Families of Middle School Students at Title 1 Schools
Conditions
Brief summary
The goal of this clinical trial is to test the benefits of the Family Check-Up Online Program for parents of middle school students in Arizona. Participants will complete an online pre-survey, gain access to the online parenting program Family Check-Up, and have the option to meet with a coach to discuss the program. The participants will also complete a post-survey 3 months after enrollment.
Detailed description
The lingering impact of the COVID-19 pandemic has impacted families adversely in multiple ways, including economic stressors, mental health-related functioning, and social/familial functioning. Given the scale of the pandemic's impact on families with school-aged children, the implementation of effective family-focused programs that target core mechanisms of change with a broad range of benefits for parents and youth across diverse populations, and that can be brought to scale rapidly and with fidelity, represents critical public health goals. Toward this end, this project is designed to further examine the efficacy of a web-based version of the universal Family Check-Up prevention program, which is an empirically-supported, parent-focused program designed to promote resilience and improve family functioning among parents of middle school-aged youth (grades 6-8th). A randomized control trial conducted through the University of Oregon found that parents who completed the Family Check-up Online program (FCO) either with or without supplemental support coaching exhibited significant increases in confidence and effortful control related to implementing skills and strategies that promote positive emotional and behavioral health among teens. This suggests that parents who complete the program feel more empowered to help guide their child's positive decision making and more effectively manage family challenges. This project will examine whether the FCO program produces improvements in positive parenting practices, reductions in parental emotional distress, and reductions in youth emotional/behavioral problems when delivered as a universal prevention program targeting parents of 6-8th grade students attending Title 1 public schools (\>50% students eligible for free/reduced lunch). The investigators will also examine whether the structured parent coaching support component of the program (i.e., Guidance Coaching) helps to improve the program's effectiveness relative to a parent-initiated informational support condition.
Interventions
BEHAVIORALFamily Check-Up Online
Families will be provided with access to the FCO program, available in English or Spanish. Parents complete a tutorial and five different modules focused on distinct parenting skills. Each module starts with a survey and feedback to help identify relative strengths and challenges with the targeted parenting skills. Parents are then guided through various online activities including videos that model right and wrong ways to handle comm on situations and explanations of parental self-management and problem-solving strategies. Parents are complete activities to practice the parenting skills taught. Parents will have access to the online program for 8 and they are encouraged to practice the program strategies during this time period. At the end of the 8 weeks, parent re-complete the brief questions that they filled out at the beginning of each module and then receive feedback indicating which of the parent's domain scores have improved since they completed each module.
Sponsors
Arizona State University
Arizona Health Care Cost Containment System
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE
Masking description
Study personnel and participants are informed of what condition participants are assigned to.
Intervention model description
All participants will receive the primary intervention: The Family Check-Up Online. Participants will then be randomly assigned to a specific coaching condition.
Eligibility
Sex/Gender
ALL
Age
10 Years to 16 Years
Healthy volunteers
Yes
Inclusion criteria
* All parents with a child enrolled in grades 6-8 at participating Title 1 public schools will be invited to take part in the study.
Exclusion criteria
* N/A
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Active Parental Monitoring | 3 months | Parent self-report of monitoring, range 1-5, higher values = better outcome |
| Positive Parenting | 3 months | Parent self-report of positive parenting practices, range 1-5, higher values = better outcome |
| Harsh Parenting | 3 months | Parent self-report of harsh parenting, range 1-5, higher values = worse outcome |
| Parental Confidence | 3 months | Parent self-report of confidence with various parenting strategies, range 1-5, higher values = better outcome |
| Child Anger | 3 months | Parent report of their child's anger, range 1-5, higher values = worse outcome |
| Child Oppositional Defiance | 3 months | Parent report of their child's oppositional defiant behavior, range 1-5, higher values = worse outcome |
| Child Callous-Unemotional Traits | 3 months | Parent report of their child's callousness, range 1-5, higher values = worse outcome |
| Child Aggression | 3 months | Parent report of their child's aggression, range 1-5, higher values = worse outcome |
| Child School Performance | 3 months | Parent report of their child's school performance, range 1-5, higher values = better outcome |
| Child Stress | 3 months | Parent report of child's stress with PROMIS scale, range 1-5, higher values = worse outcome |
| Child Anxiety | 3 months | Parent report of child's anxiety with PROMIS scale, range 1-5, higher values = worse outcome |
| Child Depression | 3 months | Parent report of child's depression with PROMIS scale, range 1-5, higher values = worse outcome |
| Family Conflict | 3 months | Parent report of family conflict including arguing and fighting, range 1-5, higher values = worse outcomes |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Parent Anxiety | 3 months | Parent self-report of anxiety with PROMIS scale, range 1-5, higher values = worse outcome |
| Parent Depression | 3 months | Parent self-report of depression with PROMIS scale, range 1-5, higher values = worse outcome |
| Parent Stress | 3 months | Parent self-report of stress with PROMIS scale, range 1-5, higher values = worse outcome |
Countries
United States
Outcome results
None listed