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Community Implementation of KEEP: Fidelity and Generalization of Parenting (KEEP)

This study has been completed.
Sponsor:
Collaborators:
National Institute of Mental Health (NIMH)
Oregon Social Learning Center
Information provided by (Responsible Party):
Dr. Joseph M. Price, San Diego State University
ClinicalTrials.gov Identifier:
NCT00980512
First received: September 18, 2009
Last updated: November 17, 2014
Last verified: November 2014
History of Changes
  Purpose
The primary goal of this study is to examine the fidelity and generalization of parenting effects of the KEEP foster parent training intervention as it is being delivered within a child welfare system of care by a community mental health provider.

Condition Intervention
Behavior Problems
 Behavioral: Parent Training

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Community Implementation of KEEP: Fidelity and Generalization of Parenting

Resource links provided by NLM:

MedlinePlus related topics: Parenting
U.S. FDA Resources

Further study details as provided by San Diego State University:

Primary Outcome Measures:
  • Reduction in child behavior problems as assessed by the Parent Daily Report (PDR) [ Time Frame: Baseline, 6-months, 12-months, 18-months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Placement Disruptions from Foster Placement [ Time Frame: 6-month, 12-month, 18-month ] [ Designated as safety issue: No ]
Enrollment: 354
Study Start Date: September 2009
Study Completion Date: July 2014
Primary Completion Date: July 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Parent Training
Parent Training of foster parents
 Behavioral: Parent Training
16 weeks of parent training led by trained group facilitator
Other Name: Parent Management Training
No Intervention: Control
Control group

Detailed Description:

The primary goal of this study is to utilize this opportunity as a real-world platform for addressing three key questions that need to be answered prior to wide-scale implementation of the KEEP intervention. First, do the effects of the KEEP parent training generalize (concurrently) to other children currently in foster and kin intervention homes and lead to reductions in overall levels of behavior problems? Second, does the KEEP intervention continue to have effects after the completion of the intervention and generalize (temporally) to new children who enter the homes of these families at a later point in time? Finally, as the KEEP intervention is being implemented by a community agency in a real-world system of care, can the intervention be delivered and maintained in a manner that preserves the goals and quality of the intervention?

Children in foster care, between the ages of 5 and 12, will be randomly assigned to one of two conditions - the KEEP intervention or a "services as usual" condition. In the KEEP intervention condition, foster and kin caregivers will participate in 16 weekly group meetings. Outcomes to be assessed include child problem behavior (of the focal child and other children in the household), child functioning, parental stress, family functioning, use of mental health services, child placement changes (e.g., reunification with biological parents, move to another foster home), and foster parent retention rates. In addition, for a year following the completion of the intervention, new children entering the home of foster/kin caregiver will be included in the assessments, along with the impact of these additional children on parental stress and family functioning. Finally, several dimensions of intervention fidelity (e.g., facilitator adherence and group engagement) will be assessed and examined in relation to child, family, and system outcomes.

  Eligibility
Ages Eligible for Study:   5 Years to 12 Years   (Child)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Any child between ages 5 and 12 in relative or non-relative foster care

Exclusion Criteria:

  • Only medically fragile children
  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 ClinicalTrials.gov identifier: NCT00980512

Locations
United States, California
Child and Adolescent Services Research Center
San Diego, California, United States, 92123
Sponsors and Collaborators
San Diego State University
National Institute of Mental Health (NIMH)
Oregon Social Learning Center
Investigators
Principal Investigator: Joseph M. Price, Ph.D. San Diego State University & Child and Adolescent Services Research Center
  More Information

Additional Information:
Child and Adolescent Services Research Center  This link exits the ClinicalTrials.gov site

Publications:

Responsible Party: Dr. Joseph M. Price, PI, San Diego State University
ClinicalTrials.gov Identifier: NCT00980512     History of Changes
Other Study ID Numbers: R01MH060195  2R01MH060195-06A1  DSIR 84-CTP 
Study First Received: September 18, 2009
Last Updated: November 17, 2014
Health Authority: United States: Federal Government

Keywords provided by San Diego State University:
behavior problems
parent training
foster care

Additional relevant MeSH terms:
Problem Behavior
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 28, 2016