Parent Preferences and Family Engagement in a Conduct Problems Prevention Program

DCISR for Adaptive Intervention Models in Children's Mental Health

The purpose of this study is to gain a better understanding of family preferences for and engagement in services.

Study Overview

• Status: Completed
• Conditions: Conduct Problems
• Intervention / Treatment: Behavioral: Services as Usual; Behavioral: PMTO-PTC Group clinic-based; Behavioral: PMTO Individual home-based; Behavioral: PMTO Individual clinic-based

Detailed Description

The overarching goal of this pilot project is to elucidate factors that influence families' engagement in indicated prevention/early intervention programming for youth conduct problems. We will explore factors previously shown to influence engagement, including parent motivational cognitions, family context variables, and preferences for intervention type. Study aims are organized around a randomized preference trial with a parallel hybrid design structure (see Abikoff, 2001). Families with youth ages 5-12, referred to community mental health clinics in Michigan, will be invited to participate in a prevention study. Families who chose to participate were assigned at random to preference (i.e. choice) or no preference (i.e. no choice) conditions. Those randomly assigned to the preference condition were allowed to choose between four intervention options: clinic-based services-as-usual (youth intervention); individual, home-based Oregon Parent Management Training (PMTO; Patterson, 2005), individual, clinic-based PMTO, and in-person group-based PMTO (Parenting Through Change; Forgatch & DeGarmo, 1999). Families in the no-choice condition were randomly assigned to one of the same four conditions.

• Study Type: Interventional
• Enrollment (Actual): 134
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Minnesota
    • Minneapolis, Minnesota, United States, 55415
      • Center for Personalized Prevention Research in Children's Mental Health

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 5 years to 12 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Families with at least one child between the ages of 5 and 12.
• Referral to community mental health clinic (specifically, to one of the project partner clinics)

Exclusion Criteria:

• Active psychosis
• Serious child mental health diagnosis
• Open child protection case for abuse or neglect

Study Plan

How is the study designed?

Design Details

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

Number of Arms

4

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: PMTO-PTC Group clinic-based; PMTO-PTC = Oregon Parent Management Training program, Parenting Through Change groups provided at a clinic.	Behavioral: PMTO-PTC Group clinic-based; Other Names: PMTO-Parenting Through Change - Group
Other: PMTO Individual home-based; PMTO = Oregon Parent Management Training program, delivered individually in the home.	Behavioral: PMTO Individual home-based; Other Names: Oregon Parenting Management Training - Individual @ home
Other: PMTO Individual clinic-based; PMTO = Oregon Parent Management Training program, delivered individually at a clinic.	Behavioral: PMTO Individual clinic-based; Other Names: Oregon Parent Management Training - Individual @ clinic
Other: Services as Usual; Usual child-centered services (i.e. therapy) provided by the agencies at a clinic.	Behavioral: Services as Usual

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Family Interaction Task (FIT)	Parent(s) and child participate in a number of activities which are observed and coded based on parent-child interactions.	1 year
Strengths and Difficulties Questionnaire	Parent and Teacher Report	1 year
Brief Symptom Inventory 18 (BSI-18) Questionnaire	Parent Report	1 year
Perceptions of Intervention Benefits and Barriers Questionnaire	Parent Report	1 year
Parent Locus of Control Questionnaire	Parent Report	1 year
Perceived Susceptibility & Severity Questionnaire	Parent Report	1 year
Perceived Need to Improve Parenting Questionnaire	Parent Report	1 year
Child Service Utilization Summary Questionnaire	Parent Report	1 year

Collaborators and Investigators

• Sponsor: University of Minnesota
• Collaborators: National Institute of Mental Health (NIMH); Michigan Department of Community Health
• Investigators: Principal Investigator: Gerald August, Ph.D., University of Minnesota - P20-Center Director (PI); Principal Investigator: Abigail Gewirtz, Ph.D., University of Minnesota - Pilot Project PI

Study record dates

Study Major Dates

• Study Start: January 1, 2012
• Primary Completion (Actual): July 1, 2015
• Study Completion (Actual): September 1, 2015

Study Registration Dates

• First Submitted: April 3, 2015
• First Submitted That Met QC Criteria: April 27, 2015
• First Posted (Estimate): May 1, 2015

Study Record Updates

• Last Update Posted (Actual): November 1, 2019
• Last Update Submitted That Met QC Criteria: October 30, 2019
• Last Verified: October 1, 2019

More Information

Terms related to this study

• Other Study ID Numbers: 1006S83774; P20MH085987 (U.S. NIH Grant/Contract)