Parents' Adherence to Treatment Recommendations

NCT ID: NCT03067649

Last Updated: 2017-04-11

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 194 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2010-02-28
• Study Completion Date: 2016-12-31

Brief Summary

The primary purpose of this study was to test whether conducting a brief motivational interview that focused on perceived barriers to treatment seeking would increase the likelihood that a parent with psychiatric problems would seek treatment for themselves.

Detailed Description

The primary aim of this study was to test a method for increasing adherence to treatment recommendations for parents of children with emotional/behavior problems. Mental health problems in parents can be a serious risk factor for psychiatric and medical problems in children, yet most parents of children receiving services for mental health or medical problems do not get treatment for their own problems. The specific aim of this study was to increase parents' adherence to recommendations for treatment. Parents were randomly assigned to either the Enhanced Motivational Intervention (EMI) or an information only control group. The EMI involves motivational interviewing comprised of a brief intervention that elicits the parents' "story," provides education about their problem(s), describes the potential link between parents' and children's symptoms, assesses their prior treatment history, expectations, and concerns about treatment, identifies potential barriers to treatment seeking, and determines the next step. Evaluations at baseline and 8-weeks and 4-months post intervention will assess parents' symptoms, functioning, and service utilization. The investigators hypothesized that adherence to treatment recommendations would be significantly greater for parents in the EMI group compared to parents in the control group.

Conditions

Help-Seeking Behavior

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Motivational Interview

After the assessment, parents were provided with a 90-minute intervention aimed at increasing the likelihood that the parent would seek treatment for psychiatric problems for themselves.

Group Type: EXPERIMENTAL

Motivational Interview

Intervention Type: BEHAVIORAL

90-minute interview to discuss their concerns and possible barriers to seeking treatment for themselves

Information only control

After the assessment, parents were given pamphlet with referral information for psychiatric services.

Group Type: OTHER

Information only control

Intervention Type: BEHAVIORAL

Participants are provided with a pamphlet containing referral information

Interventions

Motivational Interview

90-minute interview to discuss their concerns and possible barriers to seeking treatment for themselves

Intervention Type: BEHAVIORAL

Information only control

Participants are provided with a pamphlet containing referral information

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Parent or guardian of a child who is receiving services for emotional or behavioral problems.
• Must have legal custody of the child

Exclusion Criteria

• Current psychosis

• Minimum Eligible Age: 21 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Institutes of Health (NIH)

NIH

Sponsor Role: collaborator

Vanderbilt University

OTHER

Sponsor Role: lead

Responsible Party

Judith Garber

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

U.S. NIH/1RC1MH088329

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

12112015113639

Identifier Type: -

Identifier Source: org_study_id