Examining the Feasibility, Acceptability, and Fidelity of Utilizing Parent Training Graduates as Peer Supports

NCT06366620 | Completed

• 1 other identifier: STUDY00003416
• Study Type: interventional
• Target: 19
• Locations: 1 country
• Sites: 1

Brief Summary

Disruptive behavioral disorders are common in early childhood, affecting up to 15% of preschool-aged children. Behavioral parent training programs are a first-line evidence-based treatment for child disruptive behaviors. There is evidence showing that (a) these programs are effective in reducing disruptive behavior and improving long-term outcomes, and (b) there is an excellent return on investment for early intervention. Nevertheless, there is limited availability of behavioral parent training programs, particularly in rural settings, due to shortages of trained clinicians. Thus, there is a pressing need for expanding the mental healthcare workforce in rural/underserved areas. The study will involve an established parent-based behavioral intervention (First Approach Skills Training for Behavior; or FAST-B) with added pilot component incorporating parents who have previously been through parent behavioral management training programs as Peer Supports.

Conditions

Child Disruptive Behavior Disorders; Parent Child Relationship; Parent Management Training; Peer Support; Child Behavior Problems; Challenging Behavior; Positive Parenting

Outcome Measures

Primary Outcomes (3)

• Acceptability of FAST-B PEERS

  Participant rating of experience working with Peer Support, from 1 (poor) to 5 (excellent)

  Up to 6 weeks

• Acceptability of FAST-B

  Participant rating of FAST-B program, from 1 (poor) to 5 (excellent)

  Up to 6 weeks

• FAST-B PEERS support calls attended

  Percent of peer support calls attended

  Up to 6 weeks

Secondary Outcomes (3)

• Weekly Assessment of Child Behavior - P

  Up to 6 weeks

• Coping with Child Negative Emotions Scale

  Up to 6 weeks

• Strengths and Difficulties Questionnaire

  Up to 6 weeks

Study Arms (2)

FAST-B PEERS

EXPERIMENTAL

Parents in FAST-B PEERS group will receive standard 5-week FAST-B program as well as weekly check-in support from trained 'Peer Support' parents who have previously been through parent behavioral management training programs.

Behavioral: FAST-B PEERS; Behavioral: FAST-B (First Approach Skills Training - Behavior)

FAST-B

ACTIVE COMPARATOR

Parents in FAST-B group will receive standard FAST-B program with 5 weekly group sessions with clinician.

Behavioral: FAST-B (First Approach Skills Training - Behavior)

Interventions

FAST-B PEERS BEHAVIORAL

FAST-B PEERS consists of trained Peer Support providing weekly check-in calls with families going through FAST-B behavioral parent training program. Peer Support are parents who have previously participated in a behavioral parent training program who have undergone 6-8 hours of additional dedicated training.

FAST-B PEERS

FAST-B (First Approach Skills Training - Behavior) BEHAVIORAL

5-week parent behavioral management training program

FAST-B; FAST-B PEERS

Eligibility Criteria

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

You may qualify if:

• Parent of child ages 3-6
• Parent has access to video-enabled device
• Parent is fluent in English or Spanish
• Child of parent has a score of at least 3 on conduct subscale of Strengths and Difficulties Questionnaire or at least 6 on hyperactivity subscale of Strengths and Difficulties Questionnaire
• Parent is comfortable being randomized to either standard intervention (FAST-B) or FAST-B with added FAST-B PEERS component.

You may not qualify if:

• None

Sponsors & Collaborators

• Seattle Children's Hospital: lead

Study Sites (1)

Seattle Children's

Seattle, Washington, 98115, United States

Location

Study Officials

• Julia T Mattson, MD, PhD

  Seattle Children's/University of Washington

  PRINCIPAL INVESTIGATOR

• Alissa D Hemke, MD

  Seattle Children's/University of Washington

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 4, 2024
• First Posted: April 16, 2024
• Study Start: April 17, 2024
• Primary Completion: August 6, 2024
• Study Completion: August 6, 2024
• Last Updated: April 4, 2025

Record last verified: 2025-04

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)