Adaptation and Pilot Testing of a Behavioral Parent Training Program for Parents of Deaf and Hard of Hearing Children

Adaptation and Pilot Implementation of the Family Check-Up for Deaf and Hard of Hearing Children

Despite being more likely than typical hearing children to experience disruptive behavior problems, children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This pilot project will systematically adapt an evidence-based behavioral parent training (BPT) intervention to increase its acceptability and relevance for parents of young DHH children. Two parents of DHH children will be trained in the adapted BPT for DHH children. They will each deliver the intervention to five families with DHH preschool-aged children.

Study Overview

• Status: Completed
• Conditions: Parenting; Hearing Loss; Behavior Disorders
• Intervention / Treatment: Behavioral: Interventionist training and supervision; Behavioral: Behavioral parent training

• Study Type: Interventional
• Enrollment (Actual): 6
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Kentucky
    • Lexington, Kentucky, United States, 40506
      • University of Kentuckyi

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 2 years and older (ADULT, OLDER_ADULT, CHILD)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Parent/Caregivers and Children:

Inclusion Criteria:

• Parent/caregiver is age 18 years or older
• Parent/caregiver is the custodial guardian of a deaf or hard of hearing (DHH) child
• DHH child is 2-5 years old
• DHH child has used hearing aid(s) and/or cochlear implant(s) for > 6 months
• Parent/caregiver is able to read English and either speak/understand English or use American Sign Language

Exclusion Criteria:

• Active child protective services case
• DHH child of interest has been diagnosed with a severe developmental delay, severe autism, debilitating neurological condition, etc.
• Parent/caregiver has already accessed behavioral health services for the DHH child

Parent Coaches/Interventionists:

Inclusion Criteria:

• Age 18 years or older
• Parent of a DHH child
• Able to speak, understand, and read English

Exclusion Criteria:

- None

Study Plan

How is the study designed?

Design Details

• Primary Purpose: PREVENTION
• Allocation: NON_RANDOMIZED
• Interventional Model: PARALLEL
• Masking: NONE

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
EXPERIMENTAL: Parent Coaches; Parent coaches will complete interventionist training and supervision in the "Family Check-Up," an evidence-based behavioral parent training (BPT) program, including in the adaptations for families with DHH children. Each parent coach will deliver the intervention to 5 parent-child dyads.	Behavioral: Interventionist training and supervision; Online and in-person training and weekly supervision with licensed clinical social worker while delivering the "Family Check-Up" to 5 families.
EXPERIMENTAL: Parent-Child Dyads; Parents and children will receive the adapted "Family Check-Up" behavioral parent training (BPT) intervention delivered by parent coaches.	Behavioral: Behavioral parent training; Up to 6 sessions of the "Family Check-Up" program, involving discussions, assessments, feedback, and skills training with a parent coach.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility: Enrollment	Proportion of parents agreeing to enroll in the intervention out of all parents approached	2 weeks after final parent-child dyad completes the study

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Feasibility: Number of sessions completed	Number of sessions completed by each enrolled parent	2 weeks after final parent-child dyad completes the study
Interventionist fidelity	Fidelity ratings of two recorded sessions per interventionist	2 weeks after final parent-child dyad completes the study
Feasibility: usability of battery of measures	Proportion of missing data across and within instruments for parent, child, and interventionist outcome measures	2 weeks after final parent-child dyad completes the study
Acceptability: parent satisfaction	European Parent Satisfaction Scale about Early Intervention (EPASSEI) - adapted; range: 20 (high satisfaction) to 100 (low satisfaction)	10 weeks after parent baseline
Acceptability: interventionist satisfaction	Therapist Satisfaction Index (TSI)	2 weeks after final parent-child dyad completes the study

Collaborators and Investigators

• Sponsor: University of Kentucky
• Investigators: Principal Investigator: Christina Studts, PhD, University of Kentucky, Dept of Health, Behavior & Society; Principal Investigator: Matthew Bush, MD, PhD, University of Kentucky, Dept of Otolaryngology

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 11, 2018
• Primary Completion (ACTUAL): December 13, 2018
• Study Completion (ACTUAL): December 13, 2018

Study Registration Dates

• First Submitted: March 23, 2018
• First Submitted That Met QC Criteria: March 23, 2018
• First Posted (ACTUAL): March 30, 2018

Study Record Updates

• Last Update Posted (ACTUAL): April 17, 2019
• Last Update Submitted That Met QC Criteria: April 15, 2019
• Last Verified: April 1, 2019

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Nervous System Diseases; Neurologic Manifestations; Otorhinolaryngologic Diseases; Ear Diseases; Sensation Disorders; Hearing Disorders; Mental Disorders; Hearing Loss; Deafness
• Other Study ID Numbers: 17-0460-F6A

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