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SIB-Time Web-application Tool for Typically Developing Siblings

SIBTime: Media-enhanced Technology for Promoting the Behavioral Health and Family Relationships of Typically Developing Young Siblings

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04633473
Acronym
SIBTime
Enrollment
43
Registered
2020-11-18
Start date
2021-06-09
Completion date
2022-03-30
Last updated
2024-07-05

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Family Relations, Sibling Relations

Keywords

Social Emotional Health

Brief summary

In the United States, over 32.7 million people have special health, developmental, and mental health concerns. Most of these people have typically developing brothers and sisters. Across the lifespan, siblings share high levels of involvement in each other's lives, and also many of the concerns that parents of children with special needs experience, including isolation, a need for information, concerns about the future, and caregiving demands. Brothers and sisters also face issues that are uniquely theirs including emotions (resentment, worry, embarrassment, guilt), peer issues, and family communication challenges. The team of researchers, developers, and consultants built and tested an assistive media enhanced web-application tool for developing knowledge, skills, and routines for attending to TD siblings' (ages 3-5) social-emotional health and well-being.

Detailed description

The investigators conducted a 4-week intervention to assess the English/Spanish, media-enhanced SIBTime web-application tool in terms of its relevance, acceptability, cultural appropriateness, and potential for efficacy to deliver a family-based intervention. The test used a within subjects pre-post design to detect changes in parent self-efficacy, family cohesion, and knowledge, and parent rating of sibling-parent relationship. Additionally, the investigators collected a post-test evaluation of consumer satisfaction and recommendations for modifications to the program.

Interventions

Parents used the dual-language SIBTime app to watch video stories about common sibling experiences, respond to question prompts, track connection routines, and listen to guided Acceptance and Commitment Therapy (ACT) exercises for parents. During the 4-week intervention period, parents used the app at their convenience.

Sponsors

Oregon Research Institute
CollaboratorOTHER
Oregon Research Behavioral Intervention Strategies, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Be the primary parent/guardian of a child with a disability * Also be the primary parent/guardian of a typically developing child, 3-5 years old * Speak English or Spanish * Have access to a computer, tablet, or smartphone

Exclusion criteria

• N/A

Design outcomes

Primary

MeasureTime frameDescription
System Usability Scale (SUS)Week 4The System Usability Scale (SUS) is a commonly used 10-item measure (with a 5-point scale) of subjective perceptions of technology usability. To calculate the total SUS score, the responses to all 10 SUS questions are re-scaled and/or re-scored in a way that all items had values from zero to 4 with 4 being the most positive. These converted scores are added and then multiplied by 2.5 to convert the range of possible values 0-100 (instead of from 0 to 40). Higher scores are better.
Self-Efficacy for Parenting Tasks Index (SEPTI) Emotional Availability SubscaleEnrollment, and at 4 weeks (after treatment completion)The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Emotional Availability subscale measures parents' self-efficacy for providing emotional support to their typically developing child and meeting their child's emotional needs. Parents rate their agreement or disagreement with a series of statements. The SEPTI Emotional Availability subscale is measured with 7 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Self-Efficacy for Parenting Tasks Index (SEPTI) Nurturance/Valuing/Empathic Responsiveness SubscaleEnrollment, and at 4 weeks (after treatment completion)The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Nurturance/Valuing/Empathic Responsiveness subscale measures parents' self-efficacy for providing empathy, nurturance, and understanding to their typically developing child. Parents rate their agreement or disagreement with a series of statements. The SEPTI Nurturance/Valuing/Empathic Responsiveness subscale is measured with 8 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Self-Efficacy for Parenting Tasks Index (SEPTI) Play SubscaleEnrollment, and at 4 weeks (after treatment completion)The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Play subscale measures parents' self-efficacy for playing with and having fun with their typically developing child. Parents rate their agreement or disagreement with a series of statements. The SEPTI Play subscale is measured with 7 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Self-Efficacy for Parenting Tasks Index (SEPTI) Teaching SubscaleEnrollment, and at 4 weeks (after treatment completion)The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Teaching subscale measures parents' self-efficacy for explaining things and teaching their typically developing child about the world in a way that their child can understand. Parents rate their agreement or disagreement with a series of statements. The SEPTI Teaching subscale is measured with 9 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.
Parenting & Family Adjustment Scales (PAFAS) Parent/Child Relationship SubscaleEnrollment, and at 4 weeks (after treatment completion)The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) Parent/Child Relationship subscale measures the quality of the parent-child relationship, asking how true various statements have been over the past 4 weeks. The Parent/Child Relationship subscale is measured with 5 items, answered on a 5-point scale (0=Not at all; 4=Very much). Average scores range from 0 to 4, with higher scores indicating worse outcomes.
Parenting & Family Adjustment Scales (PAFAS) Parental Adjustment SubscaleEnrollment, and at 4 weeks (after treatment completion)The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) measures change in parenting practices, family cohesion, parent-child relationship quality, and parents' stress. The 30 items on the PAFAS sort into 7 subscales: Parental consistency, Coercive parenting, Positive encouragement, Parent-child relationship, Parental adjustment/stress, Family relationships, and Parental teamwork with partner. Items are rated on a 5-point scale (0-4) with higher scores worse.
Parenting & Family Adjustment Scales (PAFAS) Family Relationships SubscaleEnrollment, and at 4 weeks (after treatment completion)The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) measures change in parenting practices, family cohesion, parent-child relationship quality, and parents' stress. The 30 items on the PAFAS sort into 7 subscales: Parental consistency, Coercive parenting, Positive encouragement, Parent-child relationship, Parental adjustment/stress, Family relationships, and Parental teamwork with partner. Items are rated on a 5-point scale (0-4) with higher scores worse.

Secondary

MeasureTime frameDescription
Engagement in Target Activities With Child - Self-efficacyEnrollment, and at 4 weeks (after treatment completion)The Engagement in Target Activities with Child - Self-Efficacy subscale measures parents' self-efficacy for engaging in specific connection routine activities with their typically developing child in the past month, across 17 items reflecting a range of program-targeted parenting behaviors. Respondents answer on a 10-point scale of how confident they are that they can carry out these behaviors (1=Not at all confident; 10=Highly confident); average scores range from 1 to 10, with higher scores indicating better outcomes.
Family Usage of the SIBTime App - Number of SessionsAt 4 weeks (after treatment completion)Measure the families' usage of the SIBTime app using metrics and transcripts collected on the back-end database, including activation of the app; which elements are accessed; frequency, timing, and duration of engagements; and points of difficulty or failure.
Family Usage of the SIBTime App - Program ExposureAt 4 weeks (after treatment completion)Measure the families' usage of the SIBTime app using metrics and transcripts collected on the back-end database, including activation of the app; which elements are accessed; frequency, timing, and duration of engagements; and points of difficulty or failure.
Engagement in Target Activities With Child - FrequencyEnrollment, and at 4 weeks (after treatment completion)The Engagement in Target Activities with Child - Frequency subscale measures the frequency with which parents report engaging in specific connection routine activities with their typically developing child in the past month, across 17 items reflecting a range of program-targeted parenting behaviors. Respondents answer on a 7-point frequency scale (0=Never in the past month; 6=6 or more times per day); average scores range from 0 to 6, with higher scores indicating better outcomes.

Countries

United States

Participant flow

Recruitment details

Participants were parents who were enrolled between 6/9/21 and 3/30/22. Participants were recruited through Advisory Board contacts, and social media.

Pre-assignment details

Participants were parents who were enrolled in the study. Parents completed study measures. Parents engaged in activities with their child, but children were not enrolled and no data were collected from children.

Participants by arm

ArmCount
SIBTime
43 primary parents were assessed at enrollment, then provided the dual-language, media-enhanced SIBTime technology for 4 weeks, and then re-assessed at 4 weeks (after treatment completion). SIB-Time Web-Application Tool: Parents used the dual-language SIBTime app with their children to watch video stories about common sibling experiences, respond to question prompts, track connection routines, and listen to guided ACT exercises for parents. During the 4-week intervention period, parents used the app at their convenience.
43
Total43

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyWithdrawal by Subject6

Baseline characteristics

CharacteristicSIBTime
Age, Categorical
<=18 years
0 Participants
Age, Categorical
>=65 years
0 Participants
Age, Categorical
Between 18 and 65 years
43 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
11 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
31 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
Parent Demographic Form43 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
4 Participants
Race (NIH/OMB)
Black or African American
1 Participants
Race (NIH/OMB)
More than one race
0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants
Race (NIH/OMB)
White
26 Participants
Region of Enrollment
United States
43 participants
Sex: Female, Male
Female
42 Participants
Sex: Female, Male
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 43
other
Total, other adverse events
0 / 43
serious
Total, serious adverse events
0 / 43

Outcome results

Primary

Parenting & Family Adjustment Scales (PAFAS) Family Relationships Subscale

The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) measures change in parenting practices, family cohesion, parent-child relationship quality, and parents' stress. The 30 items on the PAFAS sort into 7 subscales: Parental consistency, Coercive parenting, Positive encouragement, Parent-child relationship, Parental adjustment/stress, Family relationships, and Parental teamwork with partner. Items are rated on a 5-point scale (0-4) with higher scores worse.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeParenting & Family Adjustment Scales (PAFAS) Family Relationships SubscalePretest0.99 score on a scaleStandard Deviation 0.59
SIBTimeParenting & Family Adjustment Scales (PAFAS) Family Relationships SubscalePosttest0.94 score on a scaleStandard Deviation 0.58
p-value: 0.678t-test, 2 sided
Primary

Parenting & Family Adjustment Scales (PAFAS) Parental Adjustment Subscale

The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) measures change in parenting practices, family cohesion, parent-child relationship quality, and parents' stress. The 30 items on the PAFAS sort into 7 subscales: Parental consistency, Coercive parenting, Positive encouragement, Parent-child relationship, Parental adjustment/stress, Family relationships, and Parental teamwork with partner. Items are rated on a 5-point scale (0-4) with higher scores worse.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeParenting & Family Adjustment Scales (PAFAS) Parental Adjustment SubscalePretest1.17 score on a scaleStandard Deviation 0.71
SIBTimeParenting & Family Adjustment Scales (PAFAS) Parental Adjustment SubscalePosttest1.07 score on a scaleStandard Deviation 0.64
p-value: 0.521t-test, 2 sided
Primary

Parenting & Family Adjustment Scales (PAFAS) Parent/Child Relationship Subscale

The Parenting & Family Adjustment Scales (PAFAS; Sanders et al., 2014) Parent/Child Relationship subscale measures the quality of the parent-child relationship, asking how true various statements have been over the past 4 weeks. The Parent/Child Relationship subscale is measured with 5 items, answered on a 5-point scale (0=Not at all; 4=Very much). Average scores range from 0 to 4, with higher scores indicating worse outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeParenting & Family Adjustment Scales (PAFAS) Parent/Child Relationship SubscalePretest0.26 score on a scaleStandard Deviation 0.32
SIBTimeParenting & Family Adjustment Scales (PAFAS) Parent/Child Relationship SubscalePosttest0.26 score on a scaleStandard Deviation 0.35
p-value: 0.922t-test, 2 sided
Primary

Self-Efficacy for Parenting Tasks Index (SEPTI) Emotional Availability Subscale

The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Emotional Availability subscale measures parents' self-efficacy for providing emotional support to their typically developing child and meeting their child's emotional needs. Parents rate their agreement or disagreement with a series of statements. The SEPTI Emotional Availability subscale is measured with 7 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Emotional Availability SubscalePretest2.07 score on a scaleStandard Deviation 0.69
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Emotional Availability SubscalePosttest1.93 score on a scaleStandard Deviation 0.51
p-value: 0.326t-test, 2 sided
Primary

Self-Efficacy for Parenting Tasks Index (SEPTI) Nurturance/Valuing/Empathic Responsiveness Subscale

The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Nurturance/Valuing/Empathic Responsiveness subscale measures parents' self-efficacy for providing empathy, nurturance, and understanding to their typically developing child. Parents rate their agreement or disagreement with a series of statements. The SEPTI Nurturance/Valuing/Empathic Responsiveness subscale is measured with 8 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Nurturance/Valuing/Empathic Responsiveness SubscalePretest1.93 score on a scaleStandard Deviation 0.5
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Nurturance/Valuing/Empathic Responsiveness SubscalePosttest1.75 score on a scaleStandard Deviation 0.37
p-value: 0.09t-test, 2 sided
Primary

Self-Efficacy for Parenting Tasks Index (SEPTI) Play Subscale

The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Play subscale measures parents' self-efficacy for playing with and having fun with their typically developing child. Parents rate their agreement or disagreement with a series of statements. The SEPTI Play subscale is measured with 7 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Play SubscalePretest2.98 score on a scaleStandard Deviation 1.17
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Play SubscalePosttest2.64 score on a scaleStandard Deviation 0.89
p-value: 0.154t-test, 2 sided
Primary

Self-Efficacy for Parenting Tasks Index (SEPTI) Teaching Subscale

The Self-Efficacy for Parenting Tasks Index (SEPTI; Coleman & Karraker, 2000) - Teaching subscale measures parents' self-efficacy for explaining things and teaching their typically developing child about the world in a way that their child can understand. Parents rate their agreement or disagreement with a series of statements. The SEPTI Teaching subscale is measured with 9 items. Respondents answer on a 6-point scale (1=Agree strongly; 6=Disagree strongly); average scores range from 1 to 6, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Teaching SubscalePretest2.39 score on a scaleStandard Deviation 0.74
SIBTimeSelf-Efficacy for Parenting Tasks Index (SEPTI) Teaching SubscalePosttest2.23 score on a scaleStandard Deviation 0.68
p-value: 0.309t-test, 2 sided
Primary

System Usability Scale (SUS)

The System Usability Scale (SUS) is a commonly used 10-item measure (with a 5-point scale) of subjective perceptions of technology usability. To calculate the total SUS score, the responses to all 10 SUS questions are re-scaled and/or re-scored in a way that all items had values from zero to 4 with 4 being the most positive. These converted scores are added and then multiplied by 2.5 to convert the range of possible values 0-100 (instead of from 0 to 40). Higher scores are better.

Time frame: Week 4

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureValue (MEAN)Dispersion
SIBTimeSystem Usability Scale (SUS)81.99 score on a scaleStandard Deviation 14.47
Secondary

Engagement in Target Activities With Child - Frequency

The Engagement in Target Activities with Child - Frequency subscale measures the frequency with which parents report engaging in specific connection routine activities with their typically developing child in the past month, across 17 items reflecting a range of program-targeted parenting behaviors. Respondents answer on a 7-point frequency scale (0=Never in the past month; 6=6 or more times per day); average scores range from 0 to 6, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeEngagement in Target Activities With Child - FrequencyPretest3.62 score on a scaleStandard Deviation 0.8
SIBTimeEngagement in Target Activities With Child - FrequencyPosttest3.88 score on a scaleStandard Deviation 0.87
p-value: 0.181t-test, 2 sided
Secondary

Engagement in Target Activities With Child - Self-efficacy

The Engagement in Target Activities with Child - Self-Efficacy subscale measures parents' self-efficacy for engaging in specific connection routine activities with their typically developing child in the past month, across 17 items reflecting a range of program-targeted parenting behaviors. Respondents answer on a 10-point scale of how confident they are that they can carry out these behaviors (1=Not at all confident; 10=Highly confident); average scores range from 1 to 10, with higher scores indicating better outcomes.

Time frame: Enrollment, and at 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureGroupValue (MEAN)Dispersion
SIBTimeEngagement in Target Activities With Child - Self-efficacyPretest7.65 score on a scaleStandard Deviation 1.46
SIBTimeEngagement in Target Activities With Child - Self-efficacyPosttest8.56 score on a scaleStandard Deviation 1.1
p-value: 0.008t-test, 2 sided
Secondary

Family Usage of the SIBTime App - Number of Sessions

Measure the families' usage of the SIBTime app using metrics and transcripts collected on the back-end database, including activation of the app; which elements are accessed; frequency, timing, and duration of engagements; and points of difficulty or failure.

Time frame: At 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureValue (MEAN)Dispersion
SIBTimeFamily Usage of the SIBTime App - Number of Sessions5.6 Number of sessionsStandard Deviation 4.2
Secondary

Family Usage of the SIBTime App - Program Exposure

Measure the families' usage of the SIBTime app using metrics and transcripts collected on the back-end database, including activation of the app; which elements are accessed; frequency, timing, and duration of engagements; and points of difficulty or failure.

Time frame: At 4 weeks (after treatment completion)

Population: Primary parents of a child with a disability and a preschool age typically developing child.

ArmMeasureValue (MEAN)Dispersion
SIBTimeFamily Usage of the SIBTime App - Program Exposure69.9 Percentage of program exposed toStandard Deviation 34.3

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026