Enhancing Preschool Children's Attention and Behaviour: Parent-Focused Program
NCT ID: NCT07083037
Last Updated: 2025-07-24
Study Results
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Basic Information
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RECRUITING
NA
60 participants
INTERVENTIONAL
2025-02-01
2027-08-31
Brief Summary
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1. Assess the feasibility and accessibility of BRIDGE for preschool and young children (3-7 years old) with significant attention and behavior programs through questionnaires asking about attendance, satisfaction, and unmet needs.
2. Examine the efficacy of BRIDGE compared to control group at improving maternal mental health and child attention and behavioral difficulties in young children (primary outcomes). We will also examine parenting stress (secondary outcome).
3. Identify predictors of academic readiness skills in preschool and young children. We hypothesize that an increase in parental and child emotion-regulation skills and reduced attention, as well as behavioral problems, will lead to increased pre-academic skills in children.
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Detailed Description
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This project addresses a gap in the current literature by focusing on parent-focused support for preschool and young children with attention and behavior problems. It aims to empower parents with tools and strategies to positively impact their children's behavior. The expected contribution includes understanding effective family-focused supports that address both parental and child challenges early on, promoting positive family well-being. This research has broader implications for clinicians, educators and policymakers by offering practical strategies to improve young children's' behaviors and manage parental mental health challenges, ultimately enhancing overall child well-being and aligning with broader goals in child development and early education. The results will be disseminated through academic publication, and directly communicated within our network of community agencies, programs, clinics and school-systems in both Quebec, Ontario and Manitoba.
The current study will conduct a non-randomized parallel assignment feasibility pilot design to evaluate the feasibility and potential efficacy of the BRIDGE program in addressing parents' mental health difficulties and children's attentional and behavioral problems. We aim to recruit sixty parent-child dyads (30 participants and 30 controls) to take part in the study. Participants in the intervention group will complete the 12-week online BRIDGE program, along with in-person assessments at three time points: pre-intervention (week 0-1;T1), post-intervention (week 12; T2), and follow-up (3 months; T3). The control group will complete the same in-person assessments without participating in the intervention.
Our primary aim is to examine the feasibility of BRIDGE on maternal mental health and their children's mental wellbeing, executive functioning, and social-emotional development. Our secondary aims are to evaluate the efficacy of BRIDGE therapy in improving parenting stress and decreasing harsh parenting tendencies. Supplementary aims of this study include observing differences or changes for both mothers and children, in sleep quality, mental wellbeing, relationships, as well as child academic readiness before and after the BRIDGE program.
Conditions
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Study Design
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NON_RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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BRIDGE arm
The BRIDGE program is a manualized therapy program that provides participants with parenting and DBT skills through video training modules and in-group sessions. Participants in the BRIDGE arm will participate in 12 weeks of 20-60-minute DBT and parenting skills training that will be delivered asynchronously via video (participants will access these by logging onto a password-protected website). The BRIDGE condition also includes weekly synchronous 1-hour virtual group therapy sessions as well as DBT and parenting skills worksheets to complete between sessions.
Building Regulation in Dual Generations (BRIDGE; DBT + Parenting)
The BRIDGE intervention includes 12 weeks of 20-60-minute DBT and parenting skills training videos, delivered asynchronously via an online website requiring a participant login. Video content was drawn from concepts outlined in the DBT Skills Training Manual 2nd Edition (Linehan, 2015). Parenting videos will provide mothers with parenting skills education based on best practices in evidence-based positive parenting interventions (e.g., Parent Management Training, Positive Parenting, Kazdin, 1997; Sanders et al., 2014). The BRIDGE condition also includes weekly synchronous 1-hour virtual group therapy sessions and worksheets to complete weekly (as an opportunity to practice skill use).
Support As Usual
Control group participants in the SAU arm will receive a list of local mental health and parenting resources, curated by our research team. Participants can access any intervention or resource participants would like throughout the duration of the program.
No interventions assigned to this group
Interventions
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Building Regulation in Dual Generations (BRIDGE; DBT + Parenting)
The BRIDGE intervention includes 12 weeks of 20-60-minute DBT and parenting skills training videos, delivered asynchronously via an online website requiring a participant login. Video content was drawn from concepts outlined in the DBT Skills Training Manual 2nd Edition (Linehan, 2015). Parenting videos will provide mothers with parenting skills education based on best practices in evidence-based positive parenting interventions (e.g., Parent Management Training, Positive Parenting, Kazdin, 1997; Sanders et al., 2014). The BRIDGE condition also includes weekly synchronous 1-hour virtual group therapy sessions and worksheets to complete weekly (as an opportunity to practice skill use).
Eligibility Criteria
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Inclusion Criteria
Participants are deemed eligible for the BRIDGE therapy group if they meet the following criteria:
1. Above the age of 18.
2. Self-identify as a mother of a child between the age of 3-7 years old.
3. Currently living in Quebec, Ontario, or Manitoba
4. Fluency in English.
5. Mothers must have clinically significant symptoms of depression (mild to moderate on the Patient Health Questionnaire and indicate symptoms to "somewhat cause difficulties") currently affecting them. Participants also need to report symptoms of depression during pregnancy or shortly after birth.
6. Their child has attention and/or behavior problems (T-score \> 65 on the Child Behavior Checklist (CBCL) ADHD subscales) or confirmed attention and/or behavior problems through clinical interview.
Control Group:
Participants are deemed eligible for the Control group if they meet the following criteria:
1. Above the age of 18
2. Self-identify as a mother of a child between the age of 3-7 years old
3. Currently living in Quebec, Ontario, or Manitoba
4. Fluency in English or bilingual
5. Mothers must NOT have clinically significant symptoms of depression (mild to moderate on the Patient Health Questionnaire)
6. Their child DOES NOT have attention and/or behavior problems (T-score \> 65 on the Child Behavior Checklist (CBCL) ADHD subscales).
Furthermore, eligible participants were invited to complete a semi-structured intake interview with principal investigator (PI) Dr. Tasmia Hai or a graduate student trainee under Dr. Hai's supervision, during which further questions about their mental health and child behavior were asked to ensure their eligibility. Based on the clinical suitability interview, participants may be excluded if they are deemed to be ineligible based on A) the mother's absence of clinically significant mental health symptoms, and/or B) the child's absence of attention and/or behavior problems. When relevant, participants may be identified to participate in the control group instead if eligibility is met.
Control Group:
Exclusion Criteria
18 Years
FEMALE
Yes
Sponsors
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University of Manitoba
OTHER
Social Sciences and Humanities Research Council of Canada
OTHER
McGill University
OTHER
Responsible Party
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Tasmia Hai
Assistant Professor
Locations
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University of Manitoba - Department of Psychology
Winnipeg, Manitoba, Canada
McGill University - Department of Education and Counselling Psychology
Montreal, Quebec, Canada
Countries
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Central Contacts
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Facility Contacts
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Department Chair of the Educational and Counselling Psychology
Role: primary
References
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Proceedings of the 8th meeting of the European Pineal Society. Tours, France, 3-7 July 1999. Reprod Nutr Dev. 1999 May-Jun;39(3):275-408. No abstract available.
Leung CK, Shiu RP. Morphological and proliferative characteristics of human breast tumor cells cultured on plastic and in collagen matrix. In Vitro. 1982 May;18(5):476-82. doi: 10.1007/BF02796476.
Brikell I, Kuja-Halkola R, Larsson H. Heritability of attention-deficit hyperactivity disorder in adults. Am J Med Genet B Neuropsychiatr Genet. 2015 Sep;168(6):406-413. doi: 10.1002/ajmg.b.32335. Epub 2015 Jun 30.
Gwee AL. Brain drain. Med J Aust. 1974 Aug 17;2(2):suppl:20-1. No abstract available.
Other Identifiers
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430-2024-00718
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
24-06-073
Identifier Type: -
Identifier Source: org_study_id
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