Technology to Enhance Treatment for Early Conduct Problems in Low Income Families

Study Overview
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Brief Summary
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This study aims to the test the efficacy and cost effectiveness of new service delivery methods to enhance the reach and impact of the standard of care treatment, Behavioral Parent Training (BPT), for early onset disruptive behavior disorders.

Detailed Description
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Families will be randomized to one of two active treatment conditions, the standard BPT program or the standard BPT program plus some new service delivery methods.

Official Title
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Technology to Enhance Treatment for Early Conduct Problems in Low Income Families

Conditions
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Disruptive Behavior Disorders

Intervention / Treatment
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* Behavioral: Behavioral Parent Training


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Child aged 3 to 7 years has clinically significant disruptive behaviors low-income family Exclusion Criteria: Caregiver has current mood, substance use, and/or psychotic disorder Child has current pervasive developmental and/or psychotic disorder Family has current allegation and/or past substantiation with child protective services

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 7 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Behavioral Parent Training<br>Standard of care intervention | Behavioral: Behavioral Parent Training<br>* Weekly clinic session, mid-week call, home practice<br>* Other names: Parent Management Training;|
| Experimental: Behavioral Parent Training - Enhanced<br>Standard of Care Behavioral Parent Training plus new delivery methods | Behavioral: Behavioral Parent Training<br>* Weekly clinic session, mid-week call, home practice<br>* Other names: Parent Management Training;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Engagement | Engagement includes multiple dimensions of participation in the treatment process, including items assessing attendance at weekly sessions, participation in mid-week calls, and home practice of skills. | Participants will be followed for the duration of treatment, an expected average of 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Disruptive Behavior from the start of treatment through 6 months after treatment ends | Disruptive behavior includes multiple dimensions of behavior, including items assessing noncompliance, aggression, and oppositionality. | Participants will be followed through the duration of treatment and 6 additional months after treatment ends, an expected average of 9 months | 
| Treatment Cost | Cost is a multidimensional measure that includes items assessing both start-up (e.g., technology development) and implementation (e.g., therapist time) costs. | Treatment costs will be tracked through the duration of treatment, an expected average of 10 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Disruptive behavior disorders, Early Onset, Young Children, Parenting, Behavioral Parent Training