Filipino Family Health Initiative

Filipino Family Health Initiative: The Incredible Years for Parents of School Age Children

The overall objective of this research is to test the effectiveness of a parenting program on Filipino parents living in California. The sample will include 180 Filipino immigrant families, half of which will receive the Online Incredible Years® School Age Basic & Advanced Parent Training Program (intervention) and the other half will receive the American Academy of Pediatrics' Bright Futures handouts (control) and be placed on a 3-month waitlist for the IY parenting program.

Study Overview

• Status: Recruiting
• Conditions: Parenting; Education; Family Relations
• Intervention / Treatment: Behavioral: Incredible Years® School Age Basic Parent Training Program; Other: American Academy of Pediatrics, Bright Futures Handouts

Detailed Description

The overall objective of the proposed research is to test the effectiveness of a parenting program (Incredible Years® School Age Basic & Advanced Parent Training Program, IYP) on Filipino parents recruited from multiple community-based settings and its impact on trajectories of parenting practices, parenting stress, and child problem behavior.

Evidence-based parenting interventions provided in early childhood have proven to be effective in preventing the onset and escalation of child mental health disorders. IYP is one of the best-studied and most highly regarded parent training programs. As a result of pilot studies funded by a NIH K23 and a NCATS KL2 award, the investigators have identified IYP as a community-identified solution for preventing behavioral health disparities, demonstrated IYP efficacy in improving parenting practices and parenting stress in Filipino parents, and child problem behavior.

This population was chosen because: 1) Filipinos are the second largest immigrant population in the U.S. with the highest concentration living in Los Angeles; 2) Filipinos are exposed to multiple adversities, including immigration stress and relocation, loss of social status, and lower self-esteem due to discrimination, placing young children at risk for future behavioral and mental health problems; 3) U.S.-born Filipino youth exhibit higher rates of mental health problems than non-Hispanic whites and attain significantly lower levels of education than their foreign-born counterparts and other U.S.-born Asian American populations; and 4) Filipinos are less likely than non-Hispanic whites to participate in mental health and preventive care interventions.

The proposed study will be a randomized controlled trial involving 180 parents of children aged 8-12 years old. Parents will be randomly chosen to receive either a) an online 12 - week parenting intervention called the Incredible Years (intervention group) or b) AAP bright future handouts with general parenting advice (control group). The control group will be offered the Incredible Years after a 3-month wait list period.

Findings will contribute to the scientific literature on preventive and early intervention programs for children at high risk for future behavioral problems. The data will also provide important information to understand the processes underlying how IYP affects parenting practices and subsequent child problem behavior among Filipino families. The importance of this research rests on its potential to prevent behavioral health disparities in this understudied and high-risk population.

• Study Type: Interventional
• Enrollment (Anticipated): 360
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Joyce R Javier, MD, MPH, MS; Phone Number: 323-671-2093; Email: jojavier@chla.usc.edu

Study Locations

• United States
  • California
    • Los Angeles, California, United States, 90027
      • Recruiting
      • Children's Hospital Los Angeles
      • Contact: Jocelyn Castro, MS; Phone Number: 323-691-0529; Email: incrediblefamilies@chla.usc.edu

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

NOTE: All parent participants in the study are 18 years or older. Youth participants are 8-12 years old. Since parents are the MAIN participants in this study (parents are randomized; children only fill out surveys), the age limits in this record are set for parents.

Inclusion Criteria:

• is 18 years or older
• identified as a parent of at least one Filipino or Half-Filipino child aged 8-12 years

Exclusion Criteria:

• if the parent plans to move out of California during the next 9 months
• parent does not speak English
• has a target child with a developmental disability (Global Developmental Delay, GDD), Pervasive Developmental Disorder (PDD), or another significant developmental condition)
• parent has completed Incredible Years school age program in the past

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Intervention; Parents assigned to the intervention arm will receive the Incredible Years® School Age Basic & Advanced Parent Training Program. It consists of twelve (12) 2-hour classes led by Dean Coffey, a senior psychologist and certified peer coach in the Incredible Years Parent Training Series.	Behavioral: Incredible Years® School Age Basic Parent Training Program; The Incredible Years® School Age Basic Parent Training Program targets many of the proposed mechanisms and risk factors for internalizing distress in early childhood: harsh and unpredictable or critical parenting behaviors. Parents also learn cognitive strategies for themselves; such as self-praise, coping thoughts, how to challenge negative thoughts, and how to get support that they are encouraged to model for and teach their children. Finally, they learn how to be more positive and nurturing through academic, social and emotional coaching.
Other: Control; Parents assigned to the control arm will be emailed and mailed written parent education materials from the American Academy of Pediatrics called the Bright Futures handouts. The control group is offered the Incredible Years® School Age Basic & Advanced Parent Training Program after a 3-month wait list period.	Other: American Academy of Pediatrics, Bright Futures Handouts; Written materials that include age-group specific tips on how parents can support their child's development and social and academic success.; Other Names: Control

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in parenting practices at 3 months in comparison to Baseline	Parenting practices will be assessed using scores from the Parenting Practices Inventory (PPI). The PPI asks questions regarding parenting styles and behavior management techniques. Questions are rated on a scale ranging from never to always. A total score is not calculated.	Baseline and 3 months
Change in child behavioral problems at 3 months in comparison to Baseline	Child problem behavior will be measured using scores from Child Behavior Checklist (CBCL). Parents describe their child's behavior within the past 6 months (from baseline and from 3 month time points). Questions are rated on a scale from 0 (not true) to 2 (very true or often true). The CBCL screens for the following behaviors: Aggressive Behavior, Anxious/Depressed, Attention Problems, Rule-Breaking Behavior, Somatic Complaints, Social Problems, Thought Problems, Withdrawn/Depressed. Results for each subscale are presented as a percentile and T-score, with scores above 97th percentile considered as "clinical range" based on the DSM-V.	Baseline and 3 months
Change in parenting practices at 6 months in comparison to Baseline and 3-month surveys	Parenting practices will be assessed using scores from the Parenting Practices Inventory (PPI). The PPI asks questions regarding parenting styles and behavior management techniques. Questions are rated on a scale ranging from never to always. A total score is not calculated.	Baseline through 6 months
Change in child behavioral problems at 6 months in comparison to Baseline and 3-month surveys	Child problem behavior will be measured using scores from Child Behavior Checklist (CBCL). Parents describe their child's behavior within the past 6 months. Questions are rated on a scale from 0 (not true) to 2 (very true or often true). The CBCL screens for the following behaviors: Aggressive Behavior, Anxious/Depressed, Attention Problems, Rule-Breaking Behavior, Somatic Complaints, Social Problems, Thought Problems, Withdrawn/Depressed. Results for each subscale are presented as a percentile and T-score, with scores above 97th percentile considered as "clinical range" based on the DSM-V.	Baseline through 6 months
Effectiveness of parenting workshop (Intervention group only): Incredible Years Parent Satisfaction Questionnaire	Consumer satisfaction will be assessed through the Incredible Years Parent Satisfaction Questionnaire. Consumer satisfaction will be assessed through the Incredible Years Parent Satisfaction Questionnaire. The questionnaire is rated on a 7-point scale ranging from unsatisfied extremely satisfied. A total score is not calculated.	3 months

Collaborators and Investigators

• Sponsor: Children's Hospital Los Angeles
• Collaborators: Robert Wood Johnson Foundation

Publications and helpful links

General Publications

• Macam SR, Mack W, Palinkas L, Kipke M, Javier JR. Evaluating an Evidence-Based Parenting Intervention Among Filipino Parents: Protocol for a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2022 Feb 17;11(2):e21867. doi: 10.2196/21867.

Study record dates

Study Major Dates

• Study Start (Actual): July 7, 2018
• Primary Completion (Anticipated): December 31, 2023
• Study Completion (Anticipated): December 31, 2023

Study Registration Dates

• First Submitted: December 12, 2018
• First Submitted That Met QC Criteria: July 22, 2019
• First Posted (Actual): July 24, 2019

Study Record Updates

• Last Update Posted (Actual): April 24, 2023
• Last Update Submitted That Met QC Criteria: April 21, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Filipino Families; Incredible Years
• Other Study ID Numbers: CHLA-18-00066

Drug and device information, study documents

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