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Parenting Matters: Helping Parents With Young Children

11 avril 2018 mis à jour par: University of Western Ontario, Canada
Sleep and discipline problems are the most common problems for parents of young children (ages 2 to 5 years old) and are the two concerns with the strongest relations to future child behavior problems. The Parenting Matters program combines treatment booklets and telephone support to help parents deal with sleep or discipline problems. Parents with concerns and who are interested in the study are identified during a visit to their family physician. We, the investigators at the University of Western Ontario, expect that parents receiving treatment booklets, along with usual care by their family physician, will have greater reductions in their child's sleep or discipline problems, improved parenting practices, and greater reductions in child behaviour problems after receiving the Parenting Matters intervention, compared to parents receiving usual medical care.

Aperçu de l'étude

Statut

Complété

Les conditions

Intervention / Traitement

Description détaillée

About 1 in 5 young children (ages 2 to 5 years) has a significant psychosocial problem, but over 80% do not receive treatment. Without treatment, up to half of these children will have problems into childhood and adolescence. New methods of treating and preventing children's psychosocial problems are needed.

Sleep and discipline problems (or child non-compliance) are the most common problems for parents of young children, and are the two concerns with the strongest relations to future child behavior problems. Further, parenting practices have consistently been linked to the development of psychosocial problems. The Parenting Matters program combines treatment booklets and telephone support to help parents with sleep or discipline problems among young children.

Objectives:

  • Test the efficacy of the Parenting Matters program interventions for sleeping and bedtime behaviors (Trial 1), and discipline (Trial 2) in reducing problem-specific outcomes.
  • Test the effects of the Parenting Matters program interventions for parents who are concerned about both their children's sleep and discipline (Trial 3) in reducing problem-specific outcomes related to sleep (Group 1) and discipline problems (Group 2) will be tested.
  • Test the efficacy of the Parenting Matters program in improving parenting practices.
  • Test the efficacy of the Parenting Matters program in reducing child behaviour problems in general.
  • Examine predictors of treatment success.

Method:

All parents of 2 to 5 year-olds seen in a family practice for a routine appointment are asked to complete a psychosocial concerns checklist. Parents who have concerns regarding their child's sleep (Trial 1), how to discipline their child (Trial 2), or concerns about both their child's sleep and discipline (Trial 3), and meet the other study criteria, are invited to take part in the study. Mailed baseline assessment packages assess children's behavior, parenting practices and potential predictors of treatment success.

Parents are randomized to usual care, or the Parenting Matters program along with usual care. The Parenting Matters program includes treatment booklets addressing either sleep or discipline problems, and telephone coach support (3 calls over 6 weeks).

Primary outcomes are parents' ratings of their children's sleep or discipline problems measured at post-treatment (7 weeks after baseline). Parents repeat assessment packages at 3- and 6-month follow-ups.

Goals & Relevance:

This research addresses the need for new ways of providing early interventions for young children that:

  • reach the largest number of individuals in need;
  • are cost effective; and
  • time efficient.

By addressing the most common issues facing parents of young children, it engages parents in areas of direct relevance to them. The program focuses on parenting practices thereby building family strengths that may have a lasting impact on child development. Collaboration with family physicians builds on the ongoing positive relationships between parents and family physicians and provides a mechanism to reach a significant proportion of young children.

Type d'étude

Interventionnel

Inscription (Réel)

548

Phase

  • Phase 2

Contacts et emplacements

Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.

Lieux d'étude

  • Canada
    • Ontario
      • London, Ontario, Canada, N6C 5A2
        • University of Western Ontario

Critères de participation

Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.

Critère d'éligibilité

Âges éligibles pour étudier

16 ans et plus (Enfant, Adulte, Adulte plus âgé)

Accepte les volontaires sains

Oui

Sexes éligibles pour l'étude

Tout

La description

Inclusion Criteria:

  • Parent (primary caregiver) of a 2-5 year old child
  • Attending a medical appointment at a family medical practice
  • Phone in home
  • Parent concerned about child's sleep and/or discipline
  • Parent interested in participating in a treatment study

Exclusion Criteria:

  • Parent non-English speaking
  • Child with significant physical or developmental disability
  • Parent's only sleep concern is in regards to a physiological sleep disorder (e.g. sleep apnea, snoring) or bedwetting
  • No phone

Plan d'étude

Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.

Comment l'étude est-elle conçue ?

Détails de conception

  • Objectif principal: Traitement
  • Répartition: Randomisé
  • Modèle interventionnel: Affectation parallèle
  • Masquage: Seul

Armes et Interventions

Groupe de participants / Bras
Intervention / Traitement
Autre: Soins habituels
Comportemental: Usual care by a family physician
Parents in the usual care condition were told to continue with care from their family physician and/or any other treatment recommended by the physician.
Expérimental: Treatment booklet and telephone coaching
Comportemental: Self-help treatment booklet and telephone support
The Parenting Matters treatment program consisted of a self-help treatment booklet and two telephone coaching calls from a paraprofessional telephone coach at Weeks 2 and 5 of the program. Two booklets were used in the three trials; one addressed sleep issues and the second discipline problems.

Que mesure l'étude ?

Principaux critères de jugement

Mesure des résultats
Délai
Sleep and bedtime problems trial (Trial 1): parent report on the Children's Sleep Habits Questionnaire
Délai: 7 weeks post randomization
7 weeks post randomization
Discipline problems trial (Trial 2): parent rated total problem score on the Eyberg Child Behavior Inventory
Délai: 7 weeks post randomization
7 weeks post randomization
Sleep and discipline problems trial (Trial 3): parent report on the Children's Sleep Habit Questionnaire (Group 1-sleep treatment) and parent rated total problem score on the Eyberg Child Behavior Inventory (Group 2-discipline treatment)
Délai: 7 weeks post randomization
7 weeks post randomization

Mesures de résultats secondaires

Mesure des résultats
Délai
Parenting practices-total score on the Parenting Scale
Délai: 7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
General child behavior problems-total problem score on the Child Behavior Checklist
Délai: 7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
Daily recall ratings of sleep and discipline problems (3 reports in total)
Délai: 4 & 6 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
4 & 6 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
Parent report on the Richman sleep questionnaires (only for Trial 1-sleep and bedtime problems and for Trial 3 participants if in sleep treatment condition)
Délai: 7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only
7 weeks post randomization; 3- & 6-month follow-up; 12-month follow-up treatment group only

Collaborateurs et enquêteurs

C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.

Parrainer

University of Western Ontario, Canada

Collaborateurs

Canadian Institutes of Health Research (CIHR)
Children's Hospital of Eastern Ontario

Les enquêteurs

  • Chercheur principal: Graham J Reid, PhD, Western University, Canada

Publications et liens utiles

La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.

Publications générales

Liens utiles

Dates d'enregistrement des études

Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.

Dates principales de l'étude

Début de l'étude

1 juillet 2005

Achèvement primaire (Réel)

1 mars 2009

Achèvement de l'étude (Réel)

1 mars 2009

Dates d'inscription aux études

Première soumission

18 août 2005

Première soumission répondant aux critères de contrôle qualité

18 août 2005

Première publication (Estimation)

22 août 2005

Mises à jour des dossiers d'étude

Dernière mise à jour publiée (Réel)

13 avril 2018

Dernière mise à jour soumise répondant aux critères de contrôle qualité

11 avril 2018

Dernière vérification

1 août 2011

Plus d'information

Termes liés à cette étude

Mots clés

Termes MeSH pertinents supplémentaires

Autres numéros d'identification d'étude

  • 67816; 280205-014
  • ISRCTN81511074

Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .

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