Adaptation and Evaluation of the KEEP Model

NCT05816421 | Completed

• 1 other identifier: R56MH129490
• Study Type: interventional
• Target: 283
• Locations: 1 country
• Sites: 1

Brief Summary

This study capitalizes on an opportunity to formally evaluate local adaptations of "Keeping Foster and Kinship Parents Supported and Trained" (KEEP), an evidence-based foster parent intervention, to reduce mental health disparities among child welfare-involved youth and improve care quality and long-term outcomes for Native, Hispanic/Latino, Black/African American, and sexual and gender minority youth. The knowledge gained from the study will impact all current and future large-scale implementations of KEEP and will bolster our scientific understanding the impact of KEEP on youth mental health outcomes.

Conditions

Depression, Anxiety; Post Traumatic Stress Disorder; Suicide and Self-harm; Externalizing Behavior

Outcome Measures

Primary Outcomes (4)

• Mean change in youth depression and anxiety symptoms

  Psychometric scoring techniques will be used to harmonize items across multiple KEEP studies and instruments. Specifically, moderated nonlinear factor analysis will be utilized to estimate depression and anxiety symptoms factor scores that account for differential item functioning and impact across the set of study- and person-level covariates. Youth depression and anxiety symptoms will be measured via parent report using items from the Child Behavior Checklist and Parent Daily Report at baseline and 6-months post-baseline.

  Baseline and 6-months post-baseline

• Mean change in youth post traumatic stress disorder (PTSD) symptoms

  Psychometric scoring techniques will be used to harmonize items across multiple KEEP studies and instruments. Specifically, moderated nonlinear factor analysis will be utilized to estimate PTSD symptoms factor scores that account for differential item functioning and impact across the set of study- and person-level covariates. Youth PTSD symptoms will be measured via parent report using items from the Child Behavior Checklist and Parent Daily Report at baseline and 6-months post-baseline.

  Baseline and 6-months post-baseline

• Mean change in youth self harming behaviors and suicidal ideation

  Measured via parent report using the Child Behavior Checklist at baseline and 6-months post-baseline

  Baseline and 6-months post-baseline

• Mean change in youth externalizing behaviors

  Psychometric scoring techniques will be used to harmonize items across multiple KEEP studies and instruments. Specifically, moderated nonlinear factor analysis will be utilized to estimate externalizing behavior factor scores that account for differential item functioning and impact across the set of study- and person-level covariates. Youth externalizing behaviors will be measured via parent report using items from the Child Behavior Checklist and Parent Daily Report at baseline and 6-months post-baseline.

  Baseline and 6-months post-baseline

Study Arms (2)

Affinity KEEP

EXPERIMENTAL

Affinity KEEP groups are tailored to meet a specific population's needs and are comprised of parents who all share a common interest, purpose, or key characteristic. The four types of Affinity KEEP groups for this study include: * foster/kin parents of sexual and gender minority youth * foster/kin parents of Native youth * transracial placements where the youth and one or more parents are of a different race/ethnicity * groups delivered in Spanish

Behavioral: KEEP

Non-Affinity KEEP

ACTIVE COMPARATOR

Parents attending a Non-Affinity KEEP group.

Behavioral: Non-Affinity KEEP

Interventions

KEEP BEHAVIORAL

The KEEP model focuses on optimizing the role of foster/kin parents as the agents of positive change for children and youth. Parent KEEP groups for children (ages 4-12) and KEEP-Safe groups for teens (ages 13-19) are delivered by two co-group leaders for 16 weeks. Sessions are 90 minutes each week. The same group of 8-10 foster/kin parents attends each week. Each KEEP group follows a manualized curriculum that emphasizes tailoring the content to the unique needs of the parents and youth in the group. The key parenting principles of the model include: (a) reinforce normative and prosocial behavior, (b) incentivize the behavior that parents want to promote, (c) build cooperation, (d) teach new behaviors, (e) use non-harsh effective limit setting, and (f) manage emotions while parenting.

Affinity KEEP

Non-Affinity KEEP BEHAVIORAL

Non-Affinity KEEP

Non-Affinity KEEP

Eligibility Criteria

• Age: 4 Years - 21 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Foster/resource parents who have been recruited to attend KEEP and have a focal youth for the intervention that:
• is a dependent of Child Welfare Services in the state of Oregon
• is between the ages of 4 and 21 years.

You may not qualify if:

• Foster/resource parents who have been recruited to attend KEEP and have a focal youth for the intervention that:
• is younger than 4 years of age.

Sponsors & Collaborators

• Oregon Social Learning Center: lead

Study Sites (1)

Oregon Social Learning Center

Eugene, Oregon, 97401, United States

Location

MeSH Terms

Conditions

Depression; Anxiety Disorders; Stress Disorders, Post-Traumatic; Suicide; Self-Injurious Behavior

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders

Study Officials

• Stacey Tiberio, PhD

  Oregon Social Learning Center

  PRINCIPAL INVESTIGATOR

• Rohanna Buchanan, PhD

  Oregon Social Learning Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: November 17, 2022
• First Posted: April 18, 2023
• Study Start: May 16, 2022
• Primary Completion: January 30, 2024
• Study Completion: January 30, 2024
• Last Updated: September 5, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will share

Locations

US (1)