Positive Parenting Program in Foster Care
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|ClinicalTrials.gov Identifier: NCT03910491|
Recruitment Status : Recruiting
First Posted : April 10, 2019
Last Update Posted : April 26, 2019
|Condition or disease||Intervention/treatment||Phase|
|Child Behavior Problem Child Behavior Disorders Parenting||Behavioral: PriCARE||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||45 participants|
|Intervention Model:||Single Group Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Pilot Study to Identify Best Practices for Implementation of a Positive Parenting Training Program in the Foster Care Population|
|Actual Study Start Date :||April 16, 2019|
|Estimated Primary Completion Date :||December 31, 2019|
|Estimated Study Completion Date :||December 31, 2019|
All participants who enroll in the study will be assigned to a PriCARE group program that will adhere to the approximately 9 hour PriCARE curriculum.The trainings are administered to groups of approximately 4-12 caregivers at a time and are led by 2 mental health providers trained in the PriCARE curriculum. The curriculum will be delivered in 2-6 sessions over a 2-8 week period.
PriCARE is a group parent training program designed to improve child behavior, improve parent-child relationships, and decrease stress for parents. PriCARE emphasizes the 3 Ps (Praise, Paraphrase, and Point-out-Behavior). The training initially focuses on parenting skills including giving attention to the child's positive behaviors and ignoring minor misbehaviors. The second phase of training includes teaching techniques for giving children effective commands to set age-appropriate limits. The PriCARE curriculum also includes trauma and stress education components in order to contextualize the use of these skills with the types of behaviors and problems demonstrated by many children who have experienced psychosocial adversity and chronic familial stress. Throughout the curriculum, caregivers are encouraged to practice the skills. PriCARE has been evaluated in the primary care setting and has shown promise. There have been limited studies on PriCARE for foster caregivers.
Other Name: Child Adult Relationship Enhancement in Pediatric Primary Care
- Number of participants enrolled in PriCARE intervention [ Time Frame: follow-up (6 wks post-intervention) ]Foster caregiver enrollment in the intervention will be measured
- Rate of participant attendance to PriCARE training sessions [ Time Frame: follow-up (6 wks post-intervention) ]Attendance to number of sessions will be measured
- Retention rate of participants in PriCARE [ Time Frame: follow-up (6 wks post-intervention) ]Retention in the PriCARE intervention will be measured
- Change in Adult-Adolescent Parenting Inventory-2 (AAPI-2) score between baseline and follow-up visit [ Time Frame: baseline (pre-intervention) and follow-up (2-6 wks post-intervention) ]Assess the efficacy of PriCARE on decreasing harsh parenting and increasing parental empathy as measured by the AAPI-2. The AAPI-2 is a 40-item self-report measure using a 5 point scale. Responses are converted to stem scores that compare the participant's response to a normal distribution and determine if responses indicate high, average, or low risk for maltreatment of children. Scores of 1 through 4 identify a risk of abusive parenting behaviors, scores of 5 or 6 are considered average, and scores from 7 through 10 indicate nurturing parental attitudes.
- Change in Parenting Scale score between baseline and follow-up visit [ Time Frame: baseline (pre-intervention) and follow-up (2-6 wks post-intervention) ]Assess the efficacy of PriCARE on decreasing harsh parenting as measured by the Parenting Scale. The Parenting Scale is a 30-item self-report questionnaire that was designed to assess dysfunctional parenting discipline strategies. Parents choose their response to various situations using a likert scale. Higher scores indicate ineffective parenting strategies.
- The change in Parenting Sense of Competence score between baseline and follow-up visit [ Time Frame: baseline (pre-intervention) and follow-up (2-6 wks post-intervention) ]Assess the efficacy of PriCARE on improving parenting satisfaction and efficacy as measured by the Parenting Sense of Competence scale. The Parenting Sense of Competence Scale is a 17-item self-report questionnaire that assesses parenting competence in two dimensions - parenting satisfaction and parenting efficacy using a 6-point scale ranging from "strongly disagree" to "strongly agree." Higher scores indicate higher parenting self-esteem.
- Therapeutic Attitude Inventory (TAI) score [ Time Frame: follow-up (2-6 wks post-intervention) ]The investigators will use the TAI score to evaluate foster caregiver perceptions on the efficacy of the PriCARE intervention as measured by the Therapeutic Attitudes Inventory (TAI). The Therapeutic Attitude Inventory (TAI) is a brief 10 question satisfaction measure of parent training and parent-child treatments. Higher scores indicate greater satisfaction with the intervention.
- Understanding foster caregiver perspectives on parenting and the impact of the PriCARE intervention on their parenting through qualitative interviews [ Time Frame: baseline (pre-intervention) and follow-up (2-6 wks post-intervention) ]A brief semi-structured interview will be conducted during first interview to understand foster caregiver's motivations and attitudes of foster parenting. At the follow-up visit, a more in-depth individual semi-structured interview will be conducted in order to understand foster caregiver's perspectives of their role as a foster parent, their relationship with their foster child, their perceived stress, and their perspectives on the PriCARE intervention and strategies for improving it.
- Description of study groups [ Time Frame: baseline (pre-intervention) ]General demographic information will be collected during the baseline interview for the foster caregiver.
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): NCT03910491
|Contact: Colleen Bennett, MDfirstname.lastname@example.org|
|Contact: Joanne Wood, MD, MSHPemail@example.com|
|United States, Pennsylvania|
|Children's Hospital of Philadelphia||Recruiting|
|Philadelphia, Pennsylvania, United States, 19104|
|Principal Investigator: Joanne N Wood, MD, MSHP|
|Sub-Investigator: Colleen E Bennett, MD|
|Principal Investigator:||Joanne N Wood, MD, MSHP||Children's Hospital of Philadelphia|