PW2: Online Parent Training for Children With Behavior Disorders

Sponsor
Family Works Incorporated (Other)
Overall Status
Completed
CT.gov ID
NCT01861158
Collaborator
Oregon Research Institute (Other)
306
1
3
33
9.3

Study Details

Study Description

Brief Summary

This study evaluates Parenting Wisely (PW), an interactive, computer-based, online parenting program, through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed. The investigators hypothesize that the two PW interventions (PW only and PW + Social Network) will produce greater reductions in disruptive behavior problems from baseline to 3- and 6-month assessments compared to SAU.

Condition or Disease Intervention/Treatment Phase
  • Behavioral: Parenting Wisely
N/A

Detailed Description

Research has shown that parent-targeted interventions are effective in ameliorating adolescent conduct disorders, substance abuse, HIV-risk, and related adolescent problem behaviors. The meteoric rise of Internet use and recent advance in multimedia technology and software combine to create new opportunities for disseminating evidence-based practices. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention designed to prevent and treat child disruptive behavior problems. This evidence-based approach fits easily into existing juvenile justice, health, education, and mental health service delivery systems, bypassing many of the current barriers to care. The investigators' Phase I study focused on revising and enhancing PW with more culturally relevant content and imagery to broaden its appeal to ethnically diverse populations. The findings revealed substantial improvements on virtually all measures of parenting and child behavior and outcomes at 6 months were highly significant and clinically meaningful. This Phase II study is designed to broaden the appeal and potential reach of PW through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. PW is the first online skill-building parent training program to examine effectiveness across different ethnic cultural groups and offers a brief, low cost, accessible approach that could be easily and quickly implemented and sustained in JJS settings. As such, the potential impact for marketing PW and reducing child behavior problems is considerable. Phase II activities will include the development of a moderated online forum to increase parental social support and skill acquisition. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed.

Study Design

Study Type:
Interventional
Actual Enrollment :
306 participants
Allocation:
Randomized
Intervention Model:
Factorial Assignment
Masking:
None (Open Label)
Primary Purpose:
Prevention
Official Title:
Online Parent Training for Children With Behavior Disorders: Phase II
Study Start Date :
Sep 1, 2012
Actual Primary Completion Date :
Jun 1, 2015
Actual Study Completion Date :
Jun 1, 2015

Arms and Interventions

Arm Intervention/Treatment
Experimental: Parenting Wisely

Immediate access to the online Parenting Wisely program

Behavioral: Parenting Wisely
Computer-based, online, interactive parenting intervention
Other Names:
  • PW
  • Active Comparator: Parenting Wisely + Community Forum

    Immediate access to the online Parenting Wisely program, as well as access to a community form where parents can receive social support from other online users of the program and a moderator

    Behavioral: Parenting Wisely
    Computer-based, online, interactive parenting intervention
    Other Names:
  • PW
  • No Intervention: Delayed Parenting Wisely

    Delayed (6-month) access to the Parenting Wisely program. Parents will receive access to PW after the final, 6-month, follow-up assessment.

    Outcome Measures

    Primary Outcome Measures

    1. Parenting skills and knowledge [Change from baseline to 6-month follow-up]

      Online questionnaire measures (Family Assessment Device, Parenting Scale, Parenting Knowledge Test, Parent Sense of Competence, Social Support for Parenting)

    2. Child behavioral changes [Change from baseline to 6-month follow-up]

      Online questionnaires (Eyberg Child Behavior Inventory, Strengths & Difficulties Questionnaire). Juvenile justice recidivism data for youth of the enrolled parents (e.g., new charges)

    Secondary Outcome Measures

    1. Satisfaction with the Parenting Wisely program [3 months following baseline]

      Online questionnaires about program usability and user satisfaction: System Usability Scale and questions specific to parents' experiences with PW.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    N/A and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    Yes
    Inclusion Criteria:
    • Parent of a 12-17 year old adolescent who has been referred to the juvenile justice system for a legal offense (at least one police-generated report)

    • Adolescent has been referred by a participating county in Oregon or Nevada

    • Parent and adolescent live together at least 40% of the time

    Exclusion Criteria:
    • Parent has already enrolled or completed the study for another adolescent

    • Read and speak a language other than English or Spanish

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 Oregon Research Institute Portland Oregon United States 97232

    Sponsors and Collaborators

    • Family Works Incorporated
    • Oregon Research Institute

    Investigators

    • Principal Investigator: Don Gordon, Ph.D., Family Works Inc.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Family Works Incorporated
    ClinicalTrials.gov Identifier:
    NCT01861158
    Other Study ID Numbers:
    • 2R44DA026658-02A1
    First Posted:
    May 23, 2013
    Last Update Posted:
    Feb 14, 2017
    Last Verified:
    Feb 1, 2017
    Keywords provided by Family Works Incorporated
    Additional relevant MeSH terms:

    Study Results

    No Results Posted as of Feb 14, 2017