Triple P With Pediatric Residents
Study Details
Study Description
Brief Summary
The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims.
Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems.
Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have:
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increased skill levels,
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increased confidence, and
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increased satisfaction in dealing with and managing psychosocial issues
Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior.
Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have:
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greater reduction in targeted child behavior problems,
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greater reduction in dysfunctional parenting practices,
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increased use of appropriate discipline and positive parenting strategies, and
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greater confidence in parenting ability.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Trained in Primary Care (PC) Triple P This group received standardized training in Primary Care (PC) Triple P. |
Behavioral: Training in PC Triple P
PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.
|
| Experimental: Care as Usal This group provided care as usual. This group was not trained in PC Triple P interventions. |
Other: Care As Usual
Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.
|
Outcome Measures
Primary Outcome Measures
- Change in pediatric resident skills and confidence in conducting parent consultations about child behavior [One year]
Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up.
Secondary Outcome Measures
- Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior [One year]
Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up.
Eligibility Criteria
Criteria
Inclusion Criteria for Pediatric Resident:
- Assigned to a participating continuity clinic
Exclusion Criteria for Pediatric Resident:
- Not assigned to a participating continuity clinic
Inclusion Criteria for Parent:
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Parent of an eligible child.
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Speaks English
Exclusion Criteria for Parent:
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A parent of an ineligible child
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Non-English speaking
Inclusion Criteria for Child:
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Treated by a participating resident
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Between 18 months and 12 years old
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Does not have any mental health diagnosis
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Is not receiving medication or therapy from a professional
Exclusion Criteria for Child:
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Not treated by a participating resident
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Age falls outside of eligible range
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Has a mental health diagnosis
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Currently receiving medication or therapy from a professional
Contacts and Locations
Locations
No locations specified.Sponsors and Collaborators
- Seattle Children's Hospital
- Doris Duke Charitable Foundation
Investigators
- Principal Investigator: Frederick P Rivara, MD, MPH, Seattle Children's Research Institute, Seattle Children's Hospital, University of Washington
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SCH-13683