Using the Adaptive Behavioral Counseling Decision Framework to Guide Single-Session Intervention for Preschool Behavioral Concerns in Pediatric Primary Care: A Feasibility Trial
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Adaptive Behavioral Counseling Decision Framework.
- Who it may be relevant to
- Registry conditions: Early Childhood Emotional and Behavioral Concerns. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
Adaptive Behavioral Counseling Decision Framework in Pediatric Primary Care
Overview
The goal of this clinical trial is to evaluate the feasibility, acceptability, and initial effectiveness of using the Adaptive Behavioral Counseling Decision Framework to provide behavioral counseling for common preschool behavior problems in pediatric primary care. The interventions will be provided by integrated behavioral health clinicians and provided to primary caregivers of children aged 18-65 months who screen positive on the Preschool Pediatric Symptom Checklist (PPSC) or otherwise identify a child behavior concern. Participants will receive behavioral guidance based on the Adaptive Behavioral Counseling Decision Framework during their child's medical visit or a single behavioral health visit. The main question\[s\] it aims to answer are: * What is the feasibility and acceptability of using a decision framework to guide selection and delivery of a single-session intervention for early childhood behavior concerns in pediatric primary care? * What is the initial effectiveness of framework-guided brief interventions in reducing parent-reported behavior concerns based on caregiver report? The hypotheses are that the intervention will be delivered with fidelity in the time allotted, and that caregivers will rate the intervention as feasible and acceptable.
Interventions
- Behavioral Adaptive Behavioral Counseling Decision Framework
The intervention components are common elements of evidence-based parenting interventions. In this study, they are distinguished by their delivery in the context of a single behavioral health consultation (about 20 minutes) during a pediatric health care visit.
Primary outcome measures
- Intervention Acceptability Survey [Time frame: Immediate post-intervention and 30-day follow-up]
Secondary outcome measures (2)
- Top Problems Assessment [Time frame: Baseline and 30-day follow-up]
- Preschool Pediatric Symptom Checklist [Time frame: Baseline and 30-day follow-up]
Eligibility criteria
Inclusion criteria
- Caregivers of children ages 18-65 months who screen positive on the Preschool Pediatric Symptom Checklist (PPSC) or otherwise identify a child behavior concern.
- Caregivers must be at least 18 years old.
- Caregivers must speak English or Spanish sufficiently to complete study procedures. Study procedures in other languages are not feasible.
Exclusion criteria
- Children with moderate to severe intellectual disabilities.
- Child and caregiver are already receiving more intensive behavioral parent training intervention (either at OHSU or in the community).
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Health services research
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07520331 · STUDY00029462