Preventing Conduct Disorder in Child Welfare

Study Overview
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Brief Summary
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A mixed methods randomized control trial was conducted to test the effectiveness of Pathways Triple P with child welfare involved families compared to treatment as usual. Outcomes tested included parenting behaviors and attitudes, and child behavior problems. 144 families were recruited into the study. Data was collected at 4 time points (baseline, 4 months, 9 months, and 18 months). Over 70% were retained from baseline to 18 months.

Official Title
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PREVENTING CONDUCT DISORDER AMONG CHILDREN IN THE CHILD WELFARE SYSTEM

Conditions
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Behavioral Disorder, Child Maltreatment

Intervention / Treatment
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* Behavioral: Pathways Triple P
* Behavioral: Services as Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Families with open child protective service case following allegation of child physical abuse or neglect parent of child between the age of 3 and 12 Child remained in the home following investigation parent spoke English Exclusion Criteria: parent's child could not have chronic medical condition or have a pervasive developmental delay

Ages Eligible for Study
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Minimum Age: 18 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: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Pathways Triple P<br>Families randomized to the Pathways Triple P received a 14 week home based intervention. | Behavioral: Pathways Triple P<br>* Pathways Triple was developed by Matt Sanders and is a behavioral parent training intervention designed to treat child behavior problems and prevent child maltreatment.<br>|
| Active Comparator: Services as Usual<br>Families randomized to the services as usual condition received services as usual through the Missouri Children's Division | Behavioral: Services as Usual<br>* Families received family centered services and other parenting interventions as deemed appropriate by the child welfare case manager.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Eyberg Child Behavior Inventory | Child Behavior Problems | 18 months | 
| PedsQL | Pediatric Quality of Life Scale | 18 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Stress Inventory | Parent Stress | 18 months | 
| Parent Anger Inventory | Parent Anger | 18 months | 
| Parental Sense of Competence | Parent Sense of Competence | 18 months | 
| Alabama Parenting Questionnaire | Parenting Behavior Inventory | 18 months | 
| Depression Anxiety Stress Scales | Parental Mental Health | 18 months | 
| AUDIT | Alcohol Abuse in Parents | 18 months | 
| The Drug Abuse Screening Test | Parent Substance use | 18 months | 
| HITS IPV Screening | Domestic Violence history | 18 months | 
| PQL | Parent Report of Child Quality of Life | 18 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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RCT, Triple P, parent management training, Child welfare, child behavior problems