Child-Parent Psychotherapy - a Feasibility Study for Children in Foster Care

NCT04519229 | Enrolling By Invitation

• 1 other identifier: RK/30062020
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Children in foster care have an increased risk of exposure to adverse experiences during childhood and across the lifespan. In current studies of interventions children in foster care are often excluded, or they are too few to be included in statistical analyses of outcomes. As a consequence, knowledge on feasibility of treatment methods for some of the most exposed and maltreated children in society is sparse. Child-Parent Psychotherapy (CPP) is an intervention for children 0-6 years who have been exposed to adverse and traumatic events. CPP is currently being implemented in Sweden. The aim of this study is to investigate the feasibility of CPP for children in foster care.

Conditions

Child Abuse; Child Neglect; Post-Traumatic Stress Disorder in Children; Parent-Child Relations

Keywords

Children; Adverse childhood events; Post traumatic stress; Children in foster care; Psychotherapy

Outcome Measures

Primary Outcomes (4)

• Change from baseline score on the Strengths and Difficulties Questionnaire - Parent version at 20 completed sessions or at termination of intervention if terminated earlier.

  Caregiver report of child psychopathology. Minimum score 0, maximum score 40, higher score indicating worse outcome.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Trauma Symptom Checklist for Young Children at 20 completed sessions or at termination of intervention if terminated earlier.

  Caregiver report of child symptoms of post-traumatic stress. Minimum score 90, maximum score 360, higher score indicating worse outcome.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Linköping Youth Life Experiences Scale at 20 completed sessions or at termination of intervention if terminated earlier.

  Caregiver report of child exposure to traumatic and adverse life events. Minimum score 0, maximum score 41, higher score indicating worse outcome.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Child-Parent Psychotherapy Symptom Screener at 20 completed sessions or at termination of intervention if terminated earlier.

  Caregiver report of child symptoms of post-traumatic reactions. Minimum score 0, maximum score 93, higher score indicating worse outcome.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

Secondary Outcomes (4)

• Change from baseline score on the Hopkins Symptom Check List-25 at 20 completed sessions or at termination of intervention if terminated earlier.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Impact of Event Scale-Revised at 20 completed sessions or at termination of intervention if terminated earlier.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Life Incidence of Traumatic Events Questionnaire at 20 completed sessions or at termination of intervention if terminated earlier.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

• Change from baseline score on the Caregiving Helplessness Questionnaire at 20 completed sessions or at termination of intervention if terminated earlier.

  After 20 completed sessions or immediately after termination of the intervention, if terminated earlier than 20 sessions

Other Outcomes (4)

• Adherence

  After 20 completed sessions or immediately after termination of the intervention if terminated earlier than 20 sessions

• Childrens' experiences of participating in Child-Parent Psychotherapy

  After 20 completed sessions or immediately after termination of the intervention if terminated earlier than 20 sessions

• Foster parents' experiences of participating in Child-Parent Psychotherapy

  After 20 completed sessions or immediately after termination of the intervention if terminated earlier than 20 sessions

Study Arms (1)

Children in fostercare in CPP-treatment

Children in foster care taking part in Child-Parent Psychotherapy

Behavioral: Child-Parent Psychotherapy

Interventions

Child-Parent Psychotherapy BEHAVIORAL

Relationship-based trauma focused psychotherapy for Children 0-6 years old and their caregivers. The objective is to decrease symptoms of post-traumatic tress and re-establish a secure attachment for the child and good caregiving from the caregiver/s.

Children in fostercare in CPP-treatment

Eligibility Criteria

• Age: 0 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Children in foster care offered Child-Parent Psychotherapy at any of the nine participating agencies.

You may qualify if:

• Age 0-6 years
• being offered Child-Parent Psychotherapy as part of their regular treatment

You may not qualify if:

• Families in need of translator for interviews.

Sponsors & Collaborators

• Kronoberg County Council: lead
• Stiftelsen Allmänna Barnhuset: collaborator

Study Sites (1)

Department of Research and Development, Region Kronoberg

Vaxjo, 35112, Sweden

Location

Study Officials

• Karin Pernebo, PhD

  Department of Psychology, Linnaeus University, Sweden and Department of Research and Development, Region Kronoberg, Sweden

  STUDY DIRECTOR

Study Design

• Study Type: observational
• Observational Model: ECOLOGIC OR COMMUNITY
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER GOV
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 9, 2020
• First Posted: August 19, 2020
• Study Start: June 30, 2019
• Primary Completion: June 30, 2025
• Study Completion: December 30, 2025
• Last Updated: October 10, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)