Using Shared Decision Making to Improve Family Media Use Planning

Study Overview
=================
Brief Summary
-----------------
Investigators will conduct a pilot randomized controlled trial assessing the efficacy and feasibility of the newly developed Media Discussion and Planning Tool (MDPT).

Detailed Description
-----------------
The clinical trial portion of this study will enroll 150 families (child age 11-17, and at least one parent/guardian) with demographic quotas to construct a sampling frame that is nationally representative in terms of race/ethnicity, parent education and income. Stratified randomization will be used to assign families to the intervention (MDPT) or control (delayed MDPT) condition. Families assigned to the intervention condition will be asked to complete the MDPT within 2 weeks of randomization and will be sent a second survey one week after plan completion. Participants in the control condition will complete a condition-specific subset of these questions three weeks after baseline. Participants in both conditions will complete a follow-up survey assessing media use and health behaviors two months after their second survey. The primary outcomes will be change in adolescent and parent media use practices, and key mediators will be core components of shared decision making process (i.e., informed, clear on values, engaged in planning and decision making), implementation readiness (i.e., self-efficacy) and within-family communication. Two-month follow-up surveys will provide preliminary data about maintenance of behavioral changes.

Official Title
-----------------
Using Shared Decision Making to Improve Family Media Use Planning

Conditions
-----------------
Adolescent Behavior

Intervention / Treatment
-----------------
* Behavioral: Media Discussion and Planning Tool (MDPT)


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Children between the ages of 11 and 17 Parent/guardian of a child between the ages of 11 and 17 English speaking Exclusion Criteria: Parent/guardian or child does not want to participate (i.e., dyads only) Non-English speaking

Ages Eligible for Study
-----------------
Minimum Age: 11 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| No Intervention: Delayed MDPT<br>Families assigned to the control condition will receive the MDPT after study completion. | |
| Experimental: MDPT<br>Families randomized to the intervention condition will receive the MDPT after they complete the baseline survey. | Behavioral: Media Discussion and Planning Tool (MDPT)<br>* An interactive, web-based tool to support within-family media use planning will be developed and shared with families.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Adolescent Media Rule Engagement | Media Rule Engagement Scale, an 11 item 5 point Likert scale with a higher score indicating a higher level of engagement in media rules | Baseline, 3 weeks post-baseline, 3 months post-baseline | 
| Change in Problematic Media use | Problematic Media Use Measure- Short Form, a 9 item scale which measures elements of addictive media use among children, including preoccupation, withdrawal, and unsuccessful attempts to control use by parents. Responses are recorded on a 5 point Likert scale with higher scores indicating more problematic media use. | Baseline, 3 weeks post-baseline, 3 months post-baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Implementation Readiness | Self-report scales about parent and adolescent implementation readiness (implementation self efficacy, family resources and support, social influences on implementation, behavioral regulation) | 1 week post-intervention | 
| Decision and goal setting | Self-report scales of how parent and adolescent feel about making media use decisions (feeling informed about risks, clarity on what matters most, perceived benefits and barriers of shared decision making) | Baseline, 1 week post-intervention | 
| Within family communication | Self-report scales about within-family communication (autonomy supportive parenting, parent-adolescent communication) | Baseline, 3 weeks post-baseline, 3 months post-baseline | 
| Feasibility and acceptability of MDPT | Feasibility of Intervention Measure, a 4 item 4 point Likert scale with higher score indicating a higher level of feasibility; Acceptability of Intervention Measure, a 4 item 4 point Likert scale with higher score indicating a higher level of acceptability | 1 week post-intervention |