Clinical trial NCT05229146: Improving Future Thinking Among Mothers to Reduce Harsh Parenting and Improve Child Outcomes
Official title: Reducing Maternal Delay Discounting as a Target Mechanism to Decrease Harsh Parenting and Improve Child Mental Health Outcomes in a Traditionally Underserved Community
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Behavioral Health
Keywords: episodic future thinking
delay discounting
parent-child relations
low income
substance use treatment
peer recovery coach
Lead sponsor: Henry Ford Health System
Sponsor class: OTHER
Collaborators: name: University of Maryland, College Park
name: University of Kansas
name: Michigan State University
First posted: 2022-02-08
Enrollment: 48
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: PREVENTION

Brief summary: Parents of children from impoverished communities are disproportionately more likely to engage in harsh physical discipline, which can lead to serious clinical outcomes, including suicidal ideation and attempts. One mechanism linking low resource environments and maladaptive parenting strategies is maternal delay discounting, or the tendency to value smaller, immediate rewards (such as stopping children's misbehavior via physical means) relative to larger, but delayed rewards (like improving the parent-child relationship). This study will examine the efficacy of implementing a low-cost, brief intervention targeting the reduction of maternal delay discounting to inform broader public health efforts aimed at improving adolescent mental health outcomes in traditionally underserved communities.

Detailed description: Harsh parenting is associated with serious and costly mental health problems among youth, including substance use, mood disorders, and suicidal ideation and behaviors. Of concern, these parenting practices are most common among families from impoverished communities; however, many behaviorally-based parenting interventions do not take into account the unique mechanisms linking environmental disadvantage to parenting approaches. While the causes of harsh parenting are complex and varied, one such mechanism may be parents' tendencies to prioritize immediate rewards (such as stopping a child's misbehavior via physical punishment like spanking and hitting) relative to larger, but delayed rewards (including improved parent-child relationship quality), known as delay discounting. This case series will examine the efficacy of episodic future thinking (EFT) to target reduction of parenting-related delay discounting. Outcomes will evaluate the effect of EFT on reducing maternal delay discounting and harsh parenting, and improving child clinical outcomes.

Eligibility criteria: Inclusion Criteria:

1. Be the mother from the Flint area of a child between the ages of 5-10 who can provide legal consent for that child to participate in this study
2. Self-report that the child lives with them for at least 50% of the time
3. Willing to participate in the study
4. Able to participate in written assessments and an intervention conducted in English
5. Have a working cell phone that can receive and send text messages and be willing to receive/send text messages as part of the study
6. Have a phone or device that's able to use video conferencing software

Exclusion Criteria:

1. Self-disclosed active suicidality/homicidality
2. Self-disclosed current bipolar disorder, schizophrenia, or psychosis
3. Current and ongoing involvement with child protective services

Primary outcomes:
measure: Change in Monetary Choice Questionnaire
timeFrame: Baseline, 1 week, 4 weeks
measure: Change in Consideration of Future Consequences Scale-Parenting Score
timeFrame: Baseline, 4 weeks
Secondary outcomes:
measure: Change in Dyadic Parent-Child Interaction Coding System Scores
timeFrame: Baseline, 4 weeks
measure: Change in Alabama Parenting Questionnaire Score
timeFrame: Baseline, 4 weeks
measure: Change in Emotion Regulation Checklist
timeFrame: Baseline, 4 weeks
measure: Client Satisfaction Questionnaire
timeFrame: 4 weeks
Other outcomes:
Locations:
city: Flint
country: United States
facility: RL Jones Community Outreach Center
state: Michigan
Study officials:
References: