Family-Based Prevention With Black and Latinx Children

Study Overview
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Brief Summary
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The main objective of this project is to test whether providing parenting support, with an added emphasis on ethnic-racial socialization and healthy lifestyle behaviors, improves the social-emotional functioning and healthy lifestyle behaviors of Black and Latinx children.

Detailed Description
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This pilot project is novel in that it (a) interweaves positive parenting practices, ethnic-racial socialization, and healthy lifestyle behaviors into a prevention program for Black and Latinx families, and (b) targets preschool-aged children using a brief, universal prevention approach, which increases potential for dissemination and scalability. The guiding hypothesis is that incorporating these components into a parenting intervention will lead to improvements in children's health as compared to a control condition. A type 1 hybrid effectiveness-implementation design is used to simultaneously test intervention effectiveness while also gathering information on intervention delivery to inform future implementation trials. The specific aims are to: (a) test the preliminary effects of a preventive intervention on the social-emotional functioning and healthy lifestyle behaviors of Black and Latinx children, (b) identify the preliminary effects of the intervention on parenting outcomes, and (c) examine potential barriers and facilitators to intervention delivery.

Official Title
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Family-Based Prevention to Promote the Social-Emotional Functioning and Healthy Lifestyle Behaviors of Black & Latinx Children

Conditions
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Child Behavior, Health Behavior

Intervention / Treatment
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* Behavioral: Parenting Intervention


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Eligible children will: be between the ages of 3-6 years identify as Black/African American or Latinx/Hispanic have a parent or caregiver willing to participate in the intervention that: (a) lives in the same household as the child ≥50% of the time, (b) has primary responsibility for the child, and (c) speaks English or Spanish. Exclusion Criteria: Consistent with typical methods associated with a universal prevention approach, there are minimal exclusion criteria. Children will be excluded who: have received prior diagnosis for a psychological condition have received a prior diagnosis for a physical health condition

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 6 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
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention<br>parents will participate in a multicomponent parenting intervention | Behavioral: Parenting Intervention<br>* parent training program with an added emphasis on ethnic-racial socialization and healthy lifestyle behaviors<br>|
| No Intervention: Control<br>parents will receive information about healthy eating habits | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| child social-emotional functioning | Parent-reported assessment of various positive and negative child behaviors. Likert scale values range from 0 to 2, with higher values typically indicating greater dysfunctional behavior. | pre (weeks 0-2) and post intervention (weeks 6-8) | 
| child physical activity | Time spent sedentary and in light, moderate, and vigorous physical activity each day will be collected using a waterproof accelerometer. Validated methods will be used to identify valid days and derive activity intensities. | pre (weeks 0-2) and post intervention (weeks 6-8) | 
| child sleep | Child average nightly sleep duration and quality will be calculated from data obtained using a waterproof accelerometer. | pre (weeks 0-2) and post intervention (weeks 6-8) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| parenting practices | Parent-reported measure of different dimensions of parenting (e.g., harsh parenting, permissive parenting). Likert scale values range from 1 to 7, with higher values indicating greater dysfunctional parenting. | pre (weeks 0-2) and post intervention (weeks 6-8) | 
| ethnic-racial socialization practices | Parent-reported measure of attitudes about and use of various ethnic-racial socialization practices. Likert scale values range from 1 to 5, with higher values indicating more positive ethnic-racial socialization attitudes and practices. | pre (weeks 0-2) and post intervention (weeks 6-8) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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parent training, randomized controlled trial, pilot study, child development, implementation trial, prevention