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| Name | Class |
|---|---|
| American Psychological Foundation | OTHER |
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The goal of this clinical trial is to see if a brief positive parenting seminar series delivered virtually helps parents of teenagers ages 13-17 learn additional tools and strategies to support teens' development, encourage good behavior, build confidence and responsibility, and improve how teens connect with others. The study also looks at how these seminars improve parenting practices and teen outcomes.
The main questions it aims to answer are whether parents are satisfied with the intervention and find the strategies helpful and acceptable, whether the intervention leads to changes in parenting behaviors (e.g., positive parenting) and teen outcomes (e.g., emotional and behavioral problems), and how removing the group discussion from the seminars impacts parents' ability to improve their parenting skills and their teenager's outcomes.
Researchers will compare three groups: parents receiving the seminars with a group discussion, parents receiving the seminars without a group discussion, and parents on a waitlist. This will help determine if group discussions lead to greater improvements in parenting practices and teen outcomes.
Participants will attend three online parenting seminars via telehealth (if assigned to a seminar group). They will complete surveys before, during, and after the seminars to share their experiences and provide feedback. Participants in the waitlist group will complete surveys at the beginning and end of the study, and will participate in the seminars after the study period.
Despite the effectiveness of parenting interventions in promoting adaptive child-rearing behaviors and preventing youth internalizing and externalizing problems, our current model for mental health treatment that involves a highly trained mental health professional providing services in a one-on-one format at a clinic, private office, or health-care facility is not sustainable. As such, there is an urgent need to identify ways to increase the accessibility and scalability of mental health services to reduce the well-documented gap between youth and families who need mental health services and those who are able to access them. There is also a paucity of evidence-based parenting interventions for parents of adolescents, despite the increased risk for family conflict and mental health difficulties observed during this developmental period; thus, the primary goal of the current project is to examine the feasibility, acceptability, and preliminary efficacy of a brief (i.e., 3 session) seminar series for parents of adolescents between the ages of 13 and 17, which will be offered via telehealth to increase accessibility. Finally, this project will evaluate whether the ability for parents to ask questions and discuss skill implementation with a mental health provider is necessary for treatment effectiveness, given that programs that do not require a provider for implementation have the potential for greater scalability.
After completing the baseline survey, eligible parents will be randomly assigned to condition using block randomization. For parents assigned to the intervention-as-usual condition (i.e., 90-minute condition), seminars will be delivered live by two masters-level therapists who are fully accredited in Selected Teen Triple P. The seminars consist of 60-minutes of seminar content (i.e., discussion of various parenting strategies), followed by a 30-minute question-and-answer period. Participation will be encouraged by co-leaders throughout the seminars and the question-and-answer period.
For parents assigned to the intervention without an active discussion component (i.e., 60-minute condition), seminar content will be pre-recorded by the same two co-leaders who lead the seminars live to ensure standardization of the material and to create an environment focused on receiving information rather than active participation. During these meetings, participants will not be allowed to unmute and will only be able to message the hosts of the meeting (i.e., the leader).
The same seminar content was covered in both intervention conditions. The seminars included Raising Responsible Teenagers, Raising Competent Teenagers, and Getting Teenagers Connected.
Approximately 2-months and 4-months after attending the final seminar, parents will be contacted to complete a 30-minute follow-up survey for which they will be compensated. The dates that parents attended each seminar will be recorded and parents will be contacted approximately 2-months and 4-months after their last attended seminar (or their last opportunity to attend a seminar if they do not attend all three seminars). Parents in the waitlist control condition will be contacted approximately 2-months and 4-months after the last seminar was offered to those assigned to the intervention conditions in their enrollment cohort.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention-as-usual | Experimental | 90-minute positive parenting seminars with active discussion component |
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| Intervention without an active discussion component | Experimental | 60-minute positive parenting seminars without an active discussion component |
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| Waitlist Control | No Intervention | Assessment-only waitlist control condition |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Positive Parenting Seminar Series | Behavioral | Selected Teen Triple P Positive Parenting Seminar Series Delivered Through Telehealth |
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| Measure | Description | Time Frame |
|---|---|---|
| Parent Satisfaction | Parents assigned to an intervention condition will complete a modified 8-item version of the Parent Satisfaction Survey. Response options ranged from 1 (Poor, No definitely not, or Not at all) to 7 (Excellent, Yes, definitely, or Very much). | Weekly, through intervention completion, average of 3 weeks. |
| Acceptability | Parents assigned to an intervention condition will complete a modified 9-item version of the Treatment Acceptability Rating Form. Response options range from 1 (Not at all) to 7 (Very much). | Weekly, through intervention completion, average of 3 weeks. |
| Positive Parenting | All parents will complete the 16-item positive parenting composite measure of the Multidimensional Assessment of Parenting Scale, which is comprised of proactive parenting (6-items), positive reinforcement (4-items), warmth (3-items), and supportiveness (3-items) sub-scales. Response options range from 1 (Never) to 5 (Always) reflecting the frequency with which parents engage in different parenting behaviors. | Baseline, 2-month, and 4-month follow-up assessments. |
| Negative Parenting | All parents will complete the 18-item negative parenting composite measure of the Multidimensional Assessment of Parenting Scale, which is comprised of hostility (7-items), physical control (4-items), and lax control (7-items) sub-scales. Response options range from 1 (Never) to 5 (Always) reflecting the frequency with which parents engage in different parenting behaviors. | Baseline, 2-month, and 4-month follow-up assessments. |
| Parental Psychological Control | All parents will complete the 8-item Parent Psychological Control Measure, that is based off the Psychological Control Scale - Youth Self-Report. Response options range from 1 (Never) to 5 (Always) reflecting the frequency with which parents engage in different parenting behaviors. |
| Measure | Description | Time Frame |
|---|---|---|
| Adolescent Emotional and Behavioral Difficulties | All parents will complete the 25-item Strengths and Difficulties Questionnaire. This measure consists of emotional problems (5-items), conduct problems (5-items), hyperactivity (5-items), peer problems (5-items), and prosocial behavior (5-items) sub-scales. Each sub-scale will be examined as an outcome, along with the total difficulties scale, which is a composite of all five sub-scales and reflects overall emotional and behavioral difficulties. Response options range from 0 (Not true) to 2 (Certainly True) and reflects how often children experience various difficulties. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| John L. Cooley, Ph.D. | University of Florida | Principal Investigator |
| Caroline Cummings, Ph.D. | Texas Tech University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Texas Tech University | Lubbock | Texas | 79424 | United States |
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Three study conditions compared: intervention-as-usual, intervention without an active discussion component, and waitlist control
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| Baseline, 2-month, and 4-month follow-up assessments. |
| Parental Monitoring | All parents will complete the 9-item Parental Monitoring Scale and the 15-item Sources of Parental Knowledge scale. Responses range from 1 (No, never) to 5 (Yes, always), reflecting how often parents know information about their teenager's whereabouts and activities, and how they learn this information. | Baseline, 2-month, and 4-month follow-up assessments. |
| Parent-Adolescent Relationship | All parents will complete the 4-item Involvement and 6-item Connectedness subscales of the Parent Adolescent Relationship Scale. Responses range from 0 (Not at all true) to 5 (Nearly always or always true) and reflect how true each statement was of parents' relationships with their teenager. | Baseline, 2-month, and 4-month follow-up assessments. |
| Parent-Teen Conflict | All parents will complete a slightly modified version of the Aversive Parent-Child Interactions scale of the Youth Everyday Social Interactions and Mood measure. Responses range from 1 (Not at all) to 5 (A lot), reflecting the frequency with which there was conflict between parents and their teenager. | Baseline, 2-month, and 4-month follow-up assessments. |
| Parental Hope | All parents will complete the 5-item Hope for Parenting Scale. Response options range from 1 (Definitely False) to 8 (Definitely True) indicating how much they agree or disagree with each item. | Baseline, Weekly, through intervention completion (average of 3 weeks), 2-month, and 4-month follow-up assessments. |
| Parental Self-Efficacy | All parents will complete the 5-item Brief Parental Self-Efficacy Scale. Response options range from 1 (Strongly Disagree) to 5 (Strongly Agree), indicating how much they agree with each statement. | Baseline, Weekly, through intervention completion (average of 3 weeks), 2-month, and 4-month follow-up assessments. |
| Global Satisfaction | Parents assigned to an intervention condition also completed the 8-item Client Satisfaction Questionnaire. Response options ranged from 1 (None of my needs have been met, Quite dissatisfied) to 4 (Almost all of my needs have been met, Very satisfied). | 2-month follow-up. |
| Baseline, 2-month, and 4-month follow-up assessments. |
| Adolescent Emotion Dysregulation | All parents will complete the 24-item Emotion Dysregulation Inventory. Response options range from 0 (Not at all) to 4 (Very severe) reflecting the severity of various emotions and behaviors displayed by teenagers. | Baseline, 2-month, and 4-month follow-up assessments. |
| Adolescent Emotion Regulation | All parents will complete the 8-item emotion regulation sub-scale of the Emotion Regulation Checklist. Response options range from 0 (Never) to 3 (Almost always) reflecting the frequency with which teenagers displayed various emotions and behaviors. | Baseline, 2-month, and 4-month follow-up assessments. |