GenPMTO Evaluation

NCT06099262 | Unknown

• 1 other identifier: 2023056
• Study Type: observational
• Target: 36
• Locations: 1 country
• Sites: 3

Brief Summary

This project is a multi-stage evaluation of GenPMTO (Generation Parent Management Training - Oregon Model). GenPMTO is a parenting programme which involves trained practitioners using active teaching approaches (such as group problem-solving, role-play, and video modelling) to support caregivers in using positive parenting strategies at home. The programme is designed to improve parenting practices, as well as a range of outcomes for young people, including improving academic performance, reducing school exclusions, and reducing offending and criminal behaviour. The version of the programme investigated in this project is delivered to groups of parents.

Conditions

Violence; Emotional Adjustment; Parenting; Parent-Child Relations

Keywords

young people; youth violence; parenting programme

Outcome Measures

Primary Outcomes (18)

• Proportion of practitioners recruited to deliver GenPMTO

  This will involve calculating, as a percentage, the number of recruited practitioners, compared to the target.

  Prior to delivery of the intervention

• Proportion of practitioners enrolled in training to deliver GenPMTO

  This will involve calculating, as a percentage, the number of practitioners enrolled in training, compared to the target.

  Throughout delivery of the intervention - approximately 5 months

• Number of referrals received for caregivers to receive GenPMTO

  This will involve identifying the total count of referrals received during the feasibility study, as well the mean and standard deviation of monthly referral totals across the feasibility study.

  Prior to delivery of the intervention

• Proportion of referred caregivers deemed eligible for GenPMTO

  This will involve calculating, as a percentage, the number of caregivers deemed eligible for GenPMTO, compared to to the total number of referred caregivers.

  Prior to delivery of the intervention

• Proportion of eligible caregivers who are offered GenPMTO who accept this offer (take-up of services)

  This will involve calculating, as a percentage, the number of caregivers who consent to take part in the feasibility study, compared to to the total number of caregivers who are considered eligible to receive and are offered the programme.

  Prior to delivery of the intervention

• Retention / drop-out rates of caregivers receiving GenPMTO

  This will involve calculating, as a percentage, the number of caregivers who complete a program, compared to the total number of caregivers who consent to receiving GenPMTO

  Throughout delivery of the intervention - approximately 5 months

• Retention / drop-out rates of practitioners delivering GenPMTO

  This will involve calculating, as a percentage, the number of practitioners who have completed relevant training and are able to deliver GenPMTO, compared to the total number of practitioners who were enrolled in training.

  Throughout delivery of the intervention - approximately 5 months

• Attendance rate at GenPMTO sessions

  This will involve calculating, as a percentage, the number of caregivers who attended each GenPMTO session, compared to the number of caregivers who were expected (i.e. based on caregiver take-up/enrollment) to attend these sessions, as well the mean and standard deviation across the feasibility study.

  Throughout delivery of the intervention - approximately 5 months

• Caregivers' perception of the quality of the content and delivery

  This will involve calculating the mean and standard deviation of scores, based on a short feedback survey.

  Within 1 month after the end of the intervention

• Programme dosage data

  This will involve calculating the mean percentage of actual content delivered in GenPMTO sessions to a cohort of caregivers, compared to the amount of planned content to be delivered.

  Throughout delivery of the intervention - approximately 5 months

• Ratings of practitioner fidelity

  This will involve calculating the mean of practitioners' fidelity scores whilst delivering a full GenPMTO programme. Fidelity is measured using the Fidelity of Implementation (FIMP) Rating System system (expert assessment of videotaped sessions). Each session is assessed on a 9 point scale (1 referring to 'needs work', and 9 referring to 'good work').

  Throughout delivery of the intervention - approximately 5 months

• Parenting approach

  Parenting Practices Interview (self-reported measure) This is a 64 item measure, with responses measured on a 1-7 Likert scale. Total scores range from 64 to 448, with higher scores indicating improved parenting practices.

  Within 1 month after the end of the intervention

• Parental self-efficacy

  Parental Locus of Control-Short Form Revised (self-report) This is a 24 item measure, with responses measured on a 1-5 Likert scale. Total scores range from 24 to 120, with higher scores indicating greater parental self-efficacy.

  Within 1 month after the end of the intervention

• Behavioural problems

  Strengths and Difficulties Questionnaire (parent report of child) The overall (five-subscale) SDQ score ranges from 0 to 50, with a higher score indicating abnormal behaviours. The Total Difficulties score ranges from 0 to 40. The externalising score ranges from 0 to 20 and is the sum of the conduct and hyperactivity scales. The internalising score ranges from 0 to 20 and is the sum of the emotional and peer problems scales. Higher scores indicate abnormal behaviours.

  Within 1 month after the end of the intervention

• Behavioural problems

  Eyberg Child Behaviour Inventory (parent report of child) 7-point Likert scale, from 1 ('Never Occurs') to 7 ('Always Occurs') and a Yes/No Problem scale. Individual Intensity Score items are summed up, with resultant scores ranging from 36 to 252. For each item, the parents' response regarding whether the behaviour is a problem for them ('Yes' = 1 , 'No' = 0) is also summed to create the Problem Score, ranging from 0 to 36.

  Within 1 month after the end of the intervention

• Offending behaviour - Variety

  Young people are asked to report on offending behaviours they have participated in. Variety of delinquency score: Sum the number of items the respondent answers 'yes' to: Yes = 1 No = 0 Produces a score that ranges from 0-19, where a higher score indicates a higher variety of delinquency.

  Within 1 month after the end of the intervention

• Offending behaviour - Volume

  Self-reported delinquency scale (child self-report measure) Young people are asked to report on offending behaviours they have participated in. Volume of delinquency score: Summing the point values when respondents report a number of times. Point values are assigned as follows: Once = 1 Twice = 2 3 times = 3 4 times = 4 5 times = 5 Between 6 and 10 times = 6 More than 10 times = 11 Produces a score that ranges from 0 to 11 for each delinquent behaviour, where a higher score indicates a higher volume of delinquency

  Within 1 month after the end of the intervention

• Victimisation

  Victimisation sub-scale of the Problem Behaviour Frequency Scale (child self-report measure) Produces a score ranging from 6-36 achieved by summing scores of the two subscales, where a higher score indicates a higher frequency of problem behaviours

  Within 1 month after the end of the intervention

Study Arms (6)

Tower Hamlets 1

Delivering the GenPMTO programme to one group of caregivers within the Tower Hamlets borough.

Behavioral: GenPMTO

Tower Hamlets 2

Delivering the GenPMTO programme to a second group of caregivers within the Tower Hamlets borough.

Behavioral: GenPMTO

Brent 1

Delivering the GenPMTO programme to one group of caregivers within the Brent borough.

Behavioral: GenPMTO

Brent 2

Delivering the GenPMTO programme to a second group of caregivers within the Brent borough.

Behavioral: GenPMTO

Barking & Dagenham 1

Delivering the GenPMTO programme to one group of caregivers within the Barking \& Dagenham borough.

Behavioral: GenPMTO

Barking & Dagenham 2

Delivering the GenPMTO programme to a second group of caregivers within the Barking \& Dagenham borough.

Behavioral: GenPMTO

Interventions

GenPMTO BEHAVIORAL

GenPMTO is a parenting programme which involves trained practitioners using active teaching approaches (such as group problem-solving, role-play, and video modelling) to support caregivers in using positive parenting strategies at home. The programme is designed to improve parenting practices, as well as a range of outcomes for young people, including improving academic performance, reducing school exclusions, and reducing offending and criminal behaviour. The version of the programme investigated in this project is delivered to groups of parents.

Barking & Dagenham 1; Barking & Dagenham 2; Brent 1; Brent 2; Tower Hamlets 1; Tower Hamlets 2

Eligibility Criteria

• Age: 8 Years - 14 Years
• Sex: all
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Caregivers of young people aged 8-14, who have been identified as being at risk of committing violent acts and/or entering into the criminal justice system.

You may qualify if:

• Have a child or young person (CYP) between the ages of 8-14.
• Are the primary caregiver (i.e. spend the most time with the CYP and are available to care for them).
• Live within one of the boroughs in which GenPMTO is being delivered (during the feasibility study).
• And, if one of or more of the following is present:
• CYPs have engaged in criminal behaviour, such as breaking the law or "offending behaviour" - for both non-violent and violent crimes.
• CYPs have engaged in violent and challenging behaviour (including within the home, e.g. against parents and/or siblings).
• CYPs have been reported as bullying other individual(s) in or outside of school settings.
• CYPs have low attendance at school (\<50% within the last academic year).
• CYPs have been excluded from school within the last academic year.
• CYPs are engaged in substance abuse/misuse (e.g. drugs, alcohol)
• CYPs are at risk of involvement by gangs.
• CYPs are at risk of exploitation, or negative influence, by criminal peers.
• CYPs have a sibling(s) that has entered into the criminal justice system.

You may not qualify if:

• Caregiver(s) have received a parenting programme in the last two months, or are currently receiving one.
• Caregiver(s) and CYP does not have working proficiency in English, such that participation in GenPMTO and research activities would be unfeasible.
• Family has plans to move out of the borough within the 10-14 week delivery timeline, and thus may not be available for full delivery of GenPMTO during the feasibility study phase.
• Severe developmental delay for caregiver or CYP which may prevent caregiver from attending GenPMTO delivery sessions, implementing GenPMTO parenting strategies, or participating in evaluation.
• Caregiver(s) and/or CYPs are actively homicidal, suicidal or psychotic.
• Problem sexual behaviour is the central behavioural concern for child/young person.
• Significant child protection concern (i.e. basic needs of children are not being met by caregivers.

Sponsors & Collaborators

• The Behavioural Insights Team: lead
• Implementation Sciences International, Inc: collaborator
• Barnardos: collaborator

Study Sites (3)

London Borough of Barking and Dagenham

London, United Kingdom

RECRUITING

London Borough of Brent

London, United Kingdom

RECRUITING

London Borough of Tower Hamlets

London, United Kingdom

RECRUITING

Related Links

• Project description and study protocol

Central Study Contacts

Elizabeth Brailsford

CONTACT

+44 7732 800589; elizabeth.brailsford@barnardos.org.uk

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Director

Study Record Dates

• First Submitted: September 26, 2023
• First Posted: October 25, 2023
• Study Start: September 11, 2023
• Primary Completion: March 1, 2024
• Study Completion: March 1, 2024
• Last Updated: October 25, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

GB (3)