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| Name | Class |
|---|---|
| Parente AI | UNKNOWN |
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The goal of this clinical trial is to learn if adding an artificial intelligence (AI) application called to standard Behavioral Parent Training (BPT) helps families with children who have disruptive behavior problems. It will also help researchers understand if the app is easy to use and helpful for parents.
The main question it aims to answer is:
- Is it feasible and acceptable for parents to use the AI app alongside their therapy sessions?
The secondary questions it aims to answer are:
Researchers will compare:
Participants will:
This study seeks to evaluate new ways to support families with children exhibiting disruptive behavior problems, one of the leading causes of referral to mental health services. Although Behavioral Parent Training (BPT) has proven to be a highly effective treatment, many children do not receive adequate care due to a lack of resources and overstretched services. Therefore, this project explores whether the use of the AI-based application can increase the efficacy and accessibility of BPT.
Objectives: The primary objective is to examine the feasibility of adding the AI app to group-based BPT (acceptability, utility, satisfaction, therapeutic alliance, and attendance).
As a secondary objective, the study will evaluate the clinical impact of the AI app in reducing disruptive behaviors and irritability in children, as well as decreasing symptoms of depression, anxiety, and stress in parents.
Design: This is a randomized controlled trial with two conditions: (A) a control group, which will receive 8 weekly sessions of BPT (online) followed by treatment as usual for 6 months; and (B) an experimental group, which will receive the same BPT plus continuous access to the ParenteAI app, offering automated and personalized support via a 24/7 virtual assistant. Group assignment will be randomized using balanced blocks.
Outcome Measures:
Primary: Acceptability, utility (TAI), satisfaction (NPS), therapeutic alliance (WAI-SR), attendance, and dropout rates.
Secondary: Disruptive behaviors (ECBI), irritability (ARI), parental symptoms of depression, anxiety, and stress (DASS-21), and general psychopathology (SDQ), in addition to sociodemographic data and clinical diagnoses. Qualitative assessments of the experience with ParenteAI will also be collected.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| BPT | Active Comparator | Parents that receive 8 weekly online sessions of behavioral parent training (BPT). The program will include 8 sessions, including psychoeducation about goals and behaviors, special time, praise, clear instructions, rewards, active ignoring, cool down time, and school behavior. The BPT sessions are basedon a combination of the Module of conduct problems of the MATCH-ADCT program from Chorpita and Weisz (Modular Approach to Therapy for Children wit h Anxiety, Depression, Trauma, or Conduct Problems) (Chorpita & Weisz, 2009), the BPT program from Russell A. Barkley (Barkley, R.A., 2013. Defiant children: A clinician's manual for assessment and parent training. Guilford press.), and the program from Alan E. Kazdin (Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. Oxford University Press.). |
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| BPT+AI app | Experimental | Parents that receive 8 weekly online sessions of behavioral parent training (BPT) and have access to AI app 24/7. Parents will be given access to ParenteAI app and will be asked to open an account. When starting the app, they will be greeted by a therapist assistant called PAT (an AI agent) that will guide parents through different stages of BPT modules and ask any question they might have anytime anywhere in form of a chatbot. Specifically, the app has two dashboards: 1) A behavioral parent training divided in 8 core modules and several optional modules, in which PAT provides evidence-based manualized BPT, and that mirror the sessions from the BPT group. Parents using ParenteAI will work on each module the week before that topic is discussed in the BPT groups. 2) A chatbot with a curated knowledge base on BPT (trained on same manuales) where parents can talk and ask questions to PAT about anything related to parenting, providing specific feedback, 24/7. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Behavioral Parent Training (BPT) | Behavioral | Eight (8) weekly online sessions of BPT |
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| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of AI support | This will be measured by the total number of modules completed, number of In-the-moment support interactions with ParenteAi initiated by parent, number of messages exchanged, words sent by the parent, and average words per message. | From enrollment to the end of treatment at 6 months follow up |
| Usefulness of BPT with or without AI support | This will be measured with the Therapy Attitude Inventory (TAI; Eyberg, 1993 Eyberg & Johnson, 1974). The TAI measures satisfaction with parent training, parent-child treatments, and family therapy. The scale consists of 10 items rated on a five-point Likert scale, with 1 indicating dissatisfaction or worsening of problems and 5 indicating maximum satisfaction or improvement. The total score ranges from 10 to 50. | Week 4 and 8 (Postreatment) |
| Satisfaction with AI application support | This will be measured with the Net Promoter Score (NPS), a metric that measures the likelihood of parents, in this case, recommending the use of Parente.AI application to other parents with similar problems. The NPS is calculated by asking parents to rate, on a scale of 0 to 10, how likely they are to recommend. The score is then derived by subtracting the percentage of "detractors" (those who score 0-6) from the percentage of "promoters" (those who score 9-10). The resulting score ranges from -100 to +100. | Week 8 (Post-treatment) |
| Therapeutic alliance with AI-assistant | Therapeutic alliance with PAT (AI-assisted therapist) will be measured with the Working Alliance Inventory (WAI-SR). The WAI measures three important aspects of the therapeutic alliance: 1. Agreement about the therapeutic tasks, 2. Agreement about the therapeutic goals, and 3. The affective bond between clinician and client. The Working Alliance Inventory-Short Revised (WAI-SR) is a refined version designed to measure these key aspects with greater clarity and efficiency. | Week 4, Week 8 (Post-treatment), 3-month follow-up, and 6-month follow-up. |
| Measure | Description | Time Frame |
|---|---|---|
| Child Disruptive Behavior (ECBI) | The ECBI is a 36-item parent-report questionnaire used to assess the frequency and severity of disruptive behaviors in children aged 2-16. Parents rate each item on two scales; the intensity scale measures how frequently the behavior occurs on a 7-point Likert scale (1=never, 7=always), and the problem scales indicates whether the parent considers the behavior a problem (yes/no). |
| Measure | Description | Time Frame |
|---|---|---|
| Qualitative Feedback on AI application | Open-ended assessment of parental experience using two questions: "What did you like the most?" and "What would you recommend improving?" | Week 8 (Post-treatment) |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Pablo Vidal-Ribas Belil, PhD | Contact | +34644890465 | pablo.vidalribas@sjd.es | |
| Eduardo L Bunge, PhD | Contact | pauvrb@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Pablo Vidal-Ribas Belil, PhD | Fundació de Recerca Sant Joan de Déu | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hospital Sant Joan de Déu | Recruiting | Barcelona | Barcelona | 08950 | Spain |
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It is an add-on trial, in which both parallel groups receive behavioral parent training, and one of the groups have also access to AI app.
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| Behavioral Parent Training (BPT) + Support of AI app | Combination Product | Eight (8) weekly online sessions of BPT supported by AI app, with access 24/7 from baseline to 6 month follow up after last group session. |
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| Treatment Attendance Rate | Percentage of group sessions attended. Calculated as (Sessions Attended / Total Sessions) x 100. | Through the end of the 8-week intervention |
| Study Dropout Rate | Percentage of participants who withdraw from the study or discontinue the intervention. | Week 8 (Post-treatment), 3-month follow-up, and 6-month follow-up. |
| Baseline, Week 4, Week 8, 3-month follow-up, and 6-month follow-up |
| Child Irritability (ARI) | Measured via the Affective Reactivity Index. Total score ranges from 0 to 12; higher scores indicate greater irritability | Baseline, Week 4, Week 8, 3-month follow-up, and 6-month follow-up |
| Parental Psychological Distress (DASS-21) | Measured via the Depression, Anxiety, and Stress Scale. Evaluates negative emotional states across three subscales. Higher scores indicate greater distress. | Baseline, Week 8 (Post-treatment), and 6-month follow-up |
| General Psychopathology and Impact (SDQ) | Measured via the Strengths and Difficulties Questionnaire. Total difficulties score ranges from 0 to 40; higher scores indicate greater emotional/behavioral problems. Includes an Impact supplement with scores ranging 0-10, higher scores indicate greater impairment. | Baseline, Week 8 (Post-treatment), and 6-month follow-up |
| ID | Term |
|---|---|
| D001289 | Attention Deficit Disorder with Hyperactivity |
| D000066553 | Problem Behavior |
| D001523 | Mental Disorders |
| ID | Term |
|---|---|
| D019958 | Attention Deficit and Disruptive Behavior Disorders |
| D065886 | Neurodevelopmental Disorders |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D002652 | Child Behavior |
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