Evaluation of a Video-Based Media Series to Promote Effective Parenting

Study Overview
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Brief Summary
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Researchers are developing and experimentally evaluating two variants of a 10-episode, brief (12 minutes per episode), infotainment-style television series targeted at parenting practices, to determine the potential value of television for bringing evidence-based parenting practices to parents. The study compares an information-only version of the television series against an enhanced version that is designed to actively promote parents' adoption of the targeted strategies. Both versions of the series are compared against a waitlist control group. The media series is derived from the Triple P Positive Parenting Program.

Detailed Description
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The mass media, and television in particular, hold significant potential as part of a population-wide strategy for bringing evidence-based parenting practices to a broad range of parents experiencing challenges raising their children. The potential of television for affecting parenting has received very little research attention, however; thus, little is known about how media messages to affect parenting practices might be optimally designed. This study will develop and experimentally evaluate two variants of a 10-episode, brief (12 minutes per episode), infotainment-style television series targeted at parenting practices, derived from the Triple P-Positive Parenting Program (Sanders, 1999). A sample of 300 families of children ages 3-6 years with somewhat elevated disruptive behavior problems will be randomized to (a) receive a standard information-only version of the series that includes only modeling and demonstration of target parenting skills, (b) receive an enhanced behavior activation version of the series designed to actively promote parental behavior change, through elements addressing attributions, self-efficacy and expectancies, social support, and emotional reactivity, or (c) a waitlist control group. Measures of parents' parenting practices, cognitions, affect, and social support, and children's disruptive behavior problems, will be obtained at baseline, post-intervention, and 6-month follow-up. The relative efficacy of the standard and enhanced versions of the Triple P Media Series in improving these outcomes will be examined, as well as moderators of these effects, such as baseline level of behavior problems and parental stress. This study will further our understanding of the potential value of television programming for improving parenting practices.

Official Title
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Evaluation of a Video-Based Media Series to Promote Effective Parenting

Conditions
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Childhood Disruptive Behavior Problems

Intervention / Treatment
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* Behavioral: Triple P Media Series -- Standard Information-Only version
* Behavioral: Triple P Media Series -- Enhanced Behavior Activation version


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: parent(s) living with a child 3 to 6 years old child scores 1 or more standard deviations above the mean on the Eyberg Child Behavior Inventory English speaking parent at least 20 years old Exclusion Criteria: currently receiving any other structured parenting intervention (home visits, parenting classes, individual parent training, family therapy) father-only households

Ages Eligible for Study
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Minimum Age: 20 Years

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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Standard<br>Standard information-only version of the television series that includes only modeling and demonstration of the targeted parenting skills | Behavioral: Triple P Media Series -- Standard Information-Only version<br>* 10 episodes, 12 minutes per episode, 2 episodes viewed per week for a total of 5 weeks. Demonstrates parenting practices for effectively handling a range of difficult child behaviors.<br>|
| Experimental: Enhanced<br>Enhanced behavior activation version of the television series that includes all of the content of the standard information-only version, but is also designed to actively promote parental behavior change, through additional content elements addressing attributions, self-efficacy and expectancies, social support, and emotional reactivity. | Behavioral: Triple P Media Series -- Enhanced Behavior Activation version<br>* 10 episodes, 12 minutes per episode, 2 episodes viewed per week for a total of 5 weeks. Demonstrates parenting practices for effectively handling a range of difficult child behaviors; includes specific content elements designed to promote parents' adoption of the targeted parenting skills<br>|
| No Intervention: Control<br>Waitlist control | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child problem behavior: measured by the Eyberg Child Behavior Inventory (Eyberg & Ross, 1978), phone interview, and observation coding from a structured lab task procedure |  | baseline, immediate post, 6-month follow-up | 
| Problematic parenting practices: measured by the Parenting Scale (Arnold et al., 1993), phone interview, and observation coding from a structured lab task procedure |  | baseline, immediate post, 6-month follow-up | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parent knowledge: Triple P Parenting Quiz |  | baseline, immediate post, 6-month follow-up | 
| Parental attributions for child misbehavior: Parent's Attributions for Child's Behavior Measure (Pidgeon & Sanders, 2004) |  | baseline, immediate post, 6-month follow-up | 
| Parental self-efficacy: Problem Behavior and Setting Checklist (Sanders & Wooley, 2005) |  | baseline, immediate post, 6-month follow-up | 
| Parental stress: Depression Anxiety Stress Scale, Short Form (Lovibond & Lovibond, 1995) |  | baseline, immediate post, 6-month follow-up | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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behavior problems, children, prevention, television, media, parenting