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

This study has been completed.
National Institute of Mental Health (NIMH)
Oregon Social Learning Center
Information provided by (Responsible Party):
Dr. Joseph M. Price, San Diego State University Identifier:
First received: September 18, 2009
Last updated: November 17, 2014
Last verified: November 2014
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
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Community Implementation of KEEP: Fidelity and Generalization of Parenting

Resource links provided by NLM:

Further study details as provided by Dr. Joseph M. Price, 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 ]

Secondary Outcome Measures:
  • Placement Disruptions from Foster Placement [ Time Frame: 6-month, 12-month, 18-month ]

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.


Ages Eligible for Study:   5 Years to 12 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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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Please refer to this study by its identifier: NCT00980512

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
Principal Investigator: Joseph M. Price, Ph.D. San Diego State University & Child and Adolescent Services Research Center
  More Information