Study Results
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Basic Information
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COMPLETED
PHASE2
548 participants
INTERVENTIONAL
2005-07-31
2009-03-31
Brief Summary
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Detailed Description
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Sleep and discipline problems (or child non-compliance) are the most common problems for parents of young children, and are the two concerns with the strongest relations to future child behavior problems. Further, parenting practices have consistently been linked to the development of psychosocial problems. The Parenting Matters program combines treatment booklets and telephone support to help parents with sleep or discipline problems among young children.
Objectives:
* Test the efficacy of the Parenting Matters program interventions for sleeping and bedtime behaviors (Trial 1), and discipline (Trial 2) in reducing problem-specific outcomes.
* Test the effects of the Parenting Matters program interventions for parents who are concerned about both their children's sleep and discipline (Trial 3) in reducing problem-specific outcomes related to sleep (Group 1) and discipline problems (Group 2) will be tested.
* Test the efficacy of the Parenting Matters program in improving parenting practices.
* Test the efficacy of the Parenting Matters program in reducing child behaviour problems in general.
* Examine predictors of treatment success.
Method:
All parents of 2 to 5 year-olds seen in a family practice for a routine appointment are asked to complete a psychosocial concerns checklist. Parents who have concerns regarding their child's sleep (Trial 1), how to discipline their child (Trial 2), or concerns about both their child's sleep and discipline (Trial 3), and meet the other study criteria, are invited to take part in the study. Mailed baseline assessment packages assess children's behavior, parenting practices and potential predictors of treatment success.
Parents are randomized to usual care, or the Parenting Matters program along with usual care. The Parenting Matters program includes treatment booklets addressing either sleep or discipline problems, and telephone coach support (3 calls over 6 weeks).
Primary outcomes are parents' ratings of their children's sleep or discipline problems measured at post-treatment (7 weeks after baseline). Parents repeat assessment packages at 3- and 6-month follow-ups.
Goals \& Relevance:
This research addresses the need for new ways of providing early interventions for young children that:
* reach the largest number of individuals in need;
* are cost effective; and
* time efficient.
By addressing the most common issues facing parents of young children, it engages parents in areas of direct relevance to them. The program focuses on parenting practices thereby building family strengths that may have a lasting impact on child development. Collaboration with family physicians builds on the ongoing positive relationships between parents and family physicians and provides a mechanism to reach a significant proportion of young children.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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Treatment booklet and telephone coaching
Self-help treatment booklet and telephone support
The Parenting Matters treatment program consisted of a self-help treatment booklet and two telephone coaching calls from a paraprofessional telephone coach at Weeks 2 and 5 of the program. Two booklets were used in the three trials; one addressed sleep issues and the second discipline problems.
Usual Care
Usual care by a family physician
Parents in the usual care condition were told to continue with care from their family physician and/or any other treatment recommended by the physician.
Interventions
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Self-help treatment booklet and telephone support
The Parenting Matters treatment program consisted of a self-help treatment booklet and two telephone coaching calls from a paraprofessional telephone coach at Weeks 2 and 5 of the program. Two booklets were used in the three trials; one addressed sleep issues and the second discipline problems.
Usual care by a family physician
Parents in the usual care condition were told to continue with care from their family physician and/or any other treatment recommended by the physician.
Eligibility Criteria
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Inclusion Criteria
* Attending a medical appointment at a family medical practice
* Phone in home
* Parent concerned about child's sleep and/or discipline
* Parent interested in participating in a treatment study
Exclusion Criteria
* Child with significant physical or developmental disability
* Parent's only sleep concern is in regards to a physiological sleep disorder (e.g. sleep apnea, snoring) or bedwetting
* No phone
16 Years
ALL
Yes
Sponsors
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Canadian Institutes of Health Research (CIHR)
OTHER_GOV
Children's Hospital of Eastern Ontario
OTHER
University of Western Ontario, Canada
OTHER
Responsible Party
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The University of Western Ontario
Principal Investigators
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Graham J Reid, PhD
Role: PRINCIPAL_INVESTIGATOR
Western University, Canada
Locations
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University of Western Ontario
London, Ontario, Canada
Countries
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References
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Reid GJ, Stewart M, Vingilis E, Dozois DJ, Wetmore S, Jordan J, Dickie G, Osmun WE, Wade TJ, Brown JB, Zaric GS. Randomized trial of distance-based treatment for young children with discipline problems seen in primary health care. Fam Pract. 2013 Feb;30(1):14-24. doi: 10.1093/fampra/cms051. Epub 2012 Sep 3.
Related Links
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Related Info
Other Identifiers
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ISRCTN81511074
Identifier Type: -
Identifier Source: secondary_id
67816; 280205-014
Identifier Type: -
Identifier Source: org_study_id
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