Preventing Behavior and Health Problems in Foster Teens (KEEP2)

April 7, 2014 updated by: Oregon Social Learning Center
The primary goal of this study is to test the efficacy of two levels of the KEEP intervention with adolescents and their foster and kin parents in the San Diego Child Welfare System.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

The cost of child welfare services in the U.S. has been estimated at $20 billion per year. During the past decade, the number of teenagers in foster care has nearly doubled. Numerous studies have documented that these adolescents are at high-risk for developing serious problems, including substance use, participation in health-risking sexual behaviors, involvement in the juvenile justice system, serious educational problems and school drop-out, failed placements/foster care "drift" and homelessness. Yet, there is little research on the characteristics of interventions that can be used to guide the improvement of services for this vulnerable population of youngsters. The proposed study extends our previous research with adolescents referred for serious behavioral and emotional problems and research with elementary-aged children in foster care to a test of the efficacy of a preventive intervention for adolescents placed with foster and kin care providers in the San Diego County Child Welfare System. Two hundred and forty adolescents and their foster/kin care providers will participate (i.e., 60 in a foster/kin parent training only condition, 60 in a parent training plus youth skill training condition, and 120 in a casework "as usual" control condition). In addition to testing the efficacy of the two levels of intervention, the investigators propose to examine the effects of the intervention on a set of youth behavioral and health-related outcomes. Parenting mediators to be tested include positive parenting, parental supervision, and non-harsh discipline. Youth mediators are social competence, commitment to school, and knowledge about norms related to health-risking behaviors including substance use and high-risk sexual behavior. In addition, theoretical hypotheses about the effects of early risk/adversity factors to youth outcomes will be examined, and an economic analysis will be conducted to examine the relative benefits and costs associated with the two levels of intervention.

Study Type

Interventional

Enrollment (Actual)

259

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
    • California
      • San Diego, California, United States, 92123
        • Child and Adolescent Services Research Center
    • Oregon
      • Eugene, Oregon, United States, 97401
        • Oregon Social Learning Center

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

12 years to 16 years (Child)

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Any child between ages 12 and 16 years in relative or non-relative foster care

Exclusion Criteria:

  • Only medically fragile children

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: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
No Intervention: Services As Usual
Foster care services as usual
Experimental: Parent and Youth Training
16 Weeks of Parent Training in group context with 5 to 10 relative and non-relative foster caregivers; Youth training with skills coaches
Behavioral: Parent Training
16 weeks of parent training led by a trained group facilitator
Other Names:
  • Parent Management Training
  • KEEP
Behavioral: Youth Skills Training
16 weeks of one-on-one sessions with a trained youth skills coach
Other Names:
  • Skills Coaching
Experimental: Parent Training
16 weeks of parent training with 5 to 10 relative and non-relative foster caregivers
Behavioral: Parent Training
16 weeks of parent training led by a trained group facilitator
Other Names:
  • Parent Management Training
  • KEEP

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
Reduction in child behavior problems as assessed by the Parent Daily Report (PDR)
Time Frame: Baseline, 6 Months, 12 Months, 18 Months
Baseline, 6 Months, 12 Months, 18 Months

Secondary Outcome Measures

Outcome Measure
Time Frame
Placement Disruptions from Foster Placement
Time Frame: 6 Months, 12 Months, 18 Months
6 Months, 12 Months, 18 Months

Collaborators and Investigators

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

Sponsor

Oregon Social Learning Center

Collaborators

National Institute on Drug Abuse (NIDA)

Investigators

  • Principal Investigator: Patricia Chamberlain, Phd, Oregon Social Learning Center

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

  • Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.

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

November 1, 2006

Primary Completion (Actual)

October 1, 2013

Study Completion (Actual)

October 1, 2013

Study Registration Dates

First Submitted

March 6, 2012

First Submitted That Met QC Criteria

March 8, 2012

First Posted (Estimate)

March 9, 2012

Study Record Updates

Last Update Posted (Estimate)

April 8, 2014

Last Update Submitted That Met QC Criteria

April 7, 2014

Last Verified

April 1, 2014

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • KEEP2020172
  • R01DA020172 (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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