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Despite being more likely than typical hearing children to experience disruptive behavior problems, children who are deaf and hard of hearing (DHH) rarely receive behavioral interventions to prevent the long-term costly outcomes of behavior problems. This pilot project will systematically adapt an evidence-based behavioral parent training (BPT) intervention to increase its acceptability and relevance for parents of young DHH children. Two parents of DHH children will be trained in the adapted BPT for DHH children. They will each deliver the intervention to five families with DHH preschool-aged children.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parent Coaches | Experimental | Parent coaches will complete interventionist training and supervision in the "Family Check-Up," an evidence-based behavioral parent training (BPT) program, including in the adaptations for families with DHH children. Each parent coach will deliver the intervention to 5 parent-child dyads. |
|
| Parent-Child Dyads | Experimental | Parents and children will receive the adapted "Family Check-Up" behavioral parent training (BPT) intervention delivered by parent coaches. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Interventionist training and supervision | Behavioral | Online and in-person training and weekly supervision with licensed clinical social worker while delivering the "Family Check-Up" to 5 families. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility: Enrollment | Proportion of parents agreeing to enroll in the intervention out of all parents approached | 2 weeks after final parent-child dyad completes the study |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility: Number of sessions completed | Number of sessions completed by each enrolled parent | 2 weeks after final parent-child dyad completes the study |
| Interventionist fidelity | Fidelity ratings of two recorded sessions per interventionist |
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Parent/Caregivers and Children:
Inclusion Criteria:
Exclusion Criteria:
Parent Coaches/Interventionists:
Inclusion Criteria:
Exclusion Criteria:
- None
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| Name | Affiliation | Role |
|---|---|---|
| Christina Studts, PhD | University of Kentucky, Dept of Health, Behavior & Society | Principal Investigator |
| Matthew Bush, MD, PhD | University of Kentucky, Dept of Otolaryngology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Kentuckyi | Lexington | Kentucky | 40506 | United States |
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| Behavioral parent training | Behavioral | Up to 6 sessions of the "Family Check-Up" program, involving discussions, assessments, feedback, and skills training with a parent coach. |
|
| 2 weeks after final parent-child dyad completes the study |
| Feasibility: usability of battery of measures | Proportion of missing data across and within instruments for parent, child, and interventionist outcome measures | 2 weeks after final parent-child dyad completes the study |
| Acceptability: parent satisfaction | European Parent Satisfaction Scale about Early Intervention (EPASSEI) - adapted; range: 20 (high satisfaction) to 100 (low satisfaction) | 10 weeks after parent baseline |
| Acceptability: interventionist satisfaction | Therapist Satisfaction Index (TSI) | 2 weeks after final parent-child dyad completes the study |
| ID | Term |
|---|---|
| D034381 | Hearing Loss |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D006311 | Hearing Disorders |
| D004427 | Ear Diseases |
| D010038 | Otorhinolaryngologic Diseases |
| D012678 | Sensation Disorders |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D009934 | Organization and Administration |
| ID | Term |
|---|---|
| D006298 | Health Services Administration |
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