Child and Family Outcomes and Consumer Satisfaction for Online vs Staff-Delivered Parenting Intervention



Status:Active, not recruiting
Conditions:Cognitive Studies, Neurology, Psychiatric, Psychiatric
Therapuetic Areas:Neurology, Psychiatry / Psychology
Healthy:No
Age Range:3 - 7
Updated:6/23/2018
Start Date:April 2014
End Date:September 2019

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Online vs Staff Delivery: Child & Family Outcomes, Value Analysis, Satisfaction

This trial addresses a serious and all-too-frequent public health problem, namely early-onset
disruptive behavior problems in young children. The focus is on testing an online treatment
program which empowers parents to help their children to improve their mental health and
behavioral functioning. At the conclusion of the study, the investigators will know whether
the online-delivered program works as well as an established staff-delivered program, with
respect to child disruptive behavior problems, parenting, parent/family stress, consumer
satisfaction, and value analysis.

High-prevalence mental health problems require innovative strategies to broaden reach of
evidence-based services. Disruptive behavior problems (DBPs), or conduct problems, in young
children represent a major public health challenge that is not only highly prevalent but
also, left untreated, heighten risk for adverse mental health and developmental outcomes in
adolescence and adulthood. Internet and online technology has considerable potential to help
achieve such a goal. Building on parenting interventions that have demonstrated impact on
childhood DBPs, this clinical trial compares an online-delivered intervention to a
well-validated staff-delivered intervention, holding program content constant. Both
interventions are based on the Triple P—Positive Parenting Program. The sample includes
families with a 3-7 year old child who has a pronounced level of DBPs. The study makes use of
a non-inferiority trial design to determine whether the online-delivered intervention yields
as good outcomes as the well-established staff-delivered intervention with respect to
childhood DBPs, parenting, and parent/family stress. The study also includes a value analysis
comparing the two interventions, accounting for provider and participant expenses as well as
pre-implementation and implementation phases. This study is intended to shed light on the
impact and potential benefits of a viable online parenting intervention for childhood
disruptive behavior problems, but the results from this study are also intended to help the
mental health field to better understand more broadly the potential advantages and
disadvantages of online interventions over traditionally delivered interventions,
particularly in light of expense minimization/effectiveness analysis.

Inclusion Criteria:

- clinically elevated level of child disruptive behavior problems

- parent resides with the child and has primary custody

- parent has access to internet via computer, e-tablet, or smartphone

Exclusion Criteria:

- already in a family-based treatment

- child has pervasive developmental disorder

- parent under 20 years of age

- parent has serious mental illness
We found this trial at
2
sites
Columbia, South Carolina 29208
Phone: 803-777-7143
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Columbia, SC
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Eugene, Oregon 97403
Principal Investigator: Carol W Metzler, Ph.D.
Phone: 541-484-2123
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Eugene, OR
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