Clinical trial NCT02973906: Comparing Web, Group, and Telehealth Formats of a Military Parenting Program
Official title: Comparing Web, Group, and Telehealth Formats of a Military Parenting Program
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Parenting
Lead sponsor: University of Minnesota
Sponsor class: OTHER
First posted: 2016-11-28
Enrollment: 244
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The PI will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Detailed description: The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The investigators will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting.

Eligibility criteria: Inclusion Criteria:

Inclusion criteria are:

* one parent has returned from deployment to OIF or OEF
* at least one child ages 5-12 in their custody and living with parent(s) in the home
* high speed internet access at home We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother)

Exclusion Criteria:

* active psychosis
* an open child protection case for abuse or neglect in the family
* a serious child mental health diagnosis
* families who piloted material or participated in or are currently participating in the original ADAPT RCT.

Primary outcomes:
measure: Change in parenting practices and parent/child interactions
timeFrame: Change from Baseline, 6 months, 12 months, 24 months
Secondary outcomes:
measure: Change in child adjustment and substance use
timeFrame: Change from Baseline, 6 months, 12 months, 24 months
measure: Change in parenting stress and support
timeFrame: Change from Baseline, 6 months, 12 months, 24 months
measure: Participant report of satisfaction with intervention
timeFrame: Change from Baseline, 6 months, 12 months, 24 months
Other outcomes:
Locations:
city: Minneapolis
country: United States
facility: Institute for Translational Research in Children's Mental Health
state: Minnesota
Study officials:
affiliation: Institute for Translational Research in Children's Mental Health University of Minnesota
name: Abigail Gweitrz, PhD
role: PRINCIPAL_INVESTIGATOR
References: