Parents' Adherence to Treatment Recommendations

Parents' Adherence to Treatment Recommendations: Do It for the Children

The primary purpose of this study was to test whether conducting a brief motivational interview that focused on perceived barriers to treatment seeking would increase the likelihood that a parent with psychiatric problems would seek treatment for themselves.

Study Overview

• Status: Completed
• Conditions: Help-Seeking Behavior
• Intervention / Treatment: Behavioral: Motivational Interview; Behavioral: Information only control

Detailed Description

The primary aim of this study was to test a method for increasing adherence to treatment recommendations for parents of children with emotional/behavior problems. Mental health problems in parents can be a serious risk factor for psychiatric and medical problems in children, yet most parents of children receiving services for mental health or medical problems do not get treatment for their own problems. The specific aim of this study was to increase parents' adherence to recommendations for treatment. Parents were randomly assigned to either the Enhanced Motivational Intervention (EMI) or an information only control group. The EMI involves motivational interviewing comprised of a brief intervention that elicits the parents' "story," provides education about their problem(s), describes the potential link between parents' and children's symptoms, assesses their prior treatment history, expectations, and concerns about treatment, identifies potential barriers to treatment seeking, and determines the next step. Evaluations at baseline and 8-weeks and 4-months post intervention will assess parents' symptoms, functioning, and service utilization. The investigators hypothesized that adherence to treatment recommendations would be significantly greater for parents in the EMI group compared to parents in the control group.

• Study Type: Interventional
• Enrollment (Actual): 194
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 21 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Parent or guardian of a child who is receiving services for emotional or behavioral problems.
• Must have legal custody of the child

Exclusion Criteria:

• Current psychosis

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Motivational Interview; After the assessment, parents were provided with a 90-minute intervention aimed at increasing the likelihood that the parent would seek treatment for psychiatric problems for themselves.	Behavioral: Motivational Interview; 90-minute interview to discuss their concerns and possible barriers to seeking treatment for themselves
Other: Information only control; After the assessment, parents were given pamphlet with referral information for psychiatric services.	Behavioral: Information only control; Participants are provided with a pamphlet containing referral information

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Contact a treatment provider	Number of participants who contacted a treatment provider	by the 4-month post intervention evaluation

Collaborators and Investigators

• Sponsor: Vanderbilt University
• Collaborators: National Institutes of Health (NIH)

Study record dates

Study Major Dates

• Study Start (Actual): February 1, 2010
• Primary Completion (Actual): December 1, 2015
• Study Completion (Actual): December 1, 2016

Study Registration Dates

• First Submitted: February 22, 2017
• First Submitted That Met QC Criteria: February 28, 2017
• First Posted (Actual): March 1, 2017

Study Record Updates

• Last Update Posted (Actual): April 11, 2017
• Last Update Submitted That Met QC Criteria: April 7, 2017
• Last Verified: April 1, 2017

More Information

Terms related to this study

• Other Study ID Numbers: 12112015113639; U.S. NIH/1RC1MH088329 (Other Grant/Funding Number: National Institute of Health)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No
• IPD Plan Description: No plan to share the data at this time

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No