Integrated Smart Speaker Promoting Positive Parenting Among Caregivers of Youth With Challenging Behaviors

Study Overview
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Brief Summary
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This project will develop and evaluate the feasibility of an integrated smart speaker and mobile/web-based application, FamilyNet (FN) to assist parents in implementing empirically supported behavioral parenting strategies to promote positive behavior change in their children. The FamilyNet system will help parents to create a positively framed, individualized behavioral plan for their child(ren), and then provide prompts, reminders, and tracking tools to help them effectively implement that plan. Once developed, FamilyNet will be field tested for usability and usefulness with a group of parents who have children ages 12-15 years exhibiting challenging behaviors. Establishing feasibility of this innovative parenting tool will have important implications for harnessing smart speaker and mobile/web technologies to provide parents in-situ support with parenting challenges; parents' effective implementation of empirically supported parenting strategies is likely to increase children's prosocial behaviors and reduce problematic behaviors, thus reducing their risk for long-term behavioral problems.

Detailed Description
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This project will develop and establish feasibility of an integrated smart speaker and mobile/web application, FamilyNet, designed to help parents utilize best practices in behavioral parent training to create and implement personalized behavior plans for their children. The FamilyNet system will integrate mobile app, smart speaker technology, and website technologies to assist families in creating their behavior plan, and then will track compliance, timelines, incentives, and other details to assist parents in following through and maintaining the behavior change program that they have created. After development, the intervention program will be pilot-tested with 35 families of youth ages 12-15 with challenging behaviors. Primary parents will complete measures of parenting practices and child behavior prior to using the FamilyNet system, and again after having access to the program for 4-6 weeks. During the intervention period, user information will be tracked. Post-intervention measures will also include primary parents' perceptions of usability and acceptability of and satisfaction with the FamilyNet system. Children and second parents will also complete satisfaction questionnaires at the post- intervention assessment. Data will be analyzed to determine the degree to which families are able to utilize the FamilyNet interface and report finding it helpful.

Official Title
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Integrated Smart Speaker/Mobile Application to Promote Positive Parenting Among Caregivers of Youth With Challenging Behaviors

Conditions
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Oppositional Defiant Disorder, Conduct Disorder

Intervention / Treatment
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* Behavioral: FamilyNet smart speaker/mobile application


Participation Criteria
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Eligibility Criteria
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Inclusion criteria: Primary parent/caregiver who has a child ages 12- to 15-years-old who lives with them at least half the time; Client of and referred to the study by partner family treatment services sites in Lane County, Oregon; Has a smartphone and access to email; Speaks English; The target child has a Strength & Difficulties Questionnaire total score or 14 or greater (top 20th percentile). Exclusion criteria: The target-age child has a developmental disability severe enough that the child is unable to speak and/or follow simple directions; The parent is in active treatment for serious mental illness or serious addiction; The family is homeless.

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: FamilyNet smart speaker/mobile application<br>In a 4- to 6-week period, families will use a prototype of the FamilyNet integrated and coordinated smart speaker/mobile application designed to provide families with in-situ experiential support for building positive behavior plans. | Behavioral: FamilyNet smart speaker/mobile application<br>* In a 4- to 6-week period, families will use a prototype of the FamilyNet integrated and coordinated smart speaker/mobile application designed to provide families with in-situ experiential support for building positive behavior plans. The prototype FamilyNet program will guide families in creating and implementing positive behavior plans to foster positive child behavior, consistent parenting, and promote a positive parent-child relationship.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Strengths and Difficulties Questionnaire | Change in parents' reports of child behavior from pre-intervention to post-intervention 4-6 weeks later. | Screening (Months 9-11) | 
| Strengths and Difficulties Questionnaire | Change in parents' reports of child behavior from pre-intervention to post-intervention 4-6 weeks later. | Baseline (T1 - Months 12-15) | 
| Strengths and Difficulties Questionnaire | Change in parents' reports of child behavior from pre-intervention to post-intervention 4-6 weeks later. | Post-treatment (T2 -Months 13-17) | 
| Intervention Attitude Inventory | Parents' reports of acceptability and satisfaction with the FamilyNet system, gathered at post-treatment. | Post-treatment (T2 -Months 13-17) | 
| System Usability Scale | Parents perceptions of FamilyNet program usability, gathered at post-treatment. | Post-treatment (T2 -Months 13-17) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adult-Adolescent Parenting Inventory 2 | Change in parents' reports of their parenting and child-rearing attitudes from pre-intervention to post-intervention 4-6 weeks later. | Baseline (T1 - Months 12-15) | 
| Adult-Adolescent Parenting Inventory 2 | Change in parents' reports of their parenting and child-rearing attitudes from pre-intervention to post-intervention 4-6 weeks later. | Post-treatment (T2 -Months 13-17) | 
| Families' usage of FamilyNet | Families' usage of the FamilyNet program will be measured through usage metrics and transcripts collected on the back-end database. | During active intervention use (Months 12-17) |