Preventing Conduct Disorder in Child Welfare

PREVENTING CONDUCT DISORDER AMONG CHILDREN IN THE CHILD WELFARE SYSTEM

A mixed methods randomized control trial was conducted to test the effectiveness of Pathways Triple P with child welfare involved families compared to treatment as usual. Outcomes tested included parenting behaviors and attitudes, and child behavior problems. 144 families were recruited into the study. Data was collected at 4 time points (baseline, 4 months, 9 months, and 18 months). Over 70% were retained from baseline to 18 months.

Study Overview

• Status: Completed
• Conditions: Behavioral Disorder; Child Maltreatment
• Intervention / Treatment: Behavioral: Pathways Triple P; Behavioral: Services as Usual

• Study Type: Interventional
• Enrollment (Actual): 144
• Phase: Not Applicable

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Families with open child protective service case following allegation of child physical abuse or neglect
• parent of child between the age of 3 and 12
• Child remained in the home following investigation
• parent spoke English

Exclusion Criteria:

• parent's child could not have chronic medical condition or have a pervasive developmental delay

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: Pathways Triple P; Families randomized to the Pathways Triple P received a 14 week home based intervention.	Behavioral: Pathways Triple P; Pathways Triple was developed by Matt Sanders and is a behavioral parent training intervention designed to treat child behavior problems and prevent child maltreatment.
Active Comparator: Services as Usual; Families randomized to the services as usual condition received services as usual through the Missouri Children's Division	Behavioral: Services as Usual; Families received family centered services and other parenting interventions as deemed appropriate by the child welfare case manager.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Eyberg Child Behavior Inventory	Child Behavior Problems	18 months
PedsQL	Pediatric Quality of Life Scale	18 months

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Parenting Stress Inventory	Parent Stress	18 months
Parent Anger Inventory	Parent Anger	18 months
Parental Sense of Competence	Parent Sense of Competence	18 months
Alabama Parenting Questionnaire	Parenting Behavior Inventory	18 months
Depression Anxiety Stress Scales	Parental Mental Health	18 months
AUDIT	Alcohol Abuse in Parents	18 months
The Drug Abuse Screening Test	Parent Substance use	18 months
HITS IPV Screening	Domestic Violence history	18 months
PQL	Parent Report of Child Quality of Life	18 months

Collaborators and Investigators

• Sponsor: Washington University School of Medicine
• Investigators: Principal Investigator: Patricia Kohl, PhD, Washington University School of Medicine

Study record dates

Study Major Dates

• Study Start (Actual): July 5, 2010
• Primary Completion (Actual): July 1, 2015
• Study Completion (Actual): July 1, 2015

Study Registration Dates

• First Submitted: October 30, 2017
• First Submitted That Met QC Criteria: October 30, 2017
• First Posted (Actual): November 6, 2017

Study Record Updates

• Last Update Posted (Actual): November 6, 2017
• Last Update Submitted That Met QC Criteria: October 30, 2017
• Last Verified: October 1, 2017

More Information

Terms related to this study

• Keywords: RCT; Child welfare; Triple P; parent management training; child behavior problems
• Additional Relevant MeSH Terms: Mental Disorders; Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Conduct Disorder
• Other Study ID Numbers: 5R01HD061454 (U.S. NIH Grant/Contract)

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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