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Effectiveness of a Multi-Component Evidence-Based Parent Training Program in Reducing Child Maltreatment

This study has been completed.
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
University of Oklahoma Identifier:
First received: January 4, 2008
Last updated: June 8, 2016
Last verified: June 2016
This study will determine the effectiveness of a complex parent training program, based on the SafeCare model, in reducing the occurrence of child maltreatment.

Condition Intervention Phase
Child Abuse
Behavioral: SafeCare
Phase 1

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Developing Multi-Component Evidence Based Practice in Child Abuse Service Systems

Further study details as provided by University of Oklahoma:

Primary Outcome Measures:
  • Fidelity of service provider [ Time Frame: Measured throughout study ]

Secondary Outcome Measures:
  • Parent behavior [ Time Frame: Measured at baseline and at some point between Months 6 and 12 ]

Enrollment: 26
Study Start Date: September 2007
Study Completion Date: November 2012
Primary Completion Date: November 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Managing Child Behavior
Families with a high risk for or a history of child abuse and are enrolled in Comprehensive Home-Based Services and receive services as usual, which includes SafeCare, plus Managing Child Behavior module if they report significant behavior problems with their child between the ages of 2-12.
Behavioral: SafeCare
Treatment will be based on an updated version of the SafeCare program, which specifically addresses parenting and discipline associated with child physical abuse. Participants will receive services from Comprehensive Home-Based Services.

Detailed Description:

Child maltreatment is the general term used to characterize all forms of child abuse, including neglect and physical, sexual, and emotional abuse. These forms of maltreatment can lead to a large number of child developmental, emotional, and behavioral difficulties. As adults, children who are maltreated are more prone to unhealthy behaviors and conditions, such as drug and alcohol abuse, smoking, eating disorders, and depression. A previous study found that Project SafeCare, a treatment program that provides parent training to families with children who were at risk for or victims of maltreatment, resulted in fewer child welfare reports. Participants in Project SafeCare reported improvements in child healthcare, home safety, and parent-child relations. However, the study suggested that the SafeCare program may not be equally effective in decreasing the occurrence of all forms of child maltreatment, particularly child physical abuse. This study will determine the effectiveness of a complex evidence-based practice program, extending upon the SafeCare program, in reducing the occurrence of physical abuse and other forms of child maltreatment.

Participants in this study will receive services from Oklahoma Comprehensive Home-Based Services (CHBS), a program provided to families with issues of child abuse and neglect. Upon entry into the CHBS program, participants will undergo a computerized interview, lasting between 1 and 2 hours. The interview will include questions about family strengths and weaknesses, personal beliefs, substance abuse history, and opinion on CHBS. This computerized interview will be repeated at the end of treatment, approximately 6 to 12 months later. During the first few weeks of CHBS, an agent will make five visits to the homes of participants to observe pretreatment family life. Treatment services will concentrate on improving healthcare skills, parent-child interactions, and safety in homes and will specifically address ways to reduce physical abuse and other identified family issues. Study participation will continue for 12 months after completion of CHBS. Study researchers will obtain child welfare reports from the Department of Human Services (DHS) for up to 10 years after completion of CHBS.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Enrolled in Oklahoma Comprehensive Home-Based Services (CHBS)
  • Child referred by Office of Community Services

Exclusion Criteria:

  • Primary referral of sexual abuse
  • Primary referral goal to maintain permanent placement
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00595010

Sponsors and Collaborators
University of Oklahoma
National Institute of Mental Health (NIMH)
Principal Investigator: Debra B. Hecht, PhD University of Oklahoma
  More Information

Responsible Party: University of Oklahoma Identifier: NCT00595010     History of Changes
Other Study ID Numbers: R34MH076972 ( US NIH Grant/Contract Award Number )
Study First Received: January 4, 2008
Last Updated: June 8, 2016
Individual Participant Data  
Plan to Share IPD: No

Keywords provided by University of Oklahoma:
Child Maltreatment
Child Neglect
Child Physical Abuse
Evidence-Based Practice processed this record on April 21, 2017