Parent Preferences and Family Engagement in a Conduct Problems Prevention Program

University of Minnesota (UMN)

Status: Completed

Conditions: Conduct Problems

Treatments: Behavioral: PMTO Individual home-based; Behavioral: PMTO Individual clinic-based; Behavioral: PMTO-PTC Group clinic-based; Behavioral: Services as Usual

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT02432014

1006S83774

P20MH085987 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

The purpose of this study is to gain a better understanding of family preferences for and engagement in services.

Full description

The overarching goal of this pilot project is to elucidate factors that influence families' engagement in indicated prevention/early intervention programming for youth conduct problems. We will explore factors previously shown to influence engagement, including parent motivational cognitions, family context variables, and preferences for intervention type. Study aims are organized around a randomized preference trial with a parallel hybrid design structure (see Abikoff, 2001). Families with youth ages 5-12, referred to community mental health clinics in Michigan, will be invited to participate in a prevention study. Families who chose to participate were assigned at random to preference (i.e. choice) or no preference (i.e. no choice) conditions. Those randomly assigned to the preference condition were allowed to choose between four intervention options: clinic-based services-as-usual (youth intervention); individual, home-based Oregon Parent Management Training (PMTO; Patterson, 2005), individual, clinic-based PMTO, and in-person group-based PMTO (Parenting Through Change; Forgatch & DeGarmo, 1999). Families in the no-choice condition were randomly assigned to one of the same four conditions.

Enrollment: 134 patients

Sex: All

Ages: 5 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Families with at least one child between the ages of 5 and 12.
• Referral to community mental health clinic (specifically, to one of the project partner clinics)

Exclusion criteria

• Active psychosis
• Serious child mental health diagnosis
• Open child protection case for abuse or neglect

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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134 participants in 4 patient groups

PMTO-PTC Group clinic-based

Other group

Description:

PMTO-PTC = Oregon Parent Management Training program, Parenting Through Change groups provided at a clinic.

Treatment:

Behavioral: PMTO-PTC Group clinic-based

PMTO Individual home-based

Other group

Description:

PMTO = Oregon Parent Management Training program, delivered individually in the home.

Treatment:

Behavioral: PMTO Individual home-based

PMTO Individual clinic-based

Other group

Description:

PMTO = Oregon Parent Management Training program, delivered individually at a clinic.

Treatment:

Behavioral: PMTO Individual clinic-based

Services as Usual

Other group

Description:

Usual child-centered services (i.e. therapy) provided by the agencies at a clinic.

Treatment:

Behavioral: Services as Usual