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Tailoring CPP for the Foster Care Setting

Tailoring the Chicago Parent Program for the Foster Care Setting

Status
Active, not recruiting
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05856435
Acronym
CPP-FC
Enrollment
16
Registered
2023-05-12
Start date
2023-05-16
Completion date
2027-08-30
Last updated
2025-02-21

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

Conditions

Behavior Problem

Keywords

foster care, child behavior, parenting skills, behavioral health

Brief summary

The primary objective of this study is to tailor the Chicago Parent Program, an evidence-based parent training program, for the foster care setting and pilot the content in two cohorts of foster and kinship caregivers (Gross et al., 2009).

Detailed description

This study involves the administration of an evidence-based prevention program to prevent and reduce behavior problems in young children (the Chicago Parent Program; CPP). CPP will be tailored by creating additional handouts, discussion questions, and topics that contextualize CPP material to foster care, to meet the needs and social norms of foster and kinship caregivers. The CPP-FC 12-session curriculum will be delivered to two cohorts of foster and kinship caregivers virtually. Data for this study will come from multiple sources, including caregiver participant report and a review of existing electronic databases at CCHMC.

Interventions

The Chicago Parent Program for Foster Care FC consists of a 12-session parent training program that focuses on building caregiver-child relationships, behavioral management strategies, managing caregiver stress, and skill maintenance.

Sponsors

Johns Hopkins University
CollaboratorOTHER
Ohio State University
CollaboratorOTHER
Children's Hospital Medical Center, Cincinnati
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE

Eligibility

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

Inclusion criteria

* Must be a licensed foster caregiver or kinship caregiver to a child ages 2 years to 8 years * Must be in good standing with the foster care agency * Must be English-speaking

Exclusion criteria

* Not having a foster child ages 2 - 8 years in the home * Caregiver is unable to commit to participating in CPP-FC * This foster child age 2 - 8 years was placed in the home more than 45 days prior to enrollment

Design outcomes

Primary

MeasureTime frameDescription
Change in Perceived Stress ScalePre Intervention and 18 weeksThe Perceived Stress Scale is a 14-item self-report measure of how unpredictable, uncontrollable, and overloaded individuals find their life circumstances. All items are rated on a 5-point scale, ranging from 0 (Never) to 4 (very often). Some items are reverse-scored. Responses are summed to yield a total score (range 0 - 56), with higher scores indicating greater perceived stress.
Change in Child Adjustment & Parent Efficacy ScalePre Intervention and 18 weeksThe Child Adjustment & Parent Efficacy Scale, Total Intensity subscale is a 27-item measure of child behavior and emotional problems. Item responses are rated on a 4-point scale, ranging from 0 (Not true of my child at all) to 3 (True of my child very much/Most of the time). Twenty-four items are summed to yield a Behavior Problems score (range 0-72), and three items are summed to yield an Emotional Problems score (range 0-9). Behavioral and Emotional Problems scores can be summed for a Total Intensity score (range 0-81). Higher scores indicate a higher level of problems.
Change in Parenting Sense of Competence ScalePre Intervention and 18 weeksThe Parenting Sense of Competence Scale is a 17-item questionnaire that measures overall parenting satisfaction and competence. Items are measured on a 6-point scale, with responses ranging from 1 (Strongly disagree) to 6 (Strongly agree). Some items are reverse-scored. Items are summed to yield a total scale (range 17-102) and two subscales: parental self-efficacy (range 8-48) and parental satisfaction (range 9-54). Higher scores indicate higher levels of parental self-efficacy and parental satisfaction.
Change in Eyberg Child Behavior InventoryPre Intervention and 18 weeksThe Eyberg Child Behavior Inventory, a 36-item measure that assesses child behavior problems. Each item has 2 parts that make up 2 subscales: Intensity and Problem. Intensity items are rated on a 7-point scale, from 1 (Never) to 7 (Always), and Problem items are Yes/No responses. Items from each scale are summed to yield raw scores and converted to T-scores (M=50, SD=10). Higher Intensity scores indicate more frequent displays of the child behaviors, and higher Problem scores indicate the parent perceives the behaviors as more problematic. T-scores above 60 indicate elevated behavior problems.
Strengths and Difficulties QuestionnairePre Intervention and 18 weeksThe Strengths and Difficulties Questionnaire (SDQ) is a 25-item questionnaire that assesses child behavior. Items are rated on a 3-point scale and responses range from 0 (Not true) to 2 (Certainly true). Some items are reverse-scored. Items are summed to yield 5 subscales: Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial (ranges 0 -10). A total score (range 0-40) is calculated using the sum of all the subscales, except Prosocial. Higher scores in each subscale and the total score indicate more child behavior problems.
Change in Parental Stress ScalePre Intervention and 18 weeksThe Parental Stress Scale is an 18-item questionnaire that assesses parental stress relating to parental sensitivity to the child, child behavior, and quality of the parent-child relationship. Items are rated on a 5-point scale, ranging from 1 (Strongly disagree) to 5 (Strongly agree). Some items are reverse-scored. Items are summed to yield a total score (range 18-90), with higher scores indicating higher levels of parental stress.
Change in Group Environment ScaleWeek 7, Week 11, Week 19The Group Environment Scale is a 25-item measure that assesses the dimensions of intervention group environments. Items are rated on a 5-point scale, with responses ranging from 1 (Strongly disagree) to 5 (Strongly agree). Items are averaged to yield three subscales: Cohesiveness, Implementation and Preparedness, and Counterproductive Activity. Higher scores on the Cohesiveness Scale (range 1-5) indicate more group cohesiveness. Higher scores on the Implementation and Preparedness Scale (range 1-5) indicate greater group implementation quality. Higher scores on the Counterproductive Activity Scale (range 1-5) indicate more counterproductive group activities.

Countries

United States

Participant flow

Recruitment details

Participants were recruited based on the age of an index foster child and the duration of placement of the foster child at two foster care consultation clinic locations within a single academic medical center between May 2023 and July 2023. The first participant was enrolled on May 16, 2023, and the last participant was enrolled on July 14, 2023.

Participants by arm

ArmCount
Chicago Parent Program for Foster Care
Caregiver parent training sessions. Chicago Parent Program for Foster Care: The Chicago Parent Program for Foster Care FC consists of a 12-session parent training program that focuses on building caregiver-child relationships, behavioral management strategies, managing caregiver stress, and skill maintenance.
16
Total16

Withdrawals & dropouts

PeriodReasonFG000
Overall StudyLost to Follow-up6

Baseline characteristics

CharacteristicChicago Parent Program for Foster Care
Age, Continuous49.43 years
STANDARD_DEVIATION 15.73
Child Adjustment & Parent Efficacy Scale
Behavior Problems Scale
25.74 units on a scale
STANDARD_DEVIATION 17.12
Child Adjustment & Parent Efficacy Scale
Emotional Problems Scale
2.06 units on a scale
STANDARD_DEVIATION 1.37
Child Adjustment & Parent Efficacy Scale
Total Intensity Scale
27.79 units on a scale
STANDARD_DEVIATION 18.63
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
14 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
1 Participants
Eyberg Child Behavior Inventory
Intensity Scale T-Score
53.00 T-score
STANDARD_DEVIATION 13.73
Eyberg Child Behavior Inventory
Problem Scale T-Score
47.19 T-score
STANDARD_DEVIATION 10.04
Parental Stress Scale34.56 units on a scale
STANDARD_DEVIATION 11.9
Parenting Sense of Competence Scale
Parental Satisfaction Scale
38.33 units on a scale
STANDARD_DEVIATION 7.99
Parenting Sense of Competence Scale
Parental Self-Efficacy Scale
35.25 units on a scale
STANDARD_DEVIATION 6.31
Parenting Sense of Competence Scale
Total Scale
73.98 units on a scale
STANDARD_DEVIATION 12.09
Perceived Stress Scale16.44 units on a scale
STANDARD_DEVIATION 8.3
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
Race (NIH/OMB)
Asian
0 Participants
Race (NIH/OMB)
Black or African American
8 Participants
Race (NIH/OMB)
More than one race
1 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
Race (NIH/OMB)
Unknown or Not Reported
1 Participants
Race (NIH/OMB)
White
6 Participants
Region of Enrollment
United States
16 participants
Sex: Female, Male
Female
15 Participants
Sex: Female, Male
Male
1 Participants

Adverse events

Event typeEG000
affected / at risk
deaths
Total, all-cause mortality
0 / 16
other
Total, other adverse events
0 / 16
serious
Total, serious adverse events
0 / 16

Outcome results

Primary

Change in Child Adjustment & Parent Efficacy Scale

The Child Adjustment & Parent Efficacy Scale, Total Intensity subscale is a 27-item measure of child behavior and emotional problems. Item responses are rated on a 4-point scale, ranging from 0 (Not true of my child at all) to 3 (True of my child very much/Most of the time). Twenty-four items are summed to yield a Behavior Problems score (range 0-72), and three items are summed to yield an Emotional Problems score (range 0-9). Behavioral and Emotional Problems scores can be summed for a Total Intensity score (range 0-81). Higher scores indicate a higher level of problems.

Time frame: Pre Intervention and 18 weeks

Population: N = 16 participants completed The Child Adjustment \& Parent Efficacy Scale at Pre Intervention and n = 10 participants completed The Child Adjustment \& Parent Efficacy Scale at 18 Weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleTotal Intensity Scale Sample Mean at 18 Weeks24.61 score on a scaleStandard Deviation 15.63
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleTotal Intensity Scale Mean Difference from Pre Intervention to 18 Weeks-4.59 score on a scaleStandard Deviation 14.83
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleBehavior Problems Scale Sample Mean at 18 Weeks24.52 score on a scaleStandard Deviation 14.8
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleBehavior Problems Scale Mean Difference from Pre Intervention to 18 Weeks-4.18 score on a scaleStandard Deviation 14.27
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleEmotional Problems Scale Sample Mean at 18 Weeks1.90 score on a scaleStandard Deviation 1.37
Chicago Parent Program for Foster CareChange in Child Adjustment & Parent Efficacy ScaleEmotional Problems Scale Mean Difference from Pre Intervention to 18 Weeks-0.40 score on a scaleStandard Deviation 1.17
Primary

Change in Eyberg Child Behavior Inventory

The Eyberg Child Behavior Inventory, a 36-item measure that assesses child behavior problems. Each item has 2 parts that make up 2 subscales: Intensity and Problem. Intensity items are rated on a 7-point scale, from 1 (Never) to 7 (Always), and Problem items are Yes/No responses. Items from each scale are summed to yield raw scores and converted to T-scores (M=50, SD=10). Higher Intensity scores indicate more frequent displays of the child behaviors, and higher Problem scores indicate the parent perceives the behaviors as more problematic. T-scores above 60 indicate elevated behavior problems.

Time frame: Pre Intervention and 18 weeks

Population: N = 16 participants completed The Eyberg Child Behavior Inventory at Pre Intervention and n = 10 participants completed The Eyberg Child Behavior Inventory at 18 Weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Eyberg Child Behavior InventoryIntensity Scale T-Score Sample Mean at 18 Weeks53.70 T-scoreStandard Deviation 12.49
Chicago Parent Program for Foster CareChange in Eyberg Child Behavior InventoryIntensity Scale T-Score Mean Difference from Pre Intervention to 18 Weeks-2.10 T-scoreStandard Deviation 10.24
Chicago Parent Program for Foster CareChange in Eyberg Child Behavior InventoryProblem Scale T-Score Sample Mean at 18 Weeks48.80 T-scoreStandard Deviation 6.97
Chicago Parent Program for Foster CareChange in Eyberg Child Behavior InventoryProblem Scale T-Score Mean Difference from Pre Intervention to 18 Weeks0.50 T-scoreStandard Deviation 9.63
Primary

Change in Group Environment Scale

The Group Environment Scale is a 25-item measure that assesses the dimensions of intervention group environments. Items are rated on a 5-point scale, with responses ranging from 1 (Strongly disagree) to 5 (Strongly agree). Items are averaged to yield three subscales: Cohesiveness, Implementation and Preparedness, and Counterproductive Activity. Higher scores on the Cohesiveness Scale (range 1-5) indicate more group cohesiveness. Higher scores on the Implementation and Preparedness Scale (range 1-5) indicate greater group implementation quality. Higher scores on the Counterproductive Activity Scale (range 1-5) indicate more counterproductive group activities.

Time frame: Week 7, Week 11, Week 19

Population: N = 2 participants completed The Group Environment Scale at Week 7, n = 4 participants completed The Group Environment Scale at Week 11, and n = 7 participants completed The Group Environment Scale at Week 19.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Group Environment ScaleImplementation and Preparedness Scale Sample Mean at 11 Weeks4.71 score on a scaleStandard Deviation 0.55
Chicago Parent Program for Foster CareChange in Group Environment ScaleCohesiveness Scale Sample Mean at 7 Weeks4.44 score on a scaleStandard Deviation 0.44
Chicago Parent Program for Foster CareChange in Group Environment ScaleCohesiveness Scale Sample Mean at 11 Weeks4.48 score on a scaleStandard Deviation 0.4
Chicago Parent Program for Foster CareChange in Group Environment ScaleCohesiveness Scale Sample Mean at 19 Weeks4.30 score on a scaleStandard Deviation 0.51
Chicago Parent Program for Foster CareChange in Group Environment ScaleCohesiveness Scale Mean Difference from 7 Weeks to 11 Weeks0.19 score on a scaleStandard Deviation 0.09
Chicago Parent Program for Foster CareChange in Group Environment ScaleCohesiveness Scale Mean Difference from 11 Weeks to 19 Weeks0.16 score on a scaleStandard Deviation 0.52
Chicago Parent Program for Foster CareChange in Group Environment ScaleImplementation and Preparedness Scale Sample Mean at 7 Weeks4.55 score on a scaleStandard Deviation 0.26
Chicago Parent Program for Foster CareChange in Group Environment ScaleImplementation and Preparedness Scale Sample Mean at 19 Weeks4.40 score on a scaleStandard Deviation 0.52
Chicago Parent Program for Foster CareChange in Group Environment ScaleImplementation and Preparedness Scale Mean Difference from 7 Weeks to 11 Weeks0.41 score on a scaleStandard Deviation 0.19
Chicago Parent Program for Foster CareChange in Group Environment ScaleImplementation and Preparedness Scale Mean Difference from 11 Weeks to 19 Weeks0.11 score on a scaleStandard Deviation 0.75
Chicago Parent Program for Foster CareChange in Group Environment ScaleCounterproductive Activity Scale Sample Mean at 7 Weeks4.83 score on a scaleStandard Deviation 0.24
Chicago Parent Program for Foster CareChange in Group Environment ScaleCounterproductive Activity Scale Sample Mean at 11 Weeks4.77 score on a scaleStandard Deviation 0.32
Chicago Parent Program for Foster CareChange in Group Environment ScaleCounterproductive Activity Scale Sample Mean at 19 Weeks4.43 score on a scaleStandard Deviation 0.79
Chicago Parent Program for Foster CareChange in Group Environment ScaleCounterproductive Activity Scale Mean Difference from 7 Weeks to 11 Weeks-0.42 score on a scaleStandard Deviation 0.35
Chicago Parent Program for Foster CareChange in Group Environment ScaleCounterproductive Activity Scale Mean Difference from 11 Weeks to 19 Weeks0.04 score on a scaleStandard Deviation 0.48
Primary

Change in Parental Stress Scale

The Parental Stress Scale is an 18-item questionnaire that assesses parental stress relating to parental sensitivity to the child, child behavior, and quality of the parent-child relationship. Items are rated on a 5-point scale, ranging from 1 (Strongly disagree) to 5 (Strongly agree). Some items are reverse-scored. Items are summed to yield a total score (range 18-90), with higher scores indicating higher levels of parental stress.

Time frame: Pre Intervention and 18 weeks

Population: N = 16 participants completed The Parental Stress Scale at Pre Intervention and n = 10 participants completed The Parental Stress Scale at 18 Weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Parental Stress ScaleTotal Scale Sample Mean at 18 Weeks36.00 score on a scaleStandard Deviation 12.24
Chicago Parent Program for Foster CareChange in Parental Stress ScaleTotal Scale Mean Difference from Pre Intervention to 18 Weeks0.80 score on a scaleStandard Deviation 4.47
Primary

Change in Parenting Sense of Competence Scale

The Parenting Sense of Competence Scale is a 17-item questionnaire that measures overall parenting satisfaction and competence. Items are measured on a 6-point scale, with responses ranging from 1 (Strongly disagree) to 6 (Strongly agree). Some items are reverse-scored. Items are summed to yield a total scale (range 17-102) and two subscales: parental self-efficacy (range 8-48) and parental satisfaction (range 9-54). Higher scores indicate higher levels of parental self-efficacy and parental satisfaction.

Time frame: Pre Intervention and 18 weeks

Population: N = 16 participants completed the Parenting Sense of Competence Scale at Pre Intervention and n = 10 participants completed the Parenting Sense of Competence Scale at 18 Weeks

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleTotal Scale Sample Mean at 18 Weeks72.60 score on a scaleStandard Deviation 10.7
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleTotal Scale Mean Difference from Pre Intervention to 18 Weeks-0.10 score on a scaleStandard Deviation 11.63
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleParental Satisfaction Scale Sample Mean at 18 Weeks38.50 score on a scaleStandard Deviation 8.42
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleParental Satisfaction Mean Difference from Pre Intervention to 18 Weeks0.70 score on a scaleStandard Deviation 6.38
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleParental Self-Efficacy Scale Sample Mean at 18 Weeks34.10 score on a scaleStandard Deviation 7.67
Chicago Parent Program for Foster CareChange in Parenting Sense of Competence ScaleParental Self-Efficacy Mean Difference from Pre Intervention to 18 Weeks-0.80 score on a scaleStandard Deviation 8.68
Primary

Change in Perceived Stress Scale

The Perceived Stress Scale is a 14-item self-report measure of how unpredictable, uncontrollable, and overloaded individuals find their life circumstances. All items are rated on a 5-point scale, ranging from 0 (Never) to 4 (very often). Some items are reverse-scored. Responses are summed to yield a total score (range 0 - 56), with higher scores indicating greater perceived stress.

Time frame: Pre Intervention and 18 weeks

Population: N = 16 participants completed the Perceived Stress Scale at Pre Intervention and n = 10 participants completed the Perceived Stress Scale at 18 Weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareChange in Perceived Stress ScaleSample Mean at 18 Weeks14.70 score on a scaleStandard Deviation 8.41
Chicago Parent Program for Foster CareChange in Perceived Stress ScaleMean Difference from Pre Intervention to 18 Weeks0.20 score on a scaleStandard Deviation 8.78
Primary

Strengths and Difficulties Questionnaire

The Strengths and Difficulties Questionnaire (SDQ) is a 25-item questionnaire that assesses child behavior. Items are rated on a 3-point scale and responses range from 0 (Not true) to 2 (Certainly true). Some items are reverse-scored. Items are summed to yield 5 subscales: Emotional Problems, Conduct Problems, Hyperactivity, Peer Problems, and Prosocial (ranges 0 -10). A total score (range 0-40) is calculated using the sum of all the subscales, except Prosocial. Higher scores in each subscale and the total score indicate more child behavior problems.

Time frame: Pre Intervention and 18 weeks

Population: N = 10 participants completed The Strengths and Difficulties Questionnaire at 18 Weeks.

ArmMeasureGroupValue (MEAN)Dispersion
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnaireEmotional Problems Scale Sample Mean at 18 Weeks2.40 score on a scaleStandard Deviation 2.22
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnaireConduct Problems Scale Sample Mean at 18 Weeks2.60 score on a scaleStandard Deviation 1.96
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnaireHyperactivity Scale Sample Mean at 18 Weeks5.70 score on a scaleStandard Deviation 3.47
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnairePeer Problems Scale Sample Mean at 18 Weeks3.60 score on a scaleStandard Deviation 1.84
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnaireProsocial Problems Scale Sample Mean at 18 Weeks6.00 score on a scaleStandard Deviation 2.05
Chicago Parent Program for Foster CareStrengths and Difficulties QuestionnaireTotal Scale Sample Mean at 18 Weeks14.30 score on a scaleStandard Deviation 7.76

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