Effectiveness Trial for Project SafeCare for Child Neglect

July 8, 2011 updated by: University of Oklahoma
The study is a field trial comparing the SafeCare family preservation model to a comparable usual care model for parents in child welfare. The study also compares two levels of service quality control.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The study is a cluster-randomized field trial of the SafeCare(SC) home-based family preservation model for families in the child welfare system. The trial is conducted in collaboration with the state child welfare agency and their contracted in-home service system. The service system is regionalized and provides in home services to families referred by child welfare. Regions of the state are assigned by the study to either the SC model or to services as usual. Provider teams, nested within regions, are assigned to either a monitored or unmonitored model implementation quality control condition. The aims of the project are to test client level child welfare reentry outcomes between SC and standard conditions, across the two implementation and quality control conditions.

Study Type

Interventional

Enrollment (Actual)

2175

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • Oklahoma
      • McAlester, Oklahoma, United States, 74501
        • Eastern Oklahoma Youth Services
      • Oklahoma City, Oklahoma, United States, 73112
        • NorthCare
      • Tulsa, Oklahoma, United States, 74120
        • Family and Children's Services

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

14 years to 75 years (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Parents in the child welfare system for neglect with or without physical abuse

Exclusion Criteria:

  • Parents in the child welfare system for sexual abuse

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: SafeCare with Coached Implementation
Home-based services with the SafeCare model, implemented with in vivo provider coaching as quality control
Behavioral: SafeCare
Behavioral home based family preservation. Weekly visits X six months.
Other: In vivo coached quality control
Live observation of practice with expert coaching, feedback and fidelity monitoring
Experimental: SafeCare without Coaching
Home-based services using the SafeCare model, implemented without in vivo coached implementation quality control
Behavioral: SafeCare
Behavioral home based family preservation. Weekly visits X six months.
Other: Uncoached
No in vivo coached quality control or fidelity monitoring
Experimental: Services As Usual with Coaching
Usual home based services, with in vivo coached implementation quality control
Other: In vivo coached quality control
Live observation of practice with expert coaching, feedback and fidelity monitoring
Behavioral: Services As Usual
Home based services not using the SafeCare model
Active Comparator: Services As Usual Without Coaching
Usual home based services without in vivo coached quality control
Other: Uncoached
No in vivo coached quality control or fidelity monitoring
Behavioral: Services As Usual
Home based services not using the SafeCare model

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Child welfare system recidivism
Time Frame: Up to 2766 days
Follow-up for recidivism reports to child welfare, captured from administrative data maintained by the state child welfare system
Up to 2766 days

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Child Abuse Potential Inventory
Time Frame: Approximately 180 days and 365 days
This is a questionnaire survey measuring parenting distress, parenting attitudes, and risk for committing child abuse
Approximately 180 days and 365 days
Family Resources Scale
Time Frame: Approximately 180 and 365 days
This is a questionnaire survey measuring sufficiency of basic concrete resources in a family, such as adequate food, shelter, utilities, clothing, access to health care, etc.
Approximately 180 and 365 days
Beck Depression Inventory
Time Frame: Approximately 180 and 365 days
This is a questionnaire measuring symptoms of depression
Approximately 180 and 365 days
Social Provisions Scale
Time Frame: Approximately 180 and 356 days
This is a questionnaire measuring the degree of social support and quality of social relationships
Approximately 180 and 356 days
Diagnostic Interview Schedule--Drug and Alcohol Disorders Module
Time Frame: Approximately 180 and 365 days
This is a structured diagnostic psychiatric interview, adapted to questionnaire format, measuring symptoms of alcohol disorders and drug disorders, with associated DSM based diagnostic algorithms.
Approximately 180 and 365 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Oklahoma

Collaborators

National Institute of Mental Health (NIMH)
Centers for Disease Control and Prevention
Oklahoma Department of Health and Human Services

Investigators

  • Principal Investigator: Mark Chaffin, PhD, University of Oklahoma

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2003

Primary Completion (Actual)

September 1, 2007

Study Completion (Actual)

September 1, 2007

Study Registration Dates

First Submitted

June 29, 2011

First Submitted That Met QC Criteria

July 8, 2011

First Posted (Estimate)

July 12, 2011

Study Record Updates

Last Update Posted (Estimate)

July 12, 2011

Last Update Submitted That Met QC Criteria

July 8, 2011

Last Verified

July 1, 2011

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • 5R01MH065667 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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