Parenting, Child Behavior, Implementation
Conditions
Brief summary
Early childhood disruptive behavior problems lead to significant costs to families and society, but can be reduced with behavioral parent training interventions. To increase the public health impact of these interventions, their feasibility, accessibility, and acceptability in high-need, underserved communities must be ensured. This pilot project will systematically adapt and pilot-test the delivery model of an existing effective parent training intervention for implementation in rural Appalachia, a region with many documented health disparities, high levels of poverty, and shortages of mental health providers. Community health workers in 5 rural Appalachian counties will be trained to deliver a behavioral parent training intervention. Each worker will deliver the intervention to 4 parent-child dyads.
Interventions
BEHAVIORALbehavioral parent training
Parents receive up to 6 sessions of the Family Check-Up program
BEHAVIORALinterventionist training
Interventionists are trained in the delivery of the Family Check-Up program and deliver sessions to families in their community
Sponsors
National Institute of Mental Health (NIMH)
Christina Studts
Study design
Allocation
NON_RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
3 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Parents: aged 18+ years, custodial guardian of child, can speak/read/understand English * Children: ages 3-5 years, lives full time in custodial guardian's home * Community health workers: aged 18+ years, currently employed at a partnering health department, able to speak/read/understand English
Exclusion criteria
* Parents: has already accessed behavioral health services for the child, reports suicidal ideation or intent to harm self or others, participated in formative research for this study * Children: diagnosed with a severe developmental condition (i.e., significant developmental delay, autism, debilitating neurological condition) * Community health workers: none
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility: Enrollment | 2 weeks after final parent-child dyad completes the study | Percentage of invited parents who enroll in the study (obtained from process records) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility: Number of sessions completed | 2 weeks after final parent-child dyad completes the study | Number of sessions completed by each parent-child dyad (obtained from process records) |
| Feasibility: Interventionist-reported fidelity | following each behavioral parent training intervention session | Fidelity Checklist (completed by community health workers) |
| Feasibility: Parent satisfaction | 10 weeks after parent baseline | European Parent Satisfaction Scale about Early Intervention (EPASSEI) (completed by parents) |
| Interventionist satisfaction | 2 weeks after final parent-child dyad completes study | Therapist Satisfaction Index (completed by community health workers) |
| Interventionist evidence-based practice attitudes | 2 weeks after final parent-child dyad completes study | Evidence-Based Practice Attitude Scale-50 (completed by community health workers) |
| Interventionist self-efficacy | 2 weeks after final parent-child dyad completes study | Counselor Activity Self-Efficacy Scale (completed by community health workers) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Costs: Training | 2 weeks after final parent-child dyad completes study | Total costs of training (obtained from process records maintained by investigators) |
| Costs: Per-family interventionist time | 2 weeks after final parent-child dyad completes study | Obtained from process records maintained by community health workers |
| Costs: Per-family interventionist travel | 2 weeks after final parent-child dyad completes study | Obtained from process records maintained by community health workers |
| Costs: Supervision time | 2 weeks after final parent-child dyad completes study | Obtained from process records maintained by community health workers |
| Costs: Number of contacts outside of intervention sessions | 2 weeks after final parent-child dyad completes study | Obtained from process records maintained by community health workers |
| Feasibility: Observer-rated fidelity | Throughout 10 weeks of behavioral parent training intervention per parent-child dyad | Family Check-Up COACH fidelity rating system (observer-rated videos of 10% of intervention sessions) |
Countries
United States
Outcome results
None listed