Child and Family Outcomes and Consumer Satisfaction for Online vs Staff-Delivered Parenting Intervention (TPAS)

University of South Carolina

Status: Completed

Conditions: Attention Deficit Hyperactivity Disorder; Parent-Child Interactions; Oppositional Defiant Disorder; Conduct Disorder; Childhood Disruptive Behavior Disorders

Treatments: Behavioral: Triple P--Positive Parenting Program

Study type: Interventional

Funder types: Other

Identifiers

NCT02121431

Pro00024933

Details and patient eligibility

About

This trial addresses a serious and all-too-frequent public health problem, namely early-onset disruptive behavior problems in young children. The focus is on testing an online treatment program which empowers parents to help their children to improve their mental health and behavioral functioning. At the conclusion of the study, the investigators will know whether the online-delivered program works as well as an established staff-delivered program, with respect to child disruptive behavior problems, parenting, parent/family stress, consumer satisfaction, and value analysis.

Full description

High-prevalence mental health problems require innovative strategies to broaden reach of evidence-based services. Disruptive behavior problems (DBPs), or conduct problems, in young children represent a major public health challenge that is not only highly prevalent but also, left untreated, heighten risk for adverse mental health and developmental outcomes in adolescence and adulthood. Internet and online technology has considerable potential to help achieve such a goal. Building on parenting interventions that have demonstrated impact on childhood DBPs, this clinical trial compares an online-delivered intervention to a well-validated staff-delivered intervention, holding program content constant. Both interventions are based on the Triple P-Positive Parenting Program. The sample includes families with a 3-7 year old child who has a pronounced level of DBPs. The study makes use of a non-inferiority trial design to determine whether the online-delivered intervention yields as good outcomes as the well-established staff-delivered intervention with respect to childhood DBPs, parenting, and parent/family stress. The study also includes a value analysis comparing the two interventions, accounting for provider and participant expenses as well as pre-implementation and implementation phases. This study is intended to shed light on the impact and potential benefits of a viable online parenting intervention for childhood disruptive behavior problems, but the results from this study are also intended to help the mental health field to better understand more broadly the potential advantages and disadvantages of online interventions over traditionally delivered interventions, particularly in light of expense minimization/effectiveness analysis.

Enrollment: 334 patients

Sex: All

Ages: 3 to 7 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• clinically elevated level of child disruptive behavior problems
• parent resides with the child and has primary custody
• parent has access to internet via computer, e-tablet, or smartphone

Exclusion criteria

• already in a family-based treatment
• child has pervasive developmental disorder
• parent under 20 years of age
• parent has serious mental illness

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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334 participants in 2 patient groups

Online-Delivered Parenting Intervention

Experimental group

Description:

The Online-Delivered Parenting Intervention, which is based on the Triple P--Positive Parenting Program system of interventions, is an interactive website designed to engage and activate the participant through sequenced, personalized, interactive, and video-based content. The intervention emphasizes a self-regulatory process, parent specification of goals, practical and straightforward parenting strategies, modeling, and action activation.

Treatment:

Behavioral: Triple P--Positive Parenting Program

Staff-Delivered Parenting Intervention

Active Comparator group

Description:

The Staff-Delivered Parenting Intervention is based on the Triple P--Positive Parenting Program system and involves 10 face-to-face sessions with each family. This intervention is the well-established Level 4 Standard Triple P program.

Treatment:

Behavioral: Triple P--Positive Parenting Program