Tailoring CPP for the Foster Care Setting

Study Overview
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Brief Summary
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The primary objective of this study is to tailor the Chicago Parent Program, an evidence-based parent training program, for the foster care setting and pilot the content in two cohorts of foster and kinship caregivers (Gross et al., 2009).

Detailed Description
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This study involves the administration of an evidence-based prevention program to prevent and reduce behavior problems in young children (the Chicago Parent Program; CPP). CPP will be tailored by creating additional handouts, discussion questions, and topics that contextualize CPP material to foster care, to meet the needs and social norms of foster and kinship caregivers. The CPP-FC 12-session curriculum will be delivered to two cohorts of foster and kinship caregivers virtually. Data for this study will come from multiple sources, including caregiver participant report and a review of existing electronic databases at CCHMC.

Official Title
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Tailoring the Chicago Parent Program for the Foster Care Setting

Conditions
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Behavior Problem

Intervention / Treatment
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* Behavioral: Chicago Parent Program for Foster Care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Must be a licensed foster caregiver or kinship caregiver to a child ages 2 years to 8 years Must be in good standing with the foster care agency Must be English-speaking Exclusion Criteria: Not having a foster child ages 2 - 8 years in the home Caregiver is unable to commit to participating in CPP-FC This foster child age 2 - 8 years was placed in the home more than 45 days prior to enrollment

Ages Eligible for Study
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Minimum Age: 18 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: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Chicago Parent Program for Foster Care<br>Caregiver parent training sessions. | Behavioral: Chicago Parent Program for Foster Care<br>* The Chicago Parent Program for Foster Care FC consists of a 12-session parent training program that focuses on building caregiver-child relationships, behavioral management strategies, managing caregiver stress, and skill maintenance.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Perceived Stress Scale | The Perceived Stress Scale is a 14-item self-report measure of how unpredictable, uncontrollable, and overloaded individuals find their life circumstances. All items are rated on a 5-point scale, ranging from 0 (Never) to 4 (very often). Some items are reverse-scored. Responses are summed to yield a total score (range 0 - 56), with higher scores indicating greater perceived stress. | Pre Intervention and 18 weeks | 
| Change in Child Adjustment & Parent Efficacy Scale | The Child Adjustment & Parent Efficacy Scale (CAPES) is a 27-item measure of child behavior and emotional adjustment and parenting efficacy. Twenty items are 2-part questions that measure child behavior and parenting efficacy. Item responses are rated on a 4-point scale, ranging from 0 (Not true of my child at all) to 3 (True of my child very much/Most of the time) and a 2-point Yes/No scale. The Behavior Scale uses 26 items, and the Emotional Maladjustment Scale uses 4 items. Some items are reverse-scored. Items are summed to yield a total intensity score, which includes a behavior score and an emotional maladjustment score (range 0 - 12). Higher scores indicate a higher level of problems. The self-efficacy scale consists of 20 items on a 10-point scale, with responses ranging from 1 (Certain I can't do it) to 10 (Certain I can do it). Items are summed to yield a total efficacy score, with higher scores indicating higher self-efficacy. | Pre Intervention and 18 weeks | 
| Change in Parenting Sense of Competence Scale | The Parenting Sense of Competence Scale is a 17-item questionnaire that measures overall parenting satisfaction and competence. Items are measured on a 6-point scale, with responses ranging from 1 (Strongly disagree) to 6 (Strongly agree). Some items are reverse-scored. Items are summed to yield two subscales: parental satisfaction and parental self-efficacy. Higher scores indicate higher levels of parental satisfaction and parental self-efficacy. | Pre Intervention and 18 weeks | 
| Change in Eyberg Child Behavior Inventory | The Eyberg Child Behavior Inventory is a 36-item measure that assesses disruptive behavior problems in children. Each item has two parts that make up the two subscales: Intensity and Problem. Intensity Scale items are rated on a 7-point scale, ranging from 1 (Never) to 7 (Always), and Problem Scale items are Yes/No responses. Items from each scale are summed to yield the raw scale scores, which are converted to T-scores. Higher Intensity Scale scores indicate more frequent displays of the behaviors by the child, and higher Problem Scale scores indicate the parent perceives the behaviors as more problematic. | Pre Intervention and 18 weeks | 
| Change in Strengths and Difficulties Questionnaire | The Strengths and Difficulties Questionnaire (SDQ) is a 25-item questionnaire that assesses child behavior. Items are rated on a 3-point scale and responses range from 0 (Not true) to 2 (Certainly true). Some items are reverse-scored. Items are summed to yield 5 subscales: Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial. A total score is calculated using the sum of all the subscales, except Prosocial. Higher scores in each subscale and the total score indicate more child behavior problems. | Pre Intervention and 18 weeks | 
| Change in Parental Stress Scale | The Parental Stress Scale is an 18-item questionnaire that assesses parental stress relating to parental sensitivity to the child, child behavior, and quality of the parent-child relationship. Items are rated on a 5-point scale, ranging from 1 (Strongly disagree) to 5 (Strongly agree). Some items are reverse-scored. Items are summed to yield a total score, with higher scores indicating higher levels of parental stress. | Pre Intervention and 18 weeks | 
| Change in Group Environment Scale | The Group Environment Scale is a 25-item measure that assesses the dimensions of intervention group environments. Items are rated on a 5-point scale, with responses ranging from 1 (Strongly disagree) to 5 (Strongly agree). Items are averaged to yield three subscales: Cohesiveness, Implementation and Preparedness, and Counterproductive Activity. Higher scores on the Cohesiveness Scale indicate more group cohesiveness. Higher scores on the Implementation and Preparedness indicate greater group implementation quality. Higher scores on the Counterproductive Activity Scale indicate more counterproductive group activities. | Week 7, Week 11, Week 19 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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foster care, child behavior, parenting skills, behavioral health