An Internet Based Adaptation of a Divorce Intervention Beginnings Program for Divorced Parents

NCT05209932 | Completed Results DMC

• 1 other identifier: R44HD082967
• Study Type: interventional
• Target: 131
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a two-armed randomized controlled trial of the eNew Beginnings Program (eNBP)'s effects on children's mental health problems as well as interparental conflict, parent-child relationship quality and effective discipline. The eNBP is an asynchronous, fully web-based program that was based on the in-person, group NBP, which has been found to strengthen parent-child relationship quality and effective discipline and reduce children's mental health problems in three randomized controlled trials of the NBP involving over 1,800 children. The investigators hypothesized that parents in the eNBP intervention condition would have less interparental conflict and higher parent-child relationship quality and effective discipline than those in the wait-list control condition. The investigators also expected the children whose parents were in the eNBP intervention condition would have fewer internalizing problems and externalizing problems and higher prosocial skills than those with parents in the wait-list control.

Conditions

Divorce

Keywords

divorce; intervention; positive child outcomes

Outcome Measures

Primary Outcomes (17)

• Children's Perception of Interparental Conflict Scale (Grych et al., 1992) -- Children Report Version

  15-item scale assessing frequency and intensity of interparental conflict as reported by children. Minimum score = 1; Maximum score = 3. High score is worse outcome

  1 month

• Children's Perception of Interparental Conflict Scale (Grych et al., 1992) -- Parent Report Version

  15-item scale assessing frequency and intensity of interparental conflict as reported by parents. Minimum score = 1; Maximum score = 3. High score is worse outcome

  One month

• Children's Report of Parent Behavior Inventory -- Acceptance Subscale (Shaefer, 1965) -- Parent Report Version

  16-item scales to assess parental acceptance completed by parents. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Children's Report of Parent Behavior Inventory -- Acceptance Subscale (Shaefer, 1965) -- Child Report Version

  16-item scales to assess parental acceptance completed by children. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Children's Report of Parent Behavior Inventory -- Rejection Subscale (Shaefer, 1965) -- Parent Report Version

  16-item scales to assess parental rejection completed by parents. Minimum score = 1. Maximum score = 5. High score is worse outcome.

  1 month

• Children's Report of Parent Behavior Inventory -- Rejection Subscale (Shaefer, 1965) -- Child Report Version

  16-item scales to assess parental rejection completed by children. Minimum score = 1. Maximum score = 5. High score is worse outcome.

  1 month

• Children's Report of Parent Behavior Inventory -- Consistency Discipline Subscale (Shaefer, 1965) -- Parent Report Version

  8-item scales to assess parental consistency of discipline completed by parents. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Children's Report of Parent Behavior Inventory -- Consistency Discipline Subscale (Shaefer, 1965) -- Child Report Version

  8-item scales to assess parental consistency of discipline completed by children. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Oregon Discipline Scale - Follow-Through (Oregon Social Learning Center, 1991) -- Parent Report Version

  11-item scales to assess parental follow-through of discipline completed by parents. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Oregon Discipline Scale - Follow-Through (Oregon Social Learning Center, 1991) -- Child Report Version

  7-item scales to assess parental follow-through of discipline completed by children. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Child Monitoring Scale (Hetherington et al., 1992) -- Parent Report Version

  9-item scales to assess parental monitoring of child behaviors with friends and at school completed by parents. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Child Monitoring Scale (Hetherington et al., 1992) -- Child Report Version

  9-item scales to assess parental monitoring of child behaviors with friends and at school completed by children. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Parent Adolescent Communication Scale (Barnes & Olson, 1985) -- Parent Report

  10-item scale to assess parent-child communication completed by parents. Minimum score = 1. Maximum score = 5. High score is better outcome.

  1 month

• Caught in the Middle Scale (Buchanan et al., 1991) -- Child Report

  7-item scales to assess children being caught in the middle between parents completed by children. Minimum score = 1. Maximum score = 4. High score is worse outcome.

  1 month

• Brief Problem Monitor -- Externalizing Subscale (Achenbach et al., 2011) -- Parent Report Version

  7-item scale assessing child externalizing problems as reported by parents. The sum score of the items (range 0-2 for each item) for each individual is converted to T-score, using the algorithm purchased from ASEBA (Achenbach System of Empirically Based Assessment). The range of the T-scores is: 0 (minimum) to 100 (maximum). High score is worse outcome.

  1 month

• Brief Problem Monitor -- Externalizing Subscale (Achenbach et al., 2011) -- Child Report Version

  7-item scale assessing child externalizing problems as reported by children. Item scores range from 0-2, a sum score across the items was computed and converted to a T-score using the algorithm purchased from ASEBA (Achenbach System of Empirically Based Assessment). The range of the T-scores is: 0 (minimum) to 100 (maximum). Score of 50 = the fiftieth percentile of the normative sample. (Achenbach \& Rescola, 2001). T-scores of 65 and above are considered sufficiently elevated to be of concern. The values shown are the T-score values for the sample. Higher scores indicate a worse outcome.

  1 month

• Brief Problem Monitor -- Internalizing Subscale (Achenbach et al., 2011) -- Parent Report Version

  6-item scale assessing child internalizing problems as reported by parents. Item scores range from 0-2, a sum score across the items was computed and converted to a T-score using the algorithm purchased from ASEBA (Achenbach System of Empirically Based Assessment). The range of the T-scores is: 0 (minimum) to 100 (maximum). Score of 50 = the fiftieth percentile of the normative sample. (Achenbach \& Rescola, 2001). T-scores of 65 and above are considered sufficiently elevated to be of concern. The values shown are the T-score values for the sample. Higher scores indicate a worse outcome..

  1 month

Secondary Outcomes (2)

• Strengths and Difficulties Questionnaire -- Prosocial Subscale (Goodman, 2001) -- Parent Report Version

  1 month

• Strengths and Difficulties Questionnaire -- Prosocial Subscale (Goodman, 2001) -- Child Report Version

  1 month

Study Arms (2)

Online New Beginnings Program (eNBP)

EXPERIMENTAL

The eNBP is a five-hour, asynchronous, fully web-based adaptation of the group NBP. Separate versions for fathers and mothers consist of the same didactic content and interactive exercises, with gender appropriate references, testimonials and video skills demonstrations. Units are highly interactive. Sessions began with a check-in in which parents responded to questions about use of the program skills and were provided with ways to address the challenges they experienced. The skill was then taught using modeling videos, interactive exercises, and testimonials from prior participants. The program then prompted parents to set times to use the skill, identify barriers to using it and select strategies to reduce these barriers. Parents were provided with tip sheets to address challenges in using the skill, downloadable sheets to record use of and competence in using the skill and a downloadable handbook that summarized what was covered in the unit.

Behavioral: Online New Beginnings Program (eNBP)

wait-list control condition

NO INTERVENTION

Parents in the waitlist-control condition were told that they would have access to the eNBP 12 weeks after they completed the pre-test. Twelve weeks after assignment to condition, parents and children were sent links to the posttest

Interventions

Online New Beginnings Program (eNBP) BEHAVIORAL

The eNBP is a five-hour, asynchronous, fully web-based adaptation of the group-based NBP that can be used on a smart phone, tablet or computer. Separate versions for fathers and mothers consist of the same didactic content and interactive exercises, with gender appropriate references, testimonials and video skills demonstrations.

Online New Beginnings Program (eNBP)

Eligibility Criteria

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

You may qualify if:

• Parents divorced, divorcing or separated
• Parents separated but never married
• One or more children aged 6 to 18
• Parents spoke English
• Parents spend at least 3 hours a week with children or have one overnight every other week with their children
• Parents have access to a computer with high speed internet access of a smart phone

Sponsors & Collaborators

• Family Transitions: Programs that Work: lead

Study Sites (1)

Family Transitions- Programs that Work, LLC

Mesa, Arizona, 85209, United States

Location

Limitations and Caveats

Limitations are that only pre and post assessment was completed with no follow-up over time.

Results Point of Contact

• Title: Michele M Porter, PhD - Co-PI/Partner
• Organization: Family Transitions - PTW, LLC

m.marie.porter@gmail.com

4802037550

Study Officials

• Irwin N Sandler, PhD

  Family Transitions Programs that Work LLC

  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: INVESTIGATOR
• Masking Details: Investigators were not aware of whether the participants were assigned to eNBP or the wait-list control condition.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: INDUSTRY
• Responsible Party: SPONSOR

Model Details: Participants were randomized to receive an online parenting program for divorced and separated parents (N=81) or a wait list control condition (N=50)

Study Record Dates

• First Submitted: December 19, 2021
• First Posted: January 27, 2022
• Study Start: February 15, 2020
• Primary Completion: March 15, 2021
• Study Completion: August 31, 2021
• Last Updated: January 25, 2023
• Results First Posted: January 25, 2023

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: January 2022 - no end date
• Access Criteria: Contact Study Co-I/PD - Dr. Michele Porter at m.marie.porter@gmail.com Or through the contact us on the company website.

Locations

US (1)