None listed
Conditions
Brief summary
This project aims to evaluate the effectiveness of 'My Toddler and Me', a group-based parenting intervention adapted from Parent-Child Interaction Therapy for Toddlers, in improving outcomes for caregivers and their toddlers (12-24 months old). Additionally, it seeks to assess implementation outcomes to inform future scaling. Furthermore, the study will investigate the role of biological factors, specifically OXTR polymorphisms, in predicting social-emotional and behavioural issues in toddlers and their response to the 'My Toddler and Me' program. The study will recruit 120 parent-child dyads, randomly allocating them to either the 'My Toddler and Me' program or a waitlist control condition. Parents will complete a series of parent-report questionnaires at baseline, post-treatment/waitlist, and a 3-month follow-up.
Interventions
Parent-Child Interaction Therapy for Toddlers (PCIT-T) is an evidence-based parenting program developed for young toddlers aged 12-24 months with early onset behavioural and mental health concerns (Girard et al., 2018; Kohlhoff & Morgan, 2018). The program involves live parent-coaching, either in a clinic setting or in the client's own home via video-conferencing. The aim of PCIT-T is to enhance parents’ use of positive parenting skills and ability to support toddler emotion regulation. The ultimate goals are to improve parent-child relationship quality, child emotion regulation, and child mental health trajectories. The current study will test outcomes of a new group-based version of PCIT-T called 'My Toddler and Me'. The My Toddler and Me program will be delivered at several of Karitane's Integrated Care Hubs as eight, 1.5-hour weekly sessions. Each group will be delivered over an 8-week period and attended by approximately 6-8 parent-toddler dyads. The group sessions will involve a mix of didactic teaching, group discussions, role plays of new skills/concepts, and live coaching during parent-toddler play sessions. Each group will be co-facilitated by two clinicians (e.g., Psychologists, Child and Family Health Nurses). The facilitators will all be either a developer of the PCIT-T and 'My Toddler and Me' group program, or will have completed all of the following training components in the 6 months prior to facilitating their first group: 1) a 5-day Parent-Child Interaction Therapy-Toddler (PCIT-T) training workshop (delivered by a PCIT-T developer), followed by at least 6-months of fortnightly group supervision around delivery of individual PCIT-T, and 2) a 3-hour 'My Toddler and Me' group facilitator workshop. Participant attendance across the 8-sessions will be monitored. Facilitators will deliver the group program in accordance with a standardised facilitator manual (Kohlhoff & Morgan, 2024) and they will complete a fidelity check-list after each session to monitor program fidelity.
Sponsors
Study design
Eligibility
Inclusion criteria
Caregivers aged 18 years and over, and toddlers aged 12-24 months
Exclusion criteria
(1) Evidence of severe parental mental illness with suicidality or other serious impairment in cognition or behaviours (e.g., psychosis) (2) Parents not sufficiently proficient in speaking English to participate in an English-speaking group or to complete study measures and protocols