Triple P With Pediatric Residents

Randomized Control Study of the Impact of Primary Care Triple P on Pediatric Residents and Their Patients

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.

Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.

Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:

1. increased skill levels,
2. increased confidence, and
3. increased satisfaction in dealing with and managing psychosocial issues

Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.

Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:

1. greater reduction in targeted child behavior problems,
2. greater reduction in dysfunctional parenting practices,
3. increased use of appropriate discipline and positive parenting strategies, and
4. greater confidence in parenting ability.

Study Overview

• Status: Completed
• Conditions: Parenting; Psychosocial Problem; Problematic Behavior in Children
• Intervention / Treatment: Behavioral: Training in PC Triple P; Other: Care As Usual

• Study Type: Interventional
• Enrollment (Actual): 155
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 year to 12 years (Child)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria for Pediatric Resident:

• Assigned to a participating continuity clinic

Exclusion Criteria for Pediatric Resident:

• Not assigned to a participating continuity clinic

Inclusion Criteria for Parent:

• Parent of an eligible child.
• Speaks English

Exclusion Criteria for Parent:

• A parent of an ineligible child
• Non-English speaking

Inclusion Criteria for Child:

• Treated by a participating resident
• Between 18 months and 12 years old
• Does not have any mental health diagnosis
• Is not receiving medication or therapy from a professional

Exclusion Criteria for Child:

• Not treated by a participating resident
• Age falls outside of eligible range
• Has a mental health diagnosis
• Currently receiving medication or therapy from a professional

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Health Services Research
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Trained in Primary Care (PC) Triple P; This group received standardized training in Primary Care (PC) Triple P.	Behavioral: Training in PC Triple P; PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.
Experimental: Care as Usal; This group provided care as usual. This group was not trained in PC Triple P interventions.	Other: Care As Usual; Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in pediatric resident skills and confidence in conducting parent consultations about child behavior	Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.	One year

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior	Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up.	One year

Collaborators and Investigators

• Sponsor: Seattle Children's Hospital
• Collaborators: Doris Duke Charitable Foundation
• Investigators: Principal Investigator: Frederick P Rivara, MD, MPH, Seattle Children's Research Institute, Seattle Children's Hospital, University of Washington

Study record dates

Study Major Dates

• Study Start: July 1, 2011
• Primary Completion (Actual): June 1, 2012
• Study Completion (Actual): December 1, 2012

Study Registration Dates

• First Submitted: September 6, 2013
• First Submitted That Met QC Criteria: September 17, 2013
• First Posted (Estimate): September 20, 2013

Study Record Updates

• Last Update Posted (Estimate): September 20, 2013
• Last Update Submitted That Met QC Criteria: September 17, 2013
• Last Verified: September 1, 2013

More Information

Terms related to this study

• Keywords: Triple P
• Other Study ID Numbers: SCH-13683