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Community Implementation of KEEP: Fidelity and Generalization of Parenting

NCT ID: NCT00980512

Last Updated: 2014-11-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

354 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-09-30

Study Completion Date

2014-07-31

Brief Summary

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The primary goal of this study is to examine the fidelity and generalization of parenting effects of the KEEP foster parent training intervention as it is being delivered within a child welfare system of care by a community mental health provider.

Detailed Description

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The primary goal of this study is to utilize this opportunity as a real-world platform for addressing three key questions that need to be answered prior to wide-scale implementation of the KEEP intervention. First, do the effects of the KEEP parent training generalize (concurrently) to other children currently in foster and kin intervention homes and lead to reductions in overall levels of behavior problems? Second, does the KEEP intervention continue to have effects after the completion of the intervention and generalize (temporally) to new children who enter the homes of these families at a later point in time? Finally, as the KEEP intervention is being implemented by a community agency in a real-world system of care, can the intervention be delivered and maintained in a manner that preserves the goals and quality of the intervention?

Children in foster care, between the ages of 5 and 12, will be randomly assigned to one of two conditions - the KEEP intervention or a "services as usual" condition. In the KEEP intervention condition, foster and kin caregivers will participate in 16 weekly group meetings. Outcomes to be assessed include child problem behavior (of the focal child and other children in the household), child functioning, parental stress, family functioning, use of mental health services, child placement changes (e.g., reunification with biological parents, move to another foster home), and foster parent retention rates. In addition, for a year following the completion of the intervention, new children entering the home of foster/kin caregiver will be included in the assessments, along with the impact of these additional children on parental stress and family functioning. Finally, several dimensions of intervention fidelity (e.g., facilitator adherence and group engagement) will be assessed and examined in relation to child, family, and system outcomes.

Conditions

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Behavior Problems

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Parent Training

Parent Training of foster parents

Group Type EXPERIMENTAL

Parent Training

Intervention Type BEHAVIORAL

16 weeks of parent training led by trained group facilitator

Control

Control group

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Parent Training

16 weeks of parent training led by trained group facilitator

Intervention Type BEHAVIORAL

Other Intervention Names

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Parent Management Training

Eligibility Criteria

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Inclusion Criteria

* Any child between ages 5 and 12 in relative or non-relative foster care

Exclusion Criteria

* Only medically fragile children
Minimum Eligible Age

5 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

Oregon Social Learning Center

OTHER

Sponsor Role collaborator

San Diego State University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Joseph M. Price

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Joseph M. Price, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

San Diego State University & Child and Adolescent Services Research Center

Locations

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Child and Adolescent Services Research Center

San Diego, California, United States

Site Status

Countries

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United States

References

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Chamberlain P, Price J, Leve LD, Laurent H, Landsverk JA, Reid JB. Prevention of behavior problems for children in foster care: outcomes and mediation effects. Prev Sci. 2008 Mar;9(1):17-27. doi: 10.1007/s11121-007-0080-7. Epub 2008 Jan 10.

Reference Type BACKGROUND
PMID: 18185995 (View on PubMed)

Price JM, Chamberlain P, Landsverk J, Reid JB, Leve LD, Laurent H. Effects of a foster parent training intervention on placement changes of children in foster care. Child Maltreat. 2008 Feb;13(1):64-75. doi: 10.1177/1077559507310612.

Reference Type BACKGROUND
PMID: 18174349 (View on PubMed)

Chamberlain P, Price J, Reid J, Landsverk J. Cascading implementation of a foster and kinship parent intervention. Child Welfare. 2008;87(5):27-48.

Reference Type BACKGROUND
PMID: 19402358 (View on PubMed)

Related Links

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http://casrc.org

Child and Adolescent Services Research Center

Other Identifiers

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R01MH060195

Identifier Type: NIH

Identifier Source: secondary_id

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2R01MH060195-06A1

Identifier Type: NIH

Identifier Source: secondary_id

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DSIR 84-CTP

Identifier Type: -

Identifier Source: secondary_id

R01MH060195

Identifier Type: NIH

Identifier Source: org_study_id

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