Effectiveness of a Web-enhanced Parenting Program for Military Families
NCT ID: NCT03522610
Last Updated: 2023-11-30
Study Results
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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COMPLETED
NA
360 participants
INTERVENTIONAL
2010-07-15
2016-07-15
Brief Summary
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Detailed Description
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PMTO is a well-established empirically supported intervention targeting highly stressed parents that applies Social Interaction Learning theory. Similar to family stress and stress amplification models, SIL posits that parenting mediates the effects of family stressors on child adjustment. That is, deployment and related stressors would be expected to impair social interactional patterns, leading to increases in coercion, decrements in positive parenting, and increased risk for child maladjustment. PMTO interventions have demonstrated efficacy and effectiveness, showing benefits for children including reductions in behavior problems that are precursors to substance use, actual substance use, and internalizing problems, as well as increases in social competence and school adjustment. Moreover, recent findings indicate that strengthening parenting practices contributes to improved outcomes for parents themselves. While PMTO interventions have been implemented in multiple diverse contexts, no study to date has adapted and examined PMTO among military populations. Data from studies of the current wars demonstrate a strong need for accessible prevention interventions that reduce parent stress, enhance parenting, and promote family resilience.
Specific aims of this study are as follows:
1. Examine the usability and feasibility of an adapted PMTO prevention program: After Deployment: Adaptive Parenting Tools/ADAPT
1. Conduct in-house testing and external usability evaluation of ADAPT online enhancement
2. Evaluate feasibility of ADAPT group component
2. Assess effectiveness of and satisfaction with ADAPT (group and web enhancement) program compared with a services-as-usual comparison group, among 400 reintegrating MN Army National Guard (MN ARNG) families with 6-12 year old children.
1. Assess effectiveness of ADAPT in (i) reducing coercion, and improving positive parenting practices, (ii) reducing child risk for substance use and related behavior problems, and (iii) improving parental adjustment, in the face of deployment and reintegration stressors.
2. Assess the capacity of ADAPT to yield higher parent satisfaction ratings than the services as-usual (tip sheet) comparison condition.
3. Within the ADAPT intervention group, detail and describe responsiveness to intervention.
1. Report dosage for group (face-to-face) and web components of ADAPT
2. Examine dosage as a potential moderator of intervention outcome
3. Examine fidelity of the implementation as a potential moderator of intervention outcome
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
DOUBLE
Study Groups
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ADAPT
Parents participate in a 14-week in person group based version of ADAPT with web-enhanced online ADAPT materials.
ADAPT
Two hour, once a week in-person parenting program for 14 weeks plus use web-enhanced supplemental ADAPT materials
Comparison Group
Parents receive services as usual (pamphlets, brochures, etc) on parenting typically found at a VA or Dr.'s office.
No interventions assigned to this group
Interventions
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ADAPT
Two hour, once a week in-person parenting program for 14 weeks plus use web-enhanced supplemental ADAPT materials
Eligibility Criteria
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Inclusion Criteria
2. at least one child in grades preK-6 in their custody and living with parent(s) in the home, and
3. high speed internet access at home (a recent MN study indicates that 97% deployed families have internet, with 70% using internet daily; Sayer et al., 2009). 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), and will control for relationship status in analyses. Participants must live within an hour's travel time of the Twin Cities Metro area, St Cloud, Mankato, Duluth, agree to randomization, and indicate willingness to interact with study materials and complete assessment batteries.
Exclusion Criteria
2. an open child protection case for abuse or neglect in the family,
3. a serious child mental health diagnosis,
4. families who participated in the pilot ADAPT intervention (usability or feasibility) study described in Aim 1. MN NG data indicate that fewer than 10% families would be excluded based on a-c, above (personal correspondence, Polusny).
18 Years
ALL
Yes
Sponsors
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University of Minnesota
OTHER
Responsible Party
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Principal Investigators
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Abigail Gewirtz, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Minnesota
References
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Gewirtz AH, DeGarmo DS, Lee S. What works better? 1-year outcomes of an effectiveness trial comparing online, telehealth, and group-based formats of a military parenting program. J Consult Clin Psychol. 2024 May;92(5):310-319. doi: 10.1037/ccp0000882. Epub 2024 Mar 28.
DeGarmo DS, Gewirtz AH, Li L, Tavalire HF, Cicchetti D. The ADAPT Parenting Intervention Benefits Combat Exposed Fathers Genetically Susceptible to Problem Drinking. Prev Sci. 2023 Jan;24(1):150-160. doi: 10.1007/s11121-022-01424-x. Epub 2022 Sep 3.
Related Links
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Current ADAPT studies and history of research
Other Identifiers
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1005S82692
Identifier Type: -
Identifier Source: org_study_id