Denne side blev automatisk oversat, og nøjagtigheden af ​​oversættelsen er ikke garanteret. Der henvises til engelsk version for en kildetekst.

Systematically Adapted Delivery of the Family Check-Up

31. marts 2019 opdateret af: Christina Studts

Systematically Adapted Delivery of the Family Check-Up in Underserved Communities

Early childhood disruptive behavior problems lead to significant costs to families and society, but can be reduced with behavioral parent training interventions. To increase the public health impact of these interventions, their feasibility, accessibility, and acceptability in high-need, underserved communities must be ensured. This pilot project will systematically adapt and pilot-test the delivery model of an existing effective parent training intervention for implementation in rural Appalachia, a region with many documented health disparities, high levels of poverty, and shortages of mental health providers. Community health workers in 5 rural Appalachian counties will be trained to deliver a behavioral parent training intervention. Each worker will deliver the intervention to 4 parent-child dyads.

Studieoversigt

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

51

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Kentucky
      • Lexington, Kentucky, Forenede Stater, 40506
        • University of Kentuckyi

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

3 år og ældre (Barn, Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Parents: aged 18+ years, custodial guardian of child, can speak/read/understand English
  • Children: ages 3-5 years, lives full time in custodial guardian's home
  • Community health workers: aged 18+ years, currently employed at a partnering health department, able to speak/read/understand English

Exclusion Criteria:

  • Parents: has already accessed behavioral health services for the child, reports suicidal ideation or intent to harm self or others, participated in formative research for this study
  • Children: diagnosed with a severe developmental condition (i.e., significant developmental delay, autism, debilitating neurological condition)
  • Community health workers: none

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: Community Health Workers
Community health workers will complete a 5-day interventionist training to deliver a behavioral parent training intervention.
Interventionists are trained in the delivery of the Family Check-Up program and deliver sessions to families in their community
Andet: Parent-Child Dyads
Parents and children will receive a behavioral parent training intervention delivered by community health workers.
Parents receive up to 6 sessions of the Family Check-Up program

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Feasibility: Enrollment
Tidsramme: 2 weeks after final parent-child dyad completes the study
Percentage of invited parents who enroll in the study (obtained from process records)
2 weeks after final parent-child dyad completes the study

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Feasibility: Number of sessions completed
Tidsramme: 2 weeks after final parent-child dyad completes the study
Number of sessions completed by each parent-child dyad (obtained from process records)
2 weeks after final parent-child dyad completes the study
Feasibility: Interventionist-reported fidelity
Tidsramme: following each behavioral parent training intervention session
Fidelity Checklist (completed by community health workers)
following each behavioral parent training intervention session
Feasibility: Parent satisfaction
Tidsramme: 10 weeks after parent baseline
European Parent Satisfaction Scale about Early Intervention (EPASSEI) (completed by parents)
10 weeks after parent baseline
Interventionist satisfaction
Tidsramme: 2 weeks after final parent-child dyad completes study
Therapist Satisfaction Index (completed by community health workers)
2 weeks after final parent-child dyad completes study
Interventionist evidence-based practice attitudes
Tidsramme: 2 weeks after final parent-child dyad completes study
Evidence-Based Practice Attitude Scale-50 (completed by community health workers)
2 weeks after final parent-child dyad completes study
Interventionist self-efficacy
Tidsramme: 2 weeks after final parent-child dyad completes study
Counselor Activity Self-Efficacy Scale (completed by community health workers)
2 weeks after final parent-child dyad completes study

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Feasibility: Observer-rated fidelity
Tidsramme: Throughout 10 weeks of behavioral parent training intervention per parent-child dyad
Family Check-Up COACH fidelity rating system (observer-rated videos of 10% of intervention sessions)
Throughout 10 weeks of behavioral parent training intervention per parent-child dyad
Costs: Training
Tidsramme: 2 weeks after final parent-child dyad completes study
Total costs of training (obtained from process records maintained by investigators)
2 weeks after final parent-child dyad completes study
Costs: Per-family interventionist time
Tidsramme: 2 weeks after final parent-child dyad completes study
Obtained from process records maintained by community health workers
2 weeks after final parent-child dyad completes study
Costs: Per-family interventionist travel
Tidsramme: 2 weeks after final parent-child dyad completes study
Obtained from process records maintained by community health workers
2 weeks after final parent-child dyad completes study
Costs: Supervision time
Tidsramme: 2 weeks after final parent-child dyad completes study
Obtained from process records maintained by community health workers
2 weeks after final parent-child dyad completes study
Costs: Number of contacts outside of intervention sessions
Tidsramme: 2 weeks after final parent-child dyad completes study
Obtained from process records maintained by community health workers
2 weeks after final parent-child dyad completes study

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Christina R Studts, PhD, University Of Kentucky

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

20. februar 2017

Primær færdiggørelse (Faktiske)

16. maj 2018

Studieafslutning (Faktiske)

26. juni 2018

Datoer for studieregistrering

Først indsendt

8. marts 2016

Først indsendt, der opfyldte QC-kriterier

10. marts 2016

Først opslået (Skøn)

16. marts 2016

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. april 2019

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

31. marts 2019

Sidst verificeret

1. marts 2019

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • R34MH106661 (U.S. NIH-bevilling/kontrakt)

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

Ingen

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

Studerer et amerikansk FDA-reguleret lægemiddelprodukt

Ingen

Studerer et amerikansk FDA-reguleret enhedsprodukt

Ingen

produkt fremstillet i og eksporteret fra U.S.A.

Ingen

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med interventionist training

Abonner