None listed
Conditions
Brief summary
Disruptive behaviors (DB) are normative among preschoolers, reducing as children mature. In some children, however, BDs with high frequency and intensity may lead to disruptive behavior disorders which relate to physical and mental health problems, difficulties in interpersonal relationships, education, and work. Studies show that Brief behavioral parent training (BBPT) helps to decrease child DBs, increase positive parenting practices but most of them were implemented in high-income and non-Asian countries. The present project is a randomized, single-blind, controlled trial. It will test the hypothesis that the BBPT Vietnamese (BBPTViet) will help reduce preschooler DBs, enhance positive parenting practices, and improve parent-child interaction quality better than the care as usual (CAU) in Vietnam. We also examine the effects of the BBPTViet on marital conflict status, parenting self-efficacy, and parent mental health condition compared to CAU. Eligible participants are parents whose 3 to 6-year-old child often displays some disruptive behaviors. During 6 months of recruitment, 100 parents will be randomly assigned to attend either the BBPTViet or CAU. The BBPTViet which consists of four 50-minute sessions will be delivered in 25-people groups to instruct participants in the use of positive parenting practices, while the CAU will provide a 20-minute individual consultation on specific parenting practices to participants. There will be 2 methods of delivery. The first one is offline method where the interventions will be delivered at the Children's hospital 1, the second method is online where all activities will be conducted online. Outcome assessments will be conducted before, at 1 month, 2 months, and 6 months after the completion of the training course.
Interventions
- BBPTViet includes a one-off training course that provides behavioral modification skills to parents of preschool children with disruptive behaviors and up to 4 times of follow-up support via telephone, email, Facebook messenger in 8 following weeks at the discretion of the participant.
- The course focuses on analytical skills to understand the meaning of behavior and parenting practices to increase desirable and reduce undesirable behaviors of the child. The skills involve (i) to analyze the
- BBPTViet includes a one-off training course that provides behavioral modification skills to parents of preschool children with disruptive behaviors and up to 4 times of follow-up support via telephone, email, Facebook messenger in 8 following weeks at the discretion of the participant. - The course focuses on analytical skills to understand the meaning of behavior and parenting practices to increase desirable and reduce undesirable behaviors of the child. The skills involve (i) to analyze the relationship between the behavior and its antecedent and consequence, (ii) to identify the function of behavior, and (iii) to select appropriate solutions. The practices include special time, descriptive praise, tangible reward, physical affection, problem-solving, effective command, ignore, and time-out. - The course consists of four dyadic 50-minute sessions and is organized on 2 consecutive Saturdays. The first 2 sessions will focus on theory training with active learning skills, including didactic teaching, interactive lecturing, role play, brainstorming. The last 2 sessions will be the time for discussing, brainstorming, rehearsal, and giving feedback. The participants will practice the trained skills and strategies with their child as their homework during the break time after the first 2 sessions. Therefore, the first 2 sessions are undertaken on one Saturday, and the remaining 2 sessions are completed on the following Saturday. The course contains no more than 25 parents who will group-discuss, brainstorm, and practice under the instruction of facilitators. The main facilitator who delivers the course and provides follow-up support is a clinical psychologist or a health professional with at least 3 years' experience in the child behavior field. - Material includes a training manual that is specifically designed for this study, a manual-based PowerPoint presentation, and a fidelity checklist. The facilitator must use the presentation to train the parents and self-rate with the checklist to adhere to the intervention. - There are 2 methods of delivery: (i) The primary investigator will online train local staff in Vietnam on how to implement the trial at the clinic. He will assist the local staff during the implementation of the trial. Participants will come to the hospital for assessment and intervention. (ii) The primary investigator will implement BBPTViet course via Zoom platform for parents/caregivers. All assessment and intervention will be conducted online.
Sponsors
Research School of Psychology - Australian National University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Healthy volunteers
Yes
Inclusion criteria
Any parent who is worrying about the disruptive behavior(s) of their 3 to 6-year-old child. A parent is eligible if the target child often displays at least 1 of the 12 common disruptive behaviors in the list that was created by the combination of conduct problem items of Strength and Difficulties Questionnaire (SDQ) and externalizing behaviors of Pediatric Symptom Checklist – 17 (PSC – 17).
Exclusion criteria
1. The child has sensory/ motor/ language impairment OR autism spectrum disorders, intellectual disability, anxiety disorder, depression disorder OR does not live with parents. 2. The parent is receiving any mental intervention support OR suffering mental health problem that is rated Moderate in any sub-scale of Depression Anxiety Stress Scale 21 (DASS 21)
Outcome results
None listed