Improving Access to a Primary Care Based Positive Parenting Program

University of North Carolina (UNC)

Status: Completed

Conditions: Positive Parenting; Program Implementation; Child Behavior Problem

Treatments: Behavioral: CARE; Behavioral: CARE plus Peer Mentor

Study type: Interventional

Funder types: Other

Identifiers

NCT03077321

17-0545

Details and patient eligibility

About

This is a randomized clinical trial of the impact of incorporating a peer mentor into a primary care based group parenting program on increasing program participation by parents and improving program outcomes.

Full description

The investigators will perform a randomized controlled trial of the impact of Child Adult Relationship Enhancement (CARE) plus peer mentor on increasing program adoption, acceptability, and appropriateness among 2-6 year old children and their parents at UNC Children's Primary Care Clinic. The investigators will also examine the effectiveness of CARE plus peer mentor on dysfunctional parenting and child behavior problems. Participants will be randomized to CARE plus peer mentor or standard CARE. Program attendance, acceptability, and appropriateness will be measured upon completion of the 6-week program. Dysfunctional parenting and child behavior will be measured at baseline and 6 weeks. The investigators will conduct semi-structured interviews among a sample of parents (~20-30) in order to understand the impact of the peer mentors on program implementation, as well as barriers and facilitators to program initiation and long-term participation.

Enrollment: 150 patients

Sex: All

Ages: 2+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• 2-6 year old child at UNC Children's Primary Care Clinic and their parent
• English speaking

Exclusion criteria

• child is developmentally younger than 2 years old
• child is already received mental health services for behavioral problems

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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150 participants in 3 patient groups

CARE

Active Comparator group

Description:

The parent-child dyads in the CARE arm will receive the standard CARE program.

Treatment:

Behavioral: CARE

CARE plus peer mentor

Experimental group

Description:

The parent-child dyads in the CARE plus peer mentor arm will receive the CARE program that is delivered with the peer mentor.

Treatment:

Behavioral: CARE plus Peer Mentor

Control

No Intervention group

Description:

Wait list control