Comparing Web, Group, and Telehealth Formats of a Military Parenting Program

University of Minnesota (UMN)

Status: Completed

Conditions: Parenting

Treatments: Other: Group-based ADAPT; Other: ADAPT Self Directed web; Other: ADAPT individualized web-facilitated

Study type: Interventional

Funder types: Other

Identifiers

NCT02973906

1407S52001

Details and patient eligibility

About

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The PI will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Full description

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The investigators will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting.

Enrollment: 244 patients

Sex: All

Ages: 18 to 100 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Inclusion criteria are:

• one parent has returned from deployment to OIF or OEF
• at least one child ages 5-12 in their custody and living with parent(s) in the home
• high speed internet access at home We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother)

Exclusion criteria

• active psychosis
• an open child protection case for abuse or neglect in the family
• a serious child mental health diagnosis
• families who piloted material or participated in or are currently participating in the original ADAPT RCT.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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244 participants in 3 patient groups

ADAPT Self Directed web

Other group

Description:

ADAPT Self Directed Web. In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum)

Treatment:

Other: ADAPT Self Directed web

ADAPT individualized web-facilitated

Other group

Description:

This condition comprises access to the full ADAPT web program with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).

Treatment:

Other: ADAPT individualized web-facilitated

Group-based ADAPT

Other group

Description:

Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics

Treatment:

Other: Group-based ADAPT