Online Parent Training for Children With Behavior Disorders

NCT ID: NCT01861158

Last Updated: 2017-02-14

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 306 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2012-09-30
• Study Completion Date: 2015-06-30

Brief Summary

This study evaluates Parenting Wisely (PW), an interactive, computer-based, online parenting program, through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed. The investigators hypothesize that the two PW interventions (PW only and PW + Social Network) will produce greater reductions in disruptive behavior problems from baseline to 3- and 6-month assessments compared to SAU.

Detailed Description

Research has shown that parent-targeted interventions are effective in ameliorating adolescent conduct disorders, substance abuse, HIV-risk, and related adolescent problem behaviors. The meteoric rise of Internet use and recent advance in multimedia technology and software combine to create new opportunities for disseminating evidence-based practices. Parenting Wisely (PW; Gordon, 2000) is a computer-based intervention designed to prevent and treat child disruptive behavior problems. This evidence-based approach fits easily into existing juvenile justice, health, education, and mental health service delivery systems, bypassing many of the current barriers to care. The investigators' Phase I study focused on revising and enhancing PW with more culturally relevant content and imagery to broaden its appeal to ethnically diverse populations. The findings revealed substantial improvements on virtually all measures of parenting and child behavior and outcomes at 6 months were highly significant and clinically meaningful. This Phase II study is designed to broaden the appeal and potential reach of PW through a formal randomized trial conducted in collaboration with the juvenile justice system (JJS), the primary market for such a program. Parents of 450 delinquent receiving JJS services as usual (SAU) will be randomly assigned to: PW plus a social networking online discussion forum, PW alone, or SAU. PW is the first online skill-building parent training program to examine effectiveness across different ethnic cultural groups and offers a brief, low cost, accessible approach that could be easily and quickly implemented and sustained in JJS settings. As such, the potential impact for marketing PW and reducing child behavior problems is considerable. Phase II activities will include the development of a moderated online forum to increase parental social support and skill acquisition. The investigators will also determine the potential marketability of the PW intervention to JJS programs based on the effects of PW on parent report and direct observation measures of parenting behaviors, adolescent behaviors, and family functioning, as well as measures of recidivism and cost savings. User satisfaction, program comprehension, receptivity, and parent self-efficacy will also be assessed.

Conditions

Parenting; Delinquency

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: FACTORIAL
• Primary Study Purpose: PREVENTION
• Blinding Strategy: NONE

Study Groups

Parenting Wisely

Immediate access to the online Parenting Wisely program

Group Type: EXPERIMENTAL

Parenting Wisely

Intervention Type: BEHAVIORAL

Computer-based, online, interactive parenting intervention

Parenting Wisely + Community Forum

Immediate access to the online Parenting Wisely program, as well as access to a community form where parents can receive social support from other online users of the program and a moderator

Group Type: ACTIVE_COMPARATOR

Parenting Wisely

Intervention Type: BEHAVIORAL

Computer-based, online, interactive parenting intervention

Delayed Parenting Wisely

Delayed (6-month) access to the Parenting Wisely program. Parents will receive access to PW after the final, 6-month, follow-up assessment.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Parenting Wisely

Computer-based, online, interactive parenting intervention

Intervention Type: BEHAVIORAL

Other Intervention Names

PW

Eligibility Criteria

Inclusion Criteria

• Parent of a 12-17 year old adolescent who has been referred to the juvenile justice system for a legal offense (at least one police-generated report)
• Adolescent has been referred by a participating county in Oregon or Nevada
• Parent and adolescent live together at least 40% of the time

Exclusion Criteria

• Parent has already enrolled or completed the study for another adolescent
• Read and speak a language other than English or Spanish

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Oregon Research Institute

OTHER

Sponsor Role: collaborator

Family Works Incorporated

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Don Gordon, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Family Works Inc.

Locations

Oregon Research Institute

Portland, Oregon, United States

Countries

United States

Other Identifiers

2R44DA026658-02A1

Identifier Type: NIH

Identifier Source: org_study_id

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