NCT06840431

Brief Summary

Because parental divorce has been linked to a significant increase in mental health diagnoses among children, it is important to develop effective interventions that reduce the negative impact of divorce on children. This study assesses the efficacy of the Co-Parenting for Resilience (CPR) resilience program by randomly assigning divorcing individuals to three different forms of the intervention to test whether one or both of versions of CPR are better than reading a self-help book, and whether an in-person version of CPR is more effective than an online version. The three conditions or versions are: 1) an in-person version of CPR taught by a trained non-clinician, 2) an asynchronous fully online version of CPR, and 3) a group that simply reads a self-help book and responds to a knowledge check to ensure the material was read.

Trial Health

75
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
300

participants targeted

Target at P75+ for not_applicable

Timeline
20mo left

Started Jul 2024

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
enrolling by invitation

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress53%
Jul 2024Dec 2027

Study Start

First participant enrolled

July 1, 2024

Completed
8 months until next milestone

First Submitted

Initial submission to the registry

February 17, 2025

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 21, 2025

Completed
2.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2027

Expected
9 months until next milestone

Study Completion

Last participant's last visit for all outcomes

December 31, 2027

Last Updated

March 4, 2026

Status Verified

March 1, 2026

Enrollment Period

2.8 years

First QC Date

February 17, 2025

Last Update Submit

March 2, 2026

Conditions

Keywords

divorcechild wellbeingco-parenting

Outcome Measures

Primary Outcomes (1)

  • Strengths and Difficulties Questionnaire (SDQ)

    The SDQ is a widely used measure consisting of 25 items that make up five subscales on which parents report their child's emotional symptoms, conduct problems, hyperactivity, peer problems, and prosocial behavior. The SDQ has been normed on children from 4-17 years of age and provides a total child difficulty score and a score for each of the five subscales. For our primary analyses of child adjustment, we will use the total child difficulty score.

    Baseline, 3-month follow-up, and 12-month follow-up

Study Arms (3)

In person condition

EXPERIMENTAL

This condition tests program effects when delivered by a trained non-clinical facilitator.

Behavioral: in-person condition

online condition

EXPERIMENTAL

This condition tests program effects when the program is delivered asynchronously online

Behavioral: online condition

Self-help book with quiz

PLACEBO COMPARATOR

This condition serves as a placebo control comparing the intervention components to a knowledge only condition.

Behavioral: self-help condition

Interventions

participants will receive program components in a classroom setting with a trained non-clinical facilitator.

In person condition

Participants will receive program components in an asynchronous online format.

online condition

Participants will read a self-help book on how to manage their divorce and take a quiz to ensure that the book has been read.

Self-help book with quiz

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • One adult member of a dyad filing for a divorce or legal separation (e.g., non-married couples) in Oklahoma County with a biological minor child aged 4-10,
  • Being an English or Spanish speaker,
  • Having internet access necessary for the online group (necessary for this randomized trial.
  • In the event participants have more than one child, they will be asked to report on their oldest child with the person they are divorcing who is age 10 or under. Focus on the oldest child counterbalances the age distribution of children expected per our preliminary data, thereby facilitating a test of age differences in treatment effects.

You may not qualify if:

  • Parents under the age of 18,
  • Parents who do not consent to randomization,
  • Parents who are illiterate.
  • Only one member of the dyad will be allowed in the study.
  • We also exclude parents for whom the target child is not the biological child of both parents. Stepfamilies, adoptive families, grandparents raising grandchildren, and other family types have dynamics not directly comparable to families with two biological parents and is beyond the scope of this study.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Oklahoma State University

Stillwater, Oklahoma, 74078, United States

Location

Related Publications (13)

  • Cox, R.B., et al., Hope, Stress, and Post-Divorce Child Adjustment: Development and Evaluation of the Co-Parenting for Resilience Program. Journal of Divorce & Remarriage, 2021. 62(2): p. 144-163.

    BACKGROUND
  • Hill, R., Generic features of families under stress. Social Casework, 1958. 39(2-3): p. 139-150.

    BACKGROUND
  • Hill, R., Families under stress: Adjustment to the crises of war separation and return. 1949.

    BACKGROUND
  • Miller, W.R. and S. Rollnick, Motivational interviewing: Helping people change. 2012: Guilford press.

    BACKGROUND
  • Fisch, R., J. Weakland, and L. Segal, The tactics of change: Doing therapy briefly. 1982, San Francisco: Jossey-Bass.

    BACKGROUND
  • Sigal A, Sandler I, Wolchik S, Braver S. Do Parent Education Programs Promote Healthy Post-Divorce Parenting? Critical Distinctions and a Review of the Evidence. Fam Court Rev. 2011 Jan;49(1):120-139. doi: 10.1111/j.1744-1617.2010.01357.x.

    PMID: 21552360BACKGROUND
  • Kierstead, S., Parent education programs in family courts: Balancing autonomy and state intervention. Family Court Review, 2011. 49(1): p. 140-154.

    BACKGROUND
  • Pollet, S.L. and M. Lombreglia, A nationwide survey of mandatory parent education. Family Court Review, 2008. 46(2): p. 375-394.

    BACKGROUND
  • Dunn J, Davies LC, O'Connor TG, Sturgess W. Family lives and friendships: the perspectives of children in step-, single-parent, and nonstep families. J Fam Psychol. 2001 Jun;15(2):272-87.

    PMID: 11458633BACKGROUND
  • Sandler I, Gunn H, Mazza G, Tein JY, Wolchik S, Berkel C, Jones S, Porter M. Effects of a Program to Promote High Quality Parenting by Divorced and Separated Fathers. Prev Sci. 2018 May;19(4):538-548. doi: 10.1007/s11121-017-0841-x.

    PMID: 28913663BACKGROUND
  • Amato, P.R., The consequences of divorce for adults and children: An update. Drustvena istrazivanja, 2014. 23(1): p. 5-24.

    BACKGROUND
  • Andersson, G., E. Thomson, and A. Duntava, Life-table representations of family dynamics in the 21st century. Demographic Research, 2017. 37: p. 1081-1230.

    BACKGROUND
  • Vezzetti VC. New approaches to divorce with children: A problem of public health. Health Psychol Open. 2016 Nov 15;3(2):2055102916678105. doi: 10.1177/2055102916678105. eCollection 2016 Jul.

    PMID: 28070408BACKGROUND

Study Officials

  • Ronald B Cox, PhD

    Oklahoma State University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
FACTORIAL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Human Develop and Family Science

Study Record Dates

First Submitted

February 17, 2025

First Posted

February 21, 2025

Study Start

July 1, 2024

Primary Completion (Estimated)

April 1, 2027

Study Completion (Estimated)

December 31, 2027

Last Updated

March 4, 2026

Record last verified: 2026-03

Data Sharing

IPD Sharing
Will not share

Sharing individualized data rather than aggregate data would be a breach of confidentiality and is not permitted by our IRB.

Locations