Effectiveness of a Multi-Component Evidence-Based Parent Training Program in Reducing Child Maltreatment

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00595010
Recruitment Status : Completed
First Posted : January 16, 2008
Last Update Posted : June 9, 2016
National Institute of Mental Health (NIMH)
Information provided by (Responsible Party):
University of Oklahoma

January 4, 2008
January 16, 2008
June 9, 2016
September 2007
November 2012   (Final data collection date for primary outcome measure)
Fidelity of service provider [ Time Frame: Measured throughout study ]
Same as current
Complete list of historical versions of study NCT00595010 on Archive Site
Parent behavior [ Time Frame: Measured at baseline and at some point between Months 6 and 12 ]
Same as current
Not Provided
Not Provided
Effectiveness of a Multi-Component Evidence-Based Parent Training Program in Reducing Child Maltreatment
Developing Multi-Component Evidence Based Practice in Child Abuse Service Systems
This study will determine the effectiveness of a complex parent training program, based on the SafeCare model, in reducing the occurrence of child maltreatment.

Child maltreatment is the general term used to characterize all forms of child abuse, including neglect and physical, sexual, and emotional abuse. These forms of maltreatment can lead to a large number of child developmental, emotional, and behavioral difficulties. As adults, children who are maltreated are more prone to unhealthy behaviors and conditions, such as drug and alcohol abuse, smoking, eating disorders, and depression. A previous study found that Project SafeCare, a treatment program that provides parent training to families with children who were at risk for or victims of maltreatment, resulted in fewer child welfare reports. Participants in Project SafeCare reported improvements in child healthcare, home safety, and parent-child relations. However, the study suggested that the SafeCare program may not be equally effective in decreasing the occurrence of all forms of child maltreatment, particularly child physical abuse. This study will determine the effectiveness of a complex evidence-based practice program, extending upon the SafeCare program, in reducing the occurrence of physical abuse and other forms of child maltreatment.

Participants in this study will receive services from Oklahoma Comprehensive Home-Based Services (CHBS), a program provided to families with issues of child abuse and neglect. Upon entry into the CHBS program, participants will undergo a computerized interview, lasting between 1 and 2 hours. The interview will include questions about family strengths and weaknesses, personal beliefs, substance abuse history, and opinion on CHBS. This computerized interview will be repeated at the end of treatment, approximately 6 to 12 months later. During the first few weeks of CHBS, an agent will make five visits to the homes of participants to observe pretreatment family life. Treatment services will concentrate on improving healthcare skills, parent-child interactions, and safety in homes and will specifically address ways to reduce physical abuse and other identified family issues. Study participation will continue for 12 months after completion of CHBS. Study researchers will obtain child welfare reports from the Department of Human Services (DHS) for up to 10 years after completion of CHBS.

Phase 1
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Health Services Research
Child Abuse
Behavioral: SafeCare
Treatment will be based on an updated version of the SafeCare program, which specifically addresses parenting and discipline associated with child physical abuse. Participants will receive services from Comprehensive Home-Based Services.
Experimental: Managing Child Behavior
Families with a high risk for or a history of child abuse and are enrolled in Comprehensive Home-Based Services and receive services as usual, which includes SafeCare, plus Managing Child Behavior module if they report significant behavior problems with their child between the ages of 2-12.
Intervention: Behavioral: SafeCare
Not Provided

*   Includes publications given by the data provider as well as publications identified by Identifier (NCT Number) in Medline.
November 2012
November 2012   (Final data collection date for primary outcome measure)

Inclusion Criteria:

  • Enrolled in Oklahoma Comprehensive Home-Based Services (CHBS)
  • Child referred by Office of Community Services

Exclusion Criteria:

  • Primary referral of sexual abuse
  • Primary referral goal to maintain permanent placement
Sexes Eligible for Study: All
Child, Adult, Senior
Contact information is only displayed when the study is recruiting subjects
Not Provided
R34MH076972( U.S. NIH Grant/Contract )
R34MH076972 ( U.S. NIH Grant/Contract )
Not Provided
Plan to Share IPD: No
University of Oklahoma
University of Oklahoma
National Institute of Mental Health (NIMH)
Principal Investigator: Debra B. Hecht, PhD University of Oklahoma
University of Oklahoma
June 2016

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP