The Impact of Parent Training on the Child's Health Services
NCT ID: NCT03704974
Last Updated: 2024-11-07
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
TERMINATED
Total Enrollment
7 participants
Study Classification
OBSERVATIONAL
Study Start Date
2018-08-16
Study Completion Date
2022-06-22
Brief Summary
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The purpose of the study is to determine whether parent training with the Incredible Years Parent Program delivered in pediatric primary care decreases usage of healthcare services for the next year when compared to annual healthcare service use during the two years prior to the parents participating in program.
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Detailed Description
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Pediatric health services utilization (pHSU) by children with mental health conditions demonstrated dramatic increases between 2006 and 2011. These national trends reflecting large increases in pHSU for mental health conditions were seen across multiple developmental levels. Health services costs for children with mental health conditions are estimated to be twice those for the average child. The Incredible Years® Parent Program (IY) has a strong evidence-base supporting its effectiveness in reducing early onset conduct problems. The overall objective of this stage 3 (T3) translational research proposal is to conduct a pilot study of 45 pediatrician-referred parents who participate in IY and examine the impact of IY on pHSU of their children. Pediatric HSU outcome measures include: all-cause ED visits; in-patient hospitalizations and length of stay; authorizations for specialist referrals; primary and acute care visits; and ED visits for mental health conditions. The investigator's central hypothesis is that children ages 3 to 6 years with behavior concerns whose parents are referred by their pediatricians for participation in IY will have decreased mean annual all-cause pHSU and decreased ED visits for mental health conditions in the 12 months following IY, compared to the 24 months prior to IY participation. This is important to demonstrate because significant financial barriers exist to integrating effective family focused prevention services like IY into pediatric primary care settings. Demonstration of reduced pHSU is one way to address these translational barriers. Results of this pilot study are expected to provide preliminary data on pre- and post-intervention effect sizes; these data will be used to demonstrate the feasibility of collecting data using existing sources of pHSU to design a more fully powered multi-site trial with a robust comparator group.
Conditions
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Parenting
Child Rearing
Child Behavior Problem
Study Design
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Observational Model Type
COHORT
Study Time Perspective
RETROSPECTIVE
Study Groups
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Children of Parents Receiving IY
Children ages 3 to 6 years at start of group with behavior concerns whose parents are referred by their pediatricians for participation in a video-based parent training program from 2014 through 2018.
Video-Based Parent Training Program
Intervention Type
BEHAVIORAL
An18-20 week evidence-based social cognitive theory-based parenting program where parents see brief video vignettes of effective and less effective parenting and develop concepts to modify their child's behavior.
Interventions
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Video-Based Parent Training Program
An18-20 week evidence-based social cognitive theory-based parenting program where parents see brief video vignettes of effective and less effective parenting and develop concepts to modify their child's behavior.
Intervention Type
BEHAVIORAL
Other Intervention Names
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Incredible Years® Preschool BASIC Parenting Program
Incredible Years® Early Childhood BASIC Parenting Program
Eligibility Criteria
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Inclusion Criteria
* Children receiving primary care at CHLA AltaMed with parent-reported behavioral concerns whose parents are referred by their pediatricians for participation in the Incredible Years Parenting Program.
* Continuous enrollment in AltaMed Medicaid funded health services during the 24 months prior to participation in IY and 12 months following participation in IY with lapses in coverage of no more than 90 days in length.
* Parents are English or Spanish-speaking or willing to use interpretation if they speak another language.
* Continuous enrollment in AltaMed Medicaid funded health services during the 24 months prior to participation in IY and 12 months following participation in IY with lapses in coverage of no more than 90 days in length.
* Parents are English or Spanish-speaking or willing to use interpretation if they speak another language.
Exclusion Criteria
* Private (commercial non-Medicaid) insurance coverage for greater than 90 days during the 24 months prior to participation in IY and 12 months following participation in IY.
Minimum Eligible Age
36 Months
Maximum Eligible Age
83 Months
Eligible Sex
ALL
Accepts Healthy Volunteers
No
Sponsors
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AltaMed Health Services Corporation
OTHER
Sponsor Role
collaborator
National Center for Advancing Translational Sciences (NCATS)
NIH
Sponsor Role
collaborator
Children's Hospital Los Angeles
OTHER
Sponsor Role
lead
Responsible Party
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Dean Coffey
Principal Investigator
Responsibility Role
PRINCIPAL_INVESTIGATOR
Principal Investigators
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DEAN M COFFEY, PsyD, MS
Role: PRINCIPAL_INVESTIGATOR
University of Southern California; Children's Hospital Los Angeles
Locations
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Children's Hospital Los Angeles
Los Angeles, California, United States
Site Status
Countries
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United States
References
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Related Links
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https://redcap.sc-ctsi.org/
Link to REDCap Database
Other Identifiers
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CHLA-17-00001
Identifier Type: -
Identifier Source: org_study_id
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