Parent Preferences and Family Engagement in a Conduct Problems Prevention Program

Study Overview
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Brief Summary
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The purpose of this study is to gain a better understanding of family preferences for and engagement in services.

Detailed Description
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The overarching goal of this pilot project is to elucidate factors that influence families' engagement in indicated prevention/early intervention programming for youth conduct problems. We will explore factors previously shown to influence engagement, including parent motivational cognitions, family context variables, and preferences for intervention type. Study aims are organized around a randomized preference trial with a parallel hybrid design structure (see Abikoff, 2001). Families with youth ages 5-12, referred to community mental health clinics in Michigan, will be invited to participate in a prevention study. Families who chose to participate were assigned at random to preference (i.e. choice) or no preference (i.e. no choice) conditions. Those randomly assigned to the preference condition were allowed to choose between four intervention options: clinic-based services-as-usual (youth intervention); individual, home-based Oregon Parent Management Training (PMTO; Patterson, 2005), individual, clinic-based PMTO, and in-person group-based PMTO (Parenting Through Change; Forgatch & DeGarmo, 1999). Families in the no-choice condition were randomly assigned to one of the same four conditions.

Official Title
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DCISR for Adaptive Intervention Models in Children's Mental Health

Conditions
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Conduct Problems

Intervention / Treatment
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* Behavioral: PMTO-PTC Group clinic-based
* Behavioral: PMTO Individual home-based
* Behavioral: PMTO Individual clinic-based
* Behavioral: Services as Usual


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Families with at least one child between the ages of 5 and 12. Referral to community mental health clinic (specifically, to one of the project partner clinics) Exclusion Criteria: Active psychosis Serious child mental health diagnosis Open child protection case for abuse or neglect

Ages Eligible for Study
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Minimum Age: 5 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: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: PMTO-PTC Group clinic-based<br>PMTO-PTC = Oregon Parent Management Training program, Parenting Through Change groups provided at a clinic. | Behavioral: PMTO-PTC Group clinic-based<br> <br> * Other names: PMTO-Parenting Through Change - Group;|
| Other: PMTO Individual home-based<br>PMTO = Oregon Parent Management Training program, delivered individually in the home. | Behavioral: PMTO Individual home-based<br> <br> * Other names: Oregon Parenting Management Training - Individual @ home;|
| Other: PMTO Individual clinic-based<br>PMTO = Oregon Parent Management Training program, delivered individually at a clinic. | Behavioral: PMTO Individual clinic-based<br> <br> * Other names: Oregon Parent Management Training - Individual @ clinic;|
| Other: Services as Usual<br>Usual child-centered services (i.e. therapy) provided by the agencies at a clinic. | Behavioral: Services as Usual<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Family Interaction Task (FIT) | Parent(s) and child participate in a number of activities which are observed and coded based on parent-child interactions. | 1 year | 
| Strengths and Difficulties Questionnaire | Parent and Teacher Report | 1 year | 
| Brief Symptom Inventory 18 (BSI-18) Questionnaire | Parent Report | 1 year | 
| Perceptions of Intervention Benefits and Barriers Questionnaire | Parent Report | 1 year | 
| Parent Locus of Control Questionnaire | Parent Report | 1 year | 
| Perceived Susceptibility & Severity Questionnaire | Parent Report | 1 year | 
| Perceived Need to Improve Parenting Questionnaire | Parent Report | 1 year | 
| Child Service Utilization Summary Questionnaire | Parent Report | 1 year |