Trial Outcomes & Findings for Parent Training in Pediatric Care: A Self Directed Tablet-Based Approach (NCT NCT02723916)

NCT ID: NCT02723916

Last Updated: 2020-12-31

Results Overview

Measured by the Parent Questionnaire (PQ) Scale scores reported: Warmth (scale range 1-5) - higher score indicates improvement Parent Follow Through (scale range 1-5) - higher score indicates improvement Corporal punishment (scale range 1-5) - lower score indicates improvement

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

287 participants

Primary outcome timeframe

T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Results posted on

2020-12-31

Participant Flow

Recruitment occurred from April 2016 - April 2018

No pre-assignment in study.

Participant milestones

Participant milestones
Measure
Intervention: ezParent Program
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
Health-e Kids Control App: Tablet based health promotion information App
Overall Study
STARTED
144
143
Overall Study
COMPLETED
135
137
Overall Study
NOT COMPLETED
9
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Parent Training in Pediatric Care: A Self Directed Tablet-Based Approach

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Total
n=287 Participants
Total of all reporting groups
Age, Continuous
32.7 years
STANDARD_DEVIATION 8.16 • n=5 Participants
32.9 years
STANDARD_DEVIATION 7.70 • n=7 Participants
32.8 years
STANDARD_DEVIATION 7.9 • n=5 Participants
Sex: Female, Male
Female
136 Participants
n=5 Participants
136 Participants
n=7 Participants
272 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
7 Participants
n=7 Participants
15 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
34 Participants
n=5 Participants
43 Participants
n=7 Participants
77 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
110 Participants
n=5 Participants
100 Participants
n=7 Participants
210 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
5 Participants
n=5 Participants
7 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
99 Participants
n=5 Participants
75 Participants
n=7 Participants
174 Participants
n=5 Participants
Race (NIH/OMB)
White
17 Participants
n=5 Participants
24 Participants
n=7 Participants
41 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
21 Participants
n=5 Participants
31 Participants
n=7 Participants
52 Participants
n=5 Participants
Region of Enrollment
United States
144 participants
n=5 Participants
143 participants
n=7 Participants
287 participants
n=5 Participants

PRIMARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Measured by the Parent Questionnaire (PQ) Scale scores reported: Warmth (scale range 1-5) - higher score indicates improvement Parent Follow Through (scale range 1-5) - higher score indicates improvement Corporal punishment (scale range 1-5) - lower score indicates improvement

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Parenting Behaviors
Parental Warmth (T1)
4.30 score on a scale
Standard Deviation 0.46
4.27 score on a scale
Standard Deviation 0.41
Parenting Behaviors
Parental Warmth (T2)
4.26 score on a scale
Standard Deviation 0.42
4.25 score on a scale
Standard Deviation .41
Parenting Behaviors
Parental Warmth (T3)
4.29 score on a scale
Standard Deviation .39
4.3 score on a scale
Standard Deviation .44
Parenting Behaviors
Parental Warmth (T4)
4.27 score on a scale
Standard Deviation .46
4.34 score on a scale
Standard Deviation .4
Parenting Behaviors
Parental Follow Through (T1)
3.46 score on a scale
Standard Deviation 0.68
3.37 score on a scale
Standard Deviation 0.78
Parenting Behaviors
Parental Follow Through (T2)
3.47 score on a scale
Standard Deviation 0.75
3.49 score on a scale
Standard Deviation .71
Parenting Behaviors
Parental Follow Through (T3)
3.58 score on a scale
Standard Deviation .77
3.52 score on a scale
Standard Deviation .7
Parenting Behaviors
Parental Follow Through (T4)
3.64 score on a scale
Standard Deviation .75
3.59 score on a scale
Standard Deviation .76
Parenting Behaviors
Corporal Punishment (T1)
1.43 score on a scale
Standard Deviation 0.49
1.51 score on a scale
Standard Deviation 0.53
Parenting Behaviors
Corporal Punishment (T2)
1.47 score on a scale
Standard Deviation 0.55
1.49 score on a scale
Standard Deviation 0.55
Parenting Behaviors
Corporal Punishment (T3)
1.44 score on a scale
Standard Deviation .59
1.47 score on a scale
Standard Deviation .57
Parenting Behaviors
Corporal Punishment (T4)
1.42 score on a scale
Standard Deviation .58
1.39 score on a scale
Standard Deviation .5

SECONDARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Measured by the Parenting Young Children (PARYC) Reporting scales (scale range 1-7) (higher scores indicate more effective/improved parenting) Supporting good behavior Setting limits Proactive parenting

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Change in Parent Behaviors
Supporting Good Behavior (T1)
5.63 score on a scale
Standard Deviation 0.96
5.70 score on a scale
Standard Deviation 0.98
Change in Parent Behaviors
Supporting Good Behavior (T2)
5.36 score on a scale
Standard Deviation 1.11
5.65 score on a scale
Standard Deviation 1.00
Change in Parent Behaviors
Supporting Good Behavior (T3)
5.54 score on a scale
Standard Deviation .99
5.7 score on a scale
Standard Deviation 1.07
Change in Parent Behaviors
Setting Limits (T1)
5.17 score on a scale
Standard Deviation 1.18
5.24 score on a scale
Standard Deviation 1.04
Change in Parent Behaviors
Supporting Good Behavior (T4)
5.53 score on a scale
Standard Deviation 1.15
5.85 score on a scale
Standard Deviation .87
Change in Parent Behaviors
Setting Limits (T2)
5.14 score on a scale
Standard Deviation 1.10
5.23 score on a scale
Standard Deviation 1.06
Change in Parent Behaviors
Setting Limits (T3)
5.31 score on a scale
Standard Deviation 1.07
5.37 score on a scale
Standard Deviation 1.19
Change in Parent Behaviors
Setting Limits (T4)
5.41 score on a scale
Standard Deviation 1.10
5.52 score on a scale
Standard Deviation 1.12
Change in Parent Behaviors
Proactive Parenting (T1)
5.08 score on a scale
Standard Deviation 1.32
5.13 score on a scale
Standard Deviation 1.27
Change in Parent Behaviors
Proactive Parenting (T2)
5.04 score on a scale
Standard Deviation 1.12
5.08 score on a scale
Standard Deviation 1.26
Change in Parent Behaviors
Proactive Parenting (T3)
5.2 score on a scale
Standard Deviation 1.26
5.3 score on a scale
Standard Deviation 1.21
Change in Parent Behaviors
Proactive Parenting (T4)
5.29 score on a scale
Standard Deviation 1.27
5.48 score on a scale
Standard Deviation 1.28

SECONDARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Strengths and Difficulties Questionnaire (SDQ) scales (range 0-10) Emotional symptoms (higher scores indicate more difficulties) Conduct problems (higher scores indicate more difficulties) Hyperactivity/inattention (higher scores indicate more difficulties) Peer relationship problems (higher scores indicate more difficulties) Prosocial behavior (higher scores indicate more strengths)

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Change in Child Behavior Problems
Conduct (T1)
1.93 score on a scale
Standard Deviation 1.90
1.94 score on a scale
Standard Deviation 1.77
Change in Child Behavior Problems
Emotion (T1)
1.06 score on a scale
Standard Deviation 1.39
1.12 score on a scale
Standard Deviation 1.33
Change in Child Behavior Problems
Emotion (T2)
1.1 score on a scale
Standard Deviation 1.61
1.03 score on a scale
Standard Deviation 1.21
Change in Child Behavior Problems
Emotion (T3)
1.02 score on a scale
Standard Deviation 1.43
.97 score on a scale
Standard Deviation 1.36
Change in Child Behavior Problems
Emotion (T4)
1.03 score on a scale
Standard Deviation 1.44
.92 score on a scale
Standard Deviation 1.23
Change in Child Behavior Problems
Conduct (T2)
1.63 score on a scale
Standard Deviation 1.79
1.77 score on a scale
Standard Deviation 1.64
Change in Child Behavior Problems
Conduct (T3)
1.56 score on a scale
Standard Deviation 1.83
1.75 score on a scale
Standard Deviation 1.76
Change in Child Behavior Problems
Conduct (T4)
1.4 score on a scale
Standard Deviation 1.81
1.53 score on a scale
Standard Deviation 1.52
Change in Child Behavior Problems
Hyper (T1)
3.50 score on a scale
Standard Deviation 2.29
3.38 score on a scale
Standard Deviation 2.28
Change in Child Behavior Problems
Hyper (T2)
3.18 score on a scale
Standard Deviation 2.26
3.46 score on a scale
Standard Deviation 2.22
Change in Child Behavior Problems
Hyper (T3)
3.09 score on a scale
Standard Deviation 2.49
2.91 score on a scale
Standard Deviation 2.14
Change in Child Behavior Problems
Hyper (T4)
3.09 score on a scale
Standard Deviation 2.32
2.84 score on a scale
Standard Deviation 2.2
Change in Child Behavior Problems
Peer (T1)
1.62 score on a scale
Standard Deviation 1.56
1.52 score on a scale
Standard Deviation 1.64
Change in Child Behavior Problems
Peer (T2)
1.4 score on a scale
Standard Deviation 1.6
1.53 score on a scale
Standard Deviation 1.56
Change in Child Behavior Problems
Peer (T3)
1.27 score on a scale
Standard Deviation 1.41
1.31 score on a scale
Standard Deviation 1.47
Change in Child Behavior Problems
Peer (T4)
1.49 score on a scale
Standard Deviation 1.71
1.45 score on a scale
Standard Deviation 1.57
Change in Child Behavior Problems
Prosocial (T1)
8.01 score on a scale
Standard Deviation 1.94
8.26 score on a scale
Standard Deviation 1.74
Change in Child Behavior Problems
Prosocial (T2)
8.43 score on a scale
Standard Deviation 1.94
8.24 score on a scale
Standard Deviation 1.96
Change in Child Behavior Problems
Prosocial (T3
8.5 score on a scale
Standard Deviation 1.81
8.6 score on a scale
Standard Deviation 1.55
Change in Child Behavior Problems
Prosocial (T4)
8.72 score on a scale
Standard Deviation 1.92
8.45 score on a scale
Standard Deviation 1.86

SECONDARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Population: Severity (intensity scale) 1 = never happens to 7 = always happening (higher scores more intense problems) - range is 1-7 Frequency (problem Scale of child behaviors. 0 = no; 1 = yes (higher scores more problems) Range 0-1 T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Eyberg Child Behavior Inventory (ECBI) Problem scale (range 0-1) higher scores more problems Intensity scale (range 1-7) higher scores more intense problems

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Change in Child Externalizing Behavior Problems
Problem Scale (T1)
0.18 score on a scale
Standard Deviation 0.22
0.19 score on a scale
Standard Deviation 0.21
Change in Child Externalizing Behavior Problems
Problem Scale (T2)
.14 score on a scale
Standard Deviation .18
.16 score on a scale
Standard Deviation .19
Change in Child Externalizing Behavior Problems
Problem Scale (T3)
.14 score on a scale
Standard Deviation .2
.15 score on a scale
Standard Deviation .19
Change in Child Externalizing Behavior Problems
Problem Scale (T4)
.12 score on a scale
Standard Deviation .18
.13 score on a scale
Standard Deviation .19
Change in Child Externalizing Behavior Problems
Intensity Scale (T1)
2.80 score on a scale
Standard Deviation 0.84
2.84 score on a scale
Standard Deviation 0.80
Change in Child Externalizing Behavior Problems
Intensity Scale (T2)
2.69 score on a scale
Standard Deviation .85
2.69 score on a scale
Standard Deviation .72
Change in Child Externalizing Behavior Problems
Intensity Scale (T3)
2.64 score on a scale
Standard Deviation .8
2.67 score on a scale
Standard Deviation .75
Change in Child Externalizing Behavior Problems
Intensity Scale (T4)
2.64 score on a scale
Standard Deviation .74
2.56 score on a scale
Standard Deviation .74

SECONDARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Parenting Stress Index-Short Form (PSI-SF) Scales (range 12-60): Higher scores indicate higher stress Parental distress Parent-child dysfunctional interaction Difficult child

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Change in Parenting Stress
Parent Domain (T1)
26.06 score on a scale
Standard Deviation 9.58
25.53 score on a scale
Standard Deviation 7.86
Change in Parenting Stress
Parent Domain (T2)
25.9 score on a scale
Standard Deviation 9.26
25.25 score on a scale
Standard Deviation 8.17
Change in Parenting Stress
Parent Domain (T3)
25.39 score on a scale
Standard Deviation 10.04
25.41 score on a scale
Standard Deviation 9.56
Change in Parenting Stress
Parent Domain (T4)
25.3 score on a scale
Standard Deviation 9.72
24.64 score on a scale
Standard Deviation 8.18
Change in Parenting Stress
Parent-Child Domain (T1)
20.28 score on a scale
Standard Deviation 6.38
19.76 score on a scale
Standard Deviation 6.05
Change in Parenting Stress
Parent-Child Domain (T2)
19.62 score on a scale
Standard Deviation 6.5
20.02 score on a scale
Standard Deviation 5.79
Change in Parenting Stress
Parent-Child Domain (T3)
19.62 score on a scale
Standard Deviation 6.53
19.7 score on a scale
Standard Deviation 6.87
Change in Parenting Stress
Parent-Child Domain (T4)
19.52 score on a scale
Standard Deviation 6.03
19.62 score on a scale
Standard Deviation 6.07
Change in Parenting Stress
Child Domain (T1)
24.72 score on a scale
Standard Deviation 8.02
24.24 score on a scale
Standard Deviation 6.86
Change in Parenting Stress
Child Domain (T2)
23.97 score on a scale
Standard Deviation 7.62
24.34 score on a scale
Standard Deviation 7.29
Change in Parenting Stress
Child Domain (T3)
23.37 score on a scale
Standard Deviation 7.45
23.46 score on a scale
Standard Deviation 7.66
Change in Parenting Stress
Child Domain (T4)
23.11 score on a scale
Standard Deviation 7.18
23.18 score on a scale
Standard Deviation 7.6

SECONDARY outcome

Timeframe: T1 = baseline; T2 = 3-months post baseline; T3 = 6-months post baseline; T4 = 12-months post baseline.

Parenting Sense of Competence Scale (PSOC) - Total Scale (Range 17-102) Higher scores indicate higher self efficacy

Outcome measures

Outcome measures
Measure
Intervention: ezParent Program
n=144 Participants
ezParent Program: Tablet-based behavioral parent training program.
Control: Health-e Kids App
n=143 Participants
Health-e Kids Control App: Tablet based health promotion information App
Change in Parenting Self-efficacy
Total Score (T1)
71.07 score on a scale
Standard Deviation 11.41
71.28 score on a scale
Standard Deviation 10.62
Change in Parenting Self-efficacy
Total Score (T2)
71.51 score on a scale
Standard Deviation 11.20
70.94 score on a scale
Standard Deviation 10.7
Change in Parenting Self-efficacy
Total Score (T3)
72.99 score on a scale
Standard Deviation 11.16
71.73 score on a scale
Standard Deviation 12.24
Change in Parenting Self-efficacy
Total Score (T4)
72.9 score on a scale
Standard Deviation 12.10
72.1 score on a scale
Standard Deviation 11.00

Adverse Events

Intervention: ezParent Program

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control: Health-e Kids App

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Susie Breitenstein

The Ohio State University, College of Nursing

Phone: 6146884614

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place