Early Intervention For Families Experiencing Homelessness: A Randomized Trial Comparing Two Parenting Programs

NCT ID: NCT04459845

Last Updated: 2021-10-01

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 144 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-08-01
• Study Completion Date: 2021-08-01

Brief Summary

This study aims to compare the efficacy in delivering two evidence-based parenting programs to families and young children experiencing homelessness. Outcomes evaluated include feasibility, treatment completion, treatment satisfaction of delivery of interventions as well as child outcomes (e.g., behavior problems, trauma symptoms) and parenting outcomes (parenting stress and parenting skills).

Detailed Description

The number of homeless families in the U.S. has increased since the 1980s to over half a million as of 2018. Most troubling, in 2013 (the most recent year for which census data is available) one in every 30 children in the U.S., or 2.5 million, experienced homelessness. In addition to having disproportionally higher rates of unmet health needs (e.g., acute health problems, trauma-related injuries), children experiencing homelessness have staggering mental health needs such that 78% suffer from at least one mental health issue (e.g., depression, behavior problems) along with academic/developmental delays. Given that over half of all homeless children in the US are under the age of 6, it is particularly important to investigate the effectiveness of evidence-based parenting programs within a homeless population. This study aims to compare the efficacy in delivering two evidence-based parenting programs to families and young children experiencing homelessness.

Conditions

Behavior Problem; Parenting

Study Design

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

Study Groups

Parent Child Interaction Therapy

Parents and children will receive 12 weekly sessions of PCIT.

Group Type: ACTIVE_COMPARATOR

Parent Child Interaction Therapy

Intervention Type: BEHAVIORAL

Parent-child Interaction therapy (PCIT; Eyberg and Robinson, 1982) s a manualized evidence-based behavioral parent training program that integrates social learning and attachment theories. Parents proceed through two distinct phases: Child-Directed Interaction (CDI) resembles traditional play therapy, and Parent-Directed Interaction (PDI) resembles clinical behavior therapy. During all sessions, the therapist coaches each parent in vivo in their use of the CDI and PDI skills with their child.

Child Parent Psychotherapy

Parents and children will receive 12 weekly sessions of CPP

Group Type: ACTIVE_COMPARATOR

Child Parent Psychotherapy

Intervention Type: BEHAVIORAL

Child-parent psychotherapy (CPP; Lieberman et al., 2005) is a relationship-based treatment that integrates attachment, cognitive-behavioral, social-learning, and psychodynamic theories. CPP focuses on the child-parent relationship as a way to improve the child's adaptive functioning. Various treatment strategies are employed including a focus on safety, affect regulation, the joint construction of a trauma narrative, and engagement in developmentally appropriate activities.

Interventions

Parent Child Interaction Therapy

Parent-child Interaction therapy (PCIT; Eyberg and Robinson, 1982) s a manualized evidence-based behavioral parent training program that integrates social learning and attachment theories. Parents proceed through two distinct phases: Child-Directed Interaction (CDI) resembles traditional play therapy, and Parent-Directed Interaction (PDI) resembles clinical behavior therapy. During all sessions, the therapist coaches each parent in vivo in their use of the CDI and PDI skills with their child.

Intervention Type: BEHAVIORAL

Child Parent Psychotherapy

Child-parent psychotherapy (CPP; Lieberman et al., 2005) is a relationship-based treatment that integrates attachment, cognitive-behavioral, social-learning, and psychodynamic theories. CPP focuses on the child-parent relationship as a way to improve the child's adaptive functioning. Various treatment strategies are employed including a focus on safety, affect regulation, the joint construction of a trauma narrative, and engagement in developmentally appropriate activities.

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Any child between the ages of 2 and 5 and his/her mother who is currently homeless and living in the Lotus House shelter.

Exclusion Criteria

• Family is already involved in a parenting program or does not speak English or Spanish.

• Minimum Eligible Age: 2 Years
• Maximum Eligible Age: 5 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Lotus House

UNKNOWN

Sponsor Role: collaborator

Florida International University

OTHER

Sponsor Role: lead

Responsible Party

Paulo A. Graziano, PhD

Associate Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Paulo Graziano, Ph.D

Role: PRINCIPAL_INVESTIGATOR

Florida International University

Locations

Lotus House

Miami, Florida, United States

Countries

United States

References

Graziano PA, Spiegel JA, Hayes T, Arcia E; Sundari Foundation. Early intervention for families experiencing homelessness: A pilot randomized trial comparing two parenting programs. J Consult Clin Psychol. 2023 Apr;91(4):192-207. doi: 10.1037/ccp0000810.

Reference Type: DERIVED

PMID: 37166851 (View on PubMed)

Other Identifiers

IRB-17-0265-CR02

Identifier Type: -

Identifier Source: org_study_id