Tailoring a Home Supervision Intervention for Latinx Caregivers

NCT07203612 | Recruiting

• 1 other identifier: R15HD097585
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the proposed study is to create and test a modified version of the SHS intervention for Latinx families in Southwest Michigan. We will partner with three nearby Latinx resource centers in addition to a Head Start program that provides preschool to a large number of Latinx families. The project will use an iterative approach to modifying the intervention and will occur in five steps. In step 1, we will conduct focus groups with caregivers and staff from the 3 Latinx resource centers to identify changes to make to the intervention materials. In step 2, we will make modifications to the program materials. In step 3, we will conduct additional focus groups to seek feedback about the revised program materials. In step 4, we will pilot test the revised program materials, and in step 5 we will conduct the RCT of the modified program materials with caregivers of children ages 2-5. We will examine the effect of the modified intervention on caregivers' supervision of their children (using self-reports and observations) and on children's minor injury frequency.

Conditions

Healthy

Outcome Measures

Primary Outcomes (2)

• Supervision Behavior

  Caregivers will complete the Computerized Supervision Observation Measure (CSOM), which is a 20-minute observational measure of supervision that was created by Dr. Morrongiello (Morrongiello et al., 2010). The measure assesses the frequency with which caregivers verbally intervene to address risky child behavior (e.g., climbing on a dresser) as well as the type of verbal comment that they make (e.g., prohibitions, directives, or teaching comments). Each parent will view a videotape of a young child (same sex as their own) in a naturalistic home setting. The video will show a child moving throughout the home playing in different areas (living room, kitchen). Parent responses will be coded to rate the degree to which they respond effectively to children' engagement in risky behavior. Coding categories include: prohibitions or threats (e.g., don't do that"), directions or control statements (e.g., "you can put that over there") and teaching/explanations (e.g., "that's hot).

  baseline, immediate post-intervention, 1 month post-intervention

• Parent Supervision Attributes Profile Questionnaire (PSAPQ)

  The PSAPQ will be administered at baseline, immediately post-intervention, and at 1 month post-intervention. The PSAPQ is a measure of parents' supervision practices and beliefs (Morrongiello \& Corbett, 2006; Morrongiello \& House, 2004). It is comprised of 29 items organized into 4 subscales (protectiveness, supervision, tolerance for risk taking, and belief that fate determines a child's injury risk). Caregivers use a 5-point Likert scale (1= strongly disagree, 5 = strongly agree) to rate the extent to which they agree with items assessing their supervision attitudes and behaviors (e.g., I let my child take some chances in what he/she does; I have my child within reach at all times). The minimum score on the scale is 29, and the maximum score is 145. Higher scores indicate engagement in higher levels of supervision and greater beliefs about the importance of protecting children from injuries.

  baseline, immediately post-intervention, 1 month post intervention

Secondary Outcomes (1)

• Injury Frequency Interview

  baseline, immediately post-intervention, 1 month post-intervention

Study Arms (2)

intervention to increase caregiver supervision and reduce child's risk for injury

EXPERIMENTAL

Group-based intervention to teach caregivers about ways to supervise their children more closely.

Behavioral: SHS

Control group

ACTIVE COMPARATOR

caregivers received information about how to manage common child behavior problems.

Behavioral: Parenting group

Interventions

SHS BEHAVIORAL

Group-based and video-based intervention to teach caregivers of young children how to supervise their children more closely to prevent unintentional injuries.

intervention to increase caregiver supervision and reduce child's risk for injury

Parenting group BEHAVIORAL

This intervention was designed to teach caregivers about evidence-based behavioral methods to manage common child behavior problems.

Control group

Eligibility Criteria

• Age: 18 Years - 99 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Spanish speaking caregiver of child ages 15 months to 5 years old.

You may not qualify if:

• child of caregiver has pervasive develomental disorder, is blink, or deaf.

Sponsors & Collaborators

• Western Michigan University: lead

Study Sites (1)

Western Michigan University

Kalamazoo, Michigan, 49008, United States

RECRUITING

Study Officials

• Amy Damashek, Ph.D.

  Western Michigan University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amy Damashek, Ph.D.

CONTACT

269-387-4920; Amy.Damashek@wmich.edu

Study Design

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

Study Record Dates

• First Submitted: September 16, 2025
• First Posted: October 2, 2025
• Study Start: May 9, 2024
• Primary Completion (Estimated): July 30, 2026
• Study Completion (Estimated): August 30, 2026
• Last Updated: October 2, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)