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This study evaluates the feasibility and preliminary impacts of a new parent support program consisting of a series of educational videos, automatically delivered via a popular texting platform. The program content is focused on teaching parents strategies to better manage interactions with children in challenging situations many children experience, e.g., a transition to a non-preferred activity, waiting for delayed reward. Parents with children demonstrating inattentive, hyperactive and impulsive behavior and experiencing difficulties with these daily challenges are invited to participate in the study.
This study employs a pre-post, open trial design with the primary aim to investigate the feasibility of delivering parenting educational materials in an accessible format, i.e., a widely used messaging platform. The training videos demonstrate the applications of antecedent- and reinforcement-based behavior management techniques in a specific situation and encourage parents to build positive parenting habits. The program usability and satisfaction will be assessed through participant ratings. The study targets parents of children demonstrating inattention, hyperactive, and impulsive behavior. These families frequently experience difficulties managing everyday routines at home, yet the access to psychosocial treatment is limited. The investigators expect parents to engage well in the program delivered via digital media. Based on the existing literature on the effectiveness of behavior parent training delivered in traditional in-person format, a moderate effect size is expected in the pre-post measures of parenting practices and the child target behavior for this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Following-through module | Experimental | Parents will receive information about strategies during situations requiring following through on/completing tasks |
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| Waiting module | Experimental | Parents will receive information about strategies during situations requiring waiting |
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| Overcoming challenges module | Experimental | Parents will receive information about strategies during situations where a child finds it challenging to engage in tasks/behaviors, due to the the difficulty level or past failure |
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| Transition module 1 | Experimental | Parents will receive information about strategies during situations where a child transitions from a preferred activity to a non-preferred activity over six videos. |
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| Transition module 2 | Experimental | Parents will receive information about strategies during situations where a child transitions from a preferred activity to a non-preferred activity over two videos. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Parent Training | Behavioral | Teaches parents antecedent- and reinforcement-based behavior management techniques and provide support to manage their stress |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of videos viewed | The number of videos viewed (minimum 0, maximum 6) to evaluate participant engagement. | 1 month |
| Percentage of completed daily ratings | The percentage of completed daily ratings (minimum 0, maximum 100). Parents are asked to provide daily ratings on the degree of success in implementing parenting strategies taught. | 1 month |
| Participant satisfaction | The parent-rated satisfaction regarding information presented in the videos. A rating completed after each video viewing using a 4-point scale. Averaged across the ratings completed for the videos viewed. (Minimum 0, maximum 4). Higher scores indicate greater satisfaction. | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| Parent-rated child's difficulties in target situations | The parent-rated child's difficulties with daily target situation examples. Ratings completed before and after the intervention using a 4-point scale. Averaged across the ratings completed for the 7-9 situations (varies depending on the module). Higher scores indicate greater difficulties. | 1 month |
| Measure | Description | Time Frame |
|---|---|---|
| ADHD symptoms | SNAP-IV inattention and hyperactivity/impulsivity symptoms total. Parent ratings completed before and after the intervention using a 4-point scale. Averaged across 18 items. Higher scores indicate ADHD symptoms more frequently observed. | 1 month |
| ODD symptoms |
Inclusion Criteria:
- Parents with children aged 4-10 who experience difficulties in situations targeted by the program.
*Note: The program will be advertised that it was developed targeting children demonstrating behaviors consistent with ADHD, and the ADHD symptoms will be measured pre-post. However, children are not required to have a diagnosis of ADHD or show elevated levels of ADHD symptoms for the mothers to sign up.
Exclusion Criteria:
- Parents who do not understand Japanese (the language the program is offered in).
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emi Furukawa, PhD | Contact | +81989668814 | lovinghabits@oist.jp |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Okinawa Institute of Science and Technology Graduate University | Recruiting | Onna | Okinawa | 904-0495 | Japan |
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| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
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| Parent-rated child's impairment related to target situations | The parent-rated level of impairment caused by transition difficulties (1 item). Ratings completed before and after the intervention using a 10 point scale. Lower scores indicate greater impairment. | 1 month |
| Positive parenting | Positive and Negative Parenting Scale (PNPS) Positive Parenting sub-scale. Parent ratings completed before and after the intervention using a 4-point scale. Average across 4 items. Higher scores indicate more frequent use of positive parenting strategies. | 1 month |
| Negative parenting | Description: Positive and Negative Parenting Scale (PNPS) Negative Parenting sub-scale. Parent ratings completed before and after the intervention using a 4-point scale. Average across 4 items. Higher scores indicate more frequent use of negative parenting strategies. | 1 month |
| Parenting stress | Parent Stress Scale total score. Parent ratings completed before and after the intervention using a 5-point scale. Average across 10 items. Higher scores indicate higher levels of parent stress. | 1 month |
SNAP-IV oppositional/defiant symptoms total. Parent ratings completed before and after the intervention using a 4-point scale. Averaged across 8 items. Higher scores indicate ADHD symptoms more frequently observed. |
| 1 month |