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Preventing Behavior and Health Problems in Foster Teens (KEEP2)

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ClinicalTrials.gov Identifier: NCT01549561
Recruitment Status : Completed
First Posted : March 9, 2012
Last Update Posted : April 8, 2014
National Institute on Drug Abuse (NIDA)
Information provided by (Responsible Party):
Oregon Social Learning Center

Brief Summary:
The primary goal of this study is to test the efficacy of two levels of the KEEP intervention with adolescents and their foster and kin parents in the San Diego Child Welfare System.

Condition or disease Intervention/treatment
Parent Management Training Behavioral: Parent Training Behavioral: Youth Skills Training

Detailed Description:
The cost of child welfare services in the U.S. has been estimated at $20 billion per year. During the past decade, the number of teenagers in foster care has nearly doubled. Numerous studies have documented that these adolescents are at high-risk for developing serious problems, including substance use, participation in health-risking sexual behaviors, involvement in the juvenile justice system, serious educational problems and school drop-out, failed placements/foster care "drift" and homelessness. Yet, there is little research on the characteristics of interventions that can be used to guide the improvement of services for this vulnerable population of youngsters. The proposed study extends our previous research with adolescents referred for serious behavioral and emotional problems and research with elementary-aged children in foster care to a test of the efficacy of a preventive intervention for adolescents placed with foster and kin care providers in the San Diego County Child Welfare System. Two hundred and forty adolescents and their foster/kin care providers will participate (i.e., 60 in a foster/kin parent training only condition, 60 in a parent training plus youth skill training condition, and 120 in a casework "as usual" control condition). In addition to testing the efficacy of the two levels of intervention, the investigators propose to examine the effects of the intervention on a set of youth behavioral and health-related outcomes. Parenting mediators to be tested include positive parenting, parental supervision, and non-harsh discipline. Youth mediators are social competence, commitment to school, and knowledge about norms related to health-risking behaviors including substance use and high-risk sexual behavior. In addition, theoretical hypotheses about the effects of early risk/adversity factors to youth outcomes will be examined, and an economic analysis will be conducted to examine the relative benefits and costs associated with the two levels of intervention.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 259 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Investigator, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Preventing Behavior and Health Problems in Foster Teens
Study Start Date : November 2006
Primary Completion Date : October 2013
Study Completion Date : October 2013

Arm Intervention/treatment
No Intervention: Services As Usual
Foster care services as usual
Experimental: Parent and Youth Training
16 Weeks of Parent Training in group context with 5 to 10 relative and non-relative foster caregivers; Youth training with skills coaches
Behavioral: Parent Training
16 weeks of parent training led by a trained group facilitator
Other Names:
  • Parent Management Training
  • KEEP
Behavioral: Youth Skills Training
16 weeks of one-on-one sessions with a trained youth skills coach
Other Name: Skills Coaching
Experimental: Parent Training
16 weeks of parent training with 5 to 10 relative and non-relative foster caregivers
Behavioral: Parent Training
16 weeks of parent training led by a trained group facilitator
Other Names:
  • Parent Management Training
  • KEEP

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 Months, 12 Months, 18 Months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   12 Years to 16 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • Any child between ages 12 and 16 years in relative or non-relative foster care

Exclusion Criteria:

  • Only medically fragile children

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01549561

United States, California
Child and Adolescent Services Research Center
San Diego, California, United States, 92123
United States, Oregon
Oregon Social Learning Center
Eugene, Oregon, United States, 97401
Sponsors and Collaborators
Oregon Social Learning Center
National Institute on Drug Abuse (NIDA)
Principal Investigator: Patricia Chamberlain, PhD Oregon Social Learning Center

Price, J., Chamberlain, P., Landsverk, J., & Reid, J. B. (2010). KEEP foster parent training intervention: Model description and effectiveness. Child and Family Social Work, 14, 233-242.

Responsible Party: Oregon Social Learning Center
ClinicalTrials.gov Identifier: NCT01549561     History of Changes
Other Study ID Numbers: KEEP2020172
R01DA020172 ( U.S. NIH Grant/Contract )
First Posted: March 9, 2012    Key Record Dates
Last Update Posted: April 8, 2014
Last Verified: April 2014

Keywords provided by Oregon Social Learning Center:
behavior problems
foster care
parent training
youth skills training