Integrated Smart Speaker Promoting Positive Parenting Among Caregivers of Youth With Challenging Behaviors

NCT05535387 | Completed

• 1 other identifier: MH124577
• Study Type: interventional
• Target: 23
• Locations: 1 country
• Sites: 1

Brief Summary

This project will develop and evaluate the feasibility of an integrated smart speaker and mobile/web-based application, "FamilyNet" (FN) to assist parents in implementing empirically supported behavioral parenting strategies to promote positive behavior change in their children. The FamilyNet system will help parents to create a positively framed, individualized behavioral plan for their child(ren), and then provide prompts, reminders, and tracking tools to help them effectively implement that plan. Once developed, FamilyNet will be field tested for usability and usefulness with a group of parents who have children ages 10-17 years exhibiting challenging behaviors. Establishing feasibility of this innovative parenting tool will have important implications for harnessing smart speaker and mobile/web technologies to provide parents in-situ support with parenting challenges; parents' effective implementation of empirically supported parenting strategies is likely to increase children's prosocial behaviors and reduce problematic behaviors, thus reducing their risk for long-term behavioral problems.

Conditions

Oppositional Defiant Disorder; Conduct Disorder

Outcome Measures

Primary Outcomes (11)

• Strengths and Difficulties Questionnaire 11-17 - Emotional Problems Subscale

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Emotional Problems Subscale, scores for the 5 items are summed together; the subscale score can range from 0 to 10. Higher scores indicate worse adjustment (worse outcome).

  Baseline (T1), 4 weeks after baseline (T2)

• Strengths and Difficulties Questionnaire 11-17 - Conduct Problems Subscale

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Conduct Problems Subscale, scores for the 5 items are summed together; the subscale score can range from 0 to 10. Higher scores indicate worse adjustment (worse outcome).

  Baseline (T1), 4 weeks after baseline (T2)

• Strengths and Difficulties Questionnaire 11-17 - Hyperactivity Subscale

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Hyperactivity Subscale, scores for the 5 items are summed together; the subscale score can range from 0 to 10. Higher scores indicate worse adjustment (worse outcome).

  Time Frame: Baseline (T1), 4 weeks after baseline (T2)

• Strengths and Difficulties Questionnaire 11-17 - Peer Problems Subscale

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Peer Problems Subscale, scores for the 5 items are summed together; the subscale score can range from 0 to 10. Higher scores indicate worse adjustment (worse outcome).

  Baseline (T1), 4 weeks after baseline (T2)

• Strengths and Difficulties Questionnaire 11-17 - Prosocial Subscale

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Prosocial Subscale, scores for the 5 items are summed together; the subscale score can range from 0 to 10. Higher scores indicate better adjustment (better outcome).

  Baseline (T1), 4 weeks after baseline (T2)

• Strengths and Difficulties Questionnaire 11-17 - Total Difficulties Score

  Strengths and Difficulties Questionnaire 4-17 (SDQ; Goodman, 1997) is used to measure the child's overall adjustment. The SDQ is a brief, valid, reliable, and commonly used parent-report questionnaire about child behavior. The instrument includes 25 items that assess child challenging behaviors (emotional symptoms, conduct problems, hyperactivity/inattention), peer relationships, and prosocial behavior, with 5 items measuring each subscale. Respondents answer on a 3-point scale from 0 to 2 (0 = "Not true;" 2 = "Certainly true"). For the Total Difficulties Score, subscale scores for the Emotional Problems, Conduct Problems, Hyperactivity, and Peer Problems items are summed together; the Total Difficulties score can range from 0 to 40. Higher scores indicate worse adjustment (worse outcome).

  Baseline (T1), 4 weeks after baseline (T2)

• Program Acceptability - Parent Perception of Improvement

  Measure Description: Parents' perceptions of improvement in their child's behavior was measured with 4 items of the Program Acceptability - Parent Perception of Improvement Subscale measure at T2, 4 weeks after baseline. Parents indicate their perceptions of recent change in their child's positive behavior and their relationship with their child. Respondents answer items on a 5-point scale (e.g. 1 = Considerably worse; 5 = Greatly improved). Scores on these 4 items are averaged together; subscale scores range from 1 to 5. Higher scores indicate parent perceptions of more improvement (better outcome).

  At 4 weeks after baseline (T2)

• Program Acceptability - Parent Satisfaction Subscale - Parent Report

  Parent Satisfaction was measured with 10 items of the Program Acceptability - Parent Satisfaction Subscale measure at T2, 4 weeks after baseline, asking the extent to which parents found that the FamilyNet program was helpful, enjoyable, addressed important issues, helped them follow through on their behavior change plan, helped them manage their child's behavior more effectively, was the type of help they wanted, and their overall satisfaction with the program. Respondents answer items on a 7-point scale (e.g. 1 = Not at all; 7 = Very much). Scores on these 10 items are averaged together; subscale scores range from 1 to 7. Higher scores indicate better parent satisfaction.

  At 4 weeks after baseline (T2)

• Program Acceptability - Child Satisfaction Subscale - Child Report

  Child Satisfaction was measured with 5 items of the Program Acceptability - Child Satisfaction Subscale measure at post-treatment, asking the extent to which the child found that the FamilyNet program was helpful and enjoyable, and their overall satisfaction with the program. Respondents answer items on a 7-point scale (e.g. 1 = Not at all; 7 = Very much). Scores on these 5 items are averaged together; subscale scores range from 1 to 7. Higher scores indicate better child satisfaction.

  At 4 weeks after baseline (T2)

• System Usability Scale - Parent Report

  Parents' perceptions of the usability of the FamilyNet program is measured with the System Usability Scale (SUS), a commonly used 10-item scale that measures subjective perceptions of usability. Items are answered on a 5-point scale (0=Strongly disagree; 4=Strongly agree); scores on the scale are summed and multiplied by 2.5, such that they range from 0 to 100, with higher scores indicating better usability. The SUS has been normed, and scoring produces an overall usability "grade" (Brooke, 1996; Sauro, 2011). This measure is obtained from the parents at post-test.

  At 4 weeks after baseline (T2)

• System Usability Scale - Child Report

  Child perceptions of the usability of the FamilyNet program is measured with the System Usability Scale (SUS), a commonly used 10-item scale that measures subjective perceptions of usability. Items are answered on a 5-point scale (0=Strongly disagree; 4=Strongly agree); scores on the scale are summed and multiplied by 2.5, such that they range from 0 to 100, with higher scores indicating better usability (better outcome). The SUS has been normed, and scoring produces an overall usability "grade" (Brooke, 1996; Sauro, 2011). This measure is obtained from the youth at post-test.

  At 4 weeks after baseline (T2)

Secondary Outcomes (10)

• Parenting Practices Inventory - Inconsistent Discipline Subscale

  Baseline (T1), 4 weeks after baseline (T2)

• Parenting Practices Inventory - Positive Reinforcement Subscale

  Baseline (T1), 4 weeks after baseline (T2)

• CASY Child-Parent Relationship Scales - Parent-Child Conflict subscale

  Baseline (T1), 4 weeks after baseline (T2)

• CASY Child-Parent Relationship Scales - Positive Family Relations Subscale

  Baseline (T1), 4 weeks after baseline (T2)

• Program-Targeted Parenting Practices - Frequency Subscale

  Baseline (T1), 4 weeks after baseline (T2)

Study Arms (1)

FamilyNet smart speaker/mobile application

EXPERIMENTAL

In a 4-week period, families will use a prototype of the FamilyNet integrated and coordinated smart speaker/mobile application designed to provide families with in-situ experiential support for building positive behavior plans.

Behavioral: FamilyNet smart speaker/mobile application

Interventions

FamilyNet smart speaker/mobile application BEHAVIORAL

In a 4-week period, families will use a prototype of the FamilyNet integrated and coordinated smart speaker/mobile application designed to provide families with in-situ experiential support for building positive behavior plans. The prototype FamilyNet program will guide families in creating and implementing positive behavior plans to foster positive child behavior, consistent parenting, and promote a positive parent-child relationship.

FamilyNet smart speaker/mobile application

Eligibility Criteria

• Age: 10 Years - 80 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary parent/caregiver who has a child ages 10- to 17-years-old who lives with them at least half the time
• Has a smartphone and access to email
• Speaks English

You may not qualify if:

• a. The target-age child has a developmental disability severe enough that the child is unable to speak and/or follow simple directions.

Sponsors & Collaborators

• Oregon Research Behavioral Intervention Strategies, Inc.: lead

Study Sites (1)

Oregon Research Behavioral Intervention Strategies, Inc.

Springfield, Oregon, 97477, United States

Location

Related Publications (8)

• Goodman R. The Strengths and Difficulties Questionnaire: a research note. J Child Psychol Psychiatry. 1997 Jul;38(5):581-6. doi: 10.1111/j.1469-7610.1997.tb01545.x.

  PMID: 9255702 BACKGROUND

• Brooke, J. (1996). SUS-A quick and dirty usability scale. In P. W. Jordan, B. Thomas, B. A. Weerdmeester, & I. L. McClelland (Eds.), Usability evaluation in industry (Vol. 189, pp. 169-194). London, UK: Taylor & Francis.

  BACKGROUND

• Sauro, J. (2011). A practical guide to the system usability scale: Background, benchmarks & best practices. Denver, CO: Measuring Usability LLC.

  BACKGROUND

• Metzler, C.W., Taylor, T.K., & Foster, E.M. (2006). Associations between specific parental discipline practices and specific dimensions of young children's behavior problems. Unpublished technical report.

  BACKGROUND

• Metzler, C. W., Biglan, A., Ary, D. V., & Li, F. (1998). The stability and validity of early adolescents' reports of parenting constructs. Journal of Family Psychology, 12(4), 600-619.

  BACKGROUND

• Prinz RJ, Foster S, Kent RN, O'Leary KD. Multivariate assessment of conflict in distressed and nondistressed mother-adolescent dyads. J Appl Behav Anal. 1979 Winter;12(4):691-700. doi: 10.1901/jaba.1979.12-691.

  PMID: 541311 BACKGROUND

• Moos, R. H., & Moos, B. A. (1986). Manual for the Family Environment Scale. Palo Alto, CA: Consulting Psychologists Press.

  BACKGROUND

• Chamberlain, P., & Reid, J. B. (1987). Parent observation and report of child symptoms. Behavioral Assessment, 9(1), 97-109.

  BACKGROUND

MeSH Terms

Conditions

Oppositional Defiant Disorder; Conduct Disorder

Condition Hierarchy (Ancestors)

Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• David R. Smith, PhD

  Oregon Research Behavioral Intervention Strategies, Inc.

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: February 7, 2022
• First Posted: September 10, 2022
• Study Start: March 11, 2024
• Primary Completion: December 15, 2024
• Study Completion: December 30, 2024
• Last Updated: May 2, 2025

Record last verified: 2025-04

Locations

US (1)