Longitudinal Follow-up of Brief Parenting Interventions to Reduce Risk of Child Physical Maltreatment

NCT04059185 | Completed Results

• 2 other identifiers: 492966R01HD093665
• Study Type: interventional
• Target: 1,133
• Locations: 1 country
• Sites: 1

Brief Summary

Universal and broad selective parenting education programs that improve parenting skills, increase parents' understanding of child development, and teach positive child discipline strategies can prevent use of corporal punishment and child physical maltreatment. The proposed research addresses this critical need by investigating brief, relatively low-resource intensive primary prevention parenting programs that can be disseminated widely. By reducing cumulative adverse childhood experiences, which include child physical maltreatment, these interventions are expected to reduce long-term health disparities and risks for major public health problems, such as violence, smoking, obesity, drug abuse, risky sexual behavior, mental health disorders, and heart disease, among others

Conditions

Parenting; Child Behavior; Child Rearing

Keywords

Child abuse; Child maltreatment

Outcome Measures

Primary Outcomes (2)

• Parent - Change From Baseline Frequency of Corporal Punishment Use at 3 Months and at Long-term Follow-up

  The measure was collected at baseline, 3 month post-intervention, and 4 year post-intervention. This question asks participants "How often on average in the past month have you spanked your child?" with seven categories: 0) never, 1) once or twice in the past month, 2) about once a week, 3) about twice a week, 4) about once every other day, 5) about once a day, and 6) more than once a day. Using the 0-6 score response range, the outcome was calculated by subtracting the baseline score from the 3 month or 4 year post-intervention score, such that a negative score indicates decrease in frequency of spanking at the post-intervention timepoint.

  Baseline, 3 months post-intervention, 4 years post-intervention

• Parent - Change From Baseline Attitudes Toward Use of Corporal Punishment at 3 Months and at Long-term Follow-up

  The Attitudes Towards Spanking (ATS) scale was collected at baseline, 3 months post-intervention, and 4 years post-intervention. The scale score response range was 0-28, with a higher number being stronger support for spanking. This change outcome was calculated by subtracting the baseline score from the 3 month or 4 year post-intervention score, such that a negative score indicates a decrease in approval of spanking at the post-intervention time point.

  Baseline, 3 months post-intervention, 4 years post-intervention

Secondary Outcomes (25)

• Parent - Child Discipline Practices

  Baseline, 3 months post-intervention, 4 years post-intervention

• Child - Behavioral and Emotional Adjustment

  Baseline, 3 months post-intervention, 4 years post-intervention

• Child - Externalizing, Internalizing, and Total Symptoms

  4 years post-intervention

• Parent Sensitivity

  4 years post-intervention

• Child Social Involvement

  4 years post-intervention

Study Arms (3)

Program 1

EXPERIMENTAL

Triple P-Level 2 (TPL2), parenting education and consultation

Other: Triple P-Level 2

Program 2

EXPERIMENTAL

Play Nicely (PN), multimedia, computer-based parenting education

Other: Play Nicely

Control

PLACEBO COMPARATOR

Our "usual care" control group participants receive a resource and referral list for local social services

Other: Usual care

Interventions

Triple P-Level 2 OTHER

Triple P-Level 2 (TPL2) consists of a brief, 30 minute, one-on-one consultation with a parenting professional followed by a phone call from that professional roughly 2 weeks later. TPL2 will be delivered on an individual level and consist of a brief, 20 to 40 minute, one-on-one parenting consultation. Parents will receive a positive parenting booklet. They also will be offered parenting tip sheets that are designed to provide basic information on the prevention and management of common behavioral, emotional and developmental problems. All materials are: 1) written in simple English; 2) understandable at a sixth grade reading level; 3) gender-sensitive; and 4) avoid technical and colloquial expression that may pose barriers from non-English speaking backgrounds. Participants will receive a follow-up phone call to check on the family's progress and offer any additional needed advice.

Program 1

Play Nicely OTHER

Play Nicely is a brief, multimedia, computer-based educational program. The online program uses narrated modules to enhance parenting skills and promote effective parental responses to normal aggressive behavior in young children. The parent educational module presents a hypothetical situation of one child harming another. As the module progresses the viewer is given 20 different discipline options from which to choose. Participants are encouraged to click on all the options they wish to learn more about. The different options provide ways to respond to the situation and explain that there are discipline choices that are considered "Great options," "Good options after others have been tried," or "There are better options." The length of the program is dependent on how many of the 20 discipline options the participant chooses to learn about, but generally it can be finished in 20-40 minutes.

Program 2

Usual care OTHER

Our "usual care" control group participants receive a resource and referral list for local social services

Control

Eligibility Criteria

• Age: 2 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult participants must be:
• Women
• English-speaking
• adults, age 18 or older
• a parent of at least one child between 2 and 7 years of age
• a primary caregiver of that child
• able to return to WIC (or recruitment site) for follow-up 3 months later
• available for up to 2 hours on date of recruitment to complete the baseline visit
• Child participants:
• must be the "index child" of the adult participant as indicated in the baseline interview
• all genders eligible

Sponsors & Collaborators

• Tulane University: lead
• Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD): collaborator
• Vanderbilt University Medical Center: collaborator
• Boston College: collaborator

Study Sites (1)

Tulane University School of Public Health and Tropical Medicine

New Orleans, Louisiana, 70112, United States

Location

MeSH Terms

Conditions

Child Behavior

Condition Hierarchy (Ancestors)

Behavior

Results Point of Contact

• Title: Catherine Taylor, PhD, LCSW, MPH
• Organization: Boston College School of Social Work

catherine.taylor.2@bc.edu

(617) 552-4033

Study Officials

• Catherine A Taylor, PhD

  Boston College School of Social Work

  PRINCIPAL INVESTIGATOR

• Julia M Fleckman, PhD

  Tulane University

  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: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 31, 2019
• First Posted: August 16, 2019
• Study Start: November 5, 2014
• Primary Completion: November 21, 2022
• Study Completion: November 21, 2022
• Last Updated: December 20, 2024
• Results First Posted: December 20, 2024

Record last verified: 2024-09

Locations

US (1)