Triple P With Pediatric Residents

Seattle Children's Healthcare System

Status: Completed

Conditions: Problematic Behavior in Children; Psychosocial Problem; Parenting

Treatments: Other: Care As Usual; Behavioral: Training in PC Triple P

Study type: Interventional

Funder types: Other

Identifiers

NCT01946958

SCH-13683

Details and patient eligibility

About

The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.

Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.

Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:

1. increased skill levels,
2. increased confidence, and
3. increased satisfaction in dealing with and managing psychosocial issues

Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.

Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:

1. greater reduction in targeted child behavior problems,
2. greater reduction in dysfunctional parenting practices,
3. increased use of appropriate discipline and positive parenting strategies, and
4. greater confidence in parenting ability.

Enrollment: 155 patients

Sex: All

Ages: 18 months to 12 years old

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria for Pediatric Resident:

• Assigned to a participating continuity clinic

Exclusion Criteria for Pediatric Resident:

• Not assigned to a participating continuity clinic

Inclusion Criteria for Parent:

• Parent of an eligible child.
• Speaks English

Exclusion Criteria for Parent:

• A parent of an ineligible child
• Non-English speaking

Inclusion Criteria for Child:

• Treated by a participating resident
• Between 18 months and 12 years old
• Does not have any mental health diagnosis
• Is not receiving medication or therapy from a professional

Exclusion Criteria for Child:

• Not treated by a participating resident
• Age falls outside of eligible range
• Has a mental health diagnosis
• Currently receiving medication or therapy from a professional

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

---

155 participants in 2 patient groups

Trained in Primary Care (PC) Triple P

Experimental group

Description:

This group received standardized training in Primary Care (PC) Triple P.

Treatment:

Behavioral: Training in PC Triple P

Care as Usal

Experimental group

Description:

This group provided care as usual. This group was not trained in PC Triple P interventions.

Treatment:

Other: Care As Usual