Triple P With Pediatric Residents

Study Overview
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Brief Summary
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The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims. Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems. Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have: increased skill levels, increased confidence, and increased satisfaction in dealing with and managing psychosocial issues Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior. Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have: greater reduction in targeted child behavior problems, greater reduction in dysfunctional parenting practices, increased use of appropriate discipline and positive parenting strategies, and greater confidence in parenting ability.

Official Title
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Randomized Control Study of the Impact of Primary Care Triple P on Pediatric Residents and Their Patients

Conditions
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Psychosocial Problem, Problematic Behavior in Children, Parenting

Intervention / Treatment
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* Behavioral: Training in PC Triple P
* Other: Care As Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria for Pediatric Resident: Assigned to a participating continuity clinic Exclusion Criteria for Pediatric Resident: Not assigned to a participating continuity clinic Inclusion Criteria for Parent: Parent of an eligible child. Speaks English Exclusion Criteria for Parent: A parent of an ineligible child Non-English speaking Inclusion Criteria for Child: Treated by a participating resident Between 18 months and 12 years old Does not have any mental health diagnosis Is not receiving medication or therapy from a professional Exclusion Criteria for Child: Not treated by a participating resident Age falls outside of eligible range Has a mental health diagnosis Currently receiving medication or therapy from a professional

Ages Eligible for Study
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Minimum Age: 18 Months
Maximum Age: 12 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Trained in Primary Care (PC) Triple P<br>This group received standardized training in Primary Care (PC) Triple P. | Behavioral: Training in PC Triple P<br>* PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.<br>|
| Experimental: Care as Usal<br>This group provided care as usual. This group was not trained in PC Triple P interventions. | Other: Care As Usual<br>* Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in pediatric resident skills and confidence in conducting parent consultations about child behavior | Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up. | One year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior | Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up. | One year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Triple P