Parent Training and Emotion Coaching for Children With Limited Prosocial Emotions (HNC-EC)

The proposed research will focus on the development of a brief emotion-coaching (EC) parenting program (which directly targets child emotion awareness/recognition and affective empathy), that will be combined with a well-established parent management training program (Helping the Noncompliant Child; HNC) for treating oppositional defiant disorder (ODD) in children who also have limited prosocial emotions (e.g., lack of guilt and empathy, callous use of others).

Study Overview

• Status: Completed
• Conditions: Oppositional Defiant Disorder
• Intervention / Treatment: Behavioral: Parent Training plus Emotion Coaching; Behavioral: Parent Training only

• Study Type: Interventional
• Enrollment (Actual): 43
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Washington
    • Seattle, Washington, United States, 98195
      • University of Washington

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 3 years to 7 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Child with oppositional defiant disorder and low prosocial emotions

Exclusion Criteria:

• Unable to speak/understand English
• Significant developmental delay or autism spectrum disorder

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Parent Training plus Emotion Coaching; This intervention will combine a parent management training program called Helping the Noncompliant Child with elements of an Emotion Coaching parenting intervention.	Behavioral: Parent Training plus Emotion Coaching; This intervention will combine a parent management training program called Helping the Noncompliant Child with elements of an Emotion Coaching parenting program.
Active Comparator: Parent Training Only; This intervention will consist of a parent management training program called Helping the Noncompliant Child.	Behavioral: Parent Training only; This intervention will consist of a parent management training program called Helping the Noncompliant Child.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Eyberg Child Behavior Inventory - intensity score	Child conduct problems at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Early Childhood Inventory-4 ODD scale	Change in child conduct problems for children ages 3-5 at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Child Symptom Inventory-IV	Child conduct problems for children ages 6-7 at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Behavioral Coding System - percent child inappropriate behaviors	Child inappropriate behaviors at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Behavioral Coding System percent child compliance	Child compliance at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Inventory of Callous-Unemotional Traits - preschool version - total score	Callous-unemotional traits at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
A Developmental Neuropsychological Assessment (NEPSY-II) Affect Recognition Task - fear recognition	Affect recognition at baseline, mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
NEPSY-II Affect Recognition Task - sadness recognition	Affect recognition in baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Griffith Empathy Measure - empathy score	Empathy at baseline and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Behavioral coding of Zahn-Waxler empathy paradigm - amount of attention, affective response congruent with examiner, concern for others, disregard for others	Empathy at baseline and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Behavioral Coding System - positive attention rate per minute	Parenting behavior - positive attention at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Behavioral Coding System - total commands rate per minute	Change in parenting behavior - commands at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Parenting scale - overactivity	Parenting at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Parenting scale - laxness	Parenting at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Parent Meta-Emotion Interview emotion coaching scale	Emotion coaching at baseline and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Parenting Sense of Competence satisfaction scale	Parenting satisfaction at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Parenting Sense of Competence efficacy scale	Parenting efficacy at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks

Other Outcome Measures

Outcome Measure	Measure Description	Time Frame
Difficulties with Emotion Regulation Scale - lack of awareness and limited access to emotion regulation strategies	Maternal emotion regulation abilities at baseline mid-treatment and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks
Beck Depression Inventory II	Maternal depression at baseline and post-treatment	Participants will be followed for the duration of outpatient treatment, an expected average of 25 weeks

Collaborators and Investigators

• Sponsor: University of Washington
• Investigators: Principal Investigator: Lynn F Katz, Ph.D., University of Washington

Study record dates

Study Major Dates

• Study Start: June 1, 2015
• Primary Completion (Actual): December 15, 2018
• Study Completion (Actual): December 15, 2018

Study Registration Dates

• First Submitted: March 25, 2015
• First Submitted That Met QC Criteria: April 1, 2015
• First Posted (Estimate): April 7, 2015

Study Record Updates

• Last Update Posted (Actual): May 5, 2021
• Last Update Submitted That Met QC Criteria: April 29, 2021
• Last Verified: April 1, 2021

More Information

Terms related to this study

• Keywords: Children with ODD and low prosocial emotions
• Additional Relevant MeSH Terms: Mental Disorders; Neurodevelopmental Disorders; Attention Deficit and Disruptive Behavior Disorders
• Other Study ID Numbers: STUDY00000931