On-line Treatment for Conduct Problems

Study Overview
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Brief Summary
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The research evaluates the use of online versions of delivering an effective psychological treatment for children clinically referred for serious oppositional, aggressive, and antisocial behavior. The goal is to develop models of delivery that reach families in need that are not being served by in-person treatment. The project has immediate implications for the treatment of children but more generally addresses several issues critical to treatments that are based on Internet, telepsychiatry, and related technologies.

Conditions
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Conduct Disorder, Oppositional Defiant Disorder

Intervention / Treatment
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* Behavioral: Online Parent Management Training (Interactive)
* Behavioral: Online Parent Management Training (Recorded)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of Conduct Disorder of Oppositional Defiant Disorder (for the child) Residence in the state of CT Access to a computer and high-speed Internet access English fluency (at least one parent) No history of significant developmental delay (for the child) Parental consent Exclusion Criteria: Participation in another form of psychotherapy or counseling that is directed toward the reduction of social, emotional, or behavioral problems Evidence of recent suicidality (for the child) Current or lifetime diagnosis of a Pervasive Developmental Disorder Primary diagnoses of a mood or anxiety disorder Acute family crisis Parent or guardian who can participate in treatment shows current psychosis or an uncontrolled medical condition

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 12 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 |
| --- | --- |
| Active Comparator: Online treatment, High therapist contact<br>Participants receive online Parent Management Training (interactive). | Behavioral: Online Parent Management Training (Interactive)<br> <br> |
| Experimental: Online treatment, Low therapist contact<br>Participants receive online Parent Management Training (recorded). | Behavioral: Online Parent Management Training (Recorded)<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child Behavior Checklist | Internalizing and externalizing behavior problems in children | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Child Global Assessment Scale | Therapist-rated measure of overall child impairment and functioning | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Interview for Antisocial Behavior | Presence of a broad range of overt and covert antisocial behaviors in children | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Research Diagnostic Interview | Clinical symptoms and diagnoses based on the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) criteria | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Stress Index | Sources of stress for the parent | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Beck Depression Inventory | Parental symptoms of depression | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Management of Child Behavior Scale | Parenting practices | Change from pretreatment (Week 0; immediately before the start of treatment) to posttreatment (immediately after treatment is completed; Week 8) | 
| Parent-Therapist Relationship Scale (Therapist version) | Characteristics of the therapeutic relationship according to therapist report | Midtreatment (Week 4 of treatment) | 
| Parent-Therapist Relationship Scale (Therapist version) | Characteristics of the therapeutic relationship according to therapist report | Posttreatment (immediately after treatment is completed; Week 8) | 
| Parent-Therapist Relationship Scale (Parent version) | Characteristics of the therapeutic relationship according to parent report | Midtreatment (Week 4 of treatment) | 
| Parent-Therapist Relationship Scale (Parent version) | Characteristics of the therapeutic relationship according to parent report | Posttreatment (immediately after treatment is completed; Week 8) | 
| Barriers to Participation in Treatment (Therapist version) | Stressors and obstacles that interfere with treatment | Midtreatment (Week 4 of treatment) | 
| Barriers to Participation in Treatment (Therapist version) | Stressors and obstacles that interfere with treatment | Posttreatment (immediately after treatment is completed; Week 8) | 
| Barriers to Participation in Treatment (Parent version) | Stressors and obstacles that interfere with treatment | Midtreatment (Week 4 of treatment) | 
| Barriers to Participation in Treatment (Parent version) | Stressors and obstacles that interfere with treatment | Posttreatment (immediately after treatment is completed; Week 8) | 
| Weekly Participation in Treatment | Attendance and participation in treatment sessions | Weekly (during treatment) | 
| Treatment Adherence Inventory (Therapist version) | Parental compliance with specific treatment techniques | Midtreatment (Week 4 of treatment) | 
| Treatment Adherence Inventory (Therapist version) | Parental compliance with specific treatment techniques | Posttreatment (immediately after treatment is completed; Week 8) | 
| Treatment Adherence Inventory (Parent version) | Parental compliance with specific treatment techniques | Midtreatment (Week 4 of treatment) | 
| Treatment Adherence Inventory (Parent version) | Parental compliance with specific treatment techniques | Posttreatment (immediately after treatment is completed; Week 8) | 
| Therapist Evaluation Inventory | Acceptability of treatment based on therapist report | Midtreatment (Week 4 of treatment) | 
| Therapist Evaluation Inventory | Acceptability of treatment based on therapist report | Posttreatment (immediately after treatment is completed; Week 8) | 
| Parent Evaluation Inventory | Acceptability of treatment based on parent report | Midtreatment (Week 4 of treatment) | 
| Parent Evaluation Inventory | Acceptability of treatment based on parent report | Posttreatment (immediately after treatment is completed; Week 8) | 
| Acceptability of Treatment Modality | Parent-report measure rating the acceptability of online treatment and barriers that may affect participants receiving online treatment specifically | Midtreatment (Week 4 of treatment) | 
| Acceptability of Treatment Modality | Parent-report measure rating the acceptability of online treatment and barriers that may affect participants receiving online treatment specifically | Posttreatment (immediately after treatment is completed; Week 8) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Online treatment, Treatment of conduct problems, Parent training