SBIR/ STTR Family Check-up Online
A Digital Health Technology to Prevent Family Violence and Improve Child Mental Health
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
In this study the investigators propose the following specific aims:
- Examine the feasibility and acceptability of embedding the FCU Online model into multi-tiered systems of support (MTSS). The investigative team (comprised of researchers and school partners) will (1a) identify strategies to reach students at risk for poor mental health outcomes using natural indicators within the school environment. Then, the team will (1b) identify feasible and acceptable implementation strategies for delivery of the basic (i.e., no coaching) and supported (i.e., with coaching) FCU Online models as routine school services. Phase 1 data suggest that schools vary in their preference for a coached vs. uncoached delivery system. The investigators will explore the best strategies for delivery of both models in a series of interviews with N=20 school providers and N=20 parents that will guide the Aim 2 effectiveness trial.
- Conduct a comparative effectiveness trial to examine outcomes associated with the FCU Online model in school delivery systems. The investigators will examine the effectiveness of the FCU Online for middle school youth in a hybrid type 2 effectiveness-implementation trial. Based on Phase 1 results, 30 school providers across multiple districts will be randomly assigned to deliver the basic (i.e., no coaching) or supported (i.e., with coaching) digital health model. Each provider will enroll 20 families/students (N=600) in the intervention across one year. The investigators will test parent and student outcomes associated with the program over a 6-month period including student mental health and behavior problems. Potential moderators of family engagement and improved outcomes, including pre-existing risk (family and student level) and provider characteristics, will be examined. The investigators hypothesize greater effects of The FCU Online with coaching for students with high baseline behavior problems and for providers with experience working with high-risk students. Moderation analysis results will highlight which students might benefit most from the FCU Online with coaching and from which providers.
- Examine factors related to successful implementation in schools that will guide future commercialization. Guided by the RE-AIM implementation framework, the investigators will evaluate factors related to Reach (percent of students who received FCU Online supports), Adoption (who engages at schools and to what extent), Implementation (fidelity monitoring and usage),and Maintenance (provider usage at end of clinical trial) of the FCU Online models. These analyses will inform commercialization and funding models for the product in school delivery systems and future plans for Phase III funding.
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Allison S Caruthers, PhD
- Phone Number: 503-412-3770
- Email: ascaru@uoregon.edu
Study Contact Backup
- Name: Anne M Mauricio, PhD
- Phone Number: 541-346-3630
- Email: amariem@uoregon.edu
Study Locations
-
-
Oregon
-
Eugene, Oregon, United States, 97403
- Recruiting
- Prevention Science Institute
-
Contact:
- Allison S Caruthers, PhD
- Phone Number: 503-412-3770
- Email: ascaru@uoregon.edu
-
Contact:
- Anne M Mauricio, PhD
- Phone Number: 541-346-3630
- Email: amariem@uoregon.edu
-
Principal Investigator:
- Anne M Mauricio, PhD
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- A caregiver must have a child between the ages of 11 and 14 enrolled at a participating school;
- the caregiver must be the parent or legal guardian of the youth;
- the caregiver must have a smartphone with text messaging capability and access to email; and
- the youth must be identified by school providers as needing or being eligible for Tier 2 or Tier 3 supports or services.
Exclusion Criteria:
- the caregiver is unable to read in either English or Spanish; or
- the family is already participating in another study of the University of Oregon's Prevention Science Institute.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: FCU Online with telehealth coaching
FCU Online Digital intervention with telehealth coaching.
This arm includes usage of the digital intervention plus telehealth support from a parenting coach.
|
This intervention is the Family Check-Up Online plus telehealth support from a parenting coach.
The Family Check-Up Online is a digital intervention that includes an assessment, computer-generated feedback, and intervention modules that focus on improving family relationships and parenting skills in order to reduce child mental health problems and to improve child self-regulation.
These modules include Healthy Behaviors for Stressful Times, Positive Parenting, Rules and Consequences, Supporting School Success, and Communication.
A coach based at the child's school meets with caregivers via telehealth modality to provide motivation and to help caregivers tailor the content of the modules to their specific child and family's needs.
|
|
Experimental: FCU Online
FCU Online digital intervention.
This arm includes use of the digital intervention only (i.e., no telehealth coaching).
|
The Family Check-Up Online is a digital intervention that includes an assessment, computer-generated feedback, and intervention modules that focus on improving family relationships and parenting skills in order to reduce child mental health problems and to improve child self-regulation.
These modules include Healthy Behaviors for Stressful Times, Positive Parenting, Rules and Consequences, Supporting School Success, and Communication.
|
|
No Intervention: Providers participating in feasibility/ acceptability interviews
School-based providers will be interviewed to help the research team identify feasible and acceptable implementation strategies for delivery of the basic and supported FCU Online models as routine school services.
|
|
|
No Intervention: Parents participating in feasibility/ acceptability interviews
Parents of middle school-aged students will be interviewed to help the research team identify feasible and acceptable implementation strategies for delivery of the basic and supported FCU Online models as routine school services.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change from Baseline in Child Depression (Parent report)
Time Frame: baseline, 6 months
|
Parents report on their child's depression using the two item PHQ-2.
Scores for the individual items range from 0 (not at all) to 3 (nearly all) and are summed together.
Higher scores indicate greater child depression.
|
baseline, 6 months
|
|
Change from Baseline in Child Anxiety (Parent report)
Time Frame: baseline, 6 months
|
Parents report on their child's anxiety using the two item GAD-2.
Scores for the individual items range from 0 (not at all) to 3 (nearly all) and are summed together.
Higher scores indicate greater child anxiety.
|
baseline, 6 months
|
|
Change from Baseline in Positive Parenting (Parent report)
Time Frame: baseline, 6 months
|
Parents report on their use of positive parenting skills using a modified version of the Parenting Young Children scale.
Parents are asked to indicate the frequency with which they used positive parenting skills (such as encouragement and praise, relationship building, giving clear directions, and using rewards for positive behavior) over the past month using a 5-pt scale (0=Never/ 1=Rarely/ 2= Sometimes/ 3=Often/ 4=Very Often).
Responses to these 10 items are summed.
Higher scores indicate frequent use of positive parenting skills.
|
baseline, 6 months
|
|
Change from Baseline in Rules and Consequences (Parent report)
Time Frame: baseline, 6 months
|
Parents report on the extent to which they enforced rules and consequences for negative behavior over the past month using a 13-item scale developed for this project.
Parents are asked to indicate the frequency with which they monitored their child's behavior, set clear rules, applied logical consequences, and ignored annoying behavior using a 5-pt scale (0=Never/ 1=Rarely/ 2= Sometimes/ 3=Often/ 4=Very Often).
Responses are summed and higher scores indicate more consistent use of rules and consequences.
|
baseline, 6 months
|
|
Change from Baseline in Positive Communication (Parent report)
Time Frame: baseline, 6 months
|
Parents report on the extent to which positive communication occurred with their child over the past month using a 12-item scale developed for this project.
Parents are asked to indicate the frequency with which they communicated calmly and clearly, listened to their child, and mitigated conflict using a 5-pt scale (0=Never/ 1=Rarely/ 2= Sometimes/ 3=Often/ 4=Very Often).
Responses are summed and higher scores indicate more positive communication within the family.
|
baseline, 6 months
|
|
Change from Baseline in Supporting School Success (Parent report)
Time Frame: baseline, 6 months
|
Parents report on the ways they support their child's school success over the past month using a16-item scale developed for this project.
Parents are asked to indicate the frequency with which their family followed regular morning, meal, sleep, school, and homework routines using a 5-pt scale (0=Never/ 1=Almost Never/ 2= Sometimes/ 3=Frequently/ 4=Almost Always).
Responses are summed, and higher scores indicate more frequent use of routines that support school success.
|
baseline, 6 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Anne M Mauricio, PhD, University of Oregon
- Principal Investigator: Lisa A Reiter, PhD, Northwest Prevention Science
- Principal Investigator: Elizabeth A Stormshak, PhD, Northwest Prevention Science
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- STUDY 00001307
- R42MH132191 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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