Disruptive Behavior Disorder, Parenting
Conditions
Brief summary
This study is a feasibility trial, testing the hypothesis that among sedentary mothers of behaviorally at-risk preschool-aged children, those who receive behavioral parent training (BPT) programs and concurrently increase their physical activity levels will demonstrate improved parenting and child behavior outcomes compared to those who receive BPT but remain sedentary.
Detailed description
The investigators will randomly assign 20 participants to two groups: behavioral parent training plus contingency management to increase steps (BPT+CM) or behavioral parent training alone (BPT). Contingency management procedures will involve monetary rewards for meeting weekly step-count goals. The specific aims of the proposed project are to: 1) assess the feasibility of the study design and procedures, 2) assess the acceptability of the BPT+CM condition to participants, and 3) determine whether a signal of an effect of increased physical activity exists (via preliminary comparisons of measures of fatigue, perceived energy, parenting behaviors, parenting sense of competence, parenting stress, and child behavior ratings between participants in the two conditions). This innovative pilot study will prepare us for a fully powered trial to test the efficacy of this approach.
Interventions
BEHAVIORALFitbit activity tracker
Wear a Fitbit daily for 12 weeks and meet with a research assistant once per week to download data
BEHAVIORALMonetary rewards
Set weekly step-count goals based on the previous week's performance and receive monetary rewards for meeting the goals. The schedule of rewards increases as step-count goals increase.
BEHAVIORALBPT training sessions
Complete 12 BPT training sessions delivered by supervised clinical child psychology doctoral students, with each session lasting approximately 60 minutes. The BPT is based upon the existing, evidence-based Everyday Parenting intervention.
Sponsors
University of Vermont
Christina Studts
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Female * Age 18 years or older * Custodial caregiver of a child aged 2-5 years who lives full-time in the caregiver's home * Reports that her child has behavioral problems * Never or rarely engages in regular physical activity * Able to understand, speak, and read English
Exclusion criteria
* The child has been diagnosed with a severe developmental condition (e.g., extreme developmental delay, severe autism, debilitating neurological conditions) * Participant reports a condition that may contraindicate physical activity (e.g., asthma)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Proportion of participants who complete study procedures within study timeframe | 14 months |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Participant satisfaction of both control and experimental arms | 1 week after completion of final BPT session | — |
| Step counts | end of 2-week screening period, and once per week for 12 weeks | — |
| 2-minute step test | baseline and 1 week after completion of final BPT session | — |
| Parenting behaviors | baseline and 1 week after completion of final BPT session | Parenting Young Children instrument |
| Child behaviors | baseline and 1 week after completion of final BPT session | Child Behavior Checklist/1.5-5 instrument |
| Time required per participant to complete all instruments | 14 months | — |
| Parenting sense of competence | baseline and 1 week after completion of final BPT session | Parenting Sense of Competence Scale |
| Parent depression | baseline and 1 week after completion of final BPT session | Beck Depression Inventory-II |
| Self-reported physical activity level | baseline and 1 week after completion of final BPT session | Godin Leisure-Time Exercise Questionnaire |
| Visual Analog Scale-Fatigue | baseline and 1 week after completion of final BPT session | — |
| Parenting stress | baseline and 1 week after completion of final BPT session | Parenting Stress Index/Short Form instrument |
Countries
United States
Outcome results
None listed