Clinical trial NCT04031170: Filipino Family Health Initiative
Official title: Filipino Family Health Initiative: The Incredible Years for Parents of School Age Children
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Parenting
Family Relations
Education
Keywords: Filipino Families
Incredible Years
Lead sponsor: Children's Hospital Los Angeles
Sponsor class: OTHER
Collaborators: name: Robert Wood Johnson Foundation
First posted: 2019-07-24
Enrollment: 360
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: The overall objective of this research is to test the effectiveness of a parenting program on Filipino parents living in California. The sample will include 180 Filipino immigrant families, half of which will receive the Online Incredible Years® School Age Basic \& Advanced Parent Training Program (intervention) and the other half will receive the American Academy of Pediatrics' Bright Futures handouts (control) and be placed on a 3-month waitlist for the IY parenting program.

Detailed description: The overall objective of the proposed research is to test the effectiveness of a parenting program (Incredible Years® School Age Basic \& Advanced Parent Training Program, IYP) on Filipino parents recruited from multiple community-based settings and its impact on trajectories of parenting practices, parenting stress, and child problem behavior.

Evidence-based parenting interventions provided in early childhood have proven to be effective in preventing the onset and escalation of child mental health disorders. IYP is one of the best-studied and most highly regarded parent training programs. As a result of pilot studies funded by a NIH K23 and a NCATS KL2 award, the investigators have identified IYP as a community-identified solution for preventing behavioral health disparities, demonstrated IYP efficacy in improving parenting practices and parenting stress in Filipino parents, and child problem behavior.

This population was chosen because: 1) Filipinos are the second largest immigrant population in the U.S. with the highest concentration living in Los Angeles; 2) Filipinos are exposed to multiple adversities, including immigration stress and relocation, loss of social status, and lower self-esteem due to discrimination, placing young children at risk for future behavioral and mental health problems; 3) U.S.-born Filipino youth exhibit higher rates of mental health problems than non-Hispanic whites and attain significantly lower levels of education than their foreign-born counterparts and other U.S.-born Asian American populations; and 4) Filipinos are less likely than non-Hispanic whites to participate in mental health and preventive care interventions.

The proposed study will be a randomized controlled trial involving 180 parents of children aged 8-12 years old. Parents will be randomly chosen to receive either a) an online 12 - week parenting intervention called the Incredible Years (intervention group) or b) AAP bright future handouts with general parenting advice (control group). The control group will be offered the Incredible Years after a 3-month wait list period.

Findings will contribute to the scientific literature on preventive and early intervention programs for children at high risk for future behavioral problems. The data will also provide important information to understand the processes underlying how IYP affects parenting practices and subsequent child problem behavior among Filipino families. The importance of this research rests on its potential to prevent behavioral health disparities in this understudied and high-risk population.

Eligibility criteria: NOTE: All parent participants in the study are 18 years or older. Youth participants are 8-12 years old. Since parents are the MAIN participants in this study (parents are randomized; children only fill out surveys), the age limits in this record are set for parents.

Inclusion Criteria:

* is 18 years or older
* identified as a parent of at least one Filipino or Half-Filipino child aged 8-12 years

Exclusion Criteria:

* if the parent plans to move out of California during the next 9 months
* parent does not speak English
* has a target child with a developmental disability (Global Developmental Delay, GDD), Pervasive Developmental Disorder (PDD), or another significant developmental condition)
* parent has completed Incredible Years school age program in the past

Primary outcomes:
measure: Change in parenting practices at 3 months in comparison to Baseline
timeFrame: Baseline and 3 months
measure: Change in child behavioral problems at 3 months in comparison to Baseline
timeFrame: Baseline and 3 months
measure: Change in parenting practices at 6 months in comparison to Baseline and 3-month surveys
timeFrame: Baseline through 6 months
measure: Change in child behavioral problems at 6 months in comparison to Baseline and 3-month surveys
timeFrame: Baseline through 6 months
measure: Effectiveness of parenting workshop (Intervention group only): Incredible Years Parent Satisfaction Questionnaire
timeFrame: 3 months
Secondary outcomes:
Other outcomes:
Locations:
city: Los Angeles
country: United States
facility: Children's Hospital Los Angeles
state: California
Study officials:
affiliation: Children's Hospital Los Angeles, USC Keck School of Medicine
name: Joyce R Javier, MD, MPH, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Macam SR, Mack W, Palinkas L, Kipke M, Javier JR. Evaluating an Evidence-Based Parenting Intervention Among Filipino Parents: Protocol for a Pilot Randomized Controlled Trial. JMIR Res Protoc. 2022 Feb 17;11(2):e21867. doi: 10.2196/21867.