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The purpose of this study is to determine the effectiveness of Primary Care Stepping Stones Triple P (PC-SS Triple P), an empirically supported parent mediated intervention, to improve the behavioral functioning of children newly diagnosed with Autism (aged 2-12 years), increase parental resilience and decrease parental stress.
Research literature exists on best practices for screening and diagnosing children with Autism. However, less is known about how to intervene with the child's parent. Across studies, relative to parents of children without disabilities, parents of children with Autism have reported higher levels of stress and lower levels of parenting competence. Such stress places children at risk for adverse developmental outcomes
The proposed study aims to determine the effectiveness of Primary Care Stepping Stones Triple P (PC-SS Triple P), an empirically supported parent mediated intervention, to improve the behavioral functioning of children newly diagnosed with Autism (aged 2-12 years), increase parental resilience and decrease parental stress.
The specific hypotheses include:
Seventy-six parents of children newly diagnosed with Autism will be randomized into one of two conditions: a) PC-SS Triple P (N=38) or b) Wait List Control (WLC; N=38). Study data will be collected with the assistance of a data collector appropriately trained in human subject rights protections.
It is anticipated that the present project will assist in the development and use of evidence-based practices for working with parents of children newly diagnosed with Autism within pediatric settings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Primary Care Stepping Stones Triple P | Experimental | Primary Care Stepping Stones Triple P program (PC-SS Triple P) - a parenting and family support strategy that aims to prevent and treat behavioral problems in children by enhancing parental resilience. |
|
| Wait List Control (WLC) | Active Comparator | Wait List Control - Participants who will have access to treatment as usual services during the 4 weeks between baseline and 4 week assessment time points and then will have the opportunity to receive PC-SS Triple P. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Primary Care Stepping Stones Triple P (PC-SS Triple P) | Behavioral | PC-SS Triple P is a parenting and family support strategy that aims to prevent and treat behavioral problems in children by enhancing parental resilience. |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Eyberg Child Behavior Inventory Score at 4 weeks | Measure conduct problem behavior in children between the ages of 2 and 16 years. | Baseline and 4 weeks |
| Change from Baseline in Connor-Davidson Resilience Scale Score at 4 weeks | General scale of resilience in adult populations with a bias towards coping with stress and adversity. | Baseline and 4 weeks |
| Change from Baseline in Parent Stress Index - Short Form Score at 4 weeks | Sources and different types of stress that every parent can experience. Provides information in 4 specific domains of parenting stress:
| Baseline and 4 weeks |
| Change from Baseline in Family Assessment Device score at 4 weeks | Assesses family functioning on six different dimensions:
| Baseline and 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline in Aberrant Behavior Checklist Score at 4 weeks | Assesses behavior problems in individuals with developmental disabilities across 5 domains:
| Baseline and 4 weeks |
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Inclusion Criteria:
Parent inclusion criteria:
Index child inclusion criteria:
Exclusion Criteria:
Parent exclusion criteria:
Index child exclusion criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Debra H. Zand, PhD | Saint Louis University School of Medicine, Department of Pediatrics, Division of Developmental Pediatrics | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Saint Louis University, Knights of Columbus Developmental Center | St Louis | Missouri | 63110 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Turner K, Markie-Dadds C, Sanders M. Practitioner's manual for primary care tripleP. Brisbane, QLD, Australia: Triple P International Pty. Ltd.; 2010. | ||
| Background | Mazzucchelli T, Sanders M. Stepping Stones Triple P: A Population Approach to the Promotion of Competent Parenting of Children with Disability. Brisbane, Queensland, Australia,: The University of Queensland;2012. | ||
| 19160053 | Background | Prinz RJ, Sanders MR, Shapiro CJ, Whitaker DJ, Lutzker JR. Population-based prevention of child maltreatment: the U.S. Triple p system population trial. Prev Sci. 2009 Mar;10(1):1-12. doi: 10.1007/s11121-009-0123-3. | |
| Background | Sanders M, Morawska A. Can changing parental knowledge, dysfunctional expectations and attributions, and emotion regulation improve outcomes for children? In: Tremblay R, Boivin M, Peters R, eds. Encyclopedia on Early Childhood Development [online]. 2nd ed. Montreal, Quebec: Centre of Excellence for Early Childhood Development 2008:1-12. |
| Label | URL |
|---|---|
| Family Research Collaborative - Autism \& Parenting Resilience | View source |
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| ID | Term |
|---|---|
| D001321 | Autistic Disorder |
| D001519 | Behavior |
| D002652 | Child Behavior |
| D002658 | Developmental Disabilities |
| ID | Term |
|---|---|
| D000067877 | Autism Spectrum Disorder |
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| ID | Term |
|---|---|
| C472024 | (tris(diphenylphosphinomethyl)phenylborate)(p-tolylnitrido)iron(I) |
| D013812 | Therapeutics |
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|
| Treatment as Usual | Other | Treatment as Usual for 4 weeks |
|
|
| Change from Baseline in The Parenting Scale Score at 4 weeks | Measures dysfunctional discipline styles in parents by asking about the probability with which the parent uses particular discipline strategies. It yields four scores:
| Baseline and 4 weeks |
| Change from Baseline in the Parenting Sense of Competence Scale Score at 4 weeks | Measures parents' sense of confidence and satisfaction with their parenting and their self-efficacy in the parenting role. | Baseline and 4 weeks |
| 10965638 | Background | Sanders MR, Markie-Dadds C, Tully LA, Bor W. The triple P-positive parenting program: a comparison of enhanced, standard, and self-directed behavioral family intervention for parents of children with early onset conduct problems. J Consult Clin Psychol. 2000 Aug;68(4):624-40. |
| Background | Sanders, Mazzucchelli T, Studman L. Stepping Stones Triple P: The theoretical basis and development of an evidence-based positive parenting program for families with a child who has a disability. Journal of Intellectual & Developmental Disability. 2004 2004;29(3):265-283. |
| 23475006 | Background | Tellegen CL, Sanders MR. Stepping Stones Triple P-Positive Parenting Program for children with disability: a systematic review and meta-analysis. Res Dev Disabil. 2013 May;34(5):1556-71. doi: 10.1016/j.ridd.2013.01.022. Epub 2013 Mar 6. |
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