Technology-Enhanced Helping the Noncompliant Child

NCT ID: NCT01367847

Last Updated: 2019-09-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

22 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-09-30

Study Completion Date

2013-05-31

Brief Summary

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This study aimed to examine if technology could enhance the treatment engagement and outcomes of low income parents of 3 to 8 children with externalizing problems.

Detailed Description

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The aim of this pilot study is to determine whether a technology-enhanced version of an established behavioral treatment protocol, Helping the Noncompliant Child (HNC; McMahon \& Forehand), enhances the engagement and treatment outcomes of lower income parents of 3 to 8 children with externalizing problems in treatment. It is predicted that families in both the HNC and technology-enhanced HNC (TE-HNC) programs will evidence significant improvement in parenting behavior and child externalizing problems; however, it is predicted that parent-child dyads in the TE-HNC program will require fewer sessions, will be more likely to be retained in the program, will be more likely to remain engaged in the program (e.g., practicing skills between sessions etc.), and will be more likely to have active involvement from their coparenting partners (i.e., other adults and family members who participate in childrearing).In turn, it is expected that the TE-HNC program will boost treatment outcomes.

Conditions

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Child Externalizing Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Helping the Noncompliant Child (HNC)

Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.

Group Type ACTIVE_COMPARATOR

Helping the Noncompliant Child (HNC)

Intervention Type BEHAVIORAL

Well-established behavioral parent training program (McMahon \& Forehand) for parents of 3 to 8 y.o. children with externalizing problems

Technology-Enhanced HNC (TE-HNC)

Standard HNC (see HNC Arm/Title) Program plus Technology-Enhancement (smartphones, which are being used for mid-week video calls to check-in re: skill-building, videotaping of family practice of skills at home, daily surveys re: skills practice \& child behavior, reminders re: practice \& sessions.

Group Type EXPERIMENTAL

Technology-Enhanced Helping the Noncompliant Child (TE-HNC)

Intervention Type BEHAVIORAL

Standard HNC program plus technology-enhancements (see description under Arm)

Interventions

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Helping the Noncompliant Child (HNC)

Well-established behavioral parent training program (McMahon \& Forehand) for parents of 3 to 8 y.o. children with externalizing problems

Intervention Type BEHAVIORAL

Technology-Enhanced Helping the Noncompliant Child (TE-HNC)

Standard HNC program plus technology-enhancements (see description under Arm)

Intervention Type BEHAVIORAL

Other Intervention Names

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HNC TE-HNC

Eligibility Criteria

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Inclusion Criteria

* Lower income
* caregiver/parent is legal guardian
* 3 to 8 year old child
* child meets criteria for externalizing disorder or significant externalizing symptoms

Exclusion Criteria

* Prior report of child abuse or neglect
* current substance abuse/dependence
* legal guardian reading level less than 8th grade
* child has developmental disability that precludes caregiver utilizing the skills
Minimum Eligible Age

3 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Institute of Mental Health (NIMH)

NIH

Sponsor Role collaborator

University of North Carolina, Chapel Hill

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Deborah J Jones, PhD

Role: PRINCIPAL_INVESTIGATOR

UNC Chapel Hill

Locations

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UNC Chapel Hill

Chapel Hill, North Carolina, United States

Site Status

Countries

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United States

References

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Jones DJ, Forehand R, McKee LG, Cuellar J, Kincaid C. Behavioral Parent Training: Is There an "App" for That? Behav Ther (N Y N Y). 2010 Apr;33(4):72-77. No abstract available.

Reference Type BACKGROUND
PMID: 22199418 (View on PubMed)

Jones DJ, Forehand R, Cuellar J, Kincaid C, Parent J, Fenton N, Goodrum N. Harnessing innovative technologies to advance children's mental health: behavioral parent training as an example. Clin Psychol Rev. 2013 Mar;33(2):241-52. doi: 10.1016/j.cpr.2012.11.003. Epub 2012 Dec 4.

Reference Type BACKGROUND
PMID: 23313761 (View on PubMed)

Forehand R, Jones DJ, Parent J. Behavioral parenting interventions for child disruptive behaviors and anxiety: what's different and what's the same. Clin Psychol Rev. 2013 Feb;33(1):133-45. doi: 10.1016/j.cpr.2012.10.010. Epub 2012 Nov 6.

Reference Type BACKGROUND
PMID: 23178234 (View on PubMed)

Jones DJ. Future directions in the design, development, and investigation of technology as a service delivery vehicle. J Clin Child Adolesc Psychol. 2014;43(1):128-42. doi: 10.1080/15374416.2013.859082.

Reference Type BACKGROUND
PMID: 24400723 (View on PubMed)

Jones DJ, Forehand R, Cuellar J, Parent J, Honeycutt A, Khavjou O, Gonzalez M, Anton M, Newey GA. Technology-enhanced program for child disruptive behavior disorders: development and pilot randomized control trial. J Clin Child Adolesc Psychol. 2014;43(1):88-101. doi: 10.1080/15374416.2013.822308. Epub 2013 Aug 7.

Reference Type RESULT
PMID: 23924046 (View on PubMed)

Loiselle R, Parent J, Georgeson AR, Thissen D, Jones DJ, Forehand R. Validation of the Multidimensional Assessment of Parenting: An application of item response theory. Psychol Assess. 2021 Sep;33(9):803-815. doi: 10.1037/pas0001019. Epub 2021 Apr 26.

Reference Type DERIVED
PMID: 33900099 (View on PubMed)

Jones DJ, Loiselle R, Zachary C, Georgeson AR, Highlander A, Turner P, Youngstrom JK, Khavjou O, Anton MT, Gonzalez M, Bresland NL, Forehand R. Optimizing Engagement in Behavioral Parent Training: Progress Toward a Technology-Enhanced Treatment Model. Behav Ther. 2021 Mar;52(2):508-521. doi: 10.1016/j.beth.2020.07.001. Epub 2020 Jul 15.

Reference Type DERIVED
PMID: 33622517 (View on PubMed)

Zachary C, Jones DJ, McKee LG, Baucom DH, Forehand RL. The Role of Emotion Regulation and Socialization in Behavioral Parent Training: A Proof-of-Concept Study. Behav Modif. 2019 Jan;43(1):3-25. doi: 10.1177/0145445517735492. Epub 2017 Oct 13.

Reference Type DERIVED
PMID: 29029562 (View on PubMed)

Anton MT, Jones DJ, Youngstrom EA. Socioeconomic status, parenting, and externalizing problems in African American single-mother homes: A person-oriented approach. J Fam Psychol. 2015 Jun;29(3):405-415. doi: 10.1037/fam0000086.

Reference Type DERIVED
PMID: 26053349 (View on PubMed)

Parent J, Jones DJ, Forehand R, Cuellar J, Shoulberg EK. The role of coparents in African American single-mother families: the indirect effect of coparent identity on youth psychosocial adjustment. J Fam Psychol. 2013 Apr;27(2):252-62. doi: 10.1037/a0031477. Epub 2013 Feb 11.

Reference Type DERIVED
PMID: 23398615 (View on PubMed)

Other Identifiers

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1R34MH082956-01A2

Identifier Type: NIH

Identifier Source: secondary_id

View Link

10-0740

Identifier Type: -

Identifier Source: org_study_id

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