Parenting, Psychosis, Schizophrenia
Conditions
Keywords
Mental Health, Psychosis, Parent
Brief summary
The purpose of this trial is to explore parent-child interactions in parents with and without psychosis, and ascertain whether a brief (10 week) supported self-help parenting program offered to parents in their own homes can help improve parents' self-efficacy and general well-being, as well as interpretations of their parent-child relationship and child behaviour in children who are 3-10 years old.
Detailed description
The trial will be split into two stages. Stage 1: Parents with no history of serious mental health problems and parents who have a history of psychosis or schizophrenia, who have children aged 3-10 years old, will take part in the Revised Five Minute Speech Sample (FMSS) and the Modified Camberwell Family Interview (CFI). They will also complete various measures looking at parental well-being, depression, anxiety and stress as well as parenting behaviours and interpretations of their child behaviour. In addition the PANSS interview will also be used. These interviews will be coded to investigate attributional patterns. Stage 2: Parents who are experiencing psychosis, who took part in stage 1 will proceed to stage 2 if they want to. Parents will be seen weekly and take part in a guided self-help parenting intervention. This will require weekly visits over 10 weeks to the parents. During this time, symptoms, mood, general well-being and parenting behaviours will be monitored. There will be no randomisation: all parents experiencing psychosis will receive the intervention. Children do not attend the sessions, but it is hoped that parents practice the skills learned.
Interventions
BEHAVIORALTriple P Positive Parenting Programme
10 week self-directed (guided) parenting intervention promoting self-belief, parenting confidence/self-efficacy and problem solving skills.
Sponsors
University of Manchester
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
for parents with psychotic illnesses 1. Presence of ICD-10 schizophrenia-spectrum diagnosis (F20-29). 2. Primary parental caregiver for index child. This includes 10 hours of contact time with their child. 3. Over 18 years of age. 4. Have at least one child aged 3-10 years old. 5. Identify difficulties in parenting during assessment. 6. Proficient in written and spoken English. 7. Capacity to provide informed consent.
Exclusion criteria
for parents with psychotic illnesses 1. Parents with a schizophrenia-spectrum diagnosis who have recently been discharged from acute in-patient care, and have less than four weeks of stabilisation. This will enable the individual sufficient time to readjust to living in the community and ensure symptom stabilisation before taking part in a study. 2. Parents who have no regular contact with the index child or where there is known intention for their child to be removed. 3. Parents who present with child protection of safeguarding issues. 4. Parents seeking or receiving support from services regarding child management issues. 5. Parents actively involved in other structured programmes. Inclusion Criteria matched comparison group of parents for stage 1 The comparison group of parents will be matched for age, education, socioeconomic status and family composition where possible 1. No previous history of psychotic illnesses. 2. Primary parental caregiver for index child. This includes 10 hours of contact time with their child. 3. Over 18 years of age. 4. Have at least one child aged 3-10 years old. 5. Identify difficulties in parenting during assessment. 6. Proficient in written and spoken English. 7. Capacity to provide informed consent.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Positive and Negative Syndrome Scale (PANSS) | Initial Ax, Multiple Baseline Ax, Final Baseline Ax, 10 support sessions Ax, End Ax, Follow Up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Assessment of parental symptoms, mood, behaviours, aswell as social performance and depression |
| Five Minute Speech Sample (FMSS) | Initial Ax, End Ax, Follow up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Assessment of Expressed Emotion using a 5 minute uninterrupted interview |
| Modified Camberwell Family Interview (CFI) | Initial Ax only | In depth assessment of Expressed Emotion using a modified version of the CFI. This version is for parents of well children. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Strengths and Difficulties Questionnaire (SDQ) | Initial Ax, Final Baseline Ax, End Ax, Follow Up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Parents self-reported child behaviour assessing different aspects of behaviour, e.g.,: emotional symptoms, conduct problems, hyperactivity/inattention. |
| Depression, Anxiety and Stress Scale (DASS-21) | Initial Ax, Multiple Baseline Ax, Final Baseline Ax, 10 support sessions Ax, End Ax, Follow Up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Self-reported depression, anxiety and stress using a short form scale |
| Parenting and Family Adjustment Scale (PAFAS) | Baseline, 1, 5, 10, follow up | An assessment of parenting skills and family relationships. |
| Warwick-Edinburgh Mental Well-being Scale (WEMWBS) | Initial Ax, Final Baseline Ax, End Ax, Follow Up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Self-reported general well-being |
| Eyberg Child Behaviour Inventory (ECBI) | Initial Ax, Final Baseline Ax, 10 support sessions Ax, End Ax, Follow Up Ax. Ax from 0 - 16 weeks with 3 and 6 month follow up | Parents self-reported child problem behaviour |
Countries
United Kingdom
Contacts
Primary ContactLauren Stockton
Backup ContactLauren Stockton
Outcome results
None listed