Efficacy of the Rational Positive Parenting Program (s-rPPP) for Disruptive Behaviors

NCT07109661 | Active Not Recruiting DMC

• 1 other identifier: No. D/114/FIMS
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to learn if the Rational Positive Parenting Program (s-rPPP), a group-based intervention based on Rational Emotive Behavior Therapy (REBT), can help reduce disruptive behaviors in children and improve parenting among mothers in Pakistan. The study focuses on mothers of children aged 6-12 years who show behavioral problems like aggression, defiance, and temper outbursts. The main questions it aims to answer are: Does the s-rPPP reduce disruptive behavior in children? Does it improve parents' beliefs, emotional regulation, and sense of competence? Researchers will compare a group of mothers receiving the s-rPPP to a wait-list control group to see if the intervention leads to positive changes in both parent and child behavior. Participants will: Attend weekly group sessions based on s-rPPP techniques. Complete assessments before and after the program using standardized tools. Be followed up to evaluate the program's effectiveness in improving parenting and child outcomes.

Conditions

Disruptive Behaviors

Outcome Measures

Primary Outcomes (4)

• Measure of Externalizing and Internalizing Behavioral Problems

  The developed scale is a 5-point Likert scale consisting of 36 items, designed to assess externalizing and internalizing behavioral problems in children aged 6 to 12 years. Each item requires respondents to rate the frequency of specific behaviors observed in the child. Response options range from: 1. = Not at all (absence of the behavior) 2. = Rarely 3. = Sometimes 4. = Often 5. = Always (consistent presence of the behavior) The scale evaluates two domains: Externalizing behaviors (hyperactivity \& impulsivity, aggression, anti-social tendencies, defiance) Internalizing behaviors (anxiety, depression, hypersensitivity) Minimum score: 36 Maximum score: 180 Higher scores indicate worse outcomes, reflecting greater severity and frequency of behavioral problems. Lower scores indicate better outcomes, reflecting fewer or absent behavioral problems.

  Baseline (pre-intervention) and post-intervention at 4 weeks

• Parenting Sense of Competence Scale - PSCS

  The Parenting Sense of Competence Scale (PSCS) assesses parents' self-perceived competence in their parenting role. It evaluates two subscales: Satisfaction Subscale - measures comfort and frustration in the parenting role Efficacy Subscale - assesses perceived competence and capability as a parent Different versions have slightly varying scoring, but the original 17-item version uses a 6-point Likert scale (from 1 = Strongly Disagree to 6 = Strongly Agree). Score Range (for 17-item version): Total Score Range: 17 to 102 Higher scores indicate greater parenting competence and satisfaction Subscale Ranges: Efficacy Subscale (8 items): 8-48 Satisfaction Subscale (9 items): 9-54

  Baseline (pre-intervention) and post-intervention at 4 weeks

• Parent Rational and Irrational Belief Scale - PRIBS

  The Parent Rational and Irrational Beliefs Scale (PRIBS) evaluates both rational and irrational parental beliefs related to child behavior and discipline. Items are rated on a 5-point Likert scale (from 1 = strongly disagree to 5 = strongly agree). Includes two major dimensions: Rational Beliefs Subscale Irrational Beliefs Subscale Score Ranges: Total Score Range: Depends on the number of items used. Typically: 20 items total: 10 rational + 10 irrational Score Range (each subscale): 10 to 50 Higher Rational Belief Scores = More adaptive, logical parenting beliefs Higher Irrational Belief Scores = More rigid, demanding, or unrealistic beliefs

  Baseline (pre-intervention) and post-intervention at 4 weeks

• Parent Anger Scale - PAS

  The Parent Anger Scale (PAS) is a 30-item self-report measure assessing the frequency and intensity of parental anger in response to child-related situations. Items are rated on a 5-point Likert scale from 1 (Strongly Disagree) to 5 (Strongly Agree). Score Range: Total Score Range: 30 to 150 Higher Scores: indicate greater frequency and intensity of parental anger Lower Scores: reflect better emotional regulation and lower anger expression in parenting contexts

  Baseline (pre-intervention) and post-intervention at 4 weeks

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants receiving Rational Positive Parenting Program (rPPP) throughout the study.

Behavioral: Rational Positive Parenting Program (s-rPPP)

Waitlist Control Group

OTHER

Participants on waitlist control, they will receive the rPPP after post-intervention assessment.

Behavioral: Rational Positive Parenting Program (s-rPPP)

Interventions

Rational Positive Parenting Program (s-rPPP) BEHAVIORAL

The Rational Positive Parenting Program (s-rPPP) is a structured cognitive-behavioral group intervention based on Rational Emotive Behavior Therapy (REBT). It comprises 4 weekly sessions focused on addressing irrational parenting beliefs, improving emotion regulation, and teaching positive behavior management strategies for children with disruptive behaviors. Participants in the control group will not receive the intervention during the active phase, but will be offered the rPPP after final assessment to ensure ethical treatment.

Intervention Group; Waitlist Control Group

Eligibility Criteria

• Age: 30 Years - 45 Years
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• For Mothers
• Mothers with the age range between 30 and 45 years.
• Mothers who score high on the PAS and P RIBS will be included in the study.
• Mothers willing and available to attend group-based rPPP sessions throughout the intervention period.
• For Children
• Children between 6 and 12 years of age.
• Children who score high on measures of externalizing and internalizing behavioral problems.

You may not qualify if:

• For Mothers
• Mothers with Psychological illness (screening questions will be included in the demographic section),
• Mothers enrolled in any other parenting or psychological intervention programs. For Children
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• Children with comorbid neurodevelopmental disorders (e.g., autism, ADHD) (screening questions will be included in the demographic section)

Sponsors & Collaborators

• Sadia Ramzan: lead

Study Sites (1)

Centre for Clinical Psychology, University of the Punjab

Lahore, Punjab Province, 54590, Pakistan

Location

MeSH Terms

Conditions

Problem Behavior

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Child Behavior

Study Officials

• Hira Liaqat Supervisor

  Centre for Clinical Psychology, University of the Punjab

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: MS Scholar, Clinical Psychology

Model Details: Participants (caregivers of children with disruptive behaviors) will be randomly assigned to either the intervention group (receiving s-rPPP sessions) or the waitlist control group. The intervention group will complete weekly sessions of the Rational Positive Parenting Program, while the control group will receive usual care and be offered the intervention after post-assessment.

Study Record Dates

• First Submitted: July 31, 2025
• First Posted: August 7, 2025
• Study Start: December 15, 2025
• Primary Completion: May 15, 2026
• Study Completion: July 15, 2026
• Last Updated: May 5, 2026

Record last verified: 2026-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)