Gaining Real-Life Skills Over the Web (GROW)
7 mars 2022 mis à jour par: Children's Hospital Medical Center, Cincinnati
Gaining Real-Life Skills Over the Web (GROW)
Gaining Real-life Skills Over the Web (GROW) is an online parenting-skills intervention for caregivers of children aged 0-4 who sustained traumatic brain injuries.
GROW is designed to promote family and child coping and adjustment for caregivers.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
This project develops and evaluates an online learning environment of web-based intervention modules designed to promote family and child coping and adjustment (GROW: Gaining Real-life Skills Over the Web) based on a comprehensive needs assessment of children aged 0 to 14 years old, who experienced a traumatic brain injury (TBI) between the ages of 0 to 4 years, and their families.
The incidence of TBI peaks between the ages 0 to 4 years, yet there are no evidenced-based interventions to facilitate neurocognitive development and socio-emotional functioning of children injured during this critical development period.
To address the unmet need of caregivers of infants and toddlers with TBI, the project uses a three-phase development process to generate proof of concept and initial proof of product.
Phase 1 involves a comprehensive needs assessment that includes quantitative assessment of family and child needs, qualitative assessment through focus groups and interviews of families, feedback from family and professional advisory boards, and consultation with professionals implementing interventions with similar populations (e.g., families of children with very low birth weight).
During Phase 2, the project develops the content and manual for the intervention modules, designs the online learning environment, and conducts intensive, iterative usability testing.
Phase 3 involves a pilot of the GROW program with 20 families to evaluate its usability, acceptability, and qualitative and quantitative impact on stakeholder identified outcomes.
Type d'étude
Interventionnel
Inscription (Réel)
18
Phase
- N'est pas applicable
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
-
-
Ohio
-
Cincinnati, Ohio, États-Unis, 45229
- Cincinnati Children's Hospital Medical Center
-
-
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
1 seconde à 4 ans (Enfant)
Accepte les volontaires sains
Oui
Sexes éligibles pour l'étude
Tout
La description
Inclusion Criteria:
- Age at injury and enrollment: ages 0-4, inclusive
- Overnight hospitalization for traumatic brain injury
- Mechanism of injury: Non-penetrating traumatic brain injury; abusive head trauma (AHT) will be included
- Language: English must be the primary spoken language in the home
Exclusion Criteria:
- Does not reside with the caregiver at least half-time
- The caregiving situation is not stable (i.e., there must be no scheduled custody hearings)
- English is not the primary language spoken in the home
- Families of children who are non-responsive or in a persistent vegetative state will also be excluded
- Caregivers with a psychiatric hospitalization in the past year will be ineligible to participate
- If AHT is the suspected injury mechanism, the child must not reside with the suspected abuser, must have been in the current living situation for at least 6 months, and must be anticipated to remain in this living situation for the next 6 months. The study team will only recruit non-abusing caregivers (including foster parents) to participate.
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: N / A
- Modèle interventionnel: Affectation à un seul groupe
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Autre: GROW Intervention
Every participant received the GROW Intervention, chose not to participate in the GROW intervention, or dropped out before completing the GROW Intervention.
|
The highly interactive GROW Program consists of 5 core modules and 1 optional, supplemental session.
Each session is expected to take 15-20 minutes to complete, and at the end of each module, parents record a 5 minute "special play time" video interacting with their child to demonstrate the skills they learned in the session.
Each online module is followed by a meeting with a trained therapist who will discuss their "special play time" video and the skills they are learning.
Parents make their way through the 5 core modules sequentially before accessing the supplemental session that may be relevant to them.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Center for Epidemiologic Studies Depression(CES-D) Scale Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
Measuring caregiver psychological distress, the CES-D consists of 20 items that are rated on a 4-point likert scale (from 1: rarely or none of the time to 4: most or all of the time).
Scores range from zero to sixty.
Higher scores indicated a higher frequency of depressive symptoms during the last week.
|
Pre-Intervention and Immediately Post-Intervention
|
|
Parenting Stress Index (PSI) Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
The study team used the 36 item short form PSI to measure caregiver stress.
Using a 4-point likert scale, the stress scores range from 18 to 90, with lower scores indicating lower levels of parental stress.
|
Pre-Intervention and Immediately Post-Intervention
|
|
Patient-Reported Outcomes Measurement Information System Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
The study team used only the Sleep, Stress, and Anxiety Measures which are rated on a 5-point likert scale.
Each measure has a range in score from 7 to 35 with higher scores indicating greater severity.
|
Pre-Intervention and Immediately Post-Intervention
|
|
Family Burden of Injury Interview (FBII) Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
The FBII measures family burden.
Open-ended answers are coded Yes/No and are given a stress rating of 0 (not at all)-5(extremely stressful).
Caregiver responses are averaged to provide an index of injury-related family burden.
|
Pre-Intervention and Immediately Post-Intervention
|
|
MacArthur-Bates Communicative Development Inventories (MB-CDI) Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
Using the short form MB-CDIs to measure child language abilities, the scoring scale is a minimum of 0- maximum of 310 with greater scores showing better language abilities.
|
Pre-Intervention and Immediately Post-Intervention
|
|
Caregiver-Child Observation Change
Délai: Pre-Intervention and Immediately Post-Intervention
|
Using the Parent/Child Toy Play Ratings in the Play and Learning Strategies (PALS) manual, 6 domains (warmth, contingent responsiveness, demonstration/physical teaching, verbal stimulation/scaffolds, restrictions, and negativity/intrusiveness) are rated on scales of 1 to 5 with 1 being the worst rating and 5 being the best.
|
Pre-Intervention and Immediately Post-Intervention
|
|
GROW Satisfaction Survey
Délai: Immediately Post-Intervention
|
Satisfaction with intervention measured in both 5-point likert scale ratings (with higher values showing greater satisfaction) and open-ended feedback about participant experience in the program.
|
Immediately Post-Intervention
|
|
Background & Family Information Form
Délai: Pre-Intervention
|
Demographics rehabilitation services
|
Pre-Intervention
|
Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
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.
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 (Réel)
30 septembre 2017
Achèvement primaire (Réel)
30 septembre 2021
Achèvement de l'étude (Réel)
30 septembre 2021
Dates d'inscription aux études
Première soumission
30 août 2021
Première soumission répondant aux critères de contrôle qualité
3 décembre 2021
Première publication (Réel)
16 décembre 2021
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
21 mars 2022
Dernière mise à jour soumise répondant aux critères de contrôle qualité
7 mars 2022
Dernière vérification
1 septembre 2021
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- 90IFDV0003
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Non
Étudie un produit d'appareil réglementé par la FDA américaine
Non
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 .