Clinical trial NCT01791777: Effectiveness and Cost-effectiveness of Coaching Models to Promote Implementation of an Evidence-based Parenting Program
Official title: Effectiveness and Cost-effectiveness of Coaching Models to Promote Implementation of an Evidence-based Parenting Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Child Maltreatment
Keywords: fidelity
implementation science
competence
training
coaching
Lead sponsor: Georgia State University
Sponsor class: OTHER
Collaborators: name: Centers for Disease Control and Prevention
name: University of Georgia
First posted: 2013-02-15
Enrollment: 147
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The proposed study will compare purveyor coaching (conducted by National SafeCare Training and Research Center (NSTRC)) to local coaching that is supported by the purveyor (NSTRC). The outcomes of interest are home visitor fidelity and competence with the SafeCare model, and family engagement and skill acquisition. The study will also include a rigorous cost effectiveness analysis, and will examine individual and organizational factors that may affect implementation.

Detailed description: This study is being conducted in the context of a nationwide implementation of SafeCare, an evidence-based parent training program. The primary goal of the research is to examine methods of coaching newly trained providers to implement a specific evidence-based practice. Thus, in this study, we are examining how two different coaching models affect provider fidelity and competence and parent's acquisition of the skills being trained. The primary participants in this study are the local coaches that will provide coaching to home visitors, the home visitors that will provide SafeCare to parents and the parents who will receive the SafeCare model. A total of 20 coaches, 90 home visitors and 270 parents have been proposed to participate in the study (n=380). The nature of participation in the study is similar for coaches and home visitors, but somewhat different for parents. Both groups will be asked to complete a variety of questionnaires at different time points, and allow observation of their performance with SafeCare delivery (for home visitors) and fidelity monitoring and coaching (for coaches). Observations may be done live or via audio recording. Parent participants will already be enrolled in SafeCare services, a voluntary parent-training program for parents, and will be invited to participate in this study by their home visitor. Parents' participation will involve completing a baseline and post-treatment in-home assessment before and after the SafeCare program, respectively. Each assessment will include an audio-computer assisted self-interview (ACASi), and an assessment of SafeCare skills. Parents will also complete 4 brief telephone interviews to assess their satisfaction and engagement with SafeCare services and provider competence. A more detailed list of data collection for coaches, home visitors, and trainers is as follows: Coaches: (1) prior to training/implementation, complete survey of individual and organizational variables that relate to implementation (2) allow observations of fidelity monitoring and coaching (3) report on home visitor competence, perceived self-competence, and support received from trainer (once per month for 6 months) (4) complete weekly time diaries reporting on time spent coaching (weekly for 6 months); Home visitors (1) prior to training/implementation, complete survey of individual and organizational variables that relate to implementation (2) allow and submit observations of SafeCare implementation (3) report on coach competence and support received from coach and perceived self-competence (once per month for 6 months); Families (1) complete baseline and post-treatment assessment involving behavioral observations and survey completed via ACASI (2) complete four short telephone interview reporting on home visitor competence and satisfaction with services.

Eligibility criteria: Inclusion Criteria:

* Providers administering SafeCare (Home Visitors and Coaches).
* Parents receiving SafeCare services from a Home Visitor how is also participating in the study.

Exclusion Criteria:

* Individuals under the age of 18.

Primary outcomes:
measure: Change in provider fidelity on the Home Visitor Fidelity Checklist.
timeFrame: Home Visitors will be monitored for the duration it takes up to five of their clients, who are also consented to participate in the study, to complete the SafeCare parent-training curriculum, an expected average of 6 months.
measure: Change in provider competency on the Home Visitor Competency Scale.
timeFrame: Home Visitors will be monitored for the duration it takes up to five of their clients, who are also consented to participate in the study, to complete the SafeCare parent-training curriculum, an expected average of 6 months.
Secondary outcomes:
measure: Time spent performing SafeCare coaching duties as recorded on the Time Diary form.
timeFrame: Coaches will record their time spent performing SafeCare coaching for the duration it takes up to five of their Home Visitor's clients to complete the SafeCare parent-training curriculum, an expected average of 6 months.
measure: Change in performance of parenting skills taught in the SafeCare parent-training program.
timeFrame: Time it takes SafeCare clients to complete the SafeCare parenting-training curriculum, approximately 4-6 months.
Other outcomes:
Locations:
city: Tucson
country: United States
facility: Parent Aid Child Abuse Prevention Center
state: Arizona
city: Eureka
country: United States
facility: County of Humboldt - Department of Health and Human Services
state: California
city: Jacksonville
country: United States
facility: Family Support Services of North Florida Inc.
state: Florida
city: Atlanta
country: United States
facility: Georiga State University
state: Georgia
city: Conyers
country: United States
facility: The Listening Ear
state: Georgia
city: Decatur
country: United States
facility: Pathways Transitions Programs
state: Georgia
city: Dobson
country: United States
facility: Children's Center of Surry, Inc.
state: North Carolina
city: Durham
country: United States
facility: Exchange Club of Durham North Carolina
state: North Carolina
city: Amarillo
country: United States
facility: Buckner Children & Family Services, Inc.
state: Texas
city: Lubbock
country: United States
facility: Children's Connections, Inc.
state: Texas
Study officials:
affiliation: Georgia State Univeristy
name: Daniel J Whitaker, PhD
role: PRINCIPAL_INVESTIGATOR
References: