Cascading Dissemination of a Foster Parent Intervention (KEEP)

June 30, 2020 updated by: Oregon Social Learning Center
The primary goal of this study is to test the effectiveness of KEEP (Keeping Foster Parents Supported and Trained), an intervention intended to increase supports and consultation to foster parents, and to evaluate the transferability of the proposed intervention from Oregon to the foster care system in San Diego.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Children in the foster care system are growing in number, are at high risk for psychological problems, and are increasingly challenging to their foster parents. Foster parents who are trying to provide care and nurturing to these children are often doing so without benefit or meaningful or relevant consultation on developmental and mental health issues. The study tests the effectiveness of an intervention intended to increase supports and consultation to foster parents. A major aim of this study was to test the transferability of the proposed intervention from Oregon to the foster care system in San Diego in 3 regions of Health and Human Services. A cascading dissemination model will be employed, where the original developers train and supervise staff in San Diego to implement the intervention, and in the second iteration of the of the intervention, the involvement of the original developers lessened. The intervention is designed to provide foster parents with general support and specific parent management training (PMT), a well-documented and effective intervention approach. In a previous efficacy trial, PMT had positive effects with foster parents in three areas: 1) reduction of child symptoms, 2) lower rates of disruption in foster care (changes in placements for negative reasons), and 3) fewer foster parents in the PMT condition dropped out of providing foster care. Outcomes will be evaluated at multiple levels, including child symptoms, functional behavior, environments, consumer perspectives, and system using a multi-method/multi-agent strategy. Implementation fidelity will be assessed, as will contextual factors, including the organizational climate and social isolation/insularity of the foster parents. It is hypothesized that, compared to controls, foster parents in the intervention group will improve on parenting skills, feel more supported, and have less stress, which in turn will result in more positive child outcomes, including fewer reported child symptoms and higher levels of child functional behavior in three domains (i.e., home, school, with peers). Improvements in foster parent outcomes and child outcomes are both hypothesized to predict system-level outcomes, including child use of mental health services, foster parent retention, and placement disruptions. Contextual factors are expected to impact foster parent outcomes directly and child and system outcomes indirectly, through implementation fidelity.

Study Type

Interventional

Enrollment (Actual)

704

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United States
    • California
      • San Diego, California, United States, 92123
        • Child and Adolescent Services Research Center
    • Oregon
      • Eugene, Oregon, United States, 97401
        • Oregon Social Learning Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

5 years to 12 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Any child between ages 5 and 12 years in relative or non-relative foster care

Exclusion Criteria:

  • Only medically fragile children

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

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

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Parent Training
16 weeks of parent training in a group context with 5 to 10 relative and non-relative foster caregivers
Behavioral: Parent Training
16 weeks of of parent training led by a trained group facilitator
Other Names:
  • Parent Management Training
No Intervention: Services as Usual
Foster care services as usual

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in placement disruptions rates for foster placements
Time Frame: 18 months post baseline
Using child welfare system placement records, rates of disruptions for pre and post time frames are calculated.
18 months post baseline

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in child behavior problems as assessed by the Parent Daily Report (PDR)
Time Frame: Baseline, 6 months-, 12 months-, and 18 months post baseline
The PDR is a brief telephone interview that collects data the number problem behaviors that occurred in the previous 24 hours. This measure is repeated three times at each wave.
Baseline, 6 months-, 12 months-, and 18 months post baseline
Change in rates of reunification with Biological Family as assessed by child welfare system placement records
Time Frame: Baseline through 18 months post baseline
Using child welfare system placement records, rates of reunification between baseline and 18 months are calculated.
Baseline through 18 months post baseline

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Oregon Social Learning Center

Collaborators

National Institute of Mental Health (NIMH)

Investigators

  • Principal Investigator: Patricia Chamberlain, Phd, Oregon Social Learning Center

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

July 1, 2000

Primary Completion (Actual)

June 1, 2005

Study Completion (Actual)

June 1, 2005

Study Registration Dates

First Submitted

February 29, 2012

First Submitted That Met QC Criteria

June 30, 2020

First Posted (Actual)

July 2, 2020

Study Record Updates

Last Update Posted (Actual)

July 2, 2020

Last Update Submitted That Met QC Criteria

June 30, 2020

Last Verified

June 1, 2020

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • KEEP60195
  • R01MH060195 (U.S. NIH Grant/Contract)

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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