Hearing Loss, Behavior Disorders, Parenting
Conditions
Brief summary
Despite being more likely than typical hearing children to experience disruptive behavior problems, children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This pilot project will systematically adapt an evidence-based behavioral parent training (BPT) intervention to increase its acceptability and relevance for parents of young DHH children. Two parents of DHH children will be trained in the adapted BPT for DHH children. They will each deliver the intervention to five families with DHH preschool-aged children.
Interventions
BEHAVIORALInterventionist training and supervision
Online and in-person training and weekly supervision with licensed clinical social worker while delivering the Family Check-Up to 5 families.
BEHAVIORALBehavioral parent training
Up to 6 sessions of the Family Check-Up program, involving discussions, assessments, feedback, and skills training with a parent coach.
Sponsors
University of Kentucky
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
2 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Parent/Caregivers and Children: Inclusion Criteria: * Parent/caregiver is age 18 years or older * Parent/caregiver is the custodial guardian of a deaf or hard of hearing (DHH) child * DHH child is 2-5 years old * DHH child has used hearing aid(s) and/or cochlear implant(s) for \> 6 months * Parent/caregiver is able to read English and either speak/understand English or use American Sign Language
Exclusion criteria
* Active child protective services case * DHH child of interest has been diagnosed with a severe developmental delay, severe autism, debilitating neurological condition, etc. * Parent/caregiver has already accessed behavioral health services for the DHH child Parent Coaches/Interventionists: Inclusion Criteria: * Age 18 years or older * Parent of a DHH child * Able to speak, understand, and read English
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Feasibility: Enrollment | 2 weeks after final parent-child dyad completes the study | Proportion of parents agreeing to enroll in the intervention out of all parents approached |
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 enrolled parent |
| Interventionist fidelity | 2 weeks after final parent-child dyad completes the study | Fidelity ratings of two recorded sessions per interventionist |
| Feasibility: usability of battery of measures | 2 weeks after final parent-child dyad completes the study | Proportion of missing data across and within instruments for parent, child, and interventionist outcome measures |
| Acceptability: parent satisfaction | 10 weeks after parent baseline | European Parent Satisfaction Scale about Early Intervention (EPASSEI) - adapted; range: 20 (high satisfaction) to 100 (low satisfaction) |
| Acceptability: interventionist satisfaction | 2 weeks after final parent-child dyad completes the study | Therapist Satisfaction Index (TSI) |
Countries
United States
Outcome results
None listed