Multi-Component Early Intervention for Socially Inhibited Preschool Children

NCT ID: NCT02308826

Last Updated: 2023-05-10

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

169 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2019-06-30

Brief Summary

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This project is intended to provide a rigorous test of the Turtle Program, an early intervention program for behaviorally inhibited preschoolers. The proposed project will extend promising pilot study findings by: (a) evaluating the integrated intervention in a larger sample (n = 150) of 45-64 month children and their parents, which will allow for an examination of mediators and moderators of treatment effects; (b) comparing the Turtle Program to the best available treatment for preschool behavioral inhibition, the Cool Little Kids (CLK) parent psychoeducation group; (c) examining heart rate reactivity and regulation as both baseline moderators of treatment response and as outcome measures; (d) examining parent anxiety disorders as a moderator of treatment response; (e) including a mid-treatment assessment and extending follow-up to one year.

Detailed Description

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Conditions

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Behavioral Inhibition Anxiety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Turtle Program

The Turtle Program involves a child social and emotional skills group (Social Skills Facilitated Play) and a modification of Parent-Child Interaction Therapy in which parents are provided in-vivo coaching in following their children's lead and encouraging approach behaviors within the peer context. The child group provides a forum of same-age peers to learn to develop social and emotion regulation skills. The Turtle Program is administered over an 8-week period.

Group Type EXPERIMENTAL

Turtle Program

Intervention Type BEHAVIORAL

Cool Little Kids

A 6-week parent psychoeducation group administered over an 8-week period.

Group Type ACTIVE_COMPARATOR

Cool Little Kids

Intervention Type BEHAVIORAL

Interventions

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Turtle Program

Intervention Type BEHAVIORAL

Cool Little Kids

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* child must be attending preschool; child must score within top 15% on parent-rated Behavioral Inhibition Questionnaire

Exclusion Criteria

* child has a diagnosis of pervasive developmental disorder, selective mutism, or mental retardation; child scores above clinical cutoff on Social Communication Questionnaire; child is currently receiving treatment for anxiety; child does not have a custodial parent who has also consented to participate
Minimum Eligible Age

45 Months

Maximum Eligible Age

64 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Maryland, College Park

OTHER

Sponsor Role lead

Responsible Party

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Andrea Chronis-Tuscano

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andrea Chronis-Tuscano, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Maryland

Kenneth Rubin, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

University of Maryland

Locations

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Maryland ADHD Program

College Park, Maryland, United States

Site Status

Countries

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United States

References

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Fleece H, Wagner NJ, Chronis-Tuscano A, Smith KA, Novick DR, Druskin LR, Shakiba N, Danko CM, Rubin KH. Can behaviorally inhibited preschoolers make friends? Dev Psychol. 2024 Jul;60(7):1203-1213. doi: 10.1037/dev0001742. Epub 2024 Apr 22.

Reference Type DERIVED
PMID: 38647467 (View on PubMed)

Novick DR, Meyer CT, Wagner NJ, Rubin KH, Danko CM, Dougherty LR, Druskin LR, Smith KA, Chronis-Tuscano A. Testing reciprocal associations between child anxiety and parenting across early interventions for inhibited preschoolers. J Child Psychol Psychiatry. 2023 Dec;64(12):1665-1678. doi: 10.1111/jcpp.13879. Epub 2023 Aug 29.

Reference Type DERIVED
PMID: 37644651 (View on PubMed)

Wagner NJ, Shakiba N, Bui HNT, Sem K, Novick DR, Danko CM, Dougherty LR, Chronis-Tuscano A, Rubin KH. Examining the Relations Between Children's Vagal Flexibility Across Social Stressor Tasks and Parent- and Clinician-Rated Anxiety Using Baseline Data from an Early Intervention for Inhibited Preschoolers. Res Child Adolesc Psychopathol. 2023 Aug;51(8):1213-1224. doi: 10.1007/s10802-023-01050-3. Epub 2023 Mar 24.

Reference Type DERIVED
PMID: 36961596 (View on PubMed)

Chronis-Tuscano A, Novick DR, Danko CM, Smith KA, Wagner NJ, Wang CH, Druskin L, Dougherty LR, Rubin KH. Early intervention for inhibited young children: a randomized controlled trial comparing the Turtle Program and Cool Little Kids. J Child Psychol Psychiatry. 2022 Mar;63(3):273-281. doi: 10.1111/jcpp.13475. Epub 2021 Jun 29.

Reference Type DERIVED
PMID: 34184792 (View on PubMed)

Other Identifiers

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R01MH103253-01A1

Identifier Type: NIH

Identifier Source: org_study_id

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