Clinical trial NCT06865183: Investigating a Brief Virtual Seminar Series for Parents of Children Ages 2-12
Official title: Further Evaluation of Selected Child Triple P As a Universal Intervention Delivered Through Telehealth
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Positive Parenting Skills
Keywords: Selected Child Triple P
Parenting Intervention
Telehealth
Positive Parenting
Lead sponsor: Texas Tech University
Sponsor class: OTHER
First posted: 2025-03-07
Enrollment: 123
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Three study conditions compared: intervention-as-usual, intervention without an active discussion component, and waitlist control
Primary purpose: PREVENTION

Brief summary: The goal of this clinical trial is to determine whether a brief positive parenting seminar series delivered virtually helps teach parents additional tools and strategies to support healthy child development, encourage good behavior, and manage misbehavior, while improving parenting practices and child outcomes for parents of children ages 2-12.

The main questions it aims to answer are whether parents are satisfied with the intervention and find the strategies helpful and acceptable, whether the intervention leads to changes in parenting behaviors (e.g., positive parenting) and child outcomes (e.g., emotional and behavioral problems), and how removing the active discussion from the seminars impacts parents' ability to improve their parenting skills and their child's outcomes.

Researchers will compare three groups: parents receiving the seminars with a group discussion, parents receiving the seminars without a group discussion, and parents on a waitlist. This will help determine if group discussions lead to greater improvements in parenting practices and child outcomes.

Participants attended three online parenting seminars via telehealth (if assigned to a seminar group). They completed surveys before, during, and after the seminars to share their experiences and provide feedback. Participants in the waitlist group completed surveys at the beginning and end of the study, and will participate in the seminars after the study period.

Detailed description: Despite the effectiveness of parenting interventions in promoting adaptive child-rearing behaviors and preventing youth internalizing and externalizing problems, our current model for mental health treatment that involves a highly trained mental health professional providing services in a one-on-one format at a clinic, private office, or health-care facility is not sustainable. As such, there is an urgent need to identify ways to increase the accessibility and scalability of mental health services to reduce the well-documented gap between children and families who need mental health services and those who are able to access them. Therefore, the goal of the current randomized controlled trial is to investigate the feasibility, acceptability, and preliminary efficacy of a brief (i.e., 3 session) seminar series for parents with children between the ages of 2 and 12, which was offered via telehealth to increase accessibility. Additionally, this project will evaluate whether the ability for parents to ask questions and discuss skill implementation with a mental health provider is necessary for treatment effectiveness, given that programs that do not require a provider for implementation have the potential for greater scalability.

After completing the baseline survey, eligible parents were randomly assigned to condition using block randomization. For parents assigned to the intervention-as-usual condition (i.e., 90-minute condition), seminars were delivered live by two masters-level therapists who were fully accredited in Selected Child Triple P. The seminars consisted of 60-minutes of seminar content (i.e., discussion of various parenting strategies), followed by a 30-minute question-and-answer period. Participation was encouraged by co-leaders throughout the seminars and the question-and-answer period.

For parents assigned to the intervention without an active discussion component (i.e., 60-minute condition), seminar content was pre-recorded by the same two co-leaders who led the seminars live to ensure standardization of the material and to create an environment focused on receiving information rather than active participation. During these meetings, participants were not allowed to unmute and were only able to message the hosts of the meeting (i.e., the leader).

The same seminar content was covered in both intervention conditions. The seminars included the Power of Positive Parenting, Raising Confident, Competent Children, and Raising Resilient Children.

Approximately 2-months and 4-months after attending the final seminar, parents were contacted to complete a 30-minute follow-up survey for which they were compensated. The dates that parents attended each seminar were recorded and parents were contacted approximately 2-months and 4-months after their last attended seminar (or their last opportunity to attend a seminar if they did not attend all three seminars). Parents in the waitlist control condition were contacted approximately 2-months and 4-months after the last seminar was offered to those assigned to the intervention conditions in their enrollment cohort.

Eligibility criteria: Inclusion Criteria:

* Parent must reside in the State of Texas
* Parent had to have at least one child ages 2-12 years
* Child had to live with parent at least one night every 2 weeks

Exclusion Criteria:

* Parent did not have sufficient English proficiency to understand seminar content and complete study-related surveys
* Parent did not have access to the internet and/or could not attend seminars using the Zoom platform
* Child was currently participating in mental health services
* Child began taking psychiatric medication within 1 month of the study
* Parent was currently participating in mental health services

Primary outcomes:
measure: Parent Satisfaction
timeFrame: Weekly, through intervention completion, average of 3 weeks.
measure: Acceptability
timeFrame: Weekly, through intervention completion, average of 3 weeks.
measure: Positive Parenting
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Negative Parenting
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Parental Psychological Control
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Parental Knowledge of Effective Parenting Strategies
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Parental Hope
timeFrame: Baseline, weekly, through intervention completion (average of 3 weeks), 2-month, and 4-month follow-up assessments.
measure: Parental Self-Efficacy
timeFrame: Baseline, weekly, through intervention completion (average of 3 weeks), 2-month, and 4-month follow-up assessments.
measure: Global Satisfaction
timeFrame: 2-months
Secondary outcomes:
measure: Child Emotional and Behavioral Difficulties
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Child Emotion Dysregulation
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
measure: Child Emotion Regulation
timeFrame: Baseline, 2-month, and 4-month follow-up assessments.
Other outcomes:
Locations:
city: Lubbock
country: United States
facility: Texas Tech University
state: Texas
Study officials:
affiliation: University of Florida
name: John L. Cooley, Ph.D.
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sumargi A, Sofronoff K, Morawska A. A Randomized-Controlled Trial of the Triple P-Positive Parenting Program Seminar Series with Indonesian Parents. Child Psychiatry Hum Dev. 2015 Oct;46(5):749-61. doi: 10.1007/s10578-014-0517-8.
citation: Sanders, M., Prior, J., & Ralph, A. (2009). An evaluation of a brief universal seminar series on positive parenting: A feasibility study. Journal of Children's Services, 4(1), 4-20. https://doi.org/10.1108/17466660200900002
citation: Foskolos, K., Gardner, F., & Montgomery, P. (2023). Brief parenting seminars for preventing child behavioral and emotional difficulties: A pilot randomized controlled trial. Journal of Child and Family Studies, 32(10), 3063-3075. https://doi.org/10.1007/s10826-023-02653-6