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Gaining Real-Life Skills Over the Web (GROW)

7 maart 2022 bijgewerkt door: 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.

Studie Overzicht

Toestand

Voltooid

Conditie

Interventie / Behandeling

Gedetailleerde beschrijving

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.

Studietype

Ingrijpend

Inschrijving (Werkelijk)

18

Fase

  • Niet toepasbaar

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studie Locaties

  • Verenigde Staten
    • Ohio
      • Cincinnati, Ohio, Verenigde Staten, 45229
        • Cincinnati Children's Hospital Medical Center

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

1 seconde tot 4 jaar (Kind)

Accepteert gezonde vrijwilligers

Ja

Geslachten die in aanmerking komen voor studie

Allemaal

Beschrijving

Inclusion Criteria:

  1. Age at injury and enrollment: ages 0-4, inclusive
  2. Overnight hospitalization for traumatic brain injury
  3. Mechanism of injury: Non-penetrating traumatic brain injury; abusive head trauma (AHT) will be included
  4. Language: English must be the primary spoken language in the home

Exclusion Criteria:

  1. Does not reside with the caregiver at least half-time
  2. The caregiving situation is not stable (i.e., there must be no scheduled custody hearings)
  3. English is not the primary language spoken in the home
  4. Families of children who are non-responsive or in a persistent vegetative state will also be excluded
  5. Caregivers with a psychiatric hospitalization in the past year will be ineligible to participate
  6. 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.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

  • Primair doel: Behandeling
  • Toewijzing: NVT
  • Interventioneel model: Opdracht voor een enkele groep
  • Masker: Geen (open label)

Wapens en interventies

Deelnemersgroep / Arm
Interventie / Behandeling
Ander: GROW Intervention
Every participant received the GROW Intervention, chose not to participate in the GROW intervention, or dropped out before completing the GROW Intervention.
Gedragsmatig: Positive Parenting 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.

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat
Maatregel Beschrijving
Tijdsspanne
Center for Epidemiologic Studies Depression(CES-D) Scale Change
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: 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
Tijdsspanne: Pre-Intervention
Demographics rehabilitation services
Pre-Intervention

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

Children's Hospital Medical Center, Cincinnati

Medewerkers

National Institute on Disability, Independent Living, and Rehabilitation Research

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

30 september 2017

Primaire voltooiing (Werkelijk)

30 september 2021

Studie voltooiing (Werkelijk)

30 september 2021

Studieregistratiedata

Eerst ingediend

30 augustus 2021

Eerst ingediend dat voldeed aan de QC-criteria

3 december 2021

Eerst geplaatst (Werkelijk)

16 december 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

21 maart 2022

Laatste update ingediend die voldeed aan QC-criteria

7 maart 2022

Laatst geverifieerd

1 september 2021

Meer informatie

Termen gerelateerd aan deze studie

Trefwoorden

Aanvullende relevante MeSH-voorwaarden

Andere studie-ID-nummers

  • 90IFDV0003

Informatie over medicijnen en apparaten, studiedocumenten

Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel

Nee

Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct

Nee

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