Adaptation and Pilot Testing of a Behavioral Parent Training Program for Parents of Deaf and Hard of Hearing Children

Study Overview
=================
Brief Summary
-----------------
Despite being more likely than typical hearing children to experience disruptive behavior problems, children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This pilot project will systematically adapt an evidence-based behavioral parent training (BPT) intervention to increase its acceptability and relevance for parents of young DHH children. Two parents of DHH children will be trained in the adapted BPT for DHH children. They will each deliver the intervention to five families with DHH preschool-aged children.

Official Title
-----------------
Adaptation and Pilot Implementation of the Family Check-Up for Deaf and Hard of Hearing Children

Conditions
-----------------
Behavior Disorders, Parenting, Hearing Loss

Intervention / Treatment
-----------------
* Behavioral: Interventionist training and supervision
* Behavioral: Behavioral parent training


Participation Criteria
=================
Eligibility Criteria
-----------------
Parent/Caregivers and Children: Inclusion Criteria: Parent/caregiver is age 18 years or older Parent/caregiver is the custodial guardian of a deaf or hard of hearing (DHH) child DHH child is 2-5 years old DHH child has used hearing aid(s) and/or cochlear implant(s) for > 6 months Parent/caregiver is able to read English and either speak/understand English or use American Sign Language Exclusion Criteria: Active child protective services case DHH child of interest has been diagnosed with a severe developmental delay, severe autism, debilitating neurological condition, etc. Parent/caregiver has already accessed behavioral health services for the DHH child Parent Coaches/Interventionists: Inclusion Criteria: Age 18 years or older Parent of a DHH child Able to speak, understand, and read English Exclusion Criteria: - None

Ages Eligible for Study
-----------------
Minimum Age: 2 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Parent Coaches<br>Parent coaches will complete interventionist training and supervision in the Family Check-Up, an evidence-based behavioral parent training (BPT) program, including in the adaptations for families with DHH children. Each parent coach will deliver the intervention to 5 parent-child dyads. | Behavioral: Interventionist training and supervision<br>* Online and in-person training and weekly supervision with licensed clinical social worker while delivering the Family Check-Up to 5 families.<br>|
| Experimental: Parent-Child Dyads<br>Parents and children will receive the adapted Family Check-Up behavioral parent training (BPT) intervention delivered by parent coaches. | Behavioral: Behavioral parent training<br>* Up to 6 sessions of the Family Check-Up program, involving discussions, assessments, feedback, and skills training with a parent coach.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility: Enrollment | Proportion of parents agreeing to enroll in the intervention out of all parents approached | 2 weeks after final parent-child dyad completes the study | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Feasibility: Number of sessions completed | Number of sessions completed by each enrolled parent | 2 weeks after final parent-child dyad completes the study | 
| Interventionist fidelity | Fidelity ratings of two recorded sessions per interventionist | 2 weeks after final parent-child dyad completes the study | 
| Feasibility: usability of battery of measures | Proportion of missing data across and within instruments for parent, child, and interventionist outcome measures | 2 weeks after final parent-child dyad completes the study | 
| Acceptability: parent satisfaction | European Parent Satisfaction Scale about Early Intervention (EPASSEI) - adapted; range: 20 (high satisfaction) to 100 (low satisfaction) | 10 weeks after parent baseline | 
| Acceptability: interventionist satisfaction | Therapist Satisfaction Index (TSI) | 2 weeks after final parent-child dyad completes the study |