Evaluation of a Home-based Parenting Support Program: Parenting Young Children

Официальное название

Evaluation of a Home-based Parenting Support Program - Parenting Young Children - for Parents With Intellectual and Developmental Disabilities When There is a Risk for Neglect

Обзор

Background: Parents with intellectual and developmental disabilities (IDDs) have a tendency to provide insufficient caregiving and often need parenting support to prevent neglect and child removal. However, parents with IDDs are not provided with appropriate support, and there is a lack of evidence-based programmes tailored to these parents' needs. Parenting Young Children (PYC) is a home-based parenting programme developed for parents with IDDs. PYC has shown promising clinical results in interview-based studies, but there is no evidence of its effectiveness. The purpose of the proposed study is to evaluate the PYC programme for improving parenting in parents with IDDs where there is risk of child neglect. The study will include a quantitative evaluation, a process evaluation, and a qualitative evaluation of the children's and parents' perspectives on participating in PYC. Methods: The quantitative evaluation will have a multi-centre, non-randomised, comparative study design. Eligible for participation are parents with IDDs who have children aged 0-9 years living at home and who are assessed as needing tailored parenting support. Thirty parents receiving PYC and thirty parents receiving treatment as usual (TAU) will be recruited from Swedish municipal social services. Outcome variables will be examined before and after the intervention, with a follow-up 6 months after completing the intervention. The primary outcome will be goal-attainment in parenting skills, and secondary outcomes will be parental self-efficacy and children's wellbeing. Interview methods will be used to explore the perspectives of parents and children in the PYC group. Discussion: This study is motivated by the need for evidence-based support for parents with IDDs, and it focuses on upholding the centrality of child-caregiver relationships and family preservation, as well as children's rights and the rights of people with disabilities. Social services have expressed ethical concerns with employing a randomized design for this vulnerable group, and this study will therefore evaluate PYC in a non-randomized comparative study.

Вмешательства

• Поведенческое Parenting Young Children
  PYC is a home-based intervention programme involving weekly, one-hour sessions over a period of at least six months. The programme has two core modules (1) Parent-Child Interaction and (2) Child Care Skills and Safety. The Parent-Child Interaction module focuses on the parent-child relationship and interaction skills such as parents' responsiveness to the child's signals, giving the child attention and encouragement, and supporting prosocial behaviour. The Child Care Skills and Safety module tar
• Поведенческое Treatment as Usual
  TAU consists of a variety of interventions from the social services. The support will be logged and classified in accordance with the Swedish National Board of Health and Welfare's guidelines for classifications of its activities. TAU will be divided into the following five categories: 1) conversation counselling or emotional support, 2) practical support, 3) skills training, 4) compensatory strategies, and 5) other support. Support will also be classified based on whether it is home-based or gi

Первичные конечные точки

• Change in Canadian Occupational Performance Measure, performance sub-scale. [Срок оценки: Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)]
• Change in Canadian Occupational Performance Measure, satisfaction sub-scale. [Срок оценки: Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)]

Вторичные конечные точки (2)

• Change in Parental Sense of Competence Scale. [Срок оценки: Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)]
• Strengths and Difficulties Questionnaire. [Срок оценки: Baseline (pre-intervention), 3-6 months (post-intervention), 9-12 months (follow-up)]

Критерии участия

Критерии включения

• Parents with IDDs, including ID and other cognitive disabilities (e.g., ADHD and ASD).
• Parents must have children aged 0-9 years living at home and be assessed by the social services to be eligible for tailored parenting support.

Критерии исключения

• Ongoing substance abuse, and/or mental illness of such nature and degree that it may affect parent management training.
• Ongoing child abuse.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Открытое

Основная цель

Лечение

Центры проведения

Швеция · 5 центров

• Social Welfare Office — Enköping
• Social Welfare Office — Jönköping
• Social Welfare Office — Motala
• Social Welfare Office — Tierp
• Social Welfare Office — Uppsala

Идентификаторы

NCT: NCT05935722 · ORU 4.2-00340/2023

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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