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

Study Description

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Brief Summary:

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 or disease	Intervention/treatment	Phase
Behavior Problems	Behavioral: Parent Training	Not Applicable

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.

Study Design

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Study Type :	Interventional (Clinical Trial)
Actual Enrollment :	354 participants
Allocation:	Randomized
Intervention Model:	Parallel Assignment
Masking:	Double (Investigator, Outcomes Assessor)
Primary Purpose:	Prevention
Official Title:	Community Implementation of KEEP: Fidelity and Generalization of Parenting
Study Start Date :	September 2009
Actual Primary Completion Date :	July 2014
Actual Study Completion Date :	July 2014

Arms and Interventions

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Arm	Intervention/treatment
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

Outcome Measures

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Primary Outcome Measures :

1. Reduction in child behavior problems as assessed by the Parent Daily Report (PDR) [ Time Frame: Baseline, 6-months, 12-months, 18-months ]

Secondary Outcome Measures :

1. Placement Disruptions from Foster Placement [ Time Frame: 6-month, 12-month, 18-month ]

Eligibility Criteria

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Ages Eligible for Study:	5 Years to 12 Years (Child)
Sexes Eligible for Study:	All
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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

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

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Study Description Study Design Arms and Interventions Outcome Measures Eligibility Criteria Contacts and Locations More Information

Additional Information:

Child and Adolescent Services Research Center 

Publications:

Chamberlain P, Price J, Leve LD, Laurent H, Landsverk JA, Reid JB. Prevention of behavior problems for children in foster care: outcomes and mediation effects. Prev Sci. 2008 Mar;9(1):17-27. doi: 10.1007/s11121-007-0080-7. Epub 2008 Jan 10.

Price JM, Chamberlain P, Landsverk J, Reid JB, Leve LD, Laurent H. Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreat. 2008 Feb;13(1):64-75. doi: 10.1177/1077559507310612.

Chamberlain P, Price J, Reid J, Landsverk J. Cascading implementation of a foster and kinship parent intervention. Child Welfare. 2008;87(5):27-48.

Responsible Party:	Dr. Joseph M. Price, PI, San Diego State University
ClinicalTrials.gov Identifier:	NCT00980512 History of Changes
Other Study ID Numbers:	R01MH060195 ( U.S. NIH Grant/Contract ); 2R01MH060195-06A1 ( U.S. NIH Grant/Contract ); DSIR 84-CTP
First Posted:	September 21, 2009
Last Update Posted:	November 18, 2014
Last Verified:	November 2014

Keywords provided by Dr. Joseph M. Price, San Diego State University:

behavior problems; parent training; foster care

Additional relevant MeSH terms:

Problem Behavior; Behavioral Symptoms