Comparing Web, Group, and Telehealth Formats of a Military Parenting Program

NCT ID: NCT02973906

Last Updated: 2021-05-07

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 244 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2014-06-01
• Study Completion Date: 2020-08-30

Brief Summary

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The PI will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Detailed Description

The overarching goal of this study is to advance research on family-based prevention of negative child outcomes for reintegrating Operation Enduring Freedom/Operation Iraqi Freedom personnel by evaluating different formats of a parenting program, After Deployment, Adaptive Parenting Tools (ADAPT). The ADAPT program is based upon the Parent Management Training-Oregon Model/PMTO, but adapted for military deployed families. The investigators will examine which of three delivery formats of ADAPT is most effective at reducing youth risk behaviors associated with negative childhood outcomes by improving parenting, child, and parent adjustment. There is a clear intent to benefit all subjects in this study (except surveyed teachers), including children.

Combat deployment and related challenges are family stressors, associated with more negative parent-child interactions, ineffective and coercive parenting practices and lower levels of parenting satisfaction. Disrupted parenting practices are well-known predictors of risk for child adjustment difficulties that are precursors to youth substance use, including behavior problems, school failure, deviant peer association, and depression . These child adjustment problems can contribute to continuing parental stress, increasing parental distress, and further disrupting parenting.

Conditions

Parenting

Study Design

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

Study Groups

ADAPT Self Directed web

ADAPT Self Directed Web. In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum)

Group Type: OTHER

ADAPT Self Directed web

Intervention Type: OTHER

In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum

ADAPT individualized web-facilitated

This condition comprises access to the full ADAPT web program with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).

Group Type: OTHER

ADAPT individualized web-facilitated

Intervention Type: OTHER

This condition comprises access to the full ADAPT web program as described above, with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).

Group-based ADAPT

Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics

Group Type: OTHER

Group-based ADAPT

Intervention Type: OTHER

Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics:

Interventions

ADAPT Self Directed web

In the self-directed web-only ADAPT condition, participants have access to the full ADAPT website (10 modules, online discussion forum

Intervention Type: OTHER

ADAPT individualized web-facilitated

This condition comprises access to the full ADAPT web program as described above, with augmentation of individual facilitator web support (i.e. the facilitator connects via Google Hangout). Facilitators meet with families at a mutually convenient time weekly (10-14 weeks, approximately 3 sessions per month).

Intervention Type: OTHER

Group-based ADAPT

Groups will meet weekly for 120 minutes, at a time convenient to participants (usually early evening). Groups cover core ADAPT/PMTO topics:

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• one parent has returned from deployment to OIF or OEF
• at least one child ages 5-12 in their custody and living with parent(s) in the home
• high speed internet access at home We will include both single-and two-parent families, as well as families where care is shared between non-partnered adults (e.g. grandparent and mother)

Exclusion Criteria

• active psychosis
• an open child protection case for abuse or neglect in the family
• a serious child mental health diagnosis
• families who piloted material or participated in or are currently participating in the original ADAPT RCT.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Minnesota

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Abigail Gweitrz, PhD

Role: PRINCIPAL_INVESTIGATOR

Institute for Translational Research in Children's Mental Health University of Minnesota

Locations

Institute for Translational Research in Children's Mental Health

Minneapolis, Minnesota, United States

Countries

United States

Provided Documents

Document Type: Study Protocol

View Document

Other Identifiers

1407S52001

Identifier Type: -

Identifier Source: org_study_id