Parenting, Problematic Behavior in Children, Psychosocial Problem
Conditions
Keywords
Triple P
Brief summary
The objective of this study is to conduct a randomized control trial to evaluate the impact of Triple P on the clinic practice of pediatric residents and on select parent and child outcomes. This study will accomplish that overarching goal through addressing two specific aims. Aim 1. Triple P's Effect on Pediatric Resident's Practice: test the effect of Triple P training on practice of pediatric residents in addressing and managing psychosocial problems. Hypothesis 1: At the completion of the trial, residents assigned to the intervention group, compared to residents exposed to the control condition, will have: 1. increased skill levels, 2. increased confidence, and 3. increased satisfaction in dealing with and managing psychosocial issues Aim 2. Triple P's Effect on Parent and Child Outcomes: test the effect of Triple P interventions on parent's feelings of self efficacy, parent's discipline strategies and on children's externalizing behavior. Hypothesis 2: At the completion of the intervention, parents and children receiving the intervention, compared to those receiving the control condition, will have: 1. greater reduction in targeted child behavior problems, 2. greater reduction in dysfunctional parenting practices, 3. increased use of appropriate discipline and positive parenting strategies, and 4. greater confidence in parenting ability.
Interventions
BEHAVIORALTraining in PC Triple P
PC Triple P is a brief parenting intervention combining specific advice from provider with parent rehearsal and self-evaluation.
OTHERCare As Usual
Pediatric residents not exposed to PC Triple P provide their standard care to parents struggling with parenting issues or child behavior concerns.
Sponsors
Doris Duke Charitable Foundation
Seattle Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Months to 12 Years
Healthy volunteers
Yes
Inclusion criteria
for Pediatric Resident: * Assigned to a participating continuity clinic
Exclusion criteria
for Pediatric Resident: * Not assigned to a participating continuity clinic Inclusion Criteria for Parent: * Parent of an eligible child. * Speaks English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pediatric resident skills and confidence in conducting parent consultations about child behavior | One year | Pediatric residents will complete a parent consultation skills and confidence assessment at baseline, pre-training, post-training and follow-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in family outcomes - parent sense of self efficacy, use of positive discipline and child behavior | One year | Parents participating in the study will complete an assessment about their discipline strategies, their sense of confidence as a parent and their child's behavior at baseline and follow-up. |
Outcome results
None listed