Behavioral Parent Training for Families With Deaf and Hard of Hearing Preschoolers

Study Overview
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Brief Summary
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Children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This project will systematically adapt an evidence-based parent training intervention to increase its acceptability and relevance for parents of young DHH children. Effectiveness of the adapted intervention and its implementation with parents of young DHH children followed in real world hearing healthcare clinics will be assessed.

Official Title
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Behavioral Parent Training for Families With Deaf and Hard of Hearing Preschoolers

Conditions
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Deafness, Hearing Loss, Parenting, Child Behavior

Intervention / Treatment
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* Behavioral: Parent Training Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Parent is age 18 or older Parent is custodial guardian of child Parent can either speak/understand English or use American Sign Language Parent lives in a state with an established referral network for parents of DHH children if additional services are needed At baseline, child is between the ages of 3 and 6 years At baseline, child lives majority of time in the parent/guardian's home Child is deaf or hard of hearing Child has used hearing aid(s), cochlear implant(s) and/or bone conduction device(s) for greater than 6 months Exclusion Criteria: Active child protective services case is open Parent has already accessed behavioral health services for the child Parent participated in formative research for this study

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 99 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Behavioral Parent Training<br> | Behavioral: Parent Training Intervention<br>* Adapted version of the Family Check-Up/Everyday Parenting intervention<br>|
| No Intervention: Control<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parenting Young Children (PARYC) Scale | parent self-report of use of positive parenting strategies | 6 months after parent baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Child Behavior Checklist (CBCL) | subscale and total scores | 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline | 
| Parent Sense of Competence Scale (PSCS) | parent-report self-efficacy and satisfaction with the parenting role | 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline | 
| Dyadic Parent-Child Interaction Coding System (DPICS) | observational measure of parent-child interaction quality | 12 months, 24 months, 36 months after parent baseline | 
| Beck Depression Inventory-II (BDI-II) | parent-report depressive symptoms | 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline | 
| Parent Motivation Inventory (PMI) | parent-report motivation to change parenting behaviors | 12 months, 24 months, 36 months after parent baseline | 
| Therapy Attitude Inventory (TAI) | parent-report satisfaction with intervention | 6 months, 18 months, 30 months after parent baseline | 
| Hearing Aid Adherence Questionnaire | parent-report use of hearing aids by child | 12 months, 24 months, 36 months after parent baseline | 
| Change in Parenting Young Children scale (PARYC) scores over time | While the primary study outcomes is PARYC scores 6 months after baseline, we will also assess differences in changes over 3 years in PARYC scores within and between study arms | 6 months, 12 months, 18 months, 24 months, 30 months, 36 months after parent baseline |