in the PriCARE intervention will be measured

  follow-up (6 wks post-intervention)

Secondary Outcomes (5)

• Change in Adult-Adolescent Parenting Inventory-2 (AAPI-2) score between baseline and follow-up visit

  baseline (pre-intervention) and follow-up (4-10 wks post-intervention)

• Change in Parenting Scale score between baseline and follow-up visit

  baseline (pre-intervention) and follow-up (4-10 wks post-intervention)

• The change in Parenting Sense of Competence score between baseline and follow-up visit

  baseline (pre-intervention) and follow-up (4-10 wks post-intervention)

• Therapeutic Attitude Inventory (TAI) score

  follow-up (4-10 wks post-intervention)

• Understanding foster caregiver perspectives on parenting and the impact of the PriCARE intervention on their parenting through qualitative interviews

  baseline (pre-intervention) and follow-up (4-10 wks post-intervention)

Other Outcomes (1)

• Description of study groups

  baseline (pre-intervention)

Study Arms (1)

Intervention

EXPERIMENTAL

All participants who enroll in the study will be assigned to a PriCARE group program that will adhere to the approximately 9 hour PriCARE curriculum.The trainings are administered to groups of approximately 4-12 caregivers at a time and are led by 2 mental health providers trained in the PriCARE curriculum. The curriculum will be delivered in 2-6 sessions over a 2-20 week period.

Behavioral: PriCARE

Interventions

PriCARE BEHAVIORAL

PriCARE is a group parent training program designed to improve child behavior, improve parent-child relationships, and decrease stress for parents. PriCARE emphasizes the 3 Ps (Praise, Paraphrase, and Point-out-Behavior). The training initially focuses on parenting skills including giving attention to the child's positive behaviors and ignoring minor misbehaviors. The second phase of training includes teaching techniques for giving children effective commands to set age-appropriate limits. The PriCARE curriculum also includes trauma and stress education components in order to contextualize the use of these skills with the types of behaviors and problems demonstrated by many children who have experienced psychosocial adversity and chronic familial stress. Throughout the curriculum, caregivers are encouraged to practice the skills. PriCARE has been evaluated in the primary care setting and has shown promise. There have been limited studies on PriCARE for foster caregivers.

Also known as: Child Adult Relationship Enhancement in Pediatric Primary Care

Intervention

Eligibility Criteria

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

You may qualify if:

• Foster caregiver is age 18 years or older
• Caregiver is a foster parent of a foster child between 18 months and 6 years of age
• English-speaking
• Foster caregiver provides informed consent

You may not qualify if:

• \) Foster caregivers who have previously completed CARE or PriCARE training.

Sponsors & Collaborators

• Children's Hospital of Philadelphia: lead
• Ray E. Helfer Society: collaborator

Study Sites (1)

Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

RECRUITING

Related Publications (8)

• Gurwitch RH, Messer EP, Masse J, Olafson E, Boat BW, Putnam FW. Child-Adult Relationship Enhancement (CARE): An evidence-informed program for children with a history of trauma and other behavioral challenges. Child Abuse Negl. 2016 Mar;53:138-45. doi: 10.1016/j.chiabu.2015.10.016. Epub 2015 Nov 22.

  PMID: 26613674 BACKGROUND

• Wood JN, Dougherty SL, Long J, Messer EP, Rubin D. A Pilot Investigation of a Novel Intervention to Improve Behavioral Well-Being for Children in Foster Care. Journal of Emotional and Behavioral Disorders. 2017

  BACKGROUND

• Schilling S, French B, Berkowitz SJ, Dougherty SL, Scribano PV, Wood JN. Child-Adult Relationship Enhancement in Primary Care (PriCARE): A Randomized Trial of a Parent Training for Child Behavior Problems. Acad Pediatr. 2017 Jan-Feb;17(1):53-60. doi: 10.1016/j.acap.2016.06.009. Epub 2016 Jun 25.

  PMID: 27353449 BACKGROUND

• Conners NA, Whiteside-Mansell L, Deere D, Ledet T, Edwards MC. Measuring the potential for child maltreatment: the reliability and validity of the Adult Adolescent Parenting Inventory--2. Child Abuse Negl. 2006 Jan;30(1):39-53. doi: 10.1016/j.chiabu.2005.08.011. Epub 2006 Jan 6.

  PMID: 16406026 BACKGROUND

• Arnold DS, O'Leary SG, Wolff LS, Acker MM. The Parenting Scale: A measure of dysfunctional parenting in discipline situations. Psychological Assessment. 1993;5(2):137-44. doi: 10.1037/1040-3590.5.2.137

  BACKGROUND

• Karazsia B, Dulmen M, Wildman B. Confirmatory Factor Analysis of Arnold et al.'s Parenting Scale Across Race, Age, and Sex. Journal of Child & Family Studies. 2008;17(4):500-16. doi: 10.1007/s10826-007-9170-1. PubMed PMID: 32587293

  BACKGROUND

• Ohan JL, Leung DW, Johnston C. The Parenting Sense of Competence scale: Evidence of a stable factor structure and validity. Canadian Journal of Behavioural Science/Revue canadienne des sciences du comportement. 2000;32(4):251

  BACKGROUND

• Messer, E. P., Greiner, M. V., Beal, S. J., Eismann, E. A., Cassedy, A., Gurwitch, R. H., Boat, B.W., Bensman, H., Bemerer, J., Hennigan, M. & Greenwell, S. (2018). Child adult relationship enhancement (CARE): A brief, skills-building training for foster caregivers to increase positive parenting practices. Children and Youth Services Review, 90, 74-82.

  BACKGROUND

MeSH Terms

Conditions

Child Behavior Disorders

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Joanne N Wood, MD, MSHP

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Edna Terry

CONTACT

12674263107; terrye@chop.edu

Joanne Wood, MD, MSHP

CONTACT

267-426-3107; woodjo@chop.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 5, 2019
• First Posted: April 10, 2019
• Study Start: April 16, 2019
• Primary Completion: December 31, 2025
• Study Completion: December 31, 2025
• Last Updated: May 15, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)