Online Parent Training for Children With Behavior Disorders (PW2)

February 13, 2017 updated by: Family Works Incorporated

Online Parent Training for Children With Behavior Disorders: Phase II

This study evaluates Parenting Wisely (PW), an interactive, computer-based, online parenting program, through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed. The investigators hypothesize that the two PW interventions (PW only and PW + Social Network) will produce greater reductions in disruptive behavior problems from baseline to 3- and 6-month assessments compared to SAU.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Research has shown that parent-targeted interventions are effective in ameliorating adolescent conduct disorders, substance abuse, HIV-risk, and related adolescent problem behaviors. The meteoric rise of Internet use and recent advance in multimedia technology and software combine to create new opportunities for disseminating evidence-based practices. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention designed to prevent and treat child disruptive behavior problems. This evidence-based approach fits easily into existing juvenile justice, health, education, and mental health service delivery systems, bypassing many of the current barriers to care. The investigators' Phase I study focused on revising and enhancing PW with more culturally relevant content and imagery to broaden its appeal to ethnically diverse populations. The findings revealed substantial improvements on virtually all measures of parenting and child behavior and outcomes at 6 months were highly significant and clinically meaningful. This Phase II study is designed to broaden the appeal and potential reach of PW through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. PW is the first online skill-building parent training program to examine effectiveness across different ethnic cultural groups and offers a brief, low cost, accessible approach that could be easily and quickly implemented and sustained in JJS settings. As such, the potential impact for marketing PW and reducing child behavior problems is considerable. Phase II activities will include the development of a moderated online forum to increase parental social support and skill acquisition. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed.

Study Type

Interventional

Enrollment (Actual)

306

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
    • Oregon
      • Portland, Oregon, United States, 97232
        • Oregon Research Institute

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

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Parent of a 12-17 year old adolescent who has been referred to the juvenile justice system for a legal offense (at least one police-generated report)
  • Adolescent has been referred by a participating county in Oregon or Nevada
  • Parent and adolescent live together at least 40% of the time

Exclusion Criteria:

  • Parent has already enrolled or completed the study for another adolescent
  • Read and speak a language other than English or Spanish

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: Factorial Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Parenting Wisely
Immediate access to the online Parenting Wisely program
Behavioral: Parenting Wisely
Computer-based, online, interactive parenting intervention
Other Names:
  • PW
Active Comparator: Parenting Wisely + Community Forum
Immediate access to the online Parenting Wisely program, as well as access to a community form where parents can receive social support from other online users of the program and a moderator
Behavioral: Parenting Wisely
Computer-based, online, interactive parenting intervention
Other Names:
  • PW
No Intervention: Delayed Parenting Wisely
Delayed (6-month) access to the Parenting Wisely program. Parents will receive access to PW after the final, 6-month, follow-up assessment.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Parenting skills and knowledge
Time Frame: Change from baseline to 6-month follow-up
Online questionnaire measures (Family Assessment Device, Parenting Scale, Parenting Knowledge Test, Parent Sense of Competence, Social Support for Parenting)
Change from baseline to 6-month follow-up
Child behavioral changes
Time Frame: Change from baseline to 6-month follow-up

Online questionnaires (Eyberg Child Behavior Inventory, Strengths & Difficulties Questionnaire).

Juvenile justice recidivism data for youth of the enrolled parents (e.g., new charges)
Change from baseline to 6-month follow-up

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Satisfaction with the Parenting Wisely program
Time Frame: 3 months following baseline
Online questionnaires about program usability and user satisfaction: System Usability Scale and questions specific to parents' experiences with PW.
3 months following baseline

Collaborators and Investigators

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

Sponsor

Family Works Incorporated

Collaborators

Oregon Research Institute

Investigators

  • Principal Investigator: Don Gordon, Ph.D., Family Works Inc.

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

September 1, 2012

Primary Completion (Actual)

June 1, 2015

Study Completion (Actual)

June 1, 2015

Study Registration Dates

First Submitted

May 20, 2013

First Submitted That Met QC Criteria

May 21, 2013

First Posted (Estimate)

May 23, 2013

Study Record Updates

Last Update Posted (Actual)

February 14, 2017

Last Update Submitted That Met QC Criteria

February 13, 2017

Last Verified

February 1, 2017

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • 2R44DA026658-02A1 (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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