Evaluation of Parenting Interventions to Decrease Family Risk for Child Maltreatment

Study Overview
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Brief Summary
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The purpose of this research is to evaluate specific parenting programs that aim to improve the family's ability to keep children physically safe and emotionally secure. We would like to learn more about how the treatments actually help families and to find out how an intervention that focuses on child health and safety compares with one that focuses on the parent and child relationship. We also want to determine whether participating in one program type versus the other results in further reports for child maltreatment.

Official Title
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Evaluation of Parenting Interventions to Decrease Family Risk for Child

Conditions
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Child Abuse

Intervention / Treatment
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* Behavioral: Parent-Child Interaction Therapy
* Behavioral: Health and Safety
* Behavioral: Early Relationships


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: resident of Durham, NC a child between the ages of 0-7 was the focus of the Department of Social Services report child's caregiver was the focus of the report Child Protective Services report occurred on or after June 1, 2004 family is English speaking Sexual abuse was not confirmed or highly suspicious during an evaluation Exclusion Criteria: Child Protective Services report of sexual abuse that was confirmed or highly suspicious
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 |
| --- | --- |
| Active Comparator: RF<br>Relationship focused where the primary goals are to strengthen the relationship between the parent and the child and to give the parent additional skills that can be used to manage the behavior of the child. | Behavioral: Parent-Child Interaction Therapy<br>* Sixteen one hour sessions done in-home for children ages 2-7. Proceed through protocol based on mastery of predefined skills.<br>* Other names: PCIT;Behavioral: Early Relationships<br>* Sixteen one-hour sessions for children age 0-2 provided in-home.<br>|
| Active Comparator: HS<br>The physical health and safety are the primary components of this parenting program where the parent is taught about basic healthcare and safety in the home. | Behavioral: Health and Safety<br>* Sixteen one hour sessions for children age 0-7 conducted in the home. Participants are quizzed on material to determine mastery.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Durham County, North Carolina Department of Social Services accepted reports of child maltreatment |  | 2011 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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child abuse, child neglect, PCIT, Lutzker, attachment, parenting