Family Networks Project Study One: An Efficacy Study of Stepping Stones Triple P for Children Under Age Two

Study Overview
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Brief Summary
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The purpose of the project is to assess the initial efficacy of Stepping Stones Triple P-Positive Parenting Program (SSTP) with parents of children below age two with developmental disabilities to strengthen families and prevent child maltreatment.

Detailed Description
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This study is an initial efficacy trial of SSTP for parents of children below age 2. The target population consists of 50 families of young children ages 11-23 months with developmental disabilities who are eligible to receive IDEA Part C (Individuals with Disabilities Education Act Part C) services in one region of South Carolina. Families will be randomly assigned to one of two conditions (1) IDEA Part C services as usual or (2) IDEA Part C services plus SSTP. Project goals are to strengthen parent competence, enhance parent confidence, and strengthen child social, emotional and behavioral functioning. Ultimately, this should result in a reduced likelihood of child maltreatment

Official Title
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The Family Networks Project Study One: Supporting Family Confidence, Competence, and Community Connections

Conditions
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Prevent Child Maltreatment

Intervention / Treatment
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* Behavioral: Stepping Stones Triple P
* Other: BabyNet Services As usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: child age between 11 and 23 months of age child eligible for IDEA Part C Services parent english speaking parent willing to allow in-home services Exclusion Criteria: disability requiring extensive out of home treatment

Ages Eligible for Study
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Minimum Age: 11 Months
Maximum Age: 23 Months

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Stepping Stones Triple P<br>10-15 sessions of Level 4 Standard Stepping Stones Triple P delivered in family homes | Behavioral: Stepping Stones Triple P<br>* 10-12 session manualized intervention delivered in client homes<br>|
| Other: BabyNet Services As usual<br>BabyNet services as usual based on IFSP | Behavioral: Stepping Stones Triple P<br>* 10-12 session manualized intervention delivered in client homes<br>Other: BabyNet Services As usual<br>* BabyNet services as usual based on IFSP<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Style | Parenting Scale (Total Score; measure of parenting style). 30 items on the scale, scores range from 1-7 for each item with higher scores indicating dysfunctional parenting styles (laxness, over-reactivity, hostility). Scores summed and divided by 30 for total score. | Baseline, 5 months | 
| Child Behavior | Child Behavior Checklist 1/5-5. A parent report measure of child behavioral problems. The score used for this outcome was the CBCL Total Score, which is a T-Score. T scores average 50 with a standard deviation of 10. Scores above 65 considered in the clinical range. | Baseline, 5 months | 
| Parenting Self-confidence | Toddler Care Questionnaire. Measures parent reported self-confidence in parenting a toddler. Parents rate their confidence in performing parenting tasks specific to toddlers. Higher scores indicate more confidence. Scores range from 37-185. The total sum score derived from adding the scores for the 37 items in this survey was used for this outcome measure. | Baseline, 5 months | 
| KIPS | KIPS observational measure of the quality of the parent-child relationship. scores range from 1-5. Higher scores indicate a higher quality of relationship. | Baseline, 5 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent Symptoms of Depression, Anxiety and Stress | DASS-21, brief screening measure of symptoms of depression, anxiety, and stress. Scores on each scale range from 0-21. Higher scores indicate more symptoms in each area. | baseline, 5 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Stepping Stones Triple P, prevention, evidence-based parenting intervention, children, disabilities, IDEA Part C